The Magic Way To Lose Weight….

April 23, 2007

3755688817.jpgThe rising obesity epidemic and the need for better and safer drugs for weight loss, has made a lot of doctors and patients in need for better alternatives.  As a result, you hear a lot of patients going after alternative forms of therapy and herbal preparations devoid of any scientific proofs and opt to try medications advertised on TV with image models like Judy Ann Santos claiming weight loss in front of all of us!

The truth of the matter is… weight loss depends solely on YOU!  One’s discipline to achieve the goal of weight loss depends solely on ones will to do it and achieve that goal.  There is no easy way out or a magic pill that will allow us to eat and yet lose weight! PERIOD! I have made some recommendations in this website that are deemed safe, effective and practical.  If you are willing to follow the rules of the game, then you should make it big time in weight loss. Am sure we all know how to lose weight BUT we just cant bring ourselves to cut the meat and the fat, or to bring ourselves outside to run or walk because the comfort of the bed and TV is so tempting match it with chips and soda! HOLA…. more fat is welcome and less energy is utilized!

The magic formula for the year 2007 if you want to lose weight big time is SURGERY!  There’s no other MAGIC way at the present time.  The only one procedure I will recommend to my patients at the present time if they are deemed candidates to it is the so called LAP BAnd.  It is now the widely accepted procedure in the US and in our country.  But IS IT SAFE?

4119225528.jpgA small pouch in the upper part of the stomach is created with a controlled and adjustable stoma, without stapling, thus limiting food intake.  A gastric band device is introduced through tiny (1cm) incisions laparoscopically without making a big cut in the abdomen and is placed around the upper part of the stomach.  The whole procedure can be done in 30 minutes to 1 hour and the band that is fitted in the stomach and be inflated or deflated reversibly.  Within 48 hours…you are discharged from the hospital.

In a recent article published in March 2007, Surgery for Obesity and Related Diseases,

a 5-year study of the safety of laparoscopic adjustable gastric banding (LAGB) was compared to laparoscopic Roux-en Y gastric bypass (LRYGB), two bariatric surgical procedures performed in the United States for the treatment of morbid obesity. All patients undergoing LAGB received the LAP-BAND(R) System, which is the only FDA-approved adjustable implant device for individualized weight loss. found it to have a significantly fewer complications, shorter operative times, and shorter hospital stays when compared with LRYGB….

In that study the patients who were advised surgery were categorized a morbidly with either a Body Mass Index (BMI) of 40 or more or a lower BMI of 35 or more with at least one obesity-related co-morbidity, such as sleep apnea, diabetes, or hypertension. 

Weight loss from these procedure can be dramatic.  But again, you should be ready enough to stop eating once you feel full.  Since your stomach is now literally small… you feel full easily and therefore, the WANT to eat should take a back seat and the NEED to stop eating because your ” small” stomach is now full to its capacity should supersede the WANT!

A Magic Pill definitely is better…but there is still NONE available… and definitely NOT the ones advertised on TV! The ads just take advantage of the people’s despair to lose weight fast!

I still and will continuously recommend and promote the safest way to lose weight … through discipline, determination and will to eat what is right and what is healthy!

Eat Right and Bright To Stay Light!

Read My Other Related Posts:


How Much Sugar Is In My Food?

April 20, 2007

imagesasdf.jpgAlmost any food we eat may contain sugar.  Even those with marketing ads saying the product is sugar free…may actually mean “no added table sugar” BUT contains other sources of sugar hidden under a different name so BE AWARE! 

It is important to remember that sugar can come in many forms.  You may think you are eating sugar free foods but hidden in the ingredients are the likeness of sugar that can still contribute to calories.

Sources of sugar that you should check in the food labels include the words that end in “ose” or “ol” . These are all forms of sugar. Very important to note is that syrups such as corn sweetener, sorghum syrup and high fructose syrups are sweeteners that are often added to drinks and therefore high in calories.  Remember also that brown sugar, molasses and honey are said to be better than regular sugar because they are “natural” but they all give you the same calories as regular table sugar! So BE AWARE!

Common sources of sugar added to our daily food include:

  • fructose
  • high fructose corn syrup
  • maltose
  • lactose
  • dextrose
  • mannitol

When you read food labels, take note that the Ingredients listed: they are usually in order by weight, meaning from the most to the least amount. So when a type of sugar is the first ingredient, you know there is more sugar in that food than any other ingredient. Likewise some foods may contain more than one kind of sugar so when they are added up, the total may be more than any other ingredient in that food. So BEWARE!

Lastly…One important  fact about sugar that I want everyone to remember and share:

One culprit of a bad “food” that we all at one time or another have “enjoyed” is softdrinks.  But . we may not be aware that a 12-ounce can of cola contains about ten teaspoons of sugar which actually provides more calories and put on more body fat than the same amount of table sugar taken dry by the spoonful !

Sugar in the body can cause tooth decay, diabetes and more importantly OBESITY! Be more attentive to what you eat or drink because you may actually be taking hidden sugars that you thought were non existent!

Sugar in Your Food: Beware and Be Aware!

Check My Other Related Posts:


The Seattle Experience: The Depression Factor

April 19, 2007

1ebfscd.jpgJust came back from a fruitful and educational meeting in Seattle where I attended the Annual Convention of the American Association of Clinical Endocrinologists.  I was therefore off my usual schedule in updating my blog.  Attending the AACE meeting also afforded me the chance to say hello to my mentors at Mayo especially this year where more than 8 of the plenary speakers and workshop facilitators were my former mentors at the Mayo Clinic. 

I also make it a point to also explore the place in between serious learning to learn more about the people and the culture  especially Seattle where we heard most from the movie Sleepless in Seattle.

It is indeed true that it rains 70% of the time in this part of the world.  It was almost always cloudy and that there was only 1 day out of 7 that I saw the sun!  In fact the newscaster was saying …” this is your chance to get out and enjoy because were not sure when the sun will come out again”.

The place reminds me of an important and yet unrecognized aspect in treating hospitalized patients. When I see patients in the hospital and if I know that  they will be there for quite sometime, I usually request them a room with a window.  For me light therapy is as important as my medications. It is not easy to be hospitalized and be worried about the illness.  Therefore being able to enjoy and see the light from the sun can be a bonus to early recovery.  This is already known in the world of depression especially during winter wherelight therapy in fact has been shown to be as effective as antipsychotic medications in the treatment of depression.  And experience wise… it almost always works.

The Seattle Experience therefore brought back memories of my days in Rochester Minnesota where winter is at its worst and therefore light is at its minimum.  Beautiful places but nothing beats the SUN in Cebu!

So if you have the chance… enjoy our year round sunlight.  Its one beautiful bonus that we have which we seem to take for granted.  The sun gives us the perk we need to stay alert,and  the Vitamin D we need to help our bones and muscles strong.  Unfortunately…as is true to everything we own… be it a person or a thing…we only start missing the value of a thing or a person when they’re gone!

The Seattle experience made me take a second look at Cebu and value each day that we have the sun! Enjoy the benefits of it … be it for fun or for health!

Beat Depression…Enjoy the SUN! 


Tips To Avoid Getting Tired…

April 9, 2007

2950510993.jpgGetting tired has a lot of reasons.  But it may signal an illness especially diabetes or an underactive thyroid gland.  Most often however, patients start to consult us when the feeling of tiredness last more than 6 months which obviously may mean something else.  It is imprtant to remember however that tiredness can also happen during the normal changes in our lives…like stress from work or family, during menopausal state or just due to aging.

Eat for energy : a Health Tip From the Harvard Medical School

The tried-and-true advice for healthful eating also applies to keeping your energy level high:

• Eat a balanced diet that includes a variety of carbohydrates, proteins, and fats with an emphasis on vegetables, whole grains, and healthy oils. Taking a daily multivitamin will ensure that you get the vitamins and minerals you need, but taking extra amounts of individual nutrients won’t give you more energy.

• Eating certain types of foods in particular amounts can help prevent fatigue. Because different kinds of foods are converted to energy at different rates, some — such as candy and other simple sugars — can give you a quick lift, while others — such as whole grains and healthy unsaturated fats — supply the reserves you’ll need to draw on throughout the day.

• Eat small, frequent meals. Where energy is the issue, it’s better to eat small meals and snacks every few hours than three large meals a day. This approach can reduce your perception of fatigue because your brain, which has very few energy reserves of its own, needs a steady supply.

Reduce stress

The most common cause of persistent fatigue is stress and the emotional response to it. People who feel fatigued most of the time don’t necessarily have more stress in their lives than other people, but they may be more sensitive to its effects. Stress-induced emotions consume huge amounts of energy. Relaxation therapy can be an effective tool for reducing stress and naturally boosting your energy, particularly when used in combination with cognitive behavioral therapy. Meditation, self-hypnosis, yoga, and tai chi are all relaxation techniques. One of the easiest techniques to use is progressive muscle relaxation, which involves systematically tightening and releasing sets of muscles, beginning with your toes and progressing up your legs, torso, hands, and arms. You might also consider other relaxation therapies, including aromatherapy and massage.

My Advise? 

Be Bappy, Relax So You Can be “Tired-Free”

Read My Other Related Posts:


The Practice of Eating Low Fat ….

April 7, 2007

This week since Thursday has been a long holiday in our country as we celebrate the Holy Week in commemoration of the Death and Suffering of Jesus Christ.  As such… it is both discipline and our catholic practice to adhere to sacrifices by not eating meat and not to do things you like best like…blogging:). 

This practice is really good since you only are allowed: Fish and other seafood and vegetables! This is what I call the practice of losing weight that’s really low fat: fresh food mainly Fresh fish, Water and water to fill you up and veggies for fiber and lasting satiety!

Unfortunately though, by eating low fat does not allow one to eat as much as we want.  The cartoon below sourced from Crazy Laughs Website illustrates the point I want to make!

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I just hope everybody after this week will continue to practice the way of healthy eating and onward to a healthier way of life!  Thanks to Holy Week!

Remember… Fresh Fish…Veggies and Plenty of Water!


Fracture: Another Reason To Be Careful With Aging…

April 3, 2007

2296240349.jpgThis weekend I attended a well organized meeting and a certification course in Osteoporosis in Singapore.  So I thought of sharing with you some new information about this condition.

Why do we worry about fractures due to osteoporosis? 

Osteoporosis is a state where your bones are thin because of poor calcium intake, an effect of menopause and aging resulting in a decrease bone strength that can lead to increase risk to fracture at low trauma.

Those at risk to this state includes: thin built, postmenopausal, a family history of osteoporosis ( look at your mom- check if she is hunched back already) especially above the age of 60 plus a previous history of fracture…  If you have any of the above, then be careful and be aware because complications arising from this disease can be prevented.

The National Osteoporosis Foundation has the following facts:

  • The rate of hip fractures is two to three times higher in women than men

  • The one year mortality following a hip fracture is nearly twice as high  for men as for womenIt is estimated that 10-20% die within 6 months after a hip fracture!

  • A woman’s risk of hip fracture is equal to her combined risk of breast, uterine and ovarian cancer.

  • An average of 24 percent of hip fracture patients aged 50 and over die in the year following their fracture.

  • One in five of those who were ambulatory before their hip fracture requires long-term care afterward.

  • At six months after a hip fracture, only 15 percent of hip fracture patients can walk across a room unaided.

  • 1 in 5 will end up in nursing homes for chronic care!

BUT remember… not just hip fractures, but also the more prevalent vertebral fractures are also linked with an increased risk of death… a progressine increase in excess mortality in the next 5 years.  And a previous fracture predicts ones risk to further fractures.  Therefore addressing a fracture as a disease rather than as a consequence of aging is of paramount importance to prevent complications and death!

We are so aware of the risk to die due to breast cancer but take note: ones lifetime risk to die with an osteoporotic fracture is similar to that of having a breast cancer

The GOOD NEWS is: we have ways to help! The meeting emphasized the availability now of drugs that not only help prevent further bone loss due to aging but to those with spinal deformities already and have lost height… we now have the availability of durgs to prevent further bone loss but more importantly we now have a product called Teriperatide that also can BUILD bone!

Maintain Your Bone Health For Long Life!

Read My Other Related Posts:


The Health Benefits of Soya…

March 28, 2007

Go to fullsize imageAlternative food choices other than meat or poultry include the use of soya to produce meat/poultry like dishes which are now becoming very popular among vegetarians.  These dishes really look like the popular meat balls and taste like meat BUT devoid of the bad add ons of the accumulated fat in eating meat. 

 In a recent study published in Journal of the Science of Food and Agriculture, April 2007 , ingestion of black soya beans resulted in health benefits which included a significant weight loss, and more importantly the lowering of cholesterol levels which as a result can produce a better metabolic profile that may include better insulin action and therefore a possible prevention of diabetes.

In that study, the researchers at Hanyang University, allowed 32 rats to gorge on a fatty diet, supplemented with various levels of black soya. The results showed that, after two weeks, “those getting 10% of their energy from black soya had gained half as much weight as those in the control group. Total blood cholesterol fell by 25% and LDL (so-called ‘bad’) cholesterol fell by 60% in the rats in the 10% group.”

This study really presents the good side of a soya based meal.  Not only is it a good alternative to a protein rich meat meal but is also an important component of a balanced meal that is not only low in fat but also high in fibre and a very good source of complex carbohydrates.

Let’s Enjoy “meat” Without The Fat!

Read My Other Related Posts:


The Importance of the Flu Vaccine

March 26, 2007

4184332892.jpgIt’s the time of the year that flu vaccination is again recommended. For the year 2007 … it is now recommended earlier this March due to three new strains of viruses expected to affect the region for the year.  So how can we protect from this infection and who should get the vaccination?

The Centers for Disease Control and Prevention  recommends annual influenza vaccination for the following:

  • anybody age 50 and older;
  • children ages 6 months to 59 months;
  • women who will be pregnant during flu season; and
  • adults and children with other chronic conditions like diabetes, asthma, high blood pressure

Patients with cardiovascular disease are of special concern since according to a recent American Heart Association guideline and advisory …. they are more likely to die from influenza than patients with any other chronic condition.  It is for this reason that one particular group of patients at risk are the diabetics who by the time of diagnosis most likely have cardiovascular disease already!

The advisory further noted: 

Overall, influenza is responsible for 36,000 deaths and 225,000 hospitalizations in the United States each year.  People with cardiovascular disease are particularly vulnerable, because the flu can exacerbate heart disease symptoms directly, and can also lead to conditions like viral or bacterial pneumonia that cause flare-ups of cardiovascular disease”. Influenza vaccination is now recommended with the same enthusiasm as cholesterol and blood pressure control and other modifiable risk factors for cardiovascular disease” 

Remember though that those who got last year’s shot should have a repeat vaccination this year because last year’s shot won’t offer protection this year.  Every year, the dominant strains of influenza virus change and therefore new vaccine is made for the particular year.  

So if you have diabetes, high blood pressure, asthma or any diseases that requires life long medications….

Keep Yourself Protected: Get The Vaccine!


How Safe is A FRIED Chicken: Check if Its Cooked with Trans FAT!

March 22, 2007

1937790063.jpgTrans Fat is actually a partially Hydrogenated Vegetable oil- described by some as a man made toxin. It was actually developed as a “healthy” alternative to animal fat!  It became so popular for sometime because this is the kind of fat that can give your chicken the Crunchy feeling and great taste and the pastries a longer half life. Perfect combination of a good tasting meal and longer shelf life…definitely good for business!  But Wealth Is NOT HEALTH!

SO what’s wrong with Trans Fat?

  • Just 2.6 grams a day of trans fat raises your risk of heart disease.  That’s about half as much as you get in a typical serving of french fries.  Thus it is considered as one if not the unhelathiest Fat!
  • We are presently battling the epidemic of obesity and this trans fat may actually be one culprit because it is super fattening. It has been shown that Trans fats build up belly fat themselves resulting in the “beer belly” appearance.  Likewise trans fat also cause fat from other parts of your body to move to the belly.  Whew…. really a Bad Fat! 

Remember… accumulation of fat in the abdomen is particularly dangerous because it contributes to heart disease and insulin resistance state which can lead to diabetes, high blood pressure and the so called Metabolic Syndrome.

The good news is:

  • A lot of the junky foods that we love to eat that used to have lots of trans fat like the famous Oreo cookies — are now trans-fat free. Yahoooo!
  • Fast-food restaurants are now adopting measures to reduce or eliminate trans fats.

So the next time you order crunchy chicken…. please be aware if the food is being cooked trans fat free or if it is in fact cooked with one!  As a consumer … you have to right to know because it’s your health and the health of your kids that are at stake here!

Make sure to be careful with oredering fried chicken in areas where no labels are posted especially on sidewalks.  The cook themselves may not even know what kind of oil they are using.  The Blind making the Ugly….

The Ugly and The Fried!


Do You Want A Mc Donald’s in Your Hospital?

March 20, 2007

2035271489.jpgA very good debate on whether it is helpful to have a fast food restaurant like Mc Donalds in hospital was written by Dr Charles.

It presents a different view about the realities of getting sick in a hospital with the kind of hospital food that is almost always cold and “healthy” enough for the dish to taste bland and un appetizing!  One view is that… stress in a hospital can be lessened by eating in a fast food chain that offers yummy food! Just dont think about obesity or the calories for the monent…think of it as a way to perk you up!

Think about it.  If you end up in a hospital bed…wouldnt a French Fries and a burger perk you up? Unless some alternative yummy tasting health food restaurant is available…. for the meantime….

Are You In Favor to have a Mc Donalds in your hospital?

Reality? or Healthy?


The Way To Lose Weight: Japanese Style!

March 19, 2007

3197292687.jpgMy wife and I just had a 4 day cultural sight seeing visit to Kyoto, Nara then Osaka.  I consider this trip one of the best I had so far.  (I will soon post these sights in my travelogue blog so try checking it out what these historic sights of Japan can offer.) But one thing that really bothered me in this trip is that...There’s no DIET COKE in Japan!

If you try watching the Japanese in the streets, except for the Sumo wrestlers, they are all slim! I havent seen a single japanese whom I consider obese or overweight.  It must be their diet and their way of living and lifestyle.

This trip of ours was purely cultural.  We stayed in a Ryokan house where we slept in the floor.  Fortunately we had our own private bath but otherwise it would have been in a public bath where clothes are a NO NO!  2011165386.jpgWe were then entertained by true Geishas in Gion district and had a chance to be served food by them. We ate traditional japanese food from breakfast till dinner.  And this is where you will realize that traditional japanese servings are really small!

Kaiseki- ryori which is Japan’s artistic and seasonal way of serving food that uses the freshest ingredients of the season…says it all. It was like an eleven course meal but every dish was artistically presented in small servings that by the time you reach the fifth serving you are already full. 

The concept of losing weight by eating little and slowly may have come from this tradition.  Since the foods are served in small quantities then you have the liberty to really taste each bite and enjoy the food!  We were not feeling deprived but in fact it was the opposite… we ate in small servings but boy… we were literally satisfied!

Even in their buffet … you are offered a small plate.  Not the usual plate we have in our own homes. And the chioces are filled with seaweeds, raw fish and other seafoods.  What’s interesting though is the small serving sizes they offer including the desert.  The fruits are offered to you only 1 slice of each including their yummy chocolate cake… a small really small slice that is only enough for one bite!

Now I know why when you order Diet Coke?…. you are faced with a blank stare! It’s an unknown entity in Kyoto! 

Let’s all learn from the Japanese way of eating

  • eat in small portions 
  • use small serving plates and
  • eat slow to allow some time to taste each dish before another one is served!

It’s the our discipline and lifestyle that matters! 


Foods To Eat If You Are a Diabetic: Part 2- A Simple Meal Plan To Also Lose Weight

March 12, 2007

3678081641.jpgI often find a lot of my patients having second thoughts when they see a meal plan… and when you ask them the next visit… it’s almost totally ignored.  The trick that often works is to simplify a regimen whether you are talking about a diabetic meal plan or for weight loss.  Choices should be better with more options to be free to choose and change.

When I see a diabetic patient or any patient that I deemed prediabetetic or at risk to become one become he or she is obese, than I usually challenge them to make a simple meal plan that they can follow. 

MY simple rules are:

  • Stop once you fell full! 

  • Eat at a specific time and eat even if you’re not hungry. The main reason we recommend eating in between for snacks is so that you wont feel hungry before lunch or dinner then as a result you are more prepared to be disciplined enough to eat the right kind and the right amount.

  • Make sure to eat breakfast and dont attempt to lose weight by eating one meal a day only!  This attempt will backfire and make you even more obese.

  • Use a small plate and fill it up with rice, meat or fish, vegetables and a fruit. Once you have finished the meal…then stop because for sure you are already full!  Don’t grab for something else because it’s obviously out of the urge to eat more.  Stand up and leave the dining table AT ONCE!

  • Make sure to eat snacks in between to prevent you from becoming hungry in between.

  • If you still feel hungry after the meal, grab for more vegetables or additional half of an apple.

  • Drink lots of water before each meal and afterwards

  • EAT SLOWLY… enjoy the taste of each bite!

  • It is usually the first and the last bite that we can remember.  So if you want to eat chocolate: eat 1 bite before the start of the meal…then eat a bite of the cake after the meal!  Is this a compromise or what!

  • Some free foods ( with less than 5 gms of carb)that you can enjoy without adding much calories include: Bouillon or broth, sugar free 3 in 1 Coffee or tea, Diet soft drinks,  Sugar-free hard candy or Jell-O.  But make sure you spread out free foods throughout the day and not eat them in one sitting.

  • Obviously however…I want my patients to refrain from sugary beverages like ice tea, juices and soda drinks.

There you go… I havent specified what and how much to eat or how many grams or ounces of meat etc.  What’s important is: you have a cup of rice, a serving or two of meat ( lean preferably or even white meat), 2 cups of vegetables and a fruit!  It’s your choice of what kind!

If you dont follow a meal plan because it’s complicated enough…hope you can remember my simple rules! It’s may not be perfect or ideal but better than none … and works for me!

Do You AGREE?

Rules Need To Be Simple To Be Followed….

Read My Other Related Posts:


Can A High Fiber Cereal Breakfast Help You Lose Weight?

March 10, 2007

3458544841.jpgExercise alone is not enough for one to lose weight.  I hear many complaints from patients that they’ve been playing badminton at least 1 hour on most days of the week and yet they havent lost weight.  Why?  Because after their game, it’s EATING time!  And this is where calories accumulate more than the calories burned during the exercise.  So in general: weight loss equates to cutting down of high dense calorie foods to lose weight then be more active to maintain that weight!

One important finding that can help us lose weight is to incorporate high fiber foods to our diet.  This one study recently published in the September 2006 issue of the Journal of American Dietetic Association showed that incorporation of a high fiber cereal to the daily meal resulted in more weight loss than in the group who only cut down their calories.

The other advantage of adding cereals to the meal plan is that… while cutting out calories or certain foods can result in some nutrients being from the diet, the addition of high fiber cereal can avoid such loses.

The study involved comparing three weight-loss strategies: exercise only; exercise plus a reduced-calorie diet that emphasized whole-grain cereals; and exercise plus a low-cal diet that included no cereals. 

Those in the “cereal” group were given packets of whole-grain breakfast cereal.  The dieters lost roughly 12 pounds. What was intersting is that, the cereal group lost weight by also cutting down on saturated fat while increasing their intake of fiber, magnesium and Vitamin B-6.

Breakfast cereal with milk should not be bad after all because not only  is it high in fiber but also you  lose weight with it. 

You therefore get the best of both worlds:

 The benefits of High Fiber Diet and The benefits of Eating Breakfast!

Plan To Be Healthy… Start Losing The Excess!


The Benefit of Taking A Nap!

March 8, 2007

2635562638.jpgI actually want to work early… I can do more things without the distractions and my focus is great since it’s early in the morning. Once am in my clinic… it’s an uphill battle till 12N then my feeling starts to go downhill by around 2 PM.  Remember as physicians, we listen then think then diagnose then treat every person that seeks our help.  And mind you… this is non stop from 7 till 3 PM.  So I look forward to going home, have my own time and take my daily nap for around 20 minutes.  This mid day or mid afternoon nap really rejuvenates your feeling.  It relieves you of the stress that you have accumulated throughout the day!

But did you know that now there is a study that proved me right.  It has been shown in one study recently published in the February 12 issue of the Archives of Internal Medicine that….

 “taking siestas of any frequency or duration is associated with about a one-third reduction in mortality from coronary heart disease, particularly in working men“.

The magnitude of the reduction varied depending on whether the napping was occasional or regular.  So the more frequent you do it… means the better you handle the stress… than the less chance for the stress hormones to harm your heart!  Remember stress hormones like steroid and cathecholamines are not friendly to our bodies especially if we get the surge of these hormones everytime we get too busy at work, get angry, depressed, anxious or pressured at work.

I can always work till 7 PM but I need to reclaim the calm after the day! What will my money do if I get a heart disease? Less money!  Priority counts in making sure you know when to stop and relax…when is enough really enough!  This is what I call: Health as Wealth!

A Mid day Nap is actually only asking too little form your time. 

I guess the study just emphasizes one thing:

Take Time To Relax To Live Long and Be Healthy!


Why Am I Not In Shape?

March 6, 2007

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The cartoon says it all…..

The Mind may know BUT its the Action that Counts!


To Inspire in Medicine As a Healer and As a Teacher is To Make A Difference….

March 5, 2007

3729534068.jpgAs a teacher, a doctor and a healer… to inspire someone because of your dedication to what you believe in is something I can be proud of.  That my advocacy to educate is being felt and admired as one that comes from the heart. 

When I was recognized with an Excellence in Teaching award by the medical students of New York Medical College while I was an Internal Medicine resident in the US… it proved that I can really make a difference in my way of imparting knowledge to would be doctors.  My advocacy to learn and to educate others was always there.

When I received this comment by Sol the other day… it inspired me more to continue this advocacy that I have started.   And I thank my student for this… and am asking her permission to share her message to everyone also….

“Hi Dr Gerry…This is sol here…

i just want to thank you for being an inspiration to every student, resident, and doctors alike! I admire very much your dedication to educate ever since i was still in training… and i believe you have influenced me to become an endocrinologist myself. Thank you again doctor and more power to you. Hats off!!!”

For me… I measure success not with the number of patients I see… its the number of people I’ve touched and inspired to be better!

To all the followers and readers of the website… thank you for visiting and for all your feedbacks.  They mean a lot to me!  If you keep them coming… I’ll be always be here to answer you everyday! 

To Sol… You Really Made My Day!


The Importance of Flossing

March 3, 2007

2955575324.jpgPeriodontal disease is a very common condition among my diabetic patients.  It has been shown that severe periodontitis can affect 0.5% to 1.0% of the adult population, with as many as 80% of adult population having some form of periodontal disease.   It is therefore a must that care of our teeth and gums should start from the young especially with the recent finding of an association between teeth problem and the heart!

Several cohort and case-control studies have already shown that periodontitis is associated with endothelial dysfunction, atherosclerosis, and an increased risk of heart attack and stroke.  Suggesting that inflammation of the gums can actually be a factor that can lead to long term damage to the heart as well.  As a result… now we know why Flossing is important as part of our daily oral hygiene.  By preventing gum and teeth problem, we can therefore reduce our risk for heart disease. 

In a recent study published in March 1, 2007 issue of the New England Journal of Medicine, this important showed that  “At six months, those subjects who had intensive treatment of the periodontitis, which included flossing…  was associated with reduced indexes of periodontal disease severity and significantly better endothelial function.”  The improvement was associated with lower levels of infllammatory markers which are markers also known to be associated with higher risk of heart disease. It is important to note that endothelial function is a marker of how healthy one’s heart and vessels are.  Any improvement in endothelial function means a good effect on the heart and the vessels.

As more information and studies have proven that heart disease is due to low grade inflammation… simple disease affecting the mouth which is easily preventable should therefore be addressed because low grade inflammation involving the gums and teeth can have a major impact in our risk for heart disease.

When was your last visit to your dentist?

So for Better Breath and Healthier Heart…

Make Sure You Floss… and Visit Your Dentist!

Read My Other Related Posts:

  1. How To Prevent Bad Breath

  2. The Harm of Being Obese, Having Bad Breath and Gum Disease

 


How To Keep Your Doctors Happy…And You TOO!

March 1, 2007

2652075115.jpgOne of the disappointing scenarios that we always encounter as doctors are when patients try to change the recommendations of the doctor for the following reasons:

  •  My neighbor said it can cause liver damage
  • My friend said it can be addicting
  • That I should not take this medication for a long time since it has side effects.

Or for my patients with high blood pressure, high cholesterol or high sugar… the most common reasons for not following instructions include:

  • My BP or cholesterol is now normal so I can stop.
  • My blood sugar is already below 100 so its already normal.
  • I will not take it anymore because I will become “dependent”

Common myths and misconceptions arise due to lack of communication between the doctor and the patient.  This is where proper and focused education with emphasis on the illness and the treatment should be done.  It may not all be the fault of the patient but also of the doctor who may not have all the time to explain.

The best way to approach this scenario is to emphasize to the patient the following:

  • NOT to change any of the meds unless you inform your physician
  • Diseases like high BP or high Cholesterol or Blood Sugar are chronic diseases therefore require chronic treatment.
  • Chronic diseases may be TREATABLE but are not CURABLE and therefore require long term treatment.  So any changes of the meds for that matter should be made by your physician.

Lastly…

  • Do not listen to what others say…especially your neighbor!
  • If you want another opinion, seek another doctor’s advice or a third opinion for that matter.  We welcome any other opinion and it should be your right as a patient to seek one.

Remember, we doctors are here only as your guides to help you achieve a 2832232036.jpgbetter health.  It’s really up to you to take care of yourself and follow what we advice you to do.  And if you are in doubt?  Call you doctor!

A Happy Partnership Is A Healthy Medicine!


The Waist Twisting Disc: Another Gadget to Help Lose Weight

February 27, 2007

imagesdfghfgh.jpgI just discovered this gadget given to me by a pharmaceutical company which has been sitting on my bathroom floor together with my bathroom scale.  It’s actually an innocent looking small round disc shaped exercise gadget that can make you move in one place anywhere anytime.

This device is an innovative and a safe home fitness device that is made of a strong plastic platform that “allows you to produce an intensive rotating movement when standing on it.”  It allows you to move sideways without stressing your back.  It is small but actually durable enough to withstand our weight and still allows our whole body to move sideways freely. 

It is suited for individuals who are lazy enough to change to a sports attire and drive to a gym.  Great for people who wants a home fitness equipment that can give one a great aerobic exercise program.   And since it is small and light weight, it can be carried inside a backpack and used anywhere, anytime!

I am now a great fan of this gadget.  I started using it during one rainy day and just missed my daily walking regimen.  So as not to give an excuse to not doing my routine, I grabbed my iPod, stepped on the disc and started twisting.  And to my amazement I enjoyed it without having to change my boxer shorts and “kamiseta”.   And to think, I was able to exercise even if it was raining outside.

I thought of writing about it after I’ve been doing this regimen for quite sometime.  I have to make sure it serves its purpose without giving me the muscle aches from the twisting that you have to do.  I do few twists in the morning with my sit-ups before I take a bath then my full routine in the afternoon alternating it with my walking exercise and swimming.  Again… no more excuses that it is raining or the usual excuse “that my knees hurt when I walk”….

imagesas.jpgHere’s One small lightweight gadget that I strongly recommend….

It can help anyone keep fit and healthy…

 and likewise …

help one lose weight while having fun…

The Waist Twisting Disc… Grab One For Health! 

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The Best Time To Do Your Exercise

February 24, 2007

ty.jpgIve been asked this question several times already.  Am not sure if there is a right or wrong answer to it.  What I know is there should be no excuse NOT to exercise because we own our time and therefore we can always incorporate a time to do physical activity anywhere and anytime we deemed it best.  Just like scheduling a meeting with a partner to discuss business prospects, we always allow time to do it in our day to day activity.  So why not put the same scheme with regard to exercise?  Well… just excuses not to do things we hate to do!

Just came from Butuan to give a lecture to my fellow doctors in the Caraga region.  I have to fly to Manila first then to Butuan… it’s pretty tiring but after seeing the doctors appreciate what you have sacrificed for them to educate them further in their quest for further education… it was really worth it!  But since the next day flight out of Butuan was still at 12:30 PM, I had idle times to do things I want to do.  I did not bring my shorts so I cant swim.  I dont have my rubber shoes so I cant walk or run outside.  But I brought my iPod… so with my boxer shorts and sleeveless shirt… I was off to my exercise regimen inside my room!  My point is… you can be physically active ANYTIME, ANYWHERE as long as you have the WILL to do it!

So guys… dont give excuses.  We all know the benefits of being active but we always give excuses not to do it because we’re busy and the lack of time!  Busy earning money enough to spend it all when we get sick! 

So…The Best Time To Do Exercise? ANYTIME!

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