Tuesday, October 20, 2009

More on H1N1

The "Swine Flu" or H1N1 virus is here and still spreading.

The H1N1 vaccine is slowly becoming available as distributors have started shipping out the vaccine.

The question still stands: Should I get the vaccine and should I have my kids get the vaccine?

I had a call today from the mother of a family I have known for quite a while.

Here is a little of the conversation we had:

Mom: Thanks Doc for taking my call !

DrH: No problem! What can I do for you?

Mom: My child's school has been hit with the swine flu. Six (6) kids have already contracted the flu and the school will now be offering the vaccine to all student's, with parent's permission. What is your opinion doc?

DrH: Would you like the short or the long version?

Mom: I would like your answer as a parent first.

Wow!!

Score One for Mom!!!

Right to the point!

BTW, I try to make all my medical decisions as if I were treating my own family. I would not give you any treatment or medication that I would not take if I were sitting in your seat.

But back to the H1N1 question.

The H1N1 virus is here and spreading. So far, this virus has not been any worse than traditional seasonal influenza virus. In fact it seems to be less harmful. Unfortunately, any influenza illness will still cause hospitalizations and some deaths. But the H1N1 flu seems to cause more problems for children as opposed to adults. The theory behind this is that the H1N1 virus causes our immune systems to overcompensate. This overcompensation contributes greatly to the severe illness that can lead to bad outcomes. Children's immune systems appear more prone to overcompensation than adults.

That being said, I am not ready to give this vaccine to my child. This vaccine was rushed into production before proper testing. While I understand the "Why's" of it being rushed, that does not mean that I should recommend the vaccination to my family and my practice. If this vaccination program is a nationwide test of the vaccines ability to prevent H1N1 infection, I prefer not to be a "testee". Please, no puns intended!!

There are a few variables that can change my opinion.

1) If the H1N1 vaccine makes it through proper testing showing both effectiveness against contracting the virus and safety equivalent to or better than the seasonal flu vaccine, then I will advocate for vaccination.

2) If the H1N1 virus does morph or change into a deadlier strain, causing increased hospitalization and death, then the pros and cons of getting the vaccine may tilt towards receiving the vaccine.

As of today, neither of the above have occurred.

But, I do not expect everyone to agree with my views.

As George Patton once said, "If everyone is thinking alike, someone is not thinking!"

So if you want to receive the H1N1 vaccine, please click on the link to a Burlington County Health Department update on the H1N1 Vaccine distribution. It will indicate where you can go to receive the vaccine.

There are other options to help prevent contracting the H1N1 flu.

While not proven by large medical studies, Vitamin D has been shown anecdotally to help prevent and treat influenza.

We do have Vitamin D in the office for those that want to try this method.

We use RX Vitamins Liqui-D3, which is an oil based supplement that contains olive oil and Vitamin D3.

The usual dose is between 1-5 drops a day, equivalent to 2,000 to 10,000 iu per day. It is helpful to obtain a blood test to monitor Vitamin D levels if on this supplement, although I have not yet had anyone have harmfully high levels on the above doses.

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311

Monday, October 05, 2009

Butter...... Parkay !!!

October 5, 2009

Butter..... Parkay !!!

Remember that commercial.

I do!

Here is a link to its youtube video !

http://www.youtube.com/watch?v=EvM-5LYMohM

I am often asked whether to eat butter or margarine.

Growing up it was cool to eat margarine instead of butter. Better eating through better science, or so we thought!!

Here is how butter is made.
Milk a cow.
Skim off the cream.
Add salt.
Churn the cream until it’s thick and chunky and tastes awesome.

Here is one of the processes for making margarine:
Farmers grow seeds.
The seeds are harvested.
The seeds are crushed to extract some of the oil.
The rest of the oil is extracted by mixing the seeds with hexane, a chemical solvent.
The hexane is (supposedly) all removed.
The oil is pumped full of hydrogen gas and nickel powder.
The remaining oil is subjected to heat and high-pressure CO2 gas.
The oil is mixed with sodium hydroxide and passed through a centrifuge.
The oil is mixed with water and passed through another centrifuge.
At this point, the margarine is a gray, speckled, oily mass that doesn’t smell so good.
The oil is mixed with hydrated aluminum silicate that binds to and filters out the unwanted pigments.
The mix is heated again and the oil is extracted.
The oil is passed through a steam distillation chamber to remove unwanted odors.
Yellow food coloring and artificial flavors are added.

Margarine.

Mmm Mmm good!!!

Not !!!

So what would you rather eat?

Most margarines are chemically altered vegetable oils and contain dangerous and unhealthy trans-fats otherwise known as trans-fatty-acids. While vegetable oils have received good press coverage, most contain an abundance of omega-6 fatty acids, which may counter the healthy effects of omega-3 fatty acids.

So what are we supposed to eat?

Cardiologists say butter is bad, because it contains saturated fat which they argue is responsible for an increased rate of heart disease.

But is this fact or fiction?

Let us look back at history for a moment.

In America, the rate of heart disease soared during a period when saturated fats consumption fell sharply while cholesterol intake remained roughly unchanged.Before 1900, heart disease was rare in America, affecting about 8 percent of the population.

By 1950, heart disease caused 30 percent of all deaths in America. Today, it causes about 45 percent of all deaths.During this period, consumption of butter, which is high in saturated fats, fell from over 18 lbs per person per year at the turn of the century, to about 10 lbs per person per year by 1950.

Today it is even lower, yet the rate of heart disease continues to escalate.In the same period, Margarine consumption rose from about 2 lbs per person at the turn of the century to about 8 lbs per person.

Ok now.

Do we follow the advice of clever advertisers and marketers?

Or do we follow the logic of our ancestors who relied on a very low processed foods diet?

Listen to your ancestors !!!

They ate saturated fats.

They did not eat processed food.

Pass on the Parkay and vegetable oils.

Eat butter!!

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311

Tuesday, September 29, 2009

Hey Ma, No more Foie Gras !!

What is Foie Gras and how will reading about it help me to understand improved nutrition?

Should we ask The Donald?








Or maybe this Donald would be more apropo!!







Well, my guess is that "The Donald" partakes in foie gras, while "Donald Duck" hopes not to be on the menu.

From wikipedia: Foie gras (pronounced / fwa:gra:/ in English; French for "fat liver") is a food product made of the liver of a duck or goose that has been specially fattened. This fattening is typically achieved through gavage (force-feeding) corn.
Interesting.

When ducks, are force fed a starchy carbohydrate such as corn, their livers fill up with fat.

Does a similar mechanism occur in humans?

I am so glad you asked!!

There is a medical disorder called, Non-alcoholic fatty liver disease.

Otherwise known as NASH, this is a chronic condition that affects 2 to 5 percent of people in the United States. NASH involves inflammation or damage to the liver that can be severe and may lead to cirrhosis, liver failure, or liver cancer. What I find especially concerning is that NASH may affect about 70 percent of people with Non-insulin dependent Diabetes (Type 2 Diabetes).

The liver has many functions in our body. One of the most important is as a major detox center or sewage treatment plant, helping to remove and make less harmful, many substances in our body. Our liver also plays a part in sugar metabolism. If our bodies sense we do not have enough sugar or glucose to burn, our liver can manufacture glucose for use.

Sounds like a good thing!

It is unless it starts over-manufacturing sugar that we do not need and is one of the mechanisms involved in Type 2 Diabetics and why they have a high incidence of fatty liver. In Type 2 Diabetics, even though they have plenty of excess energy stored in their bodies fat cells, they have trouble converting this fat to energy for use inside their cells. So their liver starts producing more sugar- glucose, which gets into their bloodstream, raising their glucose levels even further, in the hope that their cells can make use of this energy. A big problem with this mechanism is that the now higher levels of sugar in the bloodstream then gets converted into triglycerides (fat) and once again get stored in the liver, furthering the fat accumulation problem. Talk about spinning in circles!!

Sometimes a picture helps to get a point across.

Caution- some pictures below may not be suitable to view prior to a meal.

Below are three different livers which show the progression of fatty liver disease.









normal->--fatty-> Cirrhotic liver

The liver furthest to the left is a normal liver. It is smaller in size and has a deeper-rich and healthy color.

The center-middle liver is a fatty liver. It is somewhat bloated and misshapen, with a dull yellowish color.

The liver furthest to the right is a cirrhotic liver. It is huge and misshapen, with a pebbled appearance and coarser in texture.

OK, ugly pictures to look at, especially before eating!

So what can we do to prevent NASH or reverse it?

1) We must lower the amount of processed carbohydrates we eat to an amount that our bodies can handle. We accomplish this by closely monitoring diet, weight, waist size, and metabolic parameters. Each and every individual has a different "carb-tolerance", so to be succesful you need to find your own.

As we read earlier, to make Foie Gras, ducks are force fed large amounts of corn, a very starchy carbohydrate. In real life, we are feeding ourselves large amounts of processed carbohydrates such as cereals, breads and soft drinks, which act in our bodies just like corn!

2) Increase the burning of excess fat cells by change to a lower carbohydrate diet and if possible an increase in exercise. In other words, change your metabolism from a storer of excess energy (storing fat) to one that burns more energy than it stores ( a burner of fat).

The key to burning fat for fuel, is to limit the amount of glucose available. We accomplish this by a low processed carbohydrate diet.

If you are succesful in this dietary approach, the excess fat stored in your organs may diminish and hopefully allow your organs to once again work efficiently.

So let's recap:

If our bodies are overburdened by carbohydrates and sugar, excess carbohydrates get converted into sugar which gets converted to triglycerides which gets stored in our liver and other internal organs, eventually "gumming up" their efficiency. Consider it like rust occuring on metal. Just as the rust will destroy the metal, the excess fat will prematurely age and destroy our organs.

So that ends this lesson in, Hey Ma, please no more Foie Gras !!!

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So hopefully Foie Gras gives you some added motivation to start a low processed carbohydrate diet. As mentioned in my previous newsletter, we have wellness programs set up to help you with the transition and also to provide extra guidance.
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Other Institute For Medical Wellness Events

Our massage therapist, Julie, is limbering up for the fall season.

If you are enrolled in a Wellness plan, and have not yet experienced the benefits of massage, you can receive one one-hour massage for $35, or one 1.5 hour massage for $50. That is 50% off regular prices.

Package discounts are also available:

A 3 hour massage package, regularly $210, is now available at a 10% discounted price of $189.

A 5 hour massage package, regularly $350, is now available at a 15% discounted price of $299.

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One of our newer network affiliates is Master Ting, from Silver Tiger Tai Chi in Hainesport. Master Ting is now offering one complimentary Tai Chi session for individuals enrolled in any Institute For Medical Wellness plan. More information on Master Ting can be found here.

One of Master Ting's long time students, David, is also offering a Tai Chi class. The Tai Chi classes begin October 1, running from 7pm to 8:30pm.

Classes will be held at the Boudinot Elementary School, corner of Pearl and Ellis Streets in Burlington, NJ.
Call 609-387-5895 to register.

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-031
www.drhorvitz.com

Fall is here and the time is right for....

Hear ye, Hear ye !!

I have hereby proclaimed October 2009 as Healthy Weight and Lifestyle month at the Institute For Medical Wellness.

Achieving a healthy weight is more than diet and exercise. It takes skill and good sound advice.

Many an individual presents to my office wanting to lose weight.

The most common phrases I hear include, "But my metabolism is slow", or "I am metabolically challenged".

For these "metabolically challenged" individuals or anyone looking to get to a healthier weight, our wellness plans are a "perfect fit" to convert you to a more metabolically energized life!

The following wellness plans are available:

1) Our Traditional Wellness Plan- $525 yearly fee.

2) Traditional Weight Loss Plan- $750 yearly fee includes our traditional wellness plan along with 5 hours of personal exercise training.

3) Holistic Weight Loss Program- for $999 yearly fee, includes our traditional wellness plan along with our Naturopathic physician Dr. Jennifer Phillips to help you achieve your healthy weight and lifestyle needs.

4) Healthy Weight, Body and Life Program- $1500 yearly fee, being reduced to $1400 thru October 31, 2009. This program includes the Traditional Wellness Plan along with 5 hours of personal exercise training, holistic nutritional guidance from our Naturopathic physician Dr. Jennifer Phillips, a one hour introductory acupuncture session with Paula Andersen, and 3 hours of therapeutic massage with Julie Fischer.

All of the above yearly plans are also available with affordable monthly payment options.

So if you have some excess pounds to lose, and need help or guidance without gimmicks,
look no further than The Institute For Medical Wellness.
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As part of proper diet and nutrition, the Institute For Medical Wellness is proud to offer the following nutritional supplements, available individually or in grouped packages. You can view these supplements here.

Supplements available at The Institute For Medical Wellness include:

Multivitamin: RX Vitamins ReVitalize Iron-free 90 caps - $30

Vitamin-minerals: Carlsons Labs B-12-SubLingual 1000 mcg 90 tabs - $15
Douglas Labs Amino-mag magnesium chelate 100 tabs - $12
RX Vitamins Liquid-D3 2000 IU 1 oz - $18

Fish Oils: Carlson's Labs Finest Fish Oil Omega 3 200 ml - $18
Carlson's Labs Finest Fish Oil Omega 3 500 ml - $36
Carlson's Labs Finest Fish Oil Omega 250 capsules - $42

Probiotics: Integrative Therapeutics Probiotic Pearls Pro Flora Immune 30caps - $15

Urinary Tract: Bio-Tech d-Mannose 50 caps - $15

Misc: Coenzyme Q10- 200mg - 60 tabs-capsules or lozenges - $50

We also have supplement packages available at a discount:

General Health Package:

RX Vitamins ReVitalize Iron-free 90 caps
+
RX Vitamins Liquid-D3 2000 IU 1 oz

Buy these together for $43, a $5 savings

Healthy Immune System Package- may help you get ready for the cold and flu season.

Integrative Therapeutics Probiotic Pearls Pro Flora Immune 30caps
+
RX Vitamins Liquid-D3 2000 IU 1 oz

Buy these together for $28, a $5 savings

Healthy Heart Package:

Coenzyme Q10- 200mg - 60 tabs-capsules or lozenges
+
RX Vitamins Liquid-D3 2000 IU 1 oz
+
Carlson's Labs Finest Fish Oil Omega 3 500 ml or Carlson's Labs Finest Fish Oil Omega 250 capsules.

Buy these together for $97, a $10 savings
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Our massage therapist, Julie, is limbering up for the fall season.

If you are enrolled in a Wellness plan, and have not yet experienced the benefits of massage, you can receive one one-hour massage for $35, or one 1.5 hour massage for $50. That is 50% off regular prices.

Package discounts are also available:

A 3 hour massage package, regularly $210, is now available at a 10% discounted price of $189.

A 5 hour massage package, regularly $350, is now available at a 15% discounted price of $299.
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One of our newer network affiliates is Master Ting, from Silver Tiger Tai Chi in Hainesport. Master Ting is now offering one complimentary Tai Chi session for individuals enrolled in any Institute For Medical Wellness plan. More information on Master Ting can be found here.

One of Master Ting's long time students, David, is also offering a Tai Chi class. The Tai Chi classes begin October 1, running from 7pm to 8:30pm.

Classes will be held at the Boudinot Elementary School, corner of Pearl and Ellis Streets in Burlington, NJ.
Call 609-387-5895 to register.

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
www.drhorvitz.com
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I would like to thank everyone for sending me topics for future newsletters. While I am not able to accommodate all the requests, I will continue to try. So keep em coming!!
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Please feel free to forward these newsletters to friends and family.

Friday, September 04, 2009

Lies and Thighs.....

September 4, 2009

Lies and Thighs .........

First the Lies !!!!!

Pfizer pharmaceuticals pleads guilty to a felony for fraudulent marketing of some prescription medications and will pay record fines amounting to over two billion dollars.

You can read the Department of Justice (DOJ) documents describing the settlement here .

Here are some quotes from our federal government gloating over this news:

First, Kathleen Sebelius, Secretary of Department of Health and Human Services was quoted as saying:

"This historic settlement will return nearly $1 billion to Medicare, Medicaid, and other government insurance programs, securing their future for the Americans who depend on these programs. The Department of Health and Human Services will continue to seek opportunities to work with its government partners to prosecute fraud wherever we can find it. But we will also look for new ways to prevent fraud before it happens. Health care is too important to let a single dollar go to waste."

Next we have Michael L. Levy, U.S. Attorney for the Eastern District of Pennsylvania. He is quoted as saying:

"This resolution protects the FDA in its vital mission of ensuring that drugs are safe and effective. When manufacturers undermine the FDA’s rules, they interfere with a doctor’s judgment and can put patient health at risk. The public trusts companies to market their drugs for uses that FDA has approved, and trusts that doctors are using independent judgment. Federal health dollars should only be spent on treatment decisions untainted by misinformation from manufacturers concerned with the bottom line."

Now I have also complained about some of the practices of Big Pharma.

Some of my past newsletters on this subject can be found below:
If you think I am skeptical that this will help individuals, then it proves that great minds think alike.


But Why????

Here are questions I would like answered.

Will other pharmaceutical companies change their ways as a result of this judgement?
What will happen to the 2 billion dollars the government receives?
Will the money go where it is intended, back to Medicare and Medicaid???
Are other pharmaceutical companies being investigated as part of a shakedown, and being forced to strike a deal with the federal government to help pass healthcare reform legislation?
Are the Food and Drug Administration's (FDA's) guidelines too difficult and bureaucratic to allow new medications to be brought to market?
Is the FDA itself corrupt?

The timing of this announcement, as the White House likes to say, seems "a little fishy" to me. While Pfizer did break the law, and deserves to be dealt with, I am not so sure there are not other motives.

My solution would be to end third party payment systems that use "other people's money". These systems invite fraud and abuse. Just look at our ever growing federal debt as an example. It is time to bring power away from Big Govt, away from Big Business and Big Corporations, away from Wall Street, and give it back to the individual. Individuals are better at sniffing out fraud, as it is their own money on the line, not "other people's money"! The real problem is how prescriptions are paid. As long as there are third party middlemen with all their rules and regulations, then fraud will occur. The government can better help individuals in need by setting up a "medical food stamps" program, that puts money to be used specifically for healthcare into a bank account for the individual. This would streamline healthcare transactions, and get rid of the third party bureaucracy that invites fraud. If it works well for food, why not healthcare?

But enough about Big Pharma, Big Government and conspiracy theories..........

Bring on the Thighs !!!!!

If you receive this email on your "blackberry", for the best visual effects, please also view on your computer email.

Take a look at the two pictures below. Who has the better chance of living longer?


Or
To help determine the answer, I will refer you to the following article, Thin thighs - maybe not your heart's desire

This article comments on a study which showed that individuals with bigger thighs lived longer than those with smaller thighs. Now the pictures above may be a bit of a stretch when comparing thin thighs to, shall I say, thick thighs, but my take on this study goes back to not how much weight you carry, but where you carry it.

Many of you have heard the distinction between having an apple or pear shaped body. The difference can be seen in the pictures below.
This first side angle picture shows the apple shaped man on the left, with all of his excess weight stored in his abdomen and trunk. Note that his thighs are very thin compared to the rest of his body. The person to the right in the first picture has a pear shaped body, with excess weight more evenly distributed throughout their body.

This middle picture I included just because I liked the picture !!

The third picture shows a frontal view of an apple and pear shaped body.

While many would argue that the thin thighed women is more attractive and healthier, that may not be the case. If you want to read further about this study, it can be found here. Pear shaped bodies tend to live longer as they distribute their fat away from the major vital internal organs, such as the liver and heart.

Pearl from this article: Having a supermodels figure is not always healthy. A healthy weight can not be determined just by getting on a scale. There are many factors that come into play. Here is a previous newsletter about a healthy weight.

So before you say you are unhealthy and put yourself on a diet to "improve your health", look to The Institute For Medical Wellness to make sure you are on the right track. Our goal has always been to give you individualized, non-biased health guidance, regardless of what the so-called experts or majority say.

When we are working with you, only two votes count, ours and yours!!

Best Wishes to All for a happy, healthy and safe Labor Day weekend!!

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
http://www.drhorvitz.com/

Also please check out our new Wellness Plans offering more holistic and heart healthy options.

I would like to thank everyone for sending me topics for future newsletters. While I am not able to accommodate all the requests, I will continue to try. So keep em coming!!

Saturday, August 29, 2009

Bladder Infections and other things that make me want to ....

August 29, 2009

One of the more common reasons patient's visit my office is due to bladder infections, otherwise known as cystitis or UTI (urinary tract infection). These infections are much more common in women than in men until later in life and account for over 8 million doctor visits each year.

Symptoms of bladder infections can include:
-Pain or a burning feeling during urination
-A feeling of urgency, or feeling the need to urinate frequently
-An altered appearance of the urine, either bloody (red) or cloudy (containing pus)
-Pain or pressure in the rectum (men) or in the area of the pubic bone (women)
-Passing only a tiny amount of urine even when the urge to urinate is strong

The most common traditional evaluation for these infections include a history and physical exam, along with a urine sample that is tested for signs of an infection.

The most common traditional treatment includes antibiotics to sterilize the bladder contents. While antibiotic treatments usually work, they are not without potential side effects, which can include but are not limited to allergy to the medication, drug interactions, diarrhea and yeast infection.

But what can be done to prevent these infections from occurring in the first place?


-Everyone should drink plenty of water to dilute your urine and help flush out bacteria.
-Avoid coffee, alcohol, and soft drinks containing citrus juices and caffeine until your infection has cleared. They can irritate your bladder and tend to aggravate your frequent or urgent need to urinate.
-Empty your bladder frequently. "Holding in" your urine allows bacteria more time to cause trouble in your bladder before you empty.

For women the following is especially important:
-Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
-Empty your bladder as soon as possible after intercourse. Also, drink a full glass of water to help flush bacteria.
-Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra.
-Avoid wearing tight clothing such as swimsuits and leotards for long periods.

But if all the above has not worked to prevent an infection, is there something else that can be done without needing antibiotics?

To answer this question, first I must let you know that about 90% of bladder infections are caused by a bacteria called E. Coli.

E Coli causes urinary tract infections by attaching itself to the wall of the bladder. Once stuck, it can reproduce and cause an infection.

So other than antibiotics, is there a way to remove the E. Coli form the bladder wall?

There just happens to be a way to trick the E. Coli into detaching itself from the bladder wall, thereby allowing you to empty your bladder of urine and this pesky bacteria.

This solution is to use a simple sugar called D-Mannose.

This sugar, when ingested, is processed through the body and stored in the bladder. Once in the bladder, D-Mannose makes the bladder wall more difficult for E. Coli to attach to. It is also thought that bacteria enjoy feeding on D-Mannose and detach from the bladder wall to better feed in the urine. The next time you urinate, the E.Coli along with the D-Mannose is flushed out of your bladder.

I have used this treatment in about half a dozen patient's so far with excellent results. Further research has indicated that D-Mannose can be used not only for treatment, but also for prevention of bladder infections.

If you are interested in trying this natural treatment, we now have this nutritional supplement at our office.
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Now what would a newsletter be without another opinion on healthcare reform. I would ask that you read the following opinion article linked here. It describes how the present healthcare reform bill WILL ration care, and will attempt to change the healthcare system to a population or community based system, instead of one that focuses on the individual.

In 2008 I terminated my participation with health insurers, and founded the Institute For Medical Wellness to provide patient-centered healthcare. Any system that puts more power to any third party, whether it be government or an insurer, and away from the individual is a system doomed to fail, as this type of government dominated system will put doctors and patient's on opposing sides. We need a more just system that will extend coverage to the uninsured without degrading quality for everyone, while keeping doctor's and patient's united for better health.

My opinion.

Throw the present proposals and bills in the trash.

The two political parties are diametrically opposed on too many aspects contained in the present bills under review.

Why not instead, have both political parties sit down and write a proposal in no more than 2-3 sentences that they both can agree upon.

Yes I said 2-3 sentences, not over 1000 pages!!

Read the 2-3 sentences, then vote!!

How about these four for starters:

1) End pre-existing conditions- Have the government start a high-risk pool for everyone with pre-existing conditions. Once individuals have health insurance, if they have a pre-existing condition, the government high risk insurance pool will cover those pre-existing conditions for one year, and after one year the private health insurer will again be responsible. This would bring some of the uninsured back to being insured.

2) Allow employers to give tax free money to employees to buy their own coverage. Employers can offer a company plan, but employees may group together with whoever they want to form their own group. This puts the individual in control of their own healthcare, without destroying employer participation. And this makes insurance portable, as it is owned by the individual.

3) Increase competition by allowing individuals and groups to purchase insurance coverage across state lines. If a policy in Nebraska costs $200/month and a policy in New Jersey costs $500/month, let people purchase the Nebraska policy. I do not know the actual rates for either state, but I have seen insurance rates differ dramatically between states.

4) Allow individuals the same tax benefits for healthcare that corporations have.

If we can start with areas we agree, it will be easier to find solutions to those we do not!!

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
www.drhorvitz.com

To view previous newsletters

Friday, August 21, 2009

Swine Flu - Should we be worried?

August 21, 2009

Swine Flu- Should we be worried?

The Swine Flu, now known as the H1N1 flu has already hit our area, and so far has been no worse than the normal seasonal flu. This may be due to the outbreak beginning in the spring, as the weather was warming up. The flu is always at its peak in the winter months, so a springtime start to a flu helps to slow its spread. There are different theories on why the winter months are worse for the flu. One theory I believe has to do with Vitamin D and our immune system. Vitamin D, which our bodies manufacture in response to strong sunlight, is at it highest level during the summer months and at its lowest level during the winter months. Higher Vitamin D levels have been shown to enhance our immune systems abilities to fight off infections, including influenza. So flu's generally hit when our Vitamin D levels are at our lowest level, in the winter months.

There are many questions yet to be answered about this potential outbreak.

1) Is this flu similar or different to the 1918 version?

Some scientists believe the H1N1 flu is similar to a 1918 flu outbreak that killed 50-100 million people worldwide. But, if you ask 5 experts on this subject, you will probably get 7 different answers. What we do know, is that the virulence of the H1N1 flu may be higher than seasonal flu as it is much more capable of reproducing in lung tissue, and thus responsible for the increased hospitalization rates due to pneumonia.

I am waiting on data from the southern hemisphere, where the winter season should be more conducive for the H1N1 virus. If the flu is causing widespread hospitalizations and deaths, moreso than the normal "flu", then I will take it a bit more seriously. Until then, I am cautiously waiting for more true data that I can analyze.

2) Is the government hysteria over this flu warranted and are they giving any recommendations to decrease its spread?


The CDC (Centers for Disease Control), has issued guidelines for businesses and employers to respond to the anticipated 2009-2010 flu season and can be found here. These guidelines deal with workplace recommenddations to reduce the spread of the H1N1 flu. Again, I am waiting on data from the southern hemisphere, where the winter season should be more conducive for the H1N1 virus. If the flu is causing widespread hospitalizations and deaths, moreso than the normal "flu", then I will take it a bit more seriously. Until then, I am cautiously waiting for more true data that I can analyze.

Never letting a potential crisis go to waste, our government has contracted with pharmaceutical companies to ramp up production of an H1N1 vaccine.

I recently came across a quote from the late Robert Novac, which sums up my views on government involvement in healthcare issues.

"Always love your country — but never trust your government!"

There are many more questions I must answer before advising on the need for the H1N1 vaccine, including:

3) Is the vaccine safe?

This question has not been answered because it has not been thoroughly tested. The swine flu vaccine of 1976, caused more problems than the flu did. The British government, aware of those issues, recently wrote a letter to neurologists to be on alert for Guillain-Barre Syndrome (GBS), a rare nerve disorder which could be triggered by the vaccine. The 1976 swine flu vaccine caused an eight-fold increase in Guillain-Barre cases in the United States, which at its worst can cause respiratory failure and even death. More information about this government letter can be found here.

4) Is the vaccine effective?

Again, this question has not been answered because it has not been thoroughly tested.

5) Are there side effects, and if so what are they?

Again, this question has not been answered because it has not been thoroughly tested.

The World Health Organization, has posted some information on their website as it relates to side effects. One part in particular concerns me, and the quote is as shown:

"Since new technologies are involved in the production of some pandemic vaccines, which have not yet been extensively evaluated for their safety in certain population groups, it is very important to implement post-marketing surveillance of the highest possible quality. In addition, rapid sharing of the results of immunogenicity and post-marketing safety and effectiveness studies among the international community will be essential for allowing countries to make necessary adjustments to their vaccination policies."

Does the word guinea pig strike a chord?

6) Does the vaccine benefit my patients?

Again, this question has not been answered because it has not been thoroughly tested. I am not anti-vaccines, nor am I anti-pharmaceutical companies. I do my best to research each vaccine and company and make my own independent opinion. However there are some physicians who do not like flu vaccines. To present an anti-vaccine physicians opinion, please visit the following website.

7) Are we to ASSUME that this flu season will be better or worse than in previous years?

Have you ever heard the saying, never assume anything, or you could make an -ass- out of -u- and -me-.

8) Do we trust the pharmaceutical companies to produce a safe and effectice vaccine on short notice?

I'll leave you to decide if you have faith in the pharmaceutical companies. I have received the seasonal flu vaccine each of the past fifteen years, and other than some male pattern baldness, have not had any adverse effects. But this is not the seasonal flu vaccine. This is a new vaccine that is being rushed to market. And to increase production in a quick fashion, the vaccine manufacturers are using experimental additives. More on the additives can be found here. This sounds an awful lot like Congress and the Senate trying to rush through health reform without thinking about the consequences. My solution is to first give this new vaccine to all of our elected officials and politicians. Why not use them as the guinea pigs for once?

I prefer to practice medicine on facts, not on fear or emotion. A little extra time spent talking, researching and thinking, can prevent and even cure many problems. So are there other
ways to protect yourself from the flu or from its complications, until we find out more about the swine flu vaccination?

Steps to enhance your immune system such as stress reduction and an increase in exercise may be beneficial.

Many flu related deaths are caused by a secondary pneumonia infection. Recent evidence has shown that decreased stomach acid, resulting from the use of prescription acid reducers, may increase your risk of pneumonia. Please talk to your physician if you are on one of these medications.

Earlier in this newsletter, I wrote about a benefit of Vitamin D. I have been testing vitamin D levels for many years now, and have found the optimal range for good health and hopefully flu prevention is a Vitamin D3 level of greater than 50 ng/ml. If you have not yet had your Vitamin D level tested, please call our office to schedule. If your Vitamin D level is sub-optimal, summertime sun exposure is a cheap and effective way to increase your levels. It only takes about one hour of daily summertime sun exposure to produce Vitamin D.

If you are unable to get adequate summertime sun exposure, my office sells a Vitamin D3 supplement that is cheap and effective. Call for more details.

In conclusion, it is a personal decision about whether to get a swine flu vaccine. At this point I am not recommending them, although I do recommend the seasonal flu vaccine. Hopefully my shipment of seasonal flu vaccine will arrive and be ready in October. I'll be sure to send out an email alerting everyone when they arrive.

I would also like to thank everyone who has forwarded my newsletters to friends and family. We are adding more readers with every edition.

Let me also wish everyone an enjoyable end to the summer, and to getting as much natural Vitamin D production as you can.


To Good Health!


Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311

www.drhorvitz.com

Saturday, August 01, 2009

Fish Oil supplements as a potential cure for global warming ???

August 1, 2009

Fish Oil supplements as a potential cure for global warming ???

I know it sounds far fetched, and I also know there is a lot of debate on whether global warming exists.

And hey, why does it look like Al Gore wearing a clip on his nose?

Please keep reading and humor me for a second....

Let's for a moment or two assume that global warming does exist.

While our politicians debate about global warming, and different options to reduce emissions that contribute to it, can fish oils be helpful?

First a little bit of info on fish oils. Fish oils contain omega-3 fatty acids that have been shown to have many positive effects such as:

--improving good cholesterol (HDL)
--lowering triglycerides
--cancer prevention
--helpful for Bipolar illness
--helpful for Rheumatoid Arthritis
--helpful for Inflammatory Bowel Disease
--less pain and inflammation

I am sure there are other benefits that we have not yet discovered, but will in the future.

I have been taking fish oils for the past 5 years as a supplement to my diet. The brand I use, from Carlson's Labs, has been tested by an independent lab and found free of impurities and toxic chemicals. This is important when you look to a supplement to use. There are other qualities to look for, and please ask at your next visit. If you have trouble finding a fish oil supplement, we do have Carlson's Fish Oils available at our office in both capsule and liquid form.

But let me get back to fish oils as it relates to global warming.

Wouldn't it be nice to be able to improve your health and help prevent global warming at the same time?

Well, some researchers may have found a way, at least with cows !!

Huh????

Here is an excerpt form an online article in Natural News:

(NaturalNews) Adding fish oil to the diets of cows and other ruminants may significantly reduce the amount of methane that the animals emit via belching or flatulence, according to a study conducted by researchers from University College Dublin and presented at a meeting of the Society for General Microbiology.


Their theory is that adding fish oils to cow feed reduces the amount of bacteria that produce methane gas. This methane, when released in the form of belching or flatulence, is one of the leading global warming gases on our planet. More fish oils, less methane in cow flatulence, less global warming. So if we believe this theory, the above list of uses for fish oils now looks like this:

--improving good cholesterol (HDL)
--lowering triglycerides
--cancer prevention
--Bipolar illness
--Rheumatoid Arthritis
--Inflammatory Bowel Disease
--less pain and inflammation
--REDUCES GLOBAL WARMING

Personally, I feel a better cure for global warming would be to stop all the gases coming out of our Washington, D.C. politicians. They are a truer cause of global warming!!








Send then home to get real jobs, not government jobs that allow them to follow their own special rules, instead of what everyone else follows!

By the way, be sure to ask your senators and representatives if they will accept the same healthcare options that they want you, the American public to take?

When they say no, doesn't that tell you something????

It tells me that something smells in Washington, D.C. !!!!

Please visit www.freeourhealthcarenow.com and sign the petition to keep the government out of your healthcare. So far, the petition has almost 1 million signatures. If you have already signed, please forward to all your friends and family.

To Good Health!!!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
www.drhorvitz.com

Sunday, July 26, 2009

Healthcare Reform - Is it Gloom and Doom for Seniors?

July 26, 2009

Healthcare Reform - Is it Gloom and Doom for Seniors?

I apologize in advance if the purpose of this newsletter is once again reform, but with the daily debates in Washington about overhauling the healthcare system, I feel I have no choice.

Let me be clear.

Our healthcare system needs reform, but the reform must start at home and not in Washington. I founded the Institute For Medical Wellness because the present third party insurance, government and corporate dominance of our healthcare system is unsustainable and detrimental to high quality patient-centered care. I removed myself from the system to be able to provide the patient-centered care that you deserve, not the care that a insurance or government bureaucrat feels you are worth. The present reform bills in Washington, both House and Senate, are focused not on improving care, but on controlling costs by putting more roadblocks into obtaining medical care. These reform proposals aim to incrementally and permanently move individuals and businesses into a government controlled system. This has already been tried in Massachusetts and Tennessee and has not worked, with the costs of the programs and waiting time for medical care both rising exponentially. When government medical costs rise, taxes rise and rationing of care soon follows. In a freer market based system, where individuals have more control of their healthcare decisions and dollars, medical costs and waiting times decrease as medical innovation increases. As costs decrease, care becomes more affordable and accessible to all. Look to the car industry. The cost of a new car today is about the cost of a new car a decade ago. This is not due to government intervention, but due to free market economics. On the other hand, Medicare and Medicaid , both government programs that fix costs, thereby not a free market, have had tremendous costs increases.

At the present time, I participate in Traditional Medicare. But the reform proposals aim to change the Medicare system, and not in a way that is good for patient care. When I stopped participating in insurance plans, some of the plans paid me better than Medicare, some worse. I did not risk my practice due to payments from insurers being too low. I dropped the insurers because they were meddling in the care that I needed to provide. Presently Medicare does not have these roadblocks. Under the present reform proposals, that will all change, and I truly fear for the medical care of seniors. Senior citizens will bear the biggest brunt of the reform due to cuts to Medicare of half a trillion dollars over the next ten years. These cuts will happen even though Medicare enrollment is expected to increase by 30% as the "Baby Boomers" become eligible. So how do we improve care, cut the budget to pay for this care, all while having people enrolled in this care increase by 30%? We can not! The math just does not add up!!

No, you have it wrong doc.

That is not what the reform bill is all about.

We will all get access to better healthcare.

Sorry, but that is just political rhetoric. One of the OBama administrations healthcare advisors, Zeke Emmanuel, has written extensively that the elderly should get less care, especially for incurable illnesses such as dementia, because, they "no longer contribute to society." The following is a quote from Dr Emmanuel:

"An obvious example is not guaranteeing health services to patients with dementia. A less obvious example Is is guaranteeing neuropsychological services to ensure children with learning disabilities can read and learn to reason."

Sorry Mom and Dad.

Sorry Grandma and Grandpa.

It was nice knowing you !!

Sorry children. You do not deserve the chance to learn to read and reason!!

I am sorry, but this is not reform, and is not the type of healthcare I expect from our country! This is a planned political medical power grab and medical rationing by the government. Any other conclusions or statements to the contrary is rhetoric, outright lies and deceptions.

There are better ways that benefit individuals and business of all size to better afford medical care, while keeping medical freedoms. Some proposals I agree with are listed below:

1) Allow individuals and small businesses to band together to negotiate better rates with insurance companies.
2) Allow insurance companies to sell policies across state lines. This will increase cost competition and hopefully end state mandates that lead to higher insurance rates.
3) Allow individuals the same tax deductibility for health insurance and healthcare that businesses now enjoy.
4) Decrease defensive medical costs by passing tort reform. Many doctors order tests that may be unnecessary for fear of getting sued. Patient's truly injured by medical malpractice will still be able to sue for damages, but the frivolous lawsuits must be ended.
5) We need more HSA's, (Health Savings Accounts), tied to higher deductible or catastrophic insurance policies. These policies are much, much cheaper than present policies, allow tax free savings for medical care, and protect from medical bankruptcies. It also puts the power of the healthcare decision making and the power of the healthcare dollar back in the hands of the patient, and away from insurers and government bureaucrats.
6) End pre-existing condition clauses in health insurance.
7) Make health insurance portable and not tied to employment. If individuals are allowed to band together as a group to negotiate better insurance rates, why do we need employers to do it for us? Allow employers to give employees, as part of their compensation package, tax free money to purchase their own coverage, if they do not like the coverage offered by their employer. If the government wants to help, they can cover part of the costs of coverage if an individual is between jobs.

There are many other suggestions for reform, the key point in reform is to allow the power of healthcare to remain with the individual, and not a government or third party. If the present reform package becomes law, I truly fear for the health of our country! We need reform that will restore the doctor-patient relationship as the predominant factor in healthcare!! Ask yourself, "Who do you trust to help you make healthcare decisions? Your doctor or Washington politicians??

If you care about healthcare choice and healthcare freedom, I strongly urge that you visit the following website, http://www.defendyourhealthcare.us/ , which contains more in-depth information on the present reform proposals. Please do not be left on the sideline, or say it is too late to stop these reforms. You may agree or disagree with the views on the above website, but you need to be informed, and make certain that your political representatives hear from you!


Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
http://www.drhorvitz.com/

Tuesday, July 21, 2009

You call that Healthcare Reform???

July 21, 2009

We are all hearing alot of hubbub about healthcare reform.

This is too important a topic, so let me speak on this subject for just a moment.

First a little background. I grew up in my father's medical office, back in the 70's when an office visit was $8 and when you paid your bill, you left with a smile and a lollypop. I watched these interactions with patient's. I saw trust and confidence that the doctor-patient interaction was always all about the patient. There were no third party intermediaries.

Fast-forward to 2009. The healthcare system has changed. Some have said the sytem has been stolen by special interests. Physicians and hospitals, in agreeing to work with government and private insurance plans, have all but given up control of the healthcare system. When in the 70's, medical decisions were made by the doctor and the patient, now these decisions need to go through bureaucratic entanglements that place your medical care outside the scope of your physcian. The doctor-patient interaction has now become the doctor-insurer-bureaucrat-actuary-patient interaction.

For example:

If you need an MRI, it is no longer as simple as getting a doctor's prescription, making the appointment and getting it done. Now, the MRI "request" has to be pre-authorized by your insurance plan. You can not make the appointment until this pre-authorization has occured. This pre-authorization is just one set of guidelines that slow down the acquisition of care, and in many cases deny it altogether. Your insurance plan is not examining you, yet is somehow is able to deny you care your doctor wants you to have!

If you need a prescription medication that is not generic, most likely it will not be "On Formulary". This means that you have no coverage for this medication and your insurer will offer to switch to a cheaper drug, all to save money for the insurance plan. What if using an alternative insurance approved medicine does not work, and you end up worse, or even needing hospitalization? Saving money is wonderful, if it is effective and in the best interests of each individual patient. But these rules are not for patient's benefit, but for the benefit of the power holding the dollar, in this case, the insurance plan.

Insurance companies AND government regulators are playing doctor with your health. They have power and control over how your healthcare dollar is spent. Your insurer's goal is to make a profit off of your insurance premiums and to spend as little as possible, even if it means delaying or denying care. The government's goal is to spend as little as possible and meddle in your healthcare decisions to attain that objective. Now, I have no problem with saving money. There is a lot of waste in healthcare. But this waste began when the third parties, the government and health insurers inserted themselves into the medical decision making process. If our system is ever to change for the better, we need these third parties out of our exam rooms. We need health insurance to once again be insurance, that covers large bills, or catastrophic costs, so medical illness will never cause one to lose their home. We do not need them in our exam rooms telling doctors and patient's what tests to run or what treatment to prescribe.

The supermajority of doctor's are for reform of the present system. We want to get back to where decisions are made solely between doctor's and patient's. While I can not speak for all doctor's, I can speak for myself. In fact I did it with my pen and my feet 2 years ago, when I terminated my contracts with insurers, and founded The Institute For Medical Wellness. This was the only way I knew to be able to work solely for you, without any third party intruder. Many more doctor's are now starting to follow my lead.

You may have heard that the AMA (American Medical Association) has given their support to the present healthcare bill going through committees in Congress. Let me make it known that I have never been a member of the AMA, and I do NOT support the present bills. These bills give more power to bureaucrats, and less to patients and doctors and will only make the system worse and more costly. The AMA, unfortunately, is a political organization, that does not necessarily represent doctor's, but actually represents it's own corporation. The AMA makes millions of dollars selling and licensing medical coding books to sell to doctor's and hospitals. These coding books contribute to the massive overhead of the present third party system. So any reformed system that continues this coding system, will benefit the AMA's corporation, thus their apparent support of the present reforms being debated. Physician's have finally wised up and are quitting the AMA in droves. A recent poll on Sermo, a doctor's only website, has over 94% of physicians against the present healthcare reform package. So when you hear in the media that doctors are for the present reform package, it is untrue. The AMA does not speak for nor represent physicians.

If healthcare reform is to work, patient's and physicians must unite. If healthcare reform is to work, the power of the healthcare dollar needs to be returned to individuals. Health insurance must once again be insurance, and not healthplans with thousands of strings attached. Patient's must have choices in insurance and physicians. Third party involvement in the exam room must end! Unfortunately, the present reform bills want the opposite, less patient choice, more third party bureaucracy, and decreased patient-physician autonomy. Too much power of the healthcare dollar in the hands of any third party, whether it be an insurer or government agency will harm our system beyond repair.

There is a better way, and it is why in 2008 I started The Institute For Medical Wellness. We act as your personal health advocate, not that of your insurance company. You receive personalized, individualized care without regards to any third party. We are an independent practice committed to offering the absolute best care- without compromise.

Now to get off my soapbox, I would like to announce a new offer at The Institute For Medical Wellness. As many of you already know, Julie Fischer has been providing therapeutic massage services for the past few months. She would like to extend a special birthday offer. A one hour massage is regularly $70. But during your birthday month, you can receive this 1 hour massage for only $45. We are confident that once you have tried Julie's massage, you will come back for more.

I would also like to remind you of our new Wellness Plans, which may include holistic, nutritional, and heart healthy options. They can be found here.

To Good Health!

Steven Horvitz, D.O.
Board Certified Family Practice
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311

www.DrHorvitz.com

Sunday, July 05, 2009

A few extra pounds, Good or Bad ???

July 6, 2009

I came across an interesting article from Reuters news service. My comments will follow.

A few extra pounds can add years to your life: study
Wed Jun 24, 2009 4:04am EDT

NEW YORK (Reuters) - Carrying a little extra weight may actually be good for you, according to a Canadian study that showed a few pounds appear to protect people from an early death. Researchers found that while underweight and extremely obese people die earlier than people of a normal weight, people who are slightly overweight actually live longer than those of a normal weight. The findings of the new study were published online in the journal Obesity by researchers at Statistics Canada, Kaiser Permanente Center for Health Research, Portland State University, Oregon Health & Science University, and McGill University.

To read the entire Reuters article... http://www.reuters.com/article/lifestyleMolt/idUSTRE55N0C720090624?sp=true

Interesting study. I read only part of this article the first time I saw it. I was too busy eating my Five Guys Burger and Fries!!









Mmm Mmm Good !!!

But back on topic...

To understand this study better, let me first introduce you to medical definitions from the NIH (National Institutes of Health) that helps to determine if a person is overweight. The method that experts believe is best is to measure a person's body mass index (BMI). BMI is a calculation derived from your height and weight. A calculator to determine your BMI can be found at http://www.nhlbisupport.com/bmi/

Adults with a BMI between 25 and 29.9 are considered overweight. There are exceptions. For example, an athlete may have a higher BMI but not be overweight.

Adults with a BMI greater than 30 are considered obese.

Anyone more than 100 pounds overweight is considered morbidly obese.

My electronic medical record is able to calculate your BMI for you. Just ask the next time you are at the office.

So is evaluating your health as simple as placing you into the following categories of underweight, average, or overweight?

No !!

Does looking like magazine supermodels make us healthy?

I'll answer that for you as well. NO!!! Most supermodels are underweight and even malnourished. Many have eating disorders. So while they may have fame and fortune, they do not necessarily have their "health".

So what does weight have to with health??

First you must answer why I chose this topic for a newsletter?

1) I was bored and felt like writing
2) My daughter is away at overnight camp, which left me with more free time.
3) It is important to advise my practice that while weight management is important for your overall health, the "number of pounds" that you weigh is only one indicator of you overall health.
4) I am trying to promote the idea that health and wellness is more than just monitoring your weight.

The answer is all of the above !!!

At The Institute For Medical Wellness, we use different methods and also different types of healthcare professionals to help you determine your overall health risk factors. Your weight is one factor. Your lab results may be another. What about your diet and exercise? Yes, we use that as well. Family History?? Extremely important!! I could go on and on, but then I may be giving away too many of my trade secrets ; )

But one thing we do, and do well, is think outside the box when it comes to your care. So before you say you are unhealthy and put yourself on a diet to "improve your health", look to The Institute For Medical Wellness to make sure you are on the right track. Our goal has always been to give you individualized, non-biased health guidance, regardless of what the so-called experts or majority say. When we are working with you, only two votes count, ours and yours!!

To Good Health !!!

Steven Horvitz, D.O.
Board Certified Family Medicine
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
http://www.drhorvitz.com/

Wednesday, May 27, 2009

So Easy A Caveman Can Do It ???

May 27, 2009

So easy a caveman can do it??





No that is not my college yearbook picture !!! Although I would not mind the hair ; )

It is the popular caveman from the Geico commercials. In the commercials, the caveman acts like a normal everyday 21st century individual, until he sees the Geico slogan, "So easy a caveman can do it". Then he gets annoyed and I don't blame him.

But what does this have to do with your health?

Let me explain.

It is now 2009, and it goes without saying that we are more technologically advanced than our caveman ancestors. We have hospitals, doctors, surgeons and antibiotics. We have nurses, therapists, and a whole host of other healthcare providers, (just look at our Wellness Network), to help treat and cure disease. Our healthcare choices are plentiful. That may change if the federal government passes new healthcare legislation, but let me get back on topic.

So are we healthier than the caveman?

NOPE !!!!

Let me explain.

While we are more technologically advanced than our caveman ancestors, we still share over 99% of their DNA. So in essence, we are not that different, just more civilized? I know, another off-topic conversation.

Our 21st century diet and lifestyle are much different than our ancestors and not necessarily for the better!

Today I will focus on diet.

Our caveman ancestors lived off the earth and were known as hunter-gatherers. They did not go to Wegmans for their produce, Papa Johns for their pizza, or make reservations for dinner. They hunted and gathered for all their food on a daily basis. Their diet is said to have consisted of fresh fruits and vegetables, greens, nuts and seeds, as well as hunted wild game. They ate fish and foraged for eggs. Their nutritional status was heads and tails above present day man. Their foods contained no preservatives or added hormones. Today's processed foods, while having a long shelf life, easy to read nutritional labels and easy to prepare microwave instructions, has far less nutritional value than fresh food. Less nutrients in today's diet set us up for many Diet Related Diseases or DRD's. I am sure you have heard of the following DRD's:

Obesity
High Blood Pressure
High Cholesterol
Diabetes
Arthritis

There are many others but I think I made my point.

Oh well, I am on a roll so I'll make another point!

Did cavemen eat Cheerios? Bagels? Ice Cream? Pepsi? Pizza? ............. NO!

How bout eggs? apples? tomatoes? fish? chicken? .............. YES !!

Pearl of the day:

If you want to improve on, or prevent your Diet Related Diseases,

the solution may be,

"So easy a caveman can do it".

Steven Horvitz, D.O.
Board Certified Family Medicine
Founder of The Institute For Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone 856-231-0590
Fax 856-294-0311
http://www.drhorvitz.com/


To celebrate the end of the school year, for the month of June, all schoolteachers can receive $10 off a 1 hour massage, or $15 off a 1.5 hour massage from Julie Fischer, our certified massage therapist at The Institute For Medical Wellness. And if you refer a friend for a massage, you both will receive $5 off your next massage.


To view previous newsletters
To view Insitute For Medical Wellness Network events

Sunday, May 17, 2009

Cheers or Jeers for Cheerios??

Excerpts From Yahoo News

Popular cereal is a drug, US food watchdog says

Tue May 12, 10:05 pm ET

WASHINGTON (AFP) – Popular US breakfast cereal Cheerios is a drug, at least if the claims made on the label by its manufacturer General Mills are anything to go by, the US Food and Drug Administration (FDA) has said.

"Based on claims made on your product's label, we have determined that your Cheerios Toasted Whole Grain Oat Cereal is promoted for conditions that cause it to be a drug," the FDA said in a letter to General Mills which was posted on the federal agency's website Tuesday.
Cheerios labels claim that eating the cereal can help lower bad cholesterol, a risk factor for coronary heart disease, by four percent in six weeks.

Citing a clinical study, the product labels also claim that eating two servings a day of Cheerios helps to reduce bad cholesterol when eaten as part of a diet low in saturated fat and cholesterol, the FDA letter says.

Those claims indicate that Cheerios -- said by General Mills to be the best-selling cereal in the United States -- is intended to be used to lower cholesterol and prevent, lessen or treat the disease hypercholesterolemia, and to treat and prevent coronary heart disease.

The rest of the Yahoo News article can be found here.

Now how silly is this?

Doesn't the FDA have anything better to do than go after the number one sold cereal in the country?

Is accusing Cheerios of being an illegally marketed drug just a little bit over the top?

I can see the news headlines.

Just Say No to Cheerios !!!!

Let us look at how silly this is on many levels, as Cheerios claims and the FDA's claims are both inaccurate.

Cholesterol, by itself, does not cause heart disease, although it can be used as a marker for heart disease. Taking cholesterol lowering drugs makes it more difficult to stratify your level of heart disease risk by masking your true cholesterol levels. If you knock out a radar station, does that mean that incoming missiles will be prevented? Just because you do not see the missiles coming in (high cholesterol levels on your bloodwork), does not mean they are not there. I use cholesterol levels taken off of medication to be a truer reading of risk.

Cheerios, being a processed carbohydrate, will raise your sugar levels, thereby raising your insulin levels, which leads to an increase in vascular inflammation in your arteries. This will increase your risk of heart disease. Not exactly what Cheerios advertises!!

Lowering bad cholesterol (LDL) without knowing your good cholesterol (HDL), triglycerides, and total cholesterol is not helpful. So any statement about lowering your bad cholesterol, without mentioning the effects on your good cholesterol, is misleading. Don't believe what you see advertised on food, especially if approved of by the FDA. Approvals are based more on politics and profits than health.

I have found the lowest heart disease risk in patient's whose Total Cholesterol divided by their Good Cholesterol (HDL) is below 4. The higher risk individuals have this ratio above 5. I have also seen many people lower their bad cholesterol, but also lower their good cholesterol and actually increase their heart disease risk. This can happen more frequently when on a low fat diet.

Who do you think has the lower risk of heart disease based on cholesterol levels alone?

Patient #1) Total Cholesterol = 240
HDL Cholesterol = 60
LDL Cholesterol = 145
Triglycerides = 110

Patient #2) Total Cholesterol = 180
HDL Cholesterol = 30
LDL Cholesterol = 115
Triglycerides = 100

Answers will appear later.

My opinion....

The FDA is playing games with the food industry and the public and I am not sure of their intentions. In the past, the FDA almost always tended to side with big business to promote sales of their products. In fact, the FDA food pyramid, which was formulated by our federal government with backing from all the major food industries, has for years encouraged an abundance of carbohydrates in the diet, with cereals produced by American industry at the forefront. This is not my view of the healthiest way to eat, and it has contributed to an increase in heart disease. But things are now changing in Washington. The FDA appears to be going after certain industries that were previously immune. When I figure out why the change of heart, I will be sure to let you know.

As for the purported health claims that Cheerios will lower your risk of heart disease, if you believe that I have a bridge in Brooklyn I would like to sell you!! Cheerios is a processed man-made breakfast food product, made up primarily of processed carbohydrates. As previously mentioned, processed carbohydrates, when eaten in abundance has been linked to an increase in heart disease, as well as obesity and diabetes. My suggestion is to pass on Cheerios, as well as most processed cereals.

OK, so getting back to my cholesterol quiz, which patient has a lower risk of heart disease based solely on cholesterol measurements?

Patient #1 has higher levels of all the cholesterol components and triglycerides. Patient #1 also has a ratio of 240/60 = 4.0

Patient #2 has lower levels of all the cholesterol components and triglycerides. Patient #1 has a ratio of 180/30 = 6.0

The envelope please.............

Patient #1 has a lower risk of heart disease based on the ratio of 4.0 . Why??The HDL or good cholesterol, in theory goes through the body and scavenges up or cleans up after the bad cholesterol or LDL. The best way to improve your ratio is too lower your processed carbohydrate intake, increase your healthy fat, protein and fiber intake, increase your exercise, and if able supplement with fish oils. This will raise the amount of good cholesterol (HDL) and lower your ratio to healthier levels.

For more information, or too develop a personalized wellness plan to include tips on healthy eating, please schedule your annual wellness exam.

As Ben Franklin once said, " An ounce of prevention is worth a pound of cure! "

Steven Horvitz, D.O.
Board Certified Family Medicine
Founder of The Institute for Medical Wellness
128 Borton Landing Road, Suite Two
Moorestown, NJ 08057
Phone: 856-231-0590
Fax: 856-294-0311

For more information about Dr. Horvitz and The Institute for Medical Wellness.
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