2023 Is The Year to Strengthen Your Physical and Mental Health

HAPPY NEW YEAR!

I encourage all to take responsibility for their own health. This journey is a personal one and if you have not made your health a priority in the past, make 2023 the year to strengthen your physical and mental health. We will be reviewing the following topics this year so that you can be your best self and be in the best of health.

 

1. Self-care—We are so busy taking care of others that we easily put ourselves on the back burner. Have you figured out how to carve out at least 30 minutes out of your day in order for you to do something just for yourself?
2. Time management–You know we each have the same 24-hour window. Why is it that some people get so much accomplished while others cannot get anything done?
3. Physical Health—when was the last time you had a check-up? When was the last time you went to the dentist? Did you develop a plan to improve your physical or mental health?
4. Mental Health—all of us need to ensure that we find the time to let our brains rest. We are so busy multi-tasking that it is easy to get all caught up in our daily activities. Let’s learn how to pause and work on how to quiet our thoughts.
5. Education—You must develop a skill to support yourself so that you do not have to rely on someone else to survive. Do you have that skill? If not, what do you have to do to get there?
6. Budgeting—they say the average American cannot cover a $400 emergency item. Can you cover a $400 emergency without a credit card? Let’s develop a plan to ensure you can cover your basic expenses.
7. Finances—Do you understand the basics of managing your money? If your first thought was, ‘I don’t have to worry about that because my partner does that for me,’ I am going to challenge you to educate yourself. What if your support person is not part of your life tomorrow?
8. Simplicity—Quit comparing yourself to others. By being more conscious about what you need versus what you want, you will have less clutter in your home, life and mind.
9. Employment—I am a firm believer that every able bodied person should work in some capacity. Each person should have a skill set that can generate an income to help support oneself and those that depend on you.
10. Mentorship—we should all be reaching out and helping others move up the ladder. There is not a day that goes by that you do not have an opportunity to pay it forward.
11. Retirement— Live below your means and save some money. Everyone should be able to retire and not have to worry about how you will pay your bills. Do you understand the different ways to save for retirement?
12. Legacy—what impact will you have while you are on this earth? The saying of ‘leave something better than you found it’ applies to so many categories of your life. What does this look like for you?

Join us in our FB private group WhoIsTakingCAreofYou or on IG where we cover one of these topics on a weekly basis.

May we grow together!

Health Goals Weekly Chart Planner

Are you writing out you health and financial goals? You are most likely going to make progress on your journey if you write them out and post it where you can see it every day. Whether you print it off or keep them on your phone, take a few minutes this evening to plan your week using our health goals weekly chart plannerIt is a mental game.

You have to decide how important this is to you and make a promise to yourself that you are going to follow through.

Remember my mantra?

You, and only you, are responsible for your health.

What are you focusing on right now? Here are some specific examples if you need help getting started:

  • Eat less than 50 gms of carbs per day
  • Do not add sugar to any drink
  • Do not fry any of your food
  • Do not buy anything fried to eat
  • Move your body 30 min a day
  • Add one mile to your usual walking session 3 times a week
  • Complete your work wellness activity
  • Schedule your next wellness check appointment
  • Schedule your next dental cleaning appointment
  • Schedule your mammogram
  • Drink 75 ounces of water a day
  • Ride your exercise bike 30 minutes a day
  • Listen to one meditation session per day for at least 10 minutes
  • Read all nutrition labels and avoid anything that has corn syrup as an ingredient
  • Eliminate artificial sweeteners
  • Eliminate soda or sugar drinks
  • Eliminate meat from two meals a day
  • Set a quit date if you are using tobacco or vaping products
  • Keep a food diary and write in it every day
  • Eat natural foods that have less than 3 ingredients

As you can see, there are many ways to become healthier. The list is endless. You get to decide what is most important to you.

Pick 1 or 5 things to focus on at a time. Whether it is improving on the ones you chose last month, a combo of old and new or 5 new ones, it doesn’t matter. 

 

Even if you stumble on day one, pick yourself up and reset your mind. I have attached our Health Goals Weekly Chart Planner to help you keep track of this.

 

Are You Struggling with where to begin?


If you need help getting started, reach out to me by clicking on the Contact Us tab.

Velma Taormina, MD profile picture

Velma V. Taormina, MD MSE FACOG

Women’s Health Consultant

7 Tips to Avoid Scale Fright During The Holidays

Did you overindulge this weekend? What is on your schedule this next week?  The timeline between Thanksgiving and New Year’s weekend is the time of year during which most people will gain weight due to letting their guard down. The temptation of holiday treats and drinks make it easy to put on weight during the holiday season. 

Look ahead and see what kind of activities are on your schedule for the rest of the holiday season.  Factor in everything;  work parties, neighborhood pot-lucks, church gatherings, family gatherings and every event you are invited to.  What can you do to maintain your weight during this season?

7 tips to avoid scale fright during the holidays.  

  • Plan your meals

  • Pack your lunch

  • Stay hydrated.

  • Don’t arrive at a holiday function with an empty stomach.

  • Sample a treat without eating all of it.

  • Limit alcohol.

  • No snacking in between meals or after dinner.

As you see, you can enjoy gathering with family and friends but you need to plan your meals, drinks and activities.  You can sample holiday treats without eating the whole thing.  These ideas are only addressing the things you will eat and drink but coupled with monitoring your activity level,  you should be able to at least maintain your weight.

Top View of Sneakers on the grass with the text: It Starts With You

Take Responsibility For Your Health

Vaccine or no vaccine? Masks or no masks? Become a hermit or figure out how to live with it?  Did you know that YOU, and only YOU, are responsible for your health?  Act like the adult that you are and take responsibility for your health.

We just had a holiday weekend and there were so many decisions to make, weren’t there?  Cake or no cake? Exercise or sit on your butt again? Smoking/vaping or kicking the habit? Alcohol–to use or abstain from? Fried chicken or grilled chicken? Pecan pie or fresh fruit? Meat or no meat? Hot dogs or lean meats? Grilled veggies or fried battered veggies? I mean, who doesn’t like fried pickles?

I could go on and on and on but I am ready to throw down the gauntlet.  

It is truly your body, your decision. Not just about the vaccine or the mask.  You are literally responsible for your own health so begin acting like it.   I don’t care what the topic of the day is but if you are serious about avoiding hospitalization for any reason, you need to begin taking better care of yourself.

There are some people who are doing an amazing job on all fronts when it comes to their health journey. I tip my hat off to you as you have made your health a priority and I know that this takes a dedicated focus on a daily basis.

The majority of us are somewhere on the continuum of this work. I know that many of you have made so much progress and I will continue to be a pest in case you need a nudge.   There are some who don’t want to proactive but then want everything done when they finally go in for care.  What are you waiting for?

According to the CDC, the medical conditions that are most likely going to put you at risk of severe illness from COVID are the following:

  • High blood pressure (especially if it is poorly controlled)
  • Obesity (BMI > 30)
  • Diabetes (especially if it is poorly controlled)
  • Smoking/vaping or a history of using tobacco products
  • Cancer
  • Pregnancy or recent pregnancy
  • Lung problems
  • Chronic kidney problems

Are any of these on your list of medical conditions? The more conditions that you have, the more at risk you will be for hospitalization, with or without COVID.  Don’t wait until it is too late to take responsibility for your health.  Reach out to your primary care provider and make an appointment.

We are 19 months into this pandemic so if you haven’t’ begun working on improving your numbers, losing weight or kicking the tobacco/vaping habit, you need to make an action plan.

TODAY.

3 Myths to Dispel About Skin Cancer

Who was basking in the sun this weekend? ??‍♀️

Who has basked in the sun over the last 5 or 6 decades? ??‍♀️

Who has covered themselves with baby oil and then fallen asleep poolside, in your lounge chair in your backyard or on the beach? ??‍♀️

Most of us probably still have our hands raised so I have 3 myths to dispel about skin cancer while I have your attention.

Myth #1: I have ‘brown’ skin so I won’t get skin cancer.

    • False. All skin types are at risk for getting skin cancer.  Having less pigment in your skin does increase the risk of damage from ultraviolet (UV) rays but all skin that is constantly exposed to these rays is at risk.  There are skin cancers that occur from other causes as well so continue to inspect your skin and have others peek at your back.

Myth #2: Only people with blue or light colored eyes get skin cancer.

    • False. Individuals of all eye colors can get skin cancer. Those with lighter eyes are more likely to get the ones from UV ray damage but again, there are other types that you need to be aware of.

Myth #3: Only older individuals will get skin cancer.

    • False. Individuals of all ages can get skin cancer.  Your risk is based on your personal and family history, total sun exposure and the number of sunburns or tanning bed sessions.  It is never too late to begin become proactive with this preventative measure.

There are many types of skin cancers so it is important to read about the different types so that you can act on any changes that you may notice on your skin.  The Mayo Clinic has a great summary of what to look for and the different types of skin cancers.  It has great pictures of the different types of skin cancer.  

Read through this resource and then look at your skin from all angles and make note of any concerns that you may have.   Take pictures for your personal files.  Schedule a follow up appointment with your clinician to discuss your concerns or bring this up at your next preventative visit.

 

 

 

12 Monthly Health Goals

Monthly health goals

Here we are at the beginning of a new month and week. How did you do with your goals last month? I have attached the link to our Health Goal planner from our website that allows you to reflect and pencil in what small steps you can work on this month.

In January, we talked about the daunting process of making healthy choices more manageable by breaking them down into small steps. By focusing your target on one thing at a time and by building on what you did over the last months, you will have built in 12 extra healthy habits by the end of the year.

What if you haven’t started? Who cares! You can start this journey at any time so no more excuses. One of our team members is working on how to eat healthier by making better eating and drinking choices. She is approaching this from the ‘Food is Fuel’ perspective. It is definitely about changing her past experience of ’emotional eating’ to eating because ‘food is fuel’. Here is her plan of what this does over the course of a year.

12 Monthly Health Goals

  • January–no artificial sweeteners
  • February–no added sugars
  • March–drink only water, unsweetened teas
  • April–no desserts except one cupcake for special occasions
  • May–try one new fruit and vegetable each week
  • June–no processed snacks
  • July–no snacks in-between meals
  • August–eat all of her meals during an 8 hour window (basic intermittent fasting)
  • September–include meat in her meal planning only once a day
  • October–include meat in her meal planning 4 days a week
  • November–limit alcohol to Friday and Saturdays
  • December–look at recipes to see how to make her traditional holiday menu a healthier one.

By breaking down her healthier eating goals into small parts, she can manage this and doesn’t feel overwhelmed. She is actually ahead of schedule as she found that she could eliminate artificial sweeteners and added sugars at the same time.

You may be able to move through your list more quickly but for someone who was trying to change 50 years of ‘bad habits’ and still cooking for several family members, she felt she needed to move at this pace. She now has several family members who have joined her so this makes it easier.

Write it down, map it out and accept that you may have a few hiccups. NO ONE is perfect.

6 Tips to Combat Mindless Eating

Mindless Monday….

I had to take a picture of the situation I found myself in last night. I was all excited about getting Dr. Fung’s book The Obesity Code and was settling in to begin reading it. I wanted a sweet snack and was about 3 bites in when I realized that I was my own worst enemy!

Ughhhhh! I looked into what was left in the container, freezer burn and all and thought, you cannot eat bad ice cream while reading about why you are struggling with your weight! Especially when it is a flavor that you are not crazy about.

OK, you shouldn’t eat good ice cream either while reading this book but this was such a perfect example of mindless eating.  I have worked to eliminate added sugars in my diet and this just creeped in.  I told myself not to do it and then talked myself into 5 spoonfuls.  It is such a mind game.

I put the ice cream container away and reminded myself about how I eliminated added sugars to begin with.  Food is the fuel my body needs and I work to ensure that I am eating healthy and nutritious foods the majority of the time.  

Here are 6 tips to combat mindless eating:

  • Don’t buy it to begin with.
  • Buy ice cream flavors that I don’t like so that my husband and kids don’t get mad at me.
  • Hide it.
  • Throw it out when it gets freezer burn.
  • Read nutritional labels to look for hidden sugars.
  • Be intentional and serve an exact serving or portion of a serving so that I don’t eat the whole thing in one sitting.

Being intentional with our foods and remembering that they are a fuel should help keep us on course.  

Are You Apple or Pear Shaped?

where does your body store fat?

 

Are you apple or pear shaped? The way your body stores fat can increase your risk for heart disease.  Did you know that your body shape can be a risk factor for heart disease?

 

Are you shaped like an apple or a pear?

 

If you tend to carry your excess weight in your central or belly area, then you are apple shaped. If you tend to carry your excess weight in your hips, thighs and bottom, then you are pear shaped.

 

Why is this important?

 

Women who are apple shaped are more at risk for metabolic syndrome. This may put you at risk for heart disease, high cholesterol levels, diabetes and irregular periods.

The simplest way to assess this is to look in the mirror. Most of us can identify with a shape very quickly; I am a pear.

Scientifically there are two ways:

  • Measure your waist at the narrowest point. If it is greater than 35 inches, then you are at increased risk.
  • Measure your waist at the narrowest point and your hips at the widest point. Divide the waist measurement by the hip measurement. If the value is greater than 0.8, then you are considered an apple.

So your heart health assessment for today is this:

Determine your body shape and tell us what your body shape is.

 

Tips For Staying on Task With Your Heart Health Goals

What are Your Heart Health Goals?

We are starting a new month and January is behind us.  How did you do with your health goals last month?  Did you map out your needed appointments to cover all of your preventative screening tests for the year?

Doing this now gives you direction and also allows you to save any money needed to cover any deductibles or co-insurance.  If you don’t have insurance you have time to find available resources in your community through your local community health centers or health departments.

You may be asking what screenings do you need?  The United States Preventative Services Task Force has a list of screenings that you should discuss with your clinician every year to see what actions you need to take to improve your health.

February is the month where we celebrate Heart Health.  There are basic things that you need to know in order to focus your attention on this aspect of your health. You cannot change some of the risk factors that put you at risk for heart disease such as age, race and gender but you can work on the ‘modifiable’ risk factors.

Modifiable risk factors

Do any of the following apply to you?
  • I am a smoker.
  • I don’t exercise on a regular basis.
  • I don’t know what my cholesterol levels are or my levels are too high
  • I haven’t checked my blood pressure recently.
  • I need to be at a healthier weight
  • I have not been screened for diabetes or my diabetes is not well controlled
  • I need to lower my stress levels
  • I do not follow a heart healthy diet

take action on defining your goals

If any of the risk factors apply to you, you need to promise yourself that you will make a plan to address it.  The key is to start somewhere. Here are some tips for staying on task with your heart health goals.

Figuring out where to start can be overwhelming.  Take a deep breathe and focus on one thing at a time.  Let’s look at cholesterol screenings:

  • Pull out your medical records or log into your patient portal.  Gather whatever information you can collect and make note of what your baseline status was or is.
  • Do you know what your levels are?
  • Do you understand what they mean?
  • Has it been more than one year since you had your levels checked?  
  • If you have a prescription for cholesterol meds, are you filling it and taking them as instructed?
  • Are you following a heart healthy diet?

When you get to the point to where you ‘know your numbers’ and have an action plan, you can move on to the next topic.  Try focusing on one risk factor a month.  If you take it one step at a time and commit to making an action plan for each risk factor, you will have an action plan for improving your heart health by the end of 2021.

That’s not too hard is it?  Remember that self care is not selfish.

Which risk factor will you focus on this month?

 

 

January is Cervical Cancer Awareness Month

January is Cervical Cancer Awareness Month.  Do you know where your cervix is?

Approximately 13,000 women are diagnosed with invasive cervical cancer each year. This is a condition that we can screen for with improved testing. The term ‘cervical cancer screening’ is used now instead of just saying a ‘Pap smear’ due to the options that are available to you.By combining the use of widespread HPV vaccinations and implementing the new cervical screening guidelines, we should drastically decrease the number of new cervical cancer diagnosis each year.These are the  new guidelines that went into effect last spring.

    • Less than 21 years of age: No screenings
    • Ages 21-29: Cytology only (Pap smear test) every 3 years
    • Ages 30-65: You have three options:
      • Cytology only (Pap smear test) every 3 years
      • High-risk HPV test only every 5 years
      • Cytology plus High risk HPV test (co-testing) every 5 years

If you have time on your hands this week, look for your last test results. Do you understand what the words mean? If you do not have a copy of it, you may be able to find it through your patient portal.

When was your last screening performed? Did you skip your check-up last year? Many women forget to schedule their annual exam once they are done having children and before you know it, 10 years have passed without care. Do you fall into this group?

If you skipped your check-up last year due to losing your insurance or just plain dealing with life, there are many locations where you can receive free or low-cost screenings.  This link will allow you to search for sites based on your state or you can search for free or low-cost clinics in your area.

Don’t let the pandemic impact your ability to take of yourself and schedule your appointment if you are overdue.