BEST BRAIN DRAIN IN 30 SECONDS

Instead of reaching for yet another cup of coffee to perk you up, try this:  While sitting in a chair, lift your right knee and touch it with your left hand. Repeat on the other side. Do the sequence quickly 10 times.  Sluggishness often results when one side of the brain isn't being stimulated.  Since the left hemisphere of the brain controls the right side of the body and vice versa, this trick will bring balanced energy to both sides of the brain. 

POSTED BY:  Ruth Moore, Patient Services Department Head

HEART HEALTHY RECIPE (BREAKFAST): CORNBREAD BREAKFAST MUFFIN

·         3 cups cornbread muffin mix (Arrowhead Mills)

·         1 egg

·         3 TBSP honey

·         3 TBSP canola oil

·         1 1/3 cups water

·         3.4 cup soy sausage crumbles

·         1 tsp. osemary

·         1 cup 2% cheddar cheese and fat free cheddar cheese mixed together

·         Cooking spray

1.      Mix egg, honey, canola oil and water together in mixing bowl

2.      Stir in soy crumbles, rosemary and cheese

3.      Add cornbread mix and stir lightly until moistened

4.      Spray muffin pan with cooking spray

5.      Pour batter into muffin pan

6.      Bake in a preheated 375˚ oven for 12-15 minutes or until done

Servings:  12

Serving Size:  1 muffin

Nutritional Information

Calories:  170

Fat:  7 g

Saturated Fat: 2 g                                       

Cholesterol:  0 mg                                    

Sodium:  330 mg                                       

Carbohydrate:  19 g

Fiber:  2 g

Protein:  9 g

Serving Suggestion:

Add 12 grams of protein such as ½ cup scrambled egg beaters a cup of plain yogurt.

"The Perfect Day"
By: Nanette Cameron, RD

HEART HEALTHY RECIPE (DINNER): CHICKEN CASSEROLE

·         3 cups cooked chicken breast, diced

·         1 bunch broccoli, florets, chopped and stems peeled and chopped

·         1 medium onion, diced

·         7 ounces canned, sliced mushrooms drained and rinsed

·         ½ cup grated reduced fat cheddar cheese

·         1 (15 ounce) can fat fee chicken broth

·         1½ cup plain nonfat yogurt

·         1 tsp. lemon juice

·         1 TBSP whole wheat flour

·         1 cup crushed whole grain cracker

·         1 TBSP parsley flakes

·         1 TBSP onion flakes

·         I Can’t Believe It’s Not Butter Spray

1.      Preheat oven 350˚

2.      Coat a 2-quart casserole dish with nonstick cooking spray

3.      In a large bowl, combine chicken, broccoli, onions, mushrooms and cheese

4.      In a separate bowl, whisk together chicken broth, yogurt, lemon juice and flour until smooth

5.      Pour over chicken mixture and stir to coat

6.      Pour into prepared casserole dish and sprinkle with cracker crumbs, parsley and onion flakes

7.      Spray lightly with spray butter

8.      Bake for 45-50 minutes

Servings:  5

Serving size:  1½ cup

Nutritional Information

Calories:  166

Fat:  4 g

Saturated Fat:  1 g                          

Cholesterol:  47 mg              

Sodium:  347 mg                  

Carbohydrate:  11 g            

Fiber:  3 g

Protein:  22 g

"The Perfect Day"
By: Nanette Cameron, RD

MEET OUR PHYSICIAN EXTENDERS, AN EXTENSION OF YOUR HEART CARE TEAM! THIS MONTH WE RECOGNIZE ANITA JURIGA

Beaumont Michigan Heart Group would like to introduce you to our physician extenders.  They are a critical part of the Cardiology team at Michigan Heart Group.  The Physician Extenders work hand and hand with the physicians, making decisions on the best treatment options for each patient on a case by case basis.  All of our extenders round on the weekends as well as work in the hospital during the week.  Most of our extenders also have office hours and we encourage our patients to feel comfortable following up with them in the office.  Our medical decisions are often a team approach that each extender is a part of and they are often at the forefront of each decision that is made.

The practice is made up of Interventionist (plumbers) and Electrophysiologist (electricians).  The plumbers are located at 4600 Investment Drive, #200, while the Electricians are in the building next door at 4550 Investment Dr., #250.  In addition Michigan Heart Group has two satellite offices to accommodate our out of town patients.  One in Macomb at 15959 Hall Road, #304, Macomb where Howard is now seeing patients on Wednesdays.  The other is in Novi at Ten Mile and Haggerty, 39500 Ten Mile, #103, Novi, Michelle is seeing patients there once a month as well.  Each extender is trained and familiar with both specialties and you can find one of our extenders available most days at both our main campuses in Troy.

Each month we will be focusing on one extenders achievements, this month we recognize Anita Juriga.

Anita Juriga, MSN, A.P.R.N:  Anita joined Michigan Heart Group in October 1995.  She went to Michigan for her Bachelor of Science in Nursing and continued on at Oakland for her Masters.  Anita is certified by the American Nurses Credentialing Center as a Clinical Nurse Specialist.  Her office is at Michigan Heart Group with office hours all day Tuesday and Thursday.  If you don’t meet Anita in the office, you may meet her at William Beaumont Hospital- Troy.  She is one of three main rounder’s for that hospital and when not in the office you will find her at the hospital. 

OUR EXTENDER TEAM AND WHERE YOU MAY SEE THEM:

Cheryl Vincent, MSN, A.P.R.N: Sees patients at Michigan Heart Rhythm group all day Thursday and Friday.  Also, sees patients at William Beaumont Hospital- Troy, covers Beaumont RO when needed.

Anita Juriga, MSN, A.P.R.N:  Sees patients at Michigan Heart Group all day Tuesday, Thursday and Friday.  Also, sees patients at William Beaumont Hospital- Troy, covering Beaumont RO when needed.

Howard Hollinger, P.A.-C.:  Sees patients at Michigan Heart Group all day Monday and Tuesday. Macomb on Wednesday afternoons.  Also, sees patients at William Beaumont Hospital- Troy, covering Beaumont RO when needed.

Debby Goodall, RN. N.P.:  Sees patients at Michigan Heart Group on Monday and Friday afternoons.  Also, sees patients at William Beaumont Hospital- Troy, covering Beaumont RO when needed.

Michelle Forcina, P.A.-C.:  Sees patients at Michigan Heart Rhythm Group all day Mondays, Tuesdays and Wednesdays.  In addition to Wednesdays in Novi once a month. Rounds at both William Beaumont Hospital- RO and Troy on the weekends.

Dawn Mitchell, A.C.N.P.:  Sees patients at Michigan Heart Group all day Wednesdays.  Also,  sees patients at William Beaumont Hospital- Royal Oak, covering Beaumont Troy when needed.

Lily Paciorkowski, R.N., MSN:   Sees patients at William Beaumont Hospital- Royal Oak, covering Beaumont Troy when needed.

Ryan Havens, R.N.,N.P.:  Sees patients at Michigan Heart Group all day Monday and Friday afternoons.  Also he sees patients at William Beaumont Hospital- Troy, covering Beaumont RO when needed.

Sarah Levin, R.N., N.P.:  Sees patients at Michigan Heart Group Thursday and Friday afternoons. Also, she sees patients at William Beaumont Hospital- RO, covering Beaumont Troy when needed.

Mariann Graham, R.N., BSN:  Sees patients at William Beaumont Hospital- Royal Oak, covering Beaumont Troy when needed.

We are very fortunate to have such a great, caring and educated team working with us.  They look forward to meeting you and we hope you look forward to meeting them.

Thank you!
The Beaumont Michigan Heart Group Physicians

SOME JNC 8 PHYSCIANS COME OUT AGAINST LOOSENING BP THRESHOLDS FOR OLDER ADULTS

The Cleveland Plain Dealer (1/14, Townsend, 966K) reports that five physicians “who were part of the panel that issued updated treatment guidelines for high blood pressure last month” have written an article in the Annals of Internal Medicine in which they come “out against one of the recommendations saying that there is insufficient evidence to support it.” These “physicians – part of the 17-member panel Eighth Joint National Committee, or JNC 8 – are against raising the threshold at which older adults begin taking medication to control their blood pressure. The majority of the panel voted to raise the systolic blood pressure...from 140 to 150 for people age 60 and older who don’t have chronic kidney disease or diabetes.”

On its website, TIME (1/14, Sifferlin, 21.77M) reports that they wrote, “We, the panel minority, believed that evidence was insufficient to increase the [target systolic blood pressure] goal from its current level of less than 140 mm Hg because of concern that increasing the goal may cause harm by increasing the risk for CVD [cardiovascular disease] and partially undoing the remarkable progress in reducing cardiovascular mortality in Americans older than 60 years.”

CardioSource (1/14, 2K) reports, “The editorial does agree, however, with recommendations that SBP < 150 mmHg for frail individuals ≥ age 80 is a reasonable alternative approach to addressing concerns that elderly patients are at higher risk for treatment-related serious events.” Additionally, “the authors...add that ‘a target SBP less than 140 mmHg for patients less than 80 years would also be in line with guidelines from Europe, Canada, the ACCF/AHA, the United Kingdom, and the ASH/ISH.’”

MedPage Today (1/14, Neale, 122K) reports that while “the impact of the latest guidance – and the disagreement among the panel members – remains unclear...it is possible that clinicians will wait for hypertension recommendations from the American Heart Association and the American College of Cardiology, which are expected to be completed by early 2015.” Medscape (1/14, Wood, 164K) also covers the story.

Posted by:  Steven Almany M.D.

HEART HEALTHY RECIPE (LUNCH): ITALIAN SEAFOOD CHOWDER

·         1½ TBSP olive oil

·         3 medium cloves garlic

·         1 cup onion, finely chopped

·         ½ cup celery, finely chopped

·         ¼ tsp. basil

·         ¼ tsp. oregano

·         Pinch of thyme

·         1 (28 ounces) canned diced tomatoes            with juice

·         1 cup tomato sauce

·         6 cups clam juice or fish bouillon

·         1 lb. tilapia

·         1 lb. frozen cooked salad shrimp

·         2 TBSP fresh parsley

1.      In a 4-quart soup pot, heat olive oil

2.      Add garlic and when it turns brown remove it quickly with a slotted spoon and discard, then reduce the heat

3.      Add celery, onions and spices to oil and cook over medium heat for 5 minutes

4.      Add tomatoes and tomato sauce and simmer for 5 minutes

5.      Add clam juice and tilapia, cover and bring to a boil

6.      Remove cover and boil for 10 minutes longer

7.      With a wire whisk, whip soup to break up fish into pea sized flakes and add cooked shrimp

8.      Reduce to simmer and cook for 20 minutes, then add parsley and salt to taste

Servings:  8

Serving size:  1 cups

Nutritional Information

Calories:  110

Fat:  4 g

Saturated Fat:  1 g               TIP:               

Cholesterol:  20 mg              You can substitute Pollack, bluefish, striped

Sodium:  420 mg                   bass or trout for the tilapia.

Carbohydrate:  10 g               

Fiber:  3 g

Protein:  9 g

"The Perfect Day"
By: Nanette Cameron, RD

LAB RESULTS, HOW TO ENSURE YOU WILL GET YOURS...

Ever been to your doctor and asked for your lab results and they aren't in your chart? This is because while most office run on some type of EMR (Electronic Medical Record), those EMR's don't connect with one another.  So if you had labs done at your PCP (Primary Care Physicians) office and didn't ask them to forward them to your Cardiologist, Endocrinologist, Hematologist, etc. The only person seeing the blood work will be your PCP.

If you have blood work done at a lab such as Quest Diagnostic or a Beaumont Lab these labs will get mailed or faxed to  ONLY the ordering physician.  If any of your physicians have access to EPIC, (The EMR that Beaumont uses) then they will be able to access your records.  Unfortunately Quest labs don't have don't have a system physician's can access from their offices, so the only way a specific physician will get your results is if you tell Quest where to send them.

In review, Labs taken at:
Physicians office:  Ask them to send labs to every physician office you think may need or want them

Quest Diagnostic:  Ask them to send labs to every physician office you think may need or want them

Beaumont Lab:   Ask them to send labs to every physician office you think may need or want them (Just to be certain)

HEART HEALTHY RECIPE (BREAKFAST): CARROT MUFFINS

·         3 cups shredded carrots (6 carrots)

·         ½ cup Splenda

·         ¼ cup brown sugar

·         3 TBSP canola oil

·         4 eggs whites

·         2 tsp. vanilla extract

·         1-8 ounce can crushed pineapple,       undrained in its own juice

·         ½ cup low fat buttermilk or soy milk

·         ¼ cup raisins

·         2 ½ cups whole wheat pastry flour

·         2 tsp. baking soda

·         1 tsp. ground cinnamon

·         1 tsp. pumpkin pie spice

·         ⅛ tsp. salt

·         Cooking spray

·         2 scoops natural flavor whey protein powder (30-40 grams protein)

1.      Preheat oven 350˚

2.      Spray muffin tins with non-stick cooking spray

3.      In a large bowl whisk together Splenda, brown sugar, canola oil, vanilla & egg whites

4.      Stir in pineapple, buttermilk and raisins

5.      In a separate bowl, stir together pastry flour, baking soda, cinnamon, pumpkin pie spice and salt

6.      Add flour mixture a little at a time to the pineapple mixture and mix well

7.      Stir in the carrots

8.      Pour the batter into the muffin cups until they are 2/3 full

9.      Bake about 20-25 minutes or until the center comes out clean when tested with a wooden toothpick

10.  Muffins may be frozen for 3 months

Servings:  18-22

Serving Size:  1 muffin

Nutritional Information

Calories:  110

Fat:  3 g

Saturated Fat: .5 g                       TIP:      

Cholesterol:  0 mg                        A brand called Designer Whey can be found in  

Sodium:  150 mg                           the natural food section of your grocery store.

Carbohydrate:  14 g

Fiber:  3 g

Protein:  7 g

Serving Suggestion:

Add 10 grams of protein such as a cup of plain yogurt.

"The Perfect Day"
By: Nanette Cameron, RD

ACCESS YOUR MEDICAL INFORMATION ONLINE!!!!!

WHY YOU SHOULD SIGN UP FOR THE PATIENT

 PORTAL AT MICHIGAN HEART GROUP

·         24/7 accessibility to medical records and important health information form any computer or smart phone

·         Quicker test results online

·         You now have the ability to email the office securely for:

§  Direct messaging to your physician

§  Appointment requests

§  Prescription refill requests

                                                                                                                                                         

HOW TO SIGN UP FOR THE PATIENT PORTAL AT

 MICHIGAN HEART GROUP

·         Go to www.mhgpc.com

·         Click the link on the left hand side of the page that says “Patient Portal”

·         Click “Create an Account”

·         Fill in the necessary account information

·         You will be directed to page called “Select a Log-in Method”. Click on the logo..........

·         Create a Username and Password and enter in your email address.  Click “continue”

              **Write your username down somewhere secure, if lost we cannot 

                 recover it**

·         You will be directed to a page that says, “Request Connection to Healthcare Organization”.  Type in the zip code 48098 and hit enter, and then select “Connect” next to Michigan Heart Group.

·         Click on the “Next” button where you will be directed to ta page that says, “Sign Release of Information Authorization”.  Select “I Accept”.

·         Once your account has been matched with your health record at our office you will receive an email notification, then you are ready to use the portal and view all of your information.

                                                                                                                                                            

EFFECTS OF 5-HOUR ENERGY DRINKS AND SENIORS

DETROIT (WWJ)- The energy drink “5-Hour Energy” based in Farmington Hills has quite a following, especially among the senior populations, but one local doctor fears this new trend could be lethal for his aging patients.

WWJ’s Kathryn Larson reports that teens aren't the only ones guzzling down the energy drinks and spoke with Beaumont Hospital Cardiologist and Michigan Heart Groups own Dr. Steven Almany about the trend toward seniors using the quick pick-me-up.

Almany says he’ having to ask more and more senior not about their caffeine use—but their energy drink use.

Dr. Almany says these types of drinks can cause heart palpitations and heart clots: “I think that you've got to weigh, is one, I’m telling you that there is not a lot of scientific proof that is a benefit, and certainly with some of the stuff we are seeing the way it effects, blood, blood pressure and heart rate, is that is could be detrimental,” Almany said.

Dr. Almany said what’s worse is that his senior patients think these drinks are good for them—because of all the supplements.

“I think that a lot of patients say, “Hey, I don’t want to take drug,” and they look at this as almost a natural supplement, but the reality is—that is a drug,” stated Almany.

“The concern about any of these supplements is these are not regulated by the FDA, so there are not trials to say this has benefit, not trials to say it has risk, they can get these things approved and get them on the market…so I think that people should be cautious about what they eat and drink,” said Dr. Almany

Meantime, WWJ reached out to “5-Hour Energy”, but we are awaiting their verbal response.  Recently they marketed their drinks to seniors at a national AARP event.

POSTED by:  Steven Almany, MD