What is Endometriosis? With Dr. Ken Sinervo

3453534 TopDoc Radio Logo PSDDid you know that most women with endometriosis experience symptoms up to 10 years before being diagnosed? According to the Endometriosis Foundation of America, almost 176 million suffer from endometriosis across the globe and 8.5 million in North America.

In this episode Dr. Ken Sinervo talks about endometriosis warning signs and available treatment options.


The Cavemen Had it Wrong: Red Meat Increases the Risk of Death – FindaTopDoc.com

According to a new study, people who eat less amount of red meat have lower risk of death when compared to people who have more of processed foods like bacon, hot dogs and sausage. In this study, the researchers from Harvard analyzed the diet of more than 120,000 people who are participating in the Health Professionals Follow-up Study and the Nurses’ Health Study. The results of the study are published in the Archives of Internal Medicine.

Once in four years the participants answered a questionnaire about their eating and other habits like smoking, drinking, and exercise, and also about their body weight. The average age of the participating men were 50 years and that of women were 45 years. The researchers found that people who ate more of red meat as in beef, pork or lamb, were more likely to die of diseases like cancer and heart problems when compared to people who had very less intake of red meat.

The analysis show that daily serving of 3-ounce red meat increases the risk of death due to heart diseases by 18% and that due to cancer by 10%. Processed meats are even more dangerous. Having two slices of processed meat daily increased the risk of death due to heart disease by 21% and that due to cancer by 16%. Researcher An Pan, PhD, a research fellow in the department of nutrition at the Harvard School of Public Health, in Boston, says that processed meat is more harmful than unprocessed, fresh meat.

The risk of death by these conditions can be reduced by replacing red meat with lean proteins like fish, chicken, nuts, low-fat dairy, whole grains, or beans. Marion Nestle, PhD, MPH, a professor of nutrition, food studies, and public health at New York University, says that substituting red meat with any other food materials will reduce the risk of death considerably. “The study has very clearly showed that red meat should be substituted with a variety of other foods including nuts”, claims Nestle.

Dean Ornish, MD, founder and president of the non-profit Preventive Medicine Research Institute in Sausalito, and clinical professor of medicine at the University of California, San Francisco, also agrees to the fact that such lifestyle changes really make a difference. According to him, it would be better if one could change into a total plant-based diet. Small changes like replacing chicken for beef, of fish for chicken may also help to reduce the risk.

Some people strongly disagree with the results saying that such observational studies cannot prove the cause and effect. According to Shalene McNeill, PhD, RD, executive director of Human Nutrition Research for the National Cattlemen’s Beef Association, a responsible dietary advice should be derived from the complete body of evidenced including standard randomized control trials when they are available.

What Doctors Feel: How Emotions Affect the Practice of Medicine with Dr. Ofri

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On this week’s FindaTopDoc Radio, we are discussing What Doctors Feel: How Emotions Affect the Practice of Medicine, featuring Bellevue Hospital’s Dr. Danielle Ofri! Dr. Ofri not only treats patients, but she is also an avid writer on Doctor-Patient relationships. Her work has been featured in magazines such as the New York Times, the Los Angeles Times, the Washington Post, the New England Journal of Medicine, the Lancet, and on CNN.com and National Public Radio.

Other works of hers include:

  • What Doctors Feel: How Emotions Affect the Practice of Medicine
  • Medicine in Translation: Journeys with my Patient
  • Incidental Findings: Lessons from my Patients in the Art of Medicine
  • Singular Intimacies: Becoming a Doctor at Bellevue


Juice and Health – FindaTopDoc.com

1393528950-8009859934_cef0bff9e4_zHaving fresh juice is a popular choice for many people – one who is on diet, one who is tired, or one who just wants to have a healthy snack. How many of us know about the drawbacks and benefits of having a juice? How good is it for cleansing the system or for weight loss? Here are few details which may be of help in answering those questions.

According to Jennifer Barr, a dietician from Wilmington, an occasional glass of fresh juice can be a healthy option for snacking. The favorites in her list are carrots, ginger, parsley, kale and apples. She remembers to add the left over pulp in the muffins. She feels that it is a very good way to have fruits and vegetables if one is not a fan of them. “A fresh juice helps to meet the daily recommendations of fruits and vegetables”, says Barr, MPH, RD, LDN, who works at Wilmington’s Center for Community Health at Christiana Care Health System.

“Juice should not be considered as the sole source of fruits and vegetables”, cautions Manuel Villacorta, MS, RD, CSSD, an Academy of Nutrition and Dietetics spokesman and founder of Eating Free, a weight management program. Try to include two whole fruits and three to four vegetables in the diet every day. Choose a variety of colors as different colors have different vitamins and minerals.

Juicing may remove the pulp from the fruit, which contains lots of fiber. Further making a juice in a machine removes most of the minerals and vitamins from the whole fruits and vegetables as the nutrient rich skin is not used. One can add the left over pulp into the juice or add it in a different recipe. Barr uses the pulp from spinach, kale, flaxseed, celery and pears while making broth for cooking soup, rice and pasta. This helps to fortify the meals further. Some of the juicers further break down the fruit by grinding the core, rind and seeds.

According to Villacorta, a juicer is not needed to make a juice. A blender is all that is needed for most of the fruits and vegetables to keep the fiber. Do remember to remove the skin, rind or the seeds when needed.

Just like any other food, one should be careful about the calorie count in a juice too. A medium sized fruit contains about 60 calories. A cup of vegetables adds up to 25 calories while 3 cups of leafy green vegetables has 25 calories. Four ounces of fruit juice provides 60 calories and a typical juice is usually 12 to 16 ounces. One generally takes up to 4 fruits for making juice and the calories add up. If it is an all fruit juice, calories are the real concern, says Villacorta. One can make a more balanced juice by adding some almond milk, Greek yogurt, flaxseed or peanut butter.

There are few safety guidelines to be followed while making juices. These include:

  • Wash your hands thoroughly before touching fruits and vegetables
  • Wash the fruits also thoroughly
  • Clean the blender using hot, soapy water and dry it completely before putting it away. This will prevent bacterial growth.
  • If the juicer is cleaned in dishwasher, use the sanitize cycle
  • Do not keep the juice for more than a week. It is always better to have the juice on the same day.

Juices are supposed to have a number of health benefits. Some say that juicing can reduce the risk of cancer and boost the immune system. Although plant-based products are known to reduce the risk of heart diseases and cancer, no specific studies has been done linking the intake of juices and these diseases. There are some studies which have looked into the intake of juice and the functioning of immune system. Any changes in the working of the immune system would have been probably due to the vegetables and fruits rather than the juice, says Barr.

Some are of the opinion that juicing helps to absorb the nutrients better than eating the whole fruits and gives the digestive system rest from digesting the fiber. Villacorta says that the nutrients might not have the same potential as it has been processed by juicing. Although fiber can sometimes block the absorption of nutrients, many people do not get the recommended quantity of fiber in their diet. It is also better to discuss with the doctor before starting juices in the diet to avoid any potential interactions between the juice and medications. “For example, taking large amounts of food containing vitamin K like kale and spinach may affect the functioning of anti-clotting medications”, says Barr.

Many consider juicing as an essential part of weight loss programs. A full-juice diet may not provide the recommended dose of fiber to make you feel full. This gives the temptation to eat a cake or a chocolate as the amount of food did not give a full feeling. The protein of protein that you get also may be limited. Dieting with only juice may give the risk of losing muscle mass. Many studies have shown that adding proteins is essential to preserve muscle mass during weight loss. “Moreover, extreme diet slows down the metabolism and when the person gets back to the normal routine, they will be prone to building fat cells”, says Villacorta. According to him, there are no studies that support the view that having juice helps to cleanse the system.


How to Get What You Want in Career and Life with Dr. Mark Buckner – FindaTopDoc Radio

CaptureA motivational speaker and emergency medicine physician, Dr. Buckner is the perfect person to talk to about career goals and life. Not only is he a successful entrepreneur,  but he’s also a self-proclaimed family man who has mastered the art of work/life balance. In this candid episode, our host Kathryn Zox picks Dr. Buckner’s brain to find out how Dr. Buckner got where he is today and how he teaches others to do the same. How to Get What You Want in Career and Life with Dr. Mark Buckner is a  must-listen!

Mark Buckner, MD, FAAEM, works at One Medical Inc. in Sherman, Texas. One Medical is a walk-in clinic, specializing in a variety of services including emergency services. Dr. Buckner also served as Chief of Medicine and Director of the emergency room at Texoma Medical Center from 2006 to 2011. You can visit his practice website at onemedicalsherman.com Dr. Buckner is a motivational speaker and practicing emergency room medicine physician, amongst many other things. He is also a devoted husband and father, owns his own business, loves to run marathons, hike, and enjoys spending time with family.


Reduce Your Risk of Stroke

You have always heard that an apple a day keeps the doctor away, but now studies show that white-fleshed fruits such as apples and pears can also dramatically decrease your risk of stroke.

Dutch researchers have found a strong link between a reduction in the risk of stroke and eating white-fleshed fruits and vegetables. A significant reduction in the risk of stroke was noted in an analysis of self reported information from approximately 26,069 people in the age group of 20 to 65 years. All the participants reported their eating habits and their medical history. None of them had any previous record of heart diseases or stroke. Follow up was conducted for a period of 10 years during which 233 people had a stroke. Analysis of data showed that the risk of stroke was lowered by 52% in those people who ate a lot of white-fleshed fruits and vegetables when compared to those who did not have it in their diet.

Study shows that even a small increase in intake of white-fleshed fruits, to the order of 25 grams per day, reduces the risk of the disease by 9%. Eating an apple which is approximately 120 grams can significantly reduce the risk of this life-threatening disease. Including other fruits with white flesh would help to reduce the risk of chronic diseases too. Including a variety of fruits and vegetables in your daily diet is the best option to keep the chronic conditions at bay. Some other foods that contain white flesh and help to reduce the risk of stroke include bananas, cauliflower, chicory, and cucumbers. White flesh of these fruits and vegetables shows the presence of beneficial chemicals such as carotenoids and flavenoids. About 55% of the white-fleshed fruits are apples and pears.

One of the drawbacks of the study is that most of the data was based on the memory of the participants, who recorded what they ate relying on their memory. This may affect the analysis and interpretation of data to a certain extent. The results of the study have to be taken into consideration with enough caution. These initial findings linking the color of fruits and reduced the risk of stroke may lead the way for further studies that may further confirm the findings so that a change in diet may be recommended.


Physician Review Kiosk


Aimed at serving the physicians’ needs regardless of specialty, the new Review Kiosk launched by Findatopdoc.com and Anthony Casimano, is designed as an easy, in-office review system that acquires patient reviews in real-time immediately after an appointment.

The kiosk is accessed by patients from a tablet placed on the checkout counter to get reviews in seconds! 

With 72% of consumers trusting online reviews just as much as personal recommendations and 90% of people reading reviews when they want to buy a product or book a doctor’s appointment, it is very important that physicians are prepared to have enough positive reviews when patients are looking for them.


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