Profiles in Medicine 2/07/24 edition is published by Anton Media Group.

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MEDICINE PROFILES IN

AN ANTON MEDIA GROUP SPECIAL • FEBRUARY 7 - 13, 2024

HEART HEALTH MONTH Treatment Developments Mediterranean Diet

RECOVER FROM PAIN AND STAY ACTIVE Est. 2004

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2B FEBRUARY 7 - 13, 2024 • PROFILES IN MEDICINE

Women’s Health Care of Garden City Committed to Personalized Care By John L. Gomes, MD

J

ohn L. Gomes, MD, founded Women’s Health Care of Garden City in 1995. It has remained an independent, private practice providing personalized obstetrical and gynecological services. He employs the technical advances of conventional medicine with an integrative approach to navigate women through difficult pregnancies into the menopausal years. He treats a wide variety of OB/ GYN conditions and is dedicated to providing the highest quality of care. All tests are conveniently done on the premises and a dedicated, compassionate staff is on call 24/7.

He is committed to excellence in patient communication, education and support as many patients come with anxiety associated with past experiences and future concerns. Dr. Gomes received his undergraduate degree from Brown University and his Doctor of Medicine from Columbia University. He is both Board Certified and a Fellow of the American College of Obstetrics and Gynecology. Women’s Health Care of Garden City is located at 1000 Franklin Avenue, Suite 200, Garden City. Call 516-222-8883 or visit online at DrGomes.com 245550 M


PROFILES IN MEDICINE • FEBRUARY 7 - 13, 2024 3B

COVER STORY

Heart Healthy Snacks Choosing heart-healthy snacks is a delicious and nutritious way to support cardiovascular well-being. Opting for nutrient-dense options that are rich in fiber, antioxidants, and heart-boosting nutrients can contribute to a healthier heart. Here are some of the healthiest snacks you can choose:

Nuts and Seeds

Almonds, walnuts, chia seeds, and flaxseeds are excellent sources of omega-3 fatty acids, fiber, and antioxidants. These nutrients support heart health by reducing inflammation and improving cholesterol levels.

Berries

February Is Heart Health Month Make your heart healthier

Dark Chocolate

BY ANTON MEDIA STAFF

specialsections@antonmediagroup.com

M

aintaining a healthy heart is essential for overall well-being, and adopting lifestyle changes can significantly contribute to cardiovascular health. Here are key practices and habits to make your heart healthier:

1

Balanced Diet

Embrace the Mediterranean Diet: Prioritize fruits, vegetables, whole grains, and lean proteins. Incorporate heart-healthy fats, such as olive oil and avocados, while limiting saturated and trans fats found in processed foods. Reduce Sodium Intake: Lower salt consumption to promote healthy blood pressure levels. Opt for fresh herbs and spices for flavoring rather than relying on excessive salt.

2

Regular Exercise

Aerobic Exercises: Engage in activities like brisk walking, jogging, swimming, or cycling for at least 150 minutes per week. These exercises improve circulation, lower blood pressure, and contribute to weight management. Strength Training: Include strength training exercises at least twice a week to build muscle, boost metabolism, and support overall cardiovascular health.

3

Maintain a Healthy Weight

Calorie Balance: Achieve and maintain a healthy weight through a balance of calorie intake and expenditure. Excess weight can strain the heart and increase the risk of cardiovascular diseases.

4Quit Smoking

Immediate Benefits: Quitting

smoking has immediate positive effects on heart health. It lowers blood pressure, reduces carbon monoxide levels, and decreases the risk of heart disease. Seek Support: Join smoking cessation programs or seek professional help to increase the chances of successfully quitting.

Alcohol 5Limit Consumption

Moderation is Key: If you consume alcohol, do so in moderation. For women, this means up to one drink per day, and for men, up to two drinks per day. Excessive alcohol intake can contribute to high blood pressure and heart disease.

6

Manage Stress

Mind-Body Techniques: Practice stress-reducing activities such as deep breathing, meditation, yoga, or tai chi. These techniques can help lower stress hormones and promote overall mental well-being. Prioritize Relaxation: Allocate time for hobbies, leisure activities, and adequate sleep to ensure a balanced and stress-free lifestyle.

Health 7Regular Check-ups

Monitor Blood Pressure: Regularly check and manage blood pressure levels. High blood pressure is a significant risk factor for heart disease. Cholesterol Monitoring: Keep track of cholesterol levels, including LDL (“bad”) cholesterol and HDL (“good”) cholesterol. Manage cholesterol through diet, exercise, and medication if prescribed. Blood Sugar Control: For those with diabetes, manage blood sugar

Blueberries, strawberries, and raspberries are packed with antioxidants, including anthocyanins and polyphenols. These compounds have been linked to a reduced risk of heart disease and help maintain healthy blood vessels.

Photo getty images

levels to reduce the risk of heart-related complications.

8Hydration

Adequate Water Intake: Stay well-hydrated by consuming an adequate amount of water. Proper hydration supports the cardiovascular system by maintaining blood volume and circulation.

9Omega-3 Fatty Acids

Dark chocolate, in moderation, is a delightful hearthealthy treat. It contains flavonoids that have been associated with improved heart health by enhancing blood flow and reducing blood pressure.

Greek Yogurt

High in protein and probiotics, Greek yogurt promotes heart health by supporting gut health and providing a satisfying snack. Choose plain, unsweetened varieties and add fresh fruits or nuts for extra flavor.

Oatmeal

A bowl of oatmeal is a fiber-rich snack that helps lower cholesterol levels and maintain steady blood sugar levels. Top it with berries or a sprinkle of nuts for added heart benefits.

Include Fatty Fish: Incorporate fatty fish like salmon, mackerel, and trout in your diet. These are rich in omega-3 fatty acids, which contribute to heart health by reducing inflammation and improving cholesterol levels.

Avocado

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These young soybeans are a good source of plantbased protein, fiber, and antioxidants. Edamame makes for a satisfying and heart-healthy snack.

Social Connections

Build a Support System: Cultivate positive social connections. Strong social ties have been associated with better heart health. Share activities with friends and family to enhance emotional well-being.

11Regular Sleep Patterns

Prioritize Quality Sleep: Aim for seven to nine hours of quality sleep each night. Poor sleep patterns are linked to an increased risk of heart disease and other health issues. Adopting these lifestyle changes collectively creates a comprehensive approach to heart health. It’s essential to consult with healthcare professionals before making significant changes, especially if you have existing health conditions. By incorporating these practices into your daily routine, you can actively contribute to maintaining a healthier heart and reducing the risk of cardiovascular diseases.

Avocado is a nutrient-dense fruit rich in monounsaturated fats, which are heart-healthy fats that can help lower bad cholesterol levels. Enjoy avocado slices on whole-grain toast or as a creamy dip.

Edamame

Salmon Jerky

For a savory and omega-3-rich snack, choose salmon jerky. It provides the heart-boosting benefits of fatty fish in a convenient and portable form.

Vegetable Sticks with Hummus

Crunchy vegetables like carrots, celery, and bell peppers paired with hummus make for a nutrient-packed and fiber-rich snack. Hummus adds protein and healthy fats to the mix.

Whole Grain Crackers with Cheese

Opt for whole grain crackers with a serving of low-fat cheese. The combination provides a balance of fiber, protein, and heart-healthy fats. Choosing these heart-healthy snacks not only satisfies your taste buds but also supports overall cardiovascular health. Incorporate a variety of these snacks into your daily routine to ensure a well-rounded and heart-friendly diet. As with any dietary changes, it’s advisable to consult with healthcare professionals, especially if you have specific dietary restrictions or health concerns. —Anton Media Staff


4B FEBRUARY 7 - 13, 2024 • PROFILES IN MEDICINE

New Developments In Liver Treatments 2024 promises to be an exciting year for people with liver diseases

Fatty liver has new names and is now called either metabolic dysfunction steatotic associated liver disease (MASLD) or MASLD with increased alcohol intake (MetALD). The MetALD category is divided into MASLD predominant and alcohol predominant depending upon how much alcohol a person drinks per week. For example, four glasses of wine a week place someone in the alcohol predominant category. New treatments are coming for fatty liver. Thyroid receptor hormone agonists are the leading contender for FDA approval. In completed clinical trials, these therapies have been shown to decrease the amount of hepatic fat and to decrease the amount of liver fibrosis, when measured non-invasively. These therapies appear to be quite safe and did not have any increased side effects when compared to placebo. Hopefully, these therapies will be approved for use sometime in 2024. The real question will be if and when they are approved, will insurance companies allow these therapies to be readily prescribed to patients

tolerated although they can cause gastrointestinal side effects and pancreatitis. These therapies are not readily available due to drug shortages. Hopefully, in the year to come, these shortages will abate and these therapies will become

more readily available. Just a word of caution as these therapies are so popular that already counterfeit drugs have been found in the US drug supply chain and the FDA. If using these products, make sure you are getting the real thing.

David Bernstein, MD, MACG, FAASLD, AGAF, FACP, is a professor at NYU Grossman School of Medicine and the director of Gastroenterology and Hepatology Ambulatory Network-Long Island for NYU Langone Health.

MEDICAL NEWS William Bodeker Named Director

THE SPECIALIST

David Bernstein, MD

and for how long? Several types of GLP-1 agonists that are approved for the treatment of diabetes and obesity have also shown promise in treating MASLD. These agents, which have become quite popular, lead to significant improvements in diabetes control and also to significant weight loss. As weight loss is the mainstay of therapy for MASLD, it makes sense that these therapies should be effective in treating fatty liver. These medications are well

Good Samaritan University Hospital Director of Advanced Practice Professionals William Bodeker, FNP, has been named president of the Nurse Practitioner Association New York State (NPA). As the lead advance practice professional at Good Samaritan, Bodeker and his team focus on the clinical needs of the hospital’s patients while providing a high level of care, compassion and comfort. As president of the NPA, Bodeker will be responsible for supervising the business and other affairs of the organization in conjunction with their board. Bodeker earned his degree through the Family Nurse Practitioner program at the

William Bodeker

University of Rochester. He began his nursing career as a clinical staff nurse in 2000 at the University of Rochester–Strong Memorial Hospital. There, he worked on a medical/surgical unit, the cardiothoracic ICU, and

the emergency department. He also worked part-time as a flight nurse/paramedic for Mercy Flight Central. This helicopter service provides EMS response and inter-facility transport. In 2021, he was recruited to Good Samaritan University Hospital in West Islip, where he serves as the director of advanced practice professionals for the hospital’s nurse practitioners and physician assistants. Bodeker has a passion for quality and patient safety. He completed the Clinical Quality Fellowship Program sponsored by the United Hospital Fund and the Greater New York Hospital Association. —Good Samaritan University

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PROFILES IN MEDICINE • FEBRUARY 7 - 13, 2024 5B

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6B FEBRUARY 7 - 13, 2024 • PROFILES IN MEDICINE

NSPC Surgeon Michael Brisman Authors Brain Surgery Textbook

A

new medical textbook authored by neurosurgeon Michael H. Brisman M.D., F.A.C.S., the CEO of NSPC Brain & Spine Surgery in Rockville Centre, has been published by Spinger Publishing Company. Entitled Put Down the Knife: A Fresh Look at Adult Brain Surgery, the book promotes the importance of minimally invasive surgical procedures and conservative treatment options. According to the publisher, “This book explores adult brain surgery from a more conservative vantage point, highlighting potential errors in thought

NSPC Neurosurgeon Michael Brisman M.D., F.A.C.S.

related to decision-making and rationales for brain surgery as well as interpretation of the surgical literature.” In addition, “focused chapters” provide a discussion of “less invasive and even non-invasive approaches for various conditions of the brain, including tumors, cysts, hematomas, pain and movement disorders and skull base disorders.” Board-certified by the American Board of Neurological Surgeons and a Fellow of the American College of Surgeons, Dr. Brisman has been in practice on Long Island for more than

25 years. He is the co-medical director of Long Island Gamma Knife at Mount Sinai South Nassau in Oceanside and was the chief of neurosurgery and co-director of the Neuroscience Institute at NYU Winthrop Hospital (now NYU Langone Hospital—Long Island) in Mineola. In addition, Dr. Brisman has served as president of the Nassau County Medical Society and the New York State Neurosurgical Society. Put Down the Knife may be ordered from several online booksellers, including Amazon. —NSPC Brain & Spine Surgery

Change Your Diet—Change Your Life The simplicity and benefits of the Mediterranean diet

BY ANTON MEDIA STAFF

specialsections@antonmediagroup.com

The Mediterranean diet has garnered global acclaim for its amazing health benefits, contributing to the longevity and well-being of those who adhere to its principles. Centered around the traditional dietary patterns of countries bordering the Mediterranean Sea, this diet is characterized by a rich variety of nutrient-dense foods that collectively promote a host of health advantages. At the core of the Mediterranean diet are key ingredients that play a pivotal role in enhancing overall health. Olive oil, a staple in this diet, is renowned for its monounsaturated fats, which contribute to heart health by reducing levels of LDL cholesterol and promoting the production of HDL cholesterol. The high content of antioxidants in olive oil further protects the body from oxidative stress, bolstering its defenses against chronic diseases. Another essential component of the Mediterranean diet is an abundance of fruits and vegetables. These nutrient-packed foods are rich in vitamins, minerals, and fiber, promoting optimal digestive health and fortifying the immune system.

The diverse array of colorful produce ensures a broad spectrum of antioxidants, protecting cells from damage and reducing inflammation—a key factor in the prevention of various diseases. Fish and seafood, particularly fatty fish like salmon and mackerel, are crucial protein sources in the Mediterranean diet. These varieties are abundant in omega-3 fatty acids, which play a vital role in cardiovascular health, reducing the risk of heart disease and stroke. The regular consumption of fish also provides essential nutrients such as iodine and selenium, contributing to thyroid function and supporting overall well-being. Whole grains, such as brown rice, quinoa, and whole wheat, are fundamental to the Mediterranean diet. These grains offer a sustained release of energy due to their complex carbohydrates, promoting stable blood sugar levels and sustained satiety. They provide a plethora of vitamins, minerals, and fiber, contributing to digestive health and reducing the risk of chronic conditions like type 2 diabetes. Nuts and seeds are another cornerstone of the Mediterranean diet, delivering

a potent mix of healthy fats, protein, and essential nutrients. Almonds, walnuts, and chia seeds, for example, are rich in omega-3 fatty acids, fiber, and antioxidants. Consuming these nutrient-dense snacks supports heart health, aids in weight management, and provides sustained energy throughout the day. Dairy products in the Mediterranean diet are often represented by yogurt and cheese, particularly varieties like feta and goat cheese. These dairy options offer calcium, protein, and probiotics, contributing to bone health and promoting a healthy gut microbiome. The fermented nature of yogurt also enhances nutrient absorption and supports digestive well-being. The inclusion of lean poultry and occasional consumption of red meat in moderation round out the protein sources in the Mediterranean diet. Lean meats provide essential amino acids necessary for muscle health and overall bodily functions. Reducing red meat intake, while prioritizing lean alternatives, aligns with the diet’s emphasis on heart health and longevity. The Mediterranean diet has been associated with cognitive

well-being. The omega-3 fatty acids from fish, antioxidants from fruits and vegetables, and healthy fats from olive oil collectively contribute to brain health, potentially reducing the risk of cognitive decline and neurodegenerative diseases. Beyond the nutritional aspects, the Mediterranean diet embodies a holistic lifestyle approach. Shared meals with family and friends,

moderate physical activity, and a focus on fresh, locally sourced ingredients contribute to a sense of community and overall well-being. The benefits extend beyond the individual to encompass a broader cultural and social context, fostering a lifestyle that promotes both physical and mental health.


PROFILES IN MEDICINE • FEBRUARY 7 - 13, 2024 7B

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FEBRUARY 7 - 13, 2024 • PROFILES IN MEDICINE

Vascular Surgeon Dr. Gerard Vitale

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