Radio VNA Health  

Please join us for our next show on Monday, March 23, 2009, when our guest will be Dr. Michael M. Fanous, D.P.M., Vice President, Academy of Ambulatory Foot and Ankle Surgery located at 15366 11th St., in Victorville, California. He is the founder and former Director of the Podiatric Surgical Residency Training Program at Anaheim General Hospital. While he was Director, the program was the highest rated residency teaching program in the nation. As well as his Doctorate, Dr. Fanous has two Masters Degrees in Health Administration and Gerontology. He is a renowned Endoscopic Surgeon and national speaker. His many awards and recognitions include those presented by the Congress of the United States House of Representatives for his outstanding and invaluable service to the community; as well as recognitions from the California State Senate, California State Legislature and other state and county offices. If you have questions regarding the health of your feet and ankles, now is the time to call the Ask the Doc Show presented LIVE on Monday, March 23, 2009 at 1:00 pm. Just call (646) 716-7482 with your questions. To listen, please log on to www.radiovnahealth.org or watch us on webcam at www.helloworld.com/vna-ic.

BASIC NUTRITIONAL SUPPLEMENT PROGRAM

 

Newspaper articles and various clinical trials state that no credible medical evidence  has been able to demonstrate that taking vitamins and minerals can prevent cancer, stroke, heart disease or other ailments.  But vitamin supplement industry sales continue to rise. Since almost all of us take supplements, I have reviewed the medical literature on supplements (including vitamins, trace metals, calcium and others). 

 

I support using the following nutritional supplements in healthy adults over 50:

 

1.                 Centrum or other all-purpose multivitamin daily

2.                 Vitamin B12 (1 mg daily)

3.                 Vitamin D3 (800 IU [20 mcg] daily)

4.                 Calcium (1200 mg to 1500 mg daily)

5.                 Omega-3 fish oil fatty acids (1000 mg daily)

6.                 Aspirin (81 mg daily) – if not contraindicated

7.                 Vitamin E (400 IU daily – higher dose contraindicated)

 

Using Drugstore.com as a pricing source, the total cost per year is $124 or about $10 per month.

 

Most multivitamins contain appropriate amounts of most vitamins and trace elements.  Vitamin B12 absorption decreases with age and about 20% of the older population has some deficiency. Calcium and Vitamin D help maintain bone density. Most adults should eat a diet containing at least one to two servings of oily fish per week.  If they do not, a daily fish oil supplement is recommended. Low dose aspirin is substantially underutilized in patients with known cardiovascular disease. This is reasonable in men (over 50) and women (over 60) without a history of internal bleeding or easy bruising or allergy. It is of particular benefit to adults over 40, who are overweight and have hypertension or elevated blood pressure.  Taking more than 400 IU of Vitamin E daily was reported to increase all-cause mortality (an analysis of 19 trials with 135,000 patients). Vitamin E has no cardioprotective effect at any dose, but it is recommended for treatment of macular degeneration.  This is the only anti-oxidant I support beyond that found in multivitamins.

 

Supplements that I DO NOT recommend:

 

1. Glucosamine/chondroitin therapy. My clinical experience is that they are  beneficial in the knee and hip joints about 1/3 of the time. 

2. I-Caps have not been shown to prevent cataracts. I only recommend their use for macular degeneration with the counsel of an ophthalmologist.

3.    Coenzyme Q10 or garlic – since there are no reliable randomized controlled trials to confirm their value.

 

In summary, I recommend a low-cost basic nutritional support program.  Obviously these suggestions do not supercede the recommendations of your personal physician.

 

 

Thomas F Reynolds, MD, FACP

73271 Fred Waring Dr

Palm Desert, CA 92260

760-773-3200

 

Please join us for our next show on Monday, March 16, 2009, when our guest will be Dr. Thomas F. Reynolds. If you have medical questions, now is the time to call the Ask the Doc Show presented LIVE on Monday, March 16, 2009 at 12:00pm - 1:00pm. Just call (646) 716-7482 with your questions. To listen, please log on to www.radiovnahealth.org or watch us on webcam at www.helloworld.com/vna-ic.

Please join us for our upcoming show on Monday, January 19, 2009 when our guest will be Elizabeth Meade, MSN, NP-C. Elizabeth, a Nurse Practioner, will answer questions about Parkinsons and other issues regarding Neurologic disorders. Elizabeth attended Mt. Holyoke College in Massachusetts where she received a Bachelor Degree; she also received a Bachelor’s Degree in Nursing from the University of Virginia and a Masters of Science in Nursing from Columbia University. She is currently working for Neal Hermanowicz, M.D., a Neurologist at the Eisenhower Neuroscience Institute, and at Phillip and Carol Traub Parkinson's Center in Rancho Mirage, where she performs patient examinations as well as formulating patient treatment plans. She facilitates Parkinson’s Disease support group meetings and various educational programs for patients. Call the Ask the Doc Show with any questions regarding these issues LIVE on Monday, January 19, 2009, at 1pm-2pm. Just call (646) 716-7482, with your questions. To listen, please log on to www.radiovnahealth.org or watch us on webcam at www.helloworld.com/vna-ic.

After finding a lump in her breast in August of 2006, Stephanie Brynjolfson had a mammogram and a needle biopsy done and the tests were clear. One year later, the lump reappeared along with hard tissue surrounding it. Her doctor referred her to a surgeon who removed the lump and diagnosed her with Infiltrating Ductal Carcinoma. Her doctor recommended a bone scan and a PET scan and the results of those tests confirmed that the cancer had spread to her bones. She was at stage IV of Inflammatory Breast Cancer. With great determination Stephanie set in motion a plan to strengthen her body with a diet of organic foods, the elimination of diary, animal products and a supplement program. She now feels fantastic. She has completed radiation treatment and hopes for a clean bill of health. If you have had cancer personally or know someone who has cancer, you can call the Ask the Doc Show with any questions regarding this issue LIVE on Monday, January 12, 2009, at 1:00 pm. Just call (646) 716-7482, with your questions. To listen, please log on to www.radiovnahealth.org or watch us on webcam at www.helloworld.com/vna-i

A variety of health topics will be discussed by our Doctor including dementia, falls, diabetes, wound care, and medications. Questions answered that your regular physicians are not available to answer or that you forgot to ask. Our special guest today is Van T. Nguygen, M.P.A.S., PA-C. The show will be from 1-2pm PST on www.radiovnahealth.org. Call in with your question at (646) 716-7482 or (800) 49-VNAIC. Watch us via webcam on www.helloworld.com/vna-ic.