Friday, January 4, 2019
PMA Medical Specialists Gives Back to the Community
We're PMAProud of the staff members who spearheaded opportunities to give back to our communities last year, and to those individuals who contributed. Choosing to give at a local level ensures that our contributions stay within the communities that we serve. As we share why #PMAGivesBack we encourage all of you to do the same. Look for opportunities to volunteer your time and/or ways that your personal donations can impact the lives of others.
#PMACARES (PMA Community Action by Responsible Employees) is an employee led initiative that seeks out non-profit organizations, families in need, etc. to support through monetary donations, food, clothing, and school supply drives, volunteering and more!
PMA Medical Specialists is proud to partner with Phoenixville Area Community Services (PACS), Marine Toys for Tots Foundation, Daily Bread Community Food Pantry, Fundraising for families in need, Operation Backpack, Activate Phoenixville Area (APA), Boyertown Salvation Army, The Salvation Army of Pottstown, School Supply Drives, Relay For Life of Pottstown, Red Nose Day USA, Make-A-Wish Philadelphia, Delaware & Susquehanna Valley and more!
Making a personal connection with those in need, making our community a better place to work, live and play are why #PMAGivesBack.
Monday, October 15, 2018
Eating Healthy During the Holidays
It’s Holiday Time...Uh, oh.
The holiday season is rapidly approaching. We’re about to be
bombarded by deliciously addictive sugary and starchy foods. Yum. This is the
least wonderful time of the year from the perspective of an Obesity specialist.
Unfortunately many of my patients arrive at the office several pounds heavier
after New Year’s Day. “It was the holidays.” most people explain with an
embarrassed shrug.
Most adult Americans gain
1-2 pounds annually and the period between October 31 and January 1 is when two
thirds of that happens.1
Worse still, although most people do
lose some weight in January as part of their New Year’s resolution, it is only
a tiny fraction of what they gained during the holidays. Doesn’t sound so bad?
Only 1 or 2 pounds. Right?? It is a
big problem! This pattern typically repeats year after year resulting in the
steadily climbing weight that most adults have come to expect as part of so
called normal aging in America. In
this manner, a person who was at a healthy weight when she was age 18 could be
well overweight or obese by age 40. Take home point: Holiday weight mostly
sticks...forever.
It’s tough to say no: Friends, family and
neighbors, as well intentioned as they may be, can be your worst enemies when
it comes to sticking to your healthy nutrition goals. It all gets started with the candy onslaught
that is Halloween, noshing on the candy that is supposed to be for
trick-or-treaters or dipping in to the mountain that your kids collected. Then
comes Thanksgiving with Grandma’s luscious, love-infused apple pie? Who could
say no to Grandma? Christmas: Your
uncle’s homemade eggnog? Hanukkah: Bubbies beloved Latkes. Who can stop at just
one? Take some home? Sure Bubbie. Your cousin’s world-famous candied yams that
she made especially for you? Can’t say no to that. And all those Christmas cookies that get left
in break room and nobody sees you eat one, does it really count? YES. Your fat cells don’t care.
Is it OK to surrender
to unhealthy eating until January 2? You
can just go back to healthy eating in January, right? That’s how I used to
think. I believed I could make up for weeks of splurging by “being good” again.
I thought that overeating sweets and starches only affected my weight, and that
as long as I got back on track after the holidays and lost the 10 or 15 pounds
I’d gained, then no harm done.
But I’ve come to understand that this is not true.
The Price of Indulgence (or the Science of Splurging)
Eating too much sugar
can permanently damage your metabolism. The more often you indulge, the more
insulin-resistant you can become. You can’t get your carbohydrate tolerance
back; once it’s gone, it’s gone. The more sweets you eat over the course of
your lifetime, the more likely it is that you’ll gradually lose your ability to
process even healthier whole food sources of carbohydrates, like fruits and
vegetables. While some people are more susceptible to this process than others,
we are all at risk.
More than 50% of Americans are already insulin-resistant,
pre-diabetic, or diabetic. This means there’s more than a 50/50 chance that you, and most
of the people you love, are in the same sugary boat. Your sugar threshold
crossed. Insulin resistance is a huge risk factor for way more than just a
bulging waist. It’s associated with diabetes, heart disease, cancer and
dementia.
This is why it’s so important not to give in to seasonal
temptations. Even if you don’t want or need to eat a low-carbohydrate diet, avoiding sugars and refined carbohydrates is
the single most important thing any of us can do to preserve future health,
regardless of how old we are, how much we weigh, how much we exercise, or
whether or not we already have any medical problems. And while it’s true that
you can halt or even reverse many carbohydrate-induced diseases such as
obesity, type 2 diabetes, and cholesterol abnormalities by eating a
low-carbohydrate diet, conditions like cancer or dementia are much tougher to
reverse.
Practice Makes…Less Imperfect
I can’t promise you that I won’t succumb to temptation a few
times this joyous season—we shall see! My goal will be to do my best, which is
all any of us can do. It’s not about perfection, it’s about practicing making
healthy choices as often as possible, and not judging yourself or anyone else
about which sweet or savory treat may somehow find its way into one’s body.
[Hey, how did that cookie get in there?]
Dieting During the Holidays
Here’s a suggestion: Decide on a strategy now, before the holidays hit. Make some rules and stick to them. Sticking strictly with your normal healthy eating pattern is desirable but maybe you want a more flexible strategy.- Agree to splurge only on dinner (and only
dinner) on Thanksgiving and Christmas Day. Or only at the Hanukkah or New
Year’s Eve party. Don’t say yes to every little treat that passes by every
day of the holiday season. Keep your splurges contained.
- Decide
what a splurge is. Example: Avoid the starchy, sugary parts of a meal and
save just one splurge for desert. You may want to set your heart on very
specific indulgences that will really be worth it, as opposed to having a
free-for-all. If you establish very clear goals you’re more likely to
stick to them than if you try to wing it. Then, once you’ve decided on
your goal, tell other people about it so they can support you. People will
understand if you explain that how you are eating is to support your
health goals.
- Make
your own foods that look like the bad stuff but are made with low carb
alternative ingredients. There are loads of low-carb holiday recipes on
the web. Example: https://www.dietdoctor.com/low-carb/recipes/happy-holidays Snacks, main courses, sides and
even desserts can be made low-carb style. Your guests might be
none-the-wiser.
- Didn’t
bring your own food? You can still usually can select some low
sugar/starch options while passing over the bad stuff at most parties.
- Avoid
workplace junk. Go to work full. Eat eggs and cheese before going to work.
That will keep hunger down which will make it possible to avoid dipping your
hand into the giant box of chocolates somebody dropped off in the break
room. Nuts are usually a good holiday snacking choice. Most are low in
carbs. Keep your own supply of low starch snacks such as individually
wrapped cheese sticks or almonds at the ready just in case.
Holiday Specific problem foods:
- Halloween-
Candy, Candy-apples, Chocolate. Just everything.
- Thanksgiving-Stuffing,
cranberry sauce, pumpkin pie and all other types of pies, pumpkin spice
anything. (On the other hand-Turkey is A OKAY)
- Christmas-cookies,
candies, Coke (yes even if Santa is selling it) Candied yams and candied
hams.
- Hanukkah:
Latkes, chocolate gelt.
- Alcohol:
1 or 2 glasses of dry wine is fine. Small amounts of distilled spirits are
also OK .However: Beer is loaded with carbs and lots
of mixers are sugary. Beware.
Related articles:
Friday, September 28, 2018
PMA Medical Specialists Collaborates with Patients and Families to Enhance their Commitment to Primary Care
![]() |
| PFAC Council Members |
PMA Medical Specialists launched a new initiative this summer as part of their CPC+ Partnership – Patient and Family Advisory Council (PFAC). PMA was selected early 2018 to participate in Comprehensive Primary Care Plus (CPC+). The PFAC, comprised of patients and family members of patients, in addition to PMA Physicians, Providers, and staff meet on a quarterly basis. Members of the council are encouraged to provide honest feedback and observations regarding the PMA Patient Experience and how to improve it. Discussions have included how to improve patient safety, appointment availability, patient portal usage, service excellence, communications, patient education and much more.
“The council is far more than a focus group;
focus groups are ‘a once and done’ way of gathering data. Our PFAC is expected
to evolve as we move forward and delve into additional topics,” said Timothy
Rimmer, CEO of PMA Medical Specialists. “I’ve attended a few of the meetings
and have found them very informative. We feel an open dialogue offers council
members the opportunity to help us improve our patient-centered care model. Our
pledge to patients and the communities we serve is to continually improve every
patient encounter, every step of the way. Our mantra is Patients Matter Always.”
The foundation of the CPC+
partnership is to improve access to quality healthcare at lower costs. In
addition to the PFAC, PMA has cultivated a topnotch Chronic Care Management
Team for Medicare patients with multiple chronic conditions, who might benefit
from a more “hands on” approach. The practice has also recently expanded their
patient hours and now offer appointments on Saturdays from 8am until Noon at
their Phoenixville MOB II location. PMA also reminds patients to “Call Us First.” This effort
invites current patients to call PMA first for non-life-threatening
emergencies. Calls will be answered 24
hours a day, 7 days a week and a staff member will help the caller determine if
an ER or Urgent Care visit is necessary.
In doing so, they hope to help patients avoid the higher medical
expenses, longer wait times, and exposure to more serious illnesses that an ER
visit can entail.
About PMA Medical Specialists
PMA Medical Specialists is a
multi-specialty Physicians Network that understands
the importance of providing patients with Continuous Coordinated Healthcare. We
are committed to meeting the healthcare needs of our patients by offering a
wide-range of medical specialties and patient services to help you stay healthy.
PMA Medical Specialists has office locations throughout
Montgomery and Chester counties. Visit pmadoctor.com for a complete list of locations and specialties.
Friday, September 7, 2018
Hidden Sugars and the Impact on Your Health
Hi, I am Eric Sodicoff, M.D. Primary Care
Internal Medicine doctor and Obesity Medicine Specialist at PMA Medical Specialists.
I frequently query my patients about how much sugar they consume throughout the
day. Happily, I have discovered many people are making some efforts to cut out
sweets. But let’s back up a second and discuss why too much sugar is a problem.
First, what is sugar anyway?
Common table sugar, scientifically known as sucrose is a disaccharide. That means it is composed of two basic sugar units. In the case of sucrose, those are glucose and fructose. Blood sugar is only glucose; it’s what diabetics are checking when they prick their fingers. It isn’t very sweet. White rice for example is almost pure glucose, and most people don’t consider it sweet at all. Glucose circulates throughout the body 24/7. Cells throughout the body can use it as fuel. Red cells use it as their only source of energy and it powers most people’s brains most of the time. Glucose molecules get strung together and stored in the liver to be used between meals. The liver also can convert protein into glucose in a pinch.
Fructose, on the other hand, is the sweet stuff. It makes sugary
soda, candy, cakes and ice cream so irresistible. Fructose comes from plants
such as sugar cane, sugar beets, fruit, and since the 1970s, artificially and
cheaply synthesized from corn. This is known as High-Fructose Corn Syrup.
Fructose, either naturally sourced or synthetic, presents something of a
challenge to our bodies. It must be converted to glucose in order to be used
and there is only one location in the body that does that: the liver. The
liver’s capacity to manage fructose can be overwhelmed by eating or drinking
too much of it. When fructose is over consumed it becomes liver fat and then
belly fat too. Fatty liver is presently an epidemic and is overtaking viral
hepatitis and alcoholism as the main cause of liver failure. Fructose is very
fattening.
How much sugar is too much?
There are different answers. The American Heart Association sets the limit at 24 grams per day for women and 36 for men. The World Health organization say 50 grams. How much is that you might be asking? Just one serving of strawberry yogurt has 26 grams of sugar. Yup, just one so called healthy yogurt for breakfast is enough to break through a woman’s daily sugar budget. It’s not even considered a dessert! Processed foods that aren’t even particularly sweet contain huge amounts of added sugars too. The processed food manufacturers have discovered people really, really love sugar and buy more when it is added to products. It pops up in unlikely places even foods that usually aren’t sweet at all.
-Check
the labels and you’ll find it in jarred spaghetti sauce, whole wheat bread,
ketchup and peanut butter.
- A breakfast bar made with
"real fruit" and "whole grains" lists 15 grams
of sugar.
of sugar.
- A single cup of bran cereal with raisins, in
a box advertising "no high-fructose corn syrup,"
contains 20 grams of sugar per serving.
- A cranberry/pomegranate juice product, also
advertising "no high-fructose corn syrup" and "100% Vitamin
C," contains 30 grams of added sugar per 8 oz. serving. Some of the sugar
is naturally occurring, but some of it has been added.
74% of all supermarket groceries have added
sugar! How does one avoid the epidemic
of sugary foods? This is how I do it. Just eat real food. Avoid ultra-processed
refined foods. They have long complicated ingredient lists that invariably
contain something bad. There are at least 61 different synonyms that food
manufacturers use that all mean sugar (see sugar names list below). As a general rule,
avoid the center aisles of the supermarket.
Eat Real Foods
Choose
real food that comes from a field, forest or sea. It doesn’t pass through a
factory first. Real food is single ingredient. Real food doesn’t require
reading an ingredient list because it’s whole and unprocessed. That being said,
some fruit such as bananas and grapes do have high natural sugar content. If
you are diabetic or are struggling with weight it is best to curb consumption
of those as well. Above all else cut out all sugary drinks: Soda, all juice,
sport drinks, sweetened teas and sweetened coffees. Many of my patients have
made a big dent in their weight problems by only nixing sugary drinks.
61 Names for Sugar
●
Agave nectar--- Sorry Dr. Oz.
●
Barbados sugar
●
Barley malt
●
Barley malt syrup
●
Beet sugar
●
Brown sugar
●
Buttered syrup
●
Cane juice
●
Cane juice crystals
●
Cane sugar
●
Caramel
●
Carob syrup
●
Castor sugar
●
Coconut palm sugar
●
Coconut sugar
●
Confectioner's sugar
●
Corn sweetener
●
Corn syrup
●
Corn syrup solids
●
Date sugar
●
Dehydrated cane juice
●
Demerara sugar
●
Dextrin
●
Dextrose
●
Evaporated cane juice
●
Free-flowing brown sugars
●
Fructose
●
Fruit juice
●
Fruit juice concentrate
●
Glucose
●
Glucose solids
●
Golden sugar
●
Golden syrup
●
Grape sugar
●
HFCS (High-Fructose Corn Syrup)
●
Honey--Yup, honey is basically bee sugar, not
better than any other type.
●
Icing sugar
●
Invert sugar
●
Malt syrup
●
Maltodextrin
●
Maltol
●
Maltose
●
Mannose
●
Maple syrup
●
Molasses
●
Muscovado
●
Palm sugar
●
Panocha
●
Powdered sugar
●
Raw sugar
●
Refiner's syrup
●
Rice syrup
●
Saccharose
●
Sorghum Syrup
●
Sucrose
●
Sugar (granulated)
●
Sweet Sorghum
●
Syrup
●
Treacle
●
Turbinado sugar
Source:
http://sugarscience.ucsf.edu/
Further
reading about sugar:
Fat Chance: Beating the Odds Against Sugar, Processed
Food, Obesity, and Disease
by Robert H. Lustig
Link: http://a.co/grXC1Ia
Fun documentary:
That Sugar Film
Amazon Video ~ Damon Gameau
Link: http://a.co/17SASzR
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