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Monday, March 31, 2014

NOVI OFFICE, CELEBRATES ONE YEAR!

Western Wayne Heart Group is celebrating 1 year at our Novi location at 10 Mile and Haggerty.  This is minutes from all the express ways.

39500 Ten Mile Road
Suite 103
Novi, MI 48375
Phone: (248) 267-5050
Fax: (248) 267-5051

Please see the link below for directions for our old office in Livonia to the new office in Novi.
http://goo.gl/maps/6h7hq

Our Novi office allows for the same expert standard of testing and care you've come to expect from us, with the benefits of being uploaded directly into Beaumont's Epic within 48 hours.  No mail, no faxes and no need for scanning.  We also have state of the art equipment which provides safer, more accurate testing.

If you have visited our Novi office we hope you are as happy with our it as we are.  Should you have any questions or concerns please don't hesitate to call our Physician Liaison Stacie Batur.  She can help stream line communications between referring physicians, bring cards to your office (if you're a physician), or simply answer a question.  She can be reached at the numbers below:

Office: (248) 267-5050 (x6509); Primarily Mondays and Thursdays


Mobile: (248)765-4466;  Tuesdays and Wednesdays

Friday, March 28, 2014

PHYSICAL FITNESS LINKED TO BETTER SURVIVAL AFTER BYPASS SURGERY

Reuters (8/2, Grens) reports that research published in the American Journal of Cardiology suggests that individuals who are more physically fit prior to undergoing bypass surgery may be less likely to die during the surgery, or during the month following the surgery. Investigators came to this conclusion after looking at data on nearly 600 patients who underwent bypass surgery.

POSTED BY: Steven Almany M.D.


Wednesday, March 26, 2014

CAN A TRIPLE BYPASS SURGERY PATIENT DRINK CAFFEINATED COFFEE?


A Coronary Artery Bypass Graft (CABG) patient can usually safely have one cup of caffeinated coffee a day.


POSTED BY:  Steven Ajluni, MD

Tuesday, March 25, 2014

8 STEPS TO A HEALTHIER HEART: STEP 3... LEARN TO LOVE LOW-FAT DAIRY

CHECK BACK NEXT TUESDAY FOR ANOTHER STEP!

Reduce the amount of artery-clogging saturated fat and calories in your diet.  Replace high-fat dairy products such as whole milk, cheese, sour cream and cream cheese with skim or 1 percent milk, low-fat yogurt, Neufchatel cream cheese and low-fat cheeses.


Foodnetwork.com

Monday, March 24, 2014

2014 BEAUMONT MICHIGAN HEART GROUP HOLIDAY SCHEDULE

Beaumont Michigan Heart Group closes in observance of all the major holiday's.  The 2014 days are listed below.  We ask, in order to ensure your prescriptions are refilled in time, please call at least one week prior to the holiday.  Calls taken after 10:00 am, the day before closing, are not guaranteed to be called in.

Monday
May 26, 2014
Memorial Day
Friday
July 4, 2014
Independence Day
Monday
September 1, 2014
Labor Day
Thursday
November 27, 2014
Thanksgiving
Friday
November 28, 2014  
Day after Thanksgiving
Wednesday
December 24, 2014
Christmas Eve
Thursday
December 25, 2014
Christmas Day
Wednesday
December 31, 2014
New Year’s Eve (1/2 day)
Thursday
January 1, 2015
New Year’s Day


Thank you:
The Beaumont Michigan Heart Group Staff

Friday, March 21, 2014

MANY DISCHARGED HEART ATTACK PATIENTS MAY NOT BE GIVEN APPROPRIATE DOSES OF MEDICATIONS

MedPage Today (8/22, Phend, 185K) reports that research published online in the Journal of the American College of Cardiology suggests that while most “heart attack patients leave the hospital on secondary prevention medications, only about a third get appropriate doses.” The researchers found that “initial dose was key, because about three-quarters of those who didn’t go home on a dose within 75% of the dose proven effective in landmark trials didn’t get an increase during follow-up care.”

CardioSource (8/22, 2K) reports that the researchers “note that their results ‘may explain why the findings from clinical trials, where there was clear evidence of benefit for each medicine promoted by performance measures, have been discordant from those in clinical practice, where the impact of performance measures on reducing mortality has been underwhelming.’”

HeartWire (8/22, Wood, 5K) reports that Dr. Christopher Cannon, in an editorial accompanying the study, wrote, “In our efforts to offer high-quality care, we usually check to make sure that all appropriate, guideline-recommended medications are used but really haven’t paid as much attention to the dose of these medications, and thus this paper is a real eye-opener.”


POSTED BY:  Steven Almany M.D.

Wednesday, March 19, 2014

I HAVE STAGE 4 EMPHYSEMA AND NON-ISCHEMIC CARDIOMYOPATHY, LABS ARE GREAT. I AM WORN OUT ALL THE TIME, EVEN AFTER GREAT SLEEP, IS THIS COPD?


This could be related to COPD, cardiomyopathy, another condition or medications.  I do not see any medications for Hypertension.  You really should see a doctor face to face to have a few simple things evaluated.  Consider oxygenation, sleep apnea, atrial fibrillation, worsening CM, thyroid, anemia, etc.


POSTED BY:  Steven Ajluni, MD

Tuesday, March 18, 2014

8 STEPS TO A HEALTHIER HEART: STEP 2... FOCUS ON FIBER

CHECK BACK NEXT TUESDAY FOR ANOTHER STEP!

Fiber is plentiful in fruits, vegetables, whole grains, nuts and legumes (like beans and lentils).  eating a diet high in fiber helps curb your appetite and keeps the body's digestive system in check.  

Fiber has additional functions:  Insoluble fiber from nuts, seeds and whole grains helps prevent constipation, while soluble fiber from foods like oats, apples, nuts and berries can help lower cholesterol.  Aim to get at least 25 grams of fiber each day.  


Many people ask "How much fiber do I really need in a day and how do I get it?"
The answer is simple, stick to the basics and watch out for "faux" fiber.

The daily recommend amount of fiber all depends on who you are- that is, an active male needs more than a sedentary female.  Typically, the recommendation ranges from 20 to 38 grams per day.  A good benchmark amount for any healthy adult is about 25 grams per day.  Unfortunately, the average American only gets about 15 grams daily.

Now, some fiber basics.  Fiber comes in two main forms: soluble fiber, which is found in oats, nuts, flax and beans, fruits and vegetables, and insoluble fiber, which comes from whole grains and also fruits, veggies, nuts and seeds.  Soluble fiber slows our digestion and helps keep blood sugar levels in check.  Insoluble fiber, meanwhile, keep things moving through your digestive system.  Both fiber types are good for you and many foods contain a combo of the two.

You want fiber in your diet for a few key reasons:

  • It helps curb hunger, which keeps you feeling fuller, longer
  • Soluble fiber can help lower cholesterol
  • Insoluble fiber helps your digestive system work properly
  • Fiber-rich foods are also high in healthy vitamins, minerals and other nutrients
Lately, fiber has become a hot buzzword.  Grocery stores are full of products sporting labels that tour a foods' high fiber content.  Some of these products contain "functional fibers"= that is, main-made fiber additives, which are created in the lab and added to foods such as yogurt, snack bars, crackers and pancake mixes.  Even beverages and sugar substitutes such as Splenda are now offering "added fiber"!

When scanning an ingredient list, you may see these added fibers listed as insulin, pectin, cellulose, chicory root, chicory extract, polydextrose and oligosaccharides.  These fibers are safe to eat (and some are even added to replace fat in foods like light ice cream), but the jury is still out on whether they're as good for you as naturally occurring fiber.  It's fine to work some of these faux-fiber foods into your day but don't get romanced by the marketing.  To really get all of fiber's benefits, stick to the real deal.

A work of warning- if you're trying to increase your fiber intake, do it gradually to avoid stomach upset (drinking extra water helps, too).  Getting that minimum of 25 grams a day is easier then you think.

SAMPLE OF FIBER-FILLED DAILY MENU:
Breakfast:
1 cup cooked oatmeal with 2 tablespoons raisins (5 grams)

Morning Snack:
Orange and 1/4 cup almonds (7 grams)

Lunch:
Spinach salad with 1/4 cup chickpeas, 10 cherry tomatoes and a slice of whole wheat bread (18 grams)

Afternoon Snack:
Apple with 1 tablespoon of peanut butter (5 grams)

Dinner:
Grilled salmon with 1 medium baked sweet potato and 1 cup steamed broccoli (9 grams)

Daily Total:  1400 calories; 44 grams of Fiber

Dana Angelo White, MS, RD, ATC
FoodNetwork.com

Monday, March 17, 2014

OUR BEAUMONT MICHIGAN HEART GROUP HEALTH CARE TEAM

Sometimes you will see one of highly trained extenders.  Below is a list of our physicians and extenders.  For bios and more information please visit our website at mhgpc.com.  Thank you!

PHYSICIANS:
David R. Cragg, MD
Steven L. Almany, MD
Steven C. Ajluni, MD
William H. Devlin, MD
Terry R. Bowers, MD
Brian D. Williamson, MD
Ilana B. Kutinsky, DO
Michael J. Gallagher, MD

EXTENDERS:
Cheryl Vincent, APRN, MSN
Anita Juriga, APRN, MSN
Mariann Graham, RN, BSN
Howard Hollinger, PA-C
Lily Paciorkowski, RN, MSN
Debby Goodall, APRN, ANP-BC
Michelle Forcina, PA-C
Dawn Mitchell, ACNP

Jan Halash, Device Specialist
Amy Douglas, Device Specialist

Friday, March 14, 2014

HIGHER BP IN ELDERLY PATIENTS LINKED TO HIGHER CV RISKS

Heartwire (9/5, O'Riordan, 5K) reports that researchers who analyzed data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) observational study found “a significant twofold increased risk of cardiovascular disease in elderly patients with systolic blood pressures >150 mm Hg as well as a significantly increased risk of coronary heart disease incidence.” Although “stroke rates were not significantly increased in elderly patients with higher blood pressures, there was an increased risk of all-cause mortality among individuals 55 to 74 years of age with systolic blood pressures >140 mm Hg.” The findings were presented at the European Society of Cardiology (ESC) 2013 Congress. Heartwire points out that “the American College of Cardiology Foundation/American Heart Association guidelines recommend a treatment target of <140 140="" 145="" 65="" 79="" 80="" a="" and="" hg="" if="" in="" individuals="" mm="" of="" old="" older="" patients="" span="" target="" those="" to="" tolerated.="" treated="" with="" years="">

CardioSource (9/5, 2K) reports that the study’s lead author said that “the results suggest a hypothesis that for all patients aged 55 and older, the recommended level of systolic blood pressure should be less than 140 mmHg, including the oldest patients


POSTED BY: Steven Almany M.D.