From Couch to 5K for Seniors

Spring is here, and good weather is a time to think about recommitting to fitness, especially at community events.

Now would be a good time to start training to participate in a community walk, which is a great way for people to get moving, whether they are new to walking for exercise or trying to get back on the exercise bandwagon.

Getting on the exercise bandwagon, and then staying on it, can be a constant work in progress. That is why when patients mention their difficulties with exercise, we can say with assurance that “The struggle is real!”

There is good news, though. Research shows that for older adults, exercise is better than no exercise. Even one minute of exercise can help improve mobility and physical function. The bottom line is this: It is never too late to start exercising, and you can begin with small steps!

Using a “Couch to 5K” program or another beginner walking program is helpful in providing guidance and takes the guesswork out of “how to go about it.” Try this Walk/Run Plan tailored for beginners to get started.

Tips Before Starting an Exercise Regimen

  • After finding a program to get you started, talk to your doctor or physical therapist about the safety of the program before you begin.
  • Spend time looking for footwear with proper cushioning, comfort, and stability. The fit should be a thumb’s-width of space between the end of your longest toe and the end of your shoe. Your heel shouldn’t slip when you walk or jog, and your foot shouldn’t be spilling over the edges of the shoe. If your shoes are not comfortable when you first try them on, they won’t be comfortable when walking or jogging.
  • If you need to use an assistive device for balance or safety, such as a cane or walker, use it! Your safety is most important, and those devices will help you keep your independence.
  • Slow down the program if you find it is too much for you. It is okay to spend 12 weeks completing a 6-week program.
  • Make a public commit to complete the program. Making yourself accountable to someone, whether on social media or to a fitness buddy, can make it easier to keep going, even when you don’t want to.
  • Consider listening to music, nature sounds, a podcast or audiobook to accompany you while you train.
  • Don’t forget to stretch after warming up and definitely after finishing your workout.

And finally, feel proud of yourself for every minute that you exercise because you are one step closer to better health.

Improve Your Sleep in 3 Simple Steps

Getting a good night’s sleep is one of the most important things we can do for our overall health and well-being. Sleep deprivation leaves the brain exhausted, causes sluggishness, low attention span,

decreased sociability, depressed mood, insulin resistance and decreased performance. Chronic sleep deprivation is strongly correlated with behavioral health issues, such as depression, anxiety and substance use, as well as a weakened immune system.

The body profoundly needs sleep, and when a person is not getting enough quality sleep it impacts all systems of the body. A lot of people view sleep as a passive activity, but to set ourselves up for a restorative night of sleep takes preparation. Here are a few simple steps to take during the day to help set the stage for better sleep:

Preparation: Sleep is not passive; it requires a proactive routine.

  • Get regular physical activity in the morning or afternoon: Exercise promotes quality sleep. Exercise in morning makes it easier to fall asleep/wake up. Exercise in evening is ok if done on a regular basis and not immediately before bed.
  • Outdoor light exposure: Early morning light is best way to keep circadian rhythm synchronized.
  • Control caffeine, nicotine, and alcohol consumption: Minimize caffeine later in the day as it can prevent you from falling asleep. Limit alcohol consumption to 2 drinks/day for men and 1 for women and not after 3 hours before bed. Alcohol can cause you to wake up in the night and it causes sleep to be fragmented. Nicotine is a stimulant that is best avoided entirely.
  • No bright/blue light 2 hours before bed: Blue light can decrease melatonin production and increase cortisol. You can purchase special light bulbs or install an app/filter on your phone to reduce blue light exposure. Of note, phones/computers/TV, etc. are stimulating even if they do not emit blue light.

Environment: Craft your surroundings to support optimal sleep.

  • Use the bedroom for sleep and intimacy only: No TV, laptop, tablet, etc. in bedroom. Recommended no pets or children in bed.
  • Turn thermostat down: Ideally between 60-67F. A drop in core body temp is a sleep signal for the body that it is time to sleep
  • Dark room: Try black out curtains or an eye mask. No nightlight, and cover clocks and other things that emit light.
  • Quiet: Try earplugs to help if your sleep is disrupted by external noises/partner snores, etc. White noise can also help to cancel out distracting noises that can disrupt sleep.

Timing: Establish a regular sleep schedule.

  • Establish a sleep-wake routine: Stick to a routine, even on weekends. Any routine that has a bedtime before midnight and allows for 7-8 hours is reasonable.
  • Don’t eat for at least 2 hours before bed: Your body needs time to begin metabolizing and absorbing food.
  • Keep naps to 20-30 minutes in the early to mid-afternoon: Research shows that naps (even 9 minutes long) can be restorative. Short naps prevent person from going into deep sleep, which can extend the duration of the nap, result in the person feeling sluggish, and interfere with nighttime sleep. If you have sleep problems like insomnia, naps can add to the problem especially if taken late in the day. Naps do not make up for chronic sleep loss or poor-quality nighttime sleep.

For more information, check out this Lifestyle Medicine Sleep Fact Sheet.

Ready to take the next step?

Our Lifestyle Medicine team is here to support you on your journey to better health. Connect with one of our Board-Certified Lifestyle Medicine Specialists today.

Delicious Appetizer, Healthy For Your Heart

Rainbow Frittata

Diabetic Living Magazine
This delicious frittata is loaded with heart-healthy, omega-3 enriched eggs and a medley of colorful vegetables. Start cooking the vegetables on the stove and finish them up in the oven with the egg mixture. To serve, top with avocado slices, grape tomatoes and a touch of sriracha.
Cook Time 30 mins
Total Time 30 mins
Course Breakfast
Cuisine American
Servings 4
Calories 219 kcal

Ingredients
  

  • 1/4 cup 1/2 inch pieces sweet potato
  • 1/4 cup 1/2 inch pieces yellow sweet pepper
  • 1/4 cup coarsely chopped fresh broccoli
  • 8 omega-3 enriched eggs
  • 1 teaspoon fresh basil snipped
  • 1/2 teaspoon fresh thyme snipped
  • 1/2 teaspoon salt
  • 1/2 teaspoon black pepper
  • 1 avocado halved, seeded, peeled, thinly sliced
  • 5 1/2 cups grape or cherry tomatoes halved
  • Sriracha Sauce optional

Instructions
 

  • Preheat oven to 350 F. Coat an oven-going 10-inch nonstick skillet with cooking spray. Add sweet potato, sweet pepper and broccoli; cook and stir over medium 5 to 7 minutes or until tender.
  • In a medium bowl whisk together eggs, basil, thyme, salt and black pepper. Pour mixture over vegetables in skillet. Cook, without stirring, until mixture begins to set on bottom and around edges. Using a spatula, lift egg mixture so uncooked portion flows underneath.
  • Transfer skillet to oven; cook 5 minutes or until egg mixture is set. Remove from oven. Let stand 2 minutes. Top servings with avocado and tomatoes. Drizzle with sriracha.

Notes

Nutrition Facts

1/4 frittata (3/4 cup)
 
219 calories; protein 13.9g; carbohydrates 7.7g; dietary fiber 3.3g; sugars 2.2g; fat 15g; saturated fat 3.9g; cholesterol 372mg; vitamin a iu 2112.2IU; vitamin c 25mg; folate 90.8mcg; calcium 70.7mg; iron 2.2mg; magnesium 30.2mg; potassium 455.8mg; sodium 226mg.
2 lean protein, 1 1/2 vegetable, 1 fat
Keyword bone health, dairy free, gluten free, healthy aging, healthy immunity, low calorie, low carbohydrate, low sodium, nut free, soy free, vegetarian
Tempeh Tacos
A delicious and heart healthy meal for any day of the week.
Check out this recipe

Tempeh Tacos

Tempeh Tacos

A delicious and heart healthy meal for any day of the week.
Prep Time 15 mins
Cook Time 5 mins
Total Time 20 mins
Course Main Course
Cuisine Mexican
Servings 8 tacos

Ingredients
  

  • 1 medium red bell pepper, cut into strips
  • 1/4 cup onion, diced
  • 1/2 cup canned diced tomatoes (with juice) or low sodium salsa
  • 2 teaspoons cumin
  • 1 teaspoon paprika
  • 1 teaspoon onion powder
  • 1 teaspoon garlic powder
  • 1/2 teaspoon crushed red pepper flakes (optional)
  • 1/2 teaspoon oregano
  • 1 package tempeh, finely chopped
  • 8 soft corn tortillas (4 inch diameter)
  • Salt to taste (optional)

Instructions
 

  • Add one (1) tablespoon of water to a skillet and sauté pepper strips and diced onion until soft.
  • Then add diced tomatoes (with juice), cumin, paprika, onion powder, garlic powder, red pepper flakes and oregano.
  • Cook over medium heat for 3-5 minutes.
  • Add chopped tempeh and cook for 2-3 more minutes or until the tempeh has absorbed some of the sauce.
  • Serve over corn tortillas. Top with cilantro lime slaw or other toppings like jalapeno, low sodium hot sauce/salsa, lettuce, avocado slices (optional).

Notes

Chef’s Tip:  Use a food processor to easily chop the tempeh. Be sure not to overmix.
Keyword heart healthy, tacos, tempeh, vegetarian
Rainbow Frittata
This delicious frittata is loaded with heart-healthy, omega-3 enriched eggs and a medley of colorful vegetables. Start cooking the vegetables on the stove and finish them up in the oven with the egg mixture. To serve, top with avocado slices, grape tomatoes and a touch of sriracha.
Check out this recipe

6 Tips for Thriving during the Holiday Season

Along with laughter and good cheer, the holidays often bring busier schedules, an abundance of indulgent food and drink and increased financial stress, all of which can have a negative effect on our physical and mental health.

The good news is looking at the holidays through the six pillars of Lifestyle Medicine gives us the opportunity to rethink those holiday traditions that don’t contribute to our whole-health and focus instead on prioritizing self-care so that we can truly thrive this holiday season.

1. Manage Stress Better

Stress can play a part in headaches, high blood pressure, heart problems, diabetes, skin conditions, asthma, arthritis, depression and anxiety. Chronic stress coupled with acute stressors that we may experience during the holidays leave the body overstimulated with high levels of basal cortisol which in turn increases inflammation and causes or worsens disease.

Lifestyle Tip: Tools like regulated breathing, positive thinking, meditation, gratitude, and exercise can help manage stress and fight inflammation when used every day.

2. Eat Smarter

Food truly is medicine.  Beyond the physical benefits that a healthy diet affords us, food also effects our mood. It can be especially challenging to make healthy food choices during the holidays. 

Lifestyle Tip: Remind yourself to eat slowly and savor each bite, especially when it comes to calorie dense foods. Be truly present when sharing a meal with those you care about by disconnecting from electronics.

3. Sleep More Soundly

Getting a good night’s sleep is one of the most important things we can do for our overall health and well-being.  Sleep deprivation leaves the brain exhausted, and chronic sleep deprivation is strongly correlated with behavioral health issues, such as depression, anxiety and substance use.

Lifestyle Tip: Set yourself up for a restorative night of sleep by preparing the right way. Strive to set and stick to a sleep routine that allows for 7-8 hours of sleep per night in a cool, dark place and try to disconnect from screens two hours before bedtime.

4. Connect with Others

Social connections and relationships affect our physical, mental and emotional health. Research shows that the single most important predictor of human happiness and long life is having strong social connections. There is evidence that health related measures like blood pressure and heart rate improve even with short, positive social interactions. Technology can improve social connectedness in some cases but research also finds that those who use social media the most are at a higher risk for depression.

Lifestyle Tip: Try chatting with the person in line next to you while doing your holiday shopping, or smiling as you pass others in the hallway – these positive micro interactions scattered throughout your day can have a big impact. If you use social media, be mindful of how you use technology to support the social connections in your life.

5. Move More

Consistent regular exercise benefits us both mentally and physically. Moving our bodies, especially in nature, can do wonders for our whole health. In fact, studies show that being active for as little as 10 minutes per day can positively impact our mood.

Lifestyle Tip: Even as the days get shorter and colder, make it a priority to move naturally throughout the day doing things you love; walk with friends, ride a bike, dance, or play with the children and pets in your life.

6. Avoid Risky Substances

We know that reducing the intake of items like alcohol, vaping and smoking improve our physical health, but they can also have an impact on our mental health and happiness.  When we are not using substances, we are more able to be present in the moment and notice the positive things around us.

Lifestyle Tip: Take a moment to be aware of when you might be using these substances to alter your reality and focus instead on working to identify positive strategies to cope with life’s daily stressors.

Ready to take the next step?

Our Lifestyle Medicine team is here to support you on your journey to better health. Connect with one of our Board-Certified Lifestyle Medicine Specialists today.

5 Tips to Keep Kids Safe when Returning to Sports

1. Ease kids back into physical activity gradually before the sport season starts

Kids have been spending a lot more time at home and sitting at computers for school than in regular years. Relative inactivity leads to decreased cardiorespiratory fitness, muscle strength and endurance and loss of sport-specific skills. Parents should know, that increasing the load and demand on their child’s body without adequate time for conditioning and recovery, raises the risk of injury.

Before they start sports, all kids should have a pre-participation physical exam. At this pre-participation physical exam, ask the medical provider to discuss with you and your child a schedule to guide a gradual increase in activity. Children should return to sports at 25 to 50% of the volume and intensity at which they participated previously. Each week, volume should be increased by 10% so that, by 4-6 weeks, the student athlete is back in performance shape.

“I’ve been seeing a lot of sports injuries due to the rapid escalation of sports intensity. We can prevent these injuries.” said, Dr. Corey Dean, Pediatrician and Sports Medicine Specialist at St. Joe’s and IHA.

  1. Be COVID-19 safe during practice and games

In March, 2021, the spread of COVID-19 has risen 105% among persons aged 10 to 19 in Michigan. Additionally, there are 135 identified outbreaks among minors participating in school and club sports in Michigan.

To prevent COVID-19 during sports participation, athletes should maintain physical distance as much as possible. Wear cloth face coverings at all times during group training and competition, especially on the sideline, in dugouts, and during team chats. Due to possible safety concerns, masks can be removed while participating in some sports, such as water sports, gymnastics and wrestling. However, a mask should still be worn when the athlete is not actively engaged in competition or is on the sidelines.

All kids with a history of a positive COVID-19 test, regardless of whether they had symptoms, should be screened for chest pain, shortness of breath, syncope (fainting), and palpitations during a physical exam by there primary care physician. Children who have had moderate or severe symptoms of COVID-19, like fever greater than three days, hypoxia needing oxygen in the hospital, etc. should be referred to a cardiologist per the American Academy of pediatricians.

Avoid behaviors like huddles, high-fives, fist bumps, handshakes, sharing food or drink with teammates, cheering, chanting, or spitting. Store personal equipment 6 to 8 feet away from other teammates equipment. Make sure to bring your own water bottle and your own towel to be used only by you. Sanitize hands before and after using shared equipment like balls, bats etc. Do not got to practice or a game if you are not feeling well. Make sure to tell the coach if you’re not feeling well and leave practice or the game as soon as safely possible.

Avoid large group gathering after sporting events or practices. If you do gather after a sporting event or practice, remember to wear your mask, socially distance and don’t share food or drink with others.

3. Clean up after practice and games.

Sanitize with 60% alcohol based hand sanitizer or wash hands for 20 seconds. Be Sure to wash practice clothes and towel thoroughly and replace facemasks. Clean sports equipment and water bottle.

4. Get tested for COVID-19 regularly.

All middle school and high school athletes aged 13 to 19 must be tested for COVID-19 on a weekly basis as required by the Michigan Department of Health and Human Services. Testing is recommended before any inter-team competition, especially before players come in to close contact with players from outside the local community. Regular testing allows for better understanding of the risk to student athletes and supports contact tracing of COVID-19 cases in sports.

5. Where are the facemasks?

Athletes, coaches and other team personnel must wear a face mask at all times unless participating in a sport in which masks may pose a safety concern (wrestling, water sports, gymnastics, etc.). Face masks must be worn by all individuals while not engaged in active participation. Facemasks must cover the nose and the mouth at all times to be fully protective. Any cloth face covering that becomes saturated with sweat or water should be changed immediately. Having a back up cloth mask is helpful. You are your child’s best advocate. If you see other athletes or coaches not wearing masks or wearing masks improperly speak up and kindly remind them to wear a mask or make sure their mask is properly covering their mouth and nose. Parents and spectators should always wear a facemask while at sporting events. Wearing masks minimizes the spread of COVID-19 and is critical for safe participation in sports.

Need a Primary Care Doctor?

Trust your family’s health to a St. Joe’s doctor. Find a doctor near you at St.JoesHealth.org.

Family Blessings? Tips for a Healthy Reunion

By Lila Lazarus

If you’re reading this, it means I survived. For the last two weeks, 17 family members have been staying at my house. Yes, sisters, brothers, spouses, nieces, nephews and a few dogs. It was a family reunion.

Like so many families in the modern world, my siblings are spread out all over the world. I’m the only one who stayed in Michigan. So if we want to see each other, we have to plan an extended visit. No one wants to travel this far for just a weekend. And in theory, we all really wanted to spend time together. But making the plans, dealing with the air travel, the cost of the flights, packing, figuring out sleeping arrangements and two weeks of meals… it’s stressful.

And when they finally arrived, they were exhausted. Two arrived sick with what we called “The Plague”— a bad virus with fever and cough that quickly spread through the family ranks.  Tempers shortened and our eagerly anticipated joyous family visit morphed into family drama, hurt feelings, lack of communication and a messy house.

In families, it is not unusual to be irked by the same frustrations with your siblings that were there 50 years ago. These unresolved hot buttons get pushed without any warning. And just like when we were young, we were all staying in the same house and I had nowhere to run. So I made a list of   survival tips for getting through an extended family visit:

Remember they’re never going to change. Every time something got under my skin, I reminded myself that there’s no fixing these people. They are who they are— for better or for worse.  Find the better.  They will never change and they don’t have to.

Focus on their talents. If you look at my family tree, there’s a dancer, a gourmet chef, a lawyer, an artist, singers and acrobats. They all have wide ranging talents. They’re smart and funny and always game for adventures.   Rather than think about what they don’t bring to the table, try thinking about the incredible gifts and laughter that they do bring.

Limit the trip. This was my biggest mistake. If you know you have strong personalities and age-old sibling rivalry,  don’t stretch it out for two weeks.  (Just because you love your family doesn’t mean you like them in your home for 14 days.) If a few days is your tipping point,  set your limits. Why didn’t I think of that earlier?

Lay down the ground rules and stick to them. Someone will always try to push your boundaries. Don’t let them. When my brother tried to change the dinner location or my brother-in-law tried to invite more people to the party, I had to stand firm. “I’m so happy the family is here, let’s keep it to the family and the plans we’ve made.” Do whatever you can to minimize the chaos.

Plan your escape. When every sofa, stool and chair in your home is taken and you just can’t seem to get away from family or their barking dogs, it’s time for operation time-out.  Go for a walk. Go do some yoga or meditate. It’s important to regroup. Alone time isn’t selfish. When family’s around, it’s self-preservation. I would disappear sometimes for two hours just to breath.

In short, happiness is a close, tight-knit family in another city. But if they do come to visit for an extended period of time, try to keep in mind that it’s just temporary. I kept asking myself, “What if this is the last time we’re all together? Can’t you just hold it together for a few more days?”

Now that they’re gone, I do realize what a blessing it was to have them all under the same roof. But families are definitely like fudge. Mostly sweet with a lot of nuts.

Dementia: Finding Ways to Connect When the Connecting Gets Tough.

Every time I visit my Mom, it’s a crapshoot. I never know who I will find when I punch in the code and open the door to her memory unit. Will she be wandering the living area talking to herself? Will I find her marching down the hall as though she has something important to accomplish? Or will I find her sitting on the sofa, her chin hanging to her chest, fast asleep? It is hard to know what her mood will be like after days upon days in the same room. And when she finally sees me, I never know how long it will take for her to recognize my face. I try not to have any expectations. It seems each time I come in, it takes a little longer for her to light up.

I know I’m blessed that she still knows me, but it’s so scary when someone you love has an incurable disease that erases bits of them one day at a time. So rather than lament what’s lost, I’m trying to enjoy what’s left. That means shifting the way I connect with her and finding new ways to communicate. She no longer can have a conversation because she can’t reach the words. But she can still laugh and sing and dance.

Lila’s Health Report:
In order to stay healthy, you need to stay active and engaged. In addition to exercise, good nutrition and sleep, you also need a good dose of adventure. So each month I’ll share ways to boost the excitement and passion in your life with adventurous ways to create more wellness in your body, mind and your spirit.

My Mom has always loved the arts. She was the founder of the JET Theatre and she loved opera, symphony and ballet. And although her dementia continues to progress, turn on a tune and you’ll find she hasn’t lost her love for music. Plenty of research shows dance and music can clear the dust that accumulates with dementia and Alzheimer’s and actually create better connection and communication. It seems to open a backdoor to her brain so she can still access good feelings and memories. Just hearing the music seems to wake her up, lift her spirits and bring a big smile to her face.

While she was never a singer before, she is now. And even though we never used to regularly jump up and dance when we were together, we do now. Without words, she seems to do better with experiences that connect us rather than conversations. Music always seems to get a positive response. Recently, I walked in to find her sitting by herself, mumbling words and looking so forlorn. Then the music started and everything changed. (Check out this cellphone video!)

She loves to move, go for a walk, play catch with a balloon. Exercise is both invigorating and calming for her. And it’s a relief for me to have something I can do with my Mom that brightens her day. We can bond without even a word.

If you’re a caregiver to a person with dementia, do what you can to incorporate their senses. Put on music, give them colorful flowers to arrange or something delicious to eat or a fluffy pet to hold. My Mom was never a dog lover but she is now. I think she relishes their unconditional love. So I usually will bring my dogs, Yogi and Lulu, when I visit.

And when the visit is over, make sure to hold their hand or give them a strong hug. I love when my Mom throws her arms open for a hug. It reminds me she’s still in there. A good hug is sometimes all that’s needed— just as much for me as for her.

Looking for a doctor specialized in memory care?
Visit stjoeshealth.org to find a doctor near you, or call 1-800-231-2211, and we can guide you through the process.

Ice vs. Heat: Which Is Better for Pain?

This article was originally published on Sharecare.

Jonathon Faber, DO, is a sports medicine specialist with Saint Joseph Mercy Health System in Livonia, Michigan,

Whether chronic or acute, aches, pains and injuries can put a damper on everyday activities. Along with rest and elevation, we’ve been told that heat and ice can speed recovery, but which is best for your particular ailment? Jonathon Faber, DO, a sports medicine specialist with Saint Joseph Mercy Health System in Livonia, Michigan, explains when you should apply ice or administer heat, and when it’s time to see your doctor.

When to opt for ice
Acute pain is sudden, brought on by a specific incident. Broken bones, sprains, strains, burns, cuts and surgery can all cause acute discomfort. As soon as the cause of pain is remedied, the uncomfortable sensation should subside. But what to do in the meantime?

As a general rule, acute injuries should be treated with an icepack or a bag of your favorite frozen veggies. “Typically, when you have an acute injury, like an ankle sprain, it’s very appropriate to apply ice for the first 48 to 72 hours,” recommends Faber.

When used promptly, ice helps reduce swelling. Swelling is caused by the rush of fluid and white blood cells to an injury, which works to promote healing and help prevent you from using the affected area. “[However,] a lot of times, swelling can be excessive enough, especially in places like the ankle and knee, that it prevents further healing,” says Faber. So, reducing swelling quickly can help speed recovery.

For some injuries, ice isn’t enough. Rest, compression and elevation are also necessary. “The acronym RICE stands for rest, ice, compression and elevation,” says Faber. “These methods reduce swelling and inflammation at the site of an injury.”

When to reach for heat
Not all types of discomfort should be treated with an ice pack. Chronic or long-lasting pain, which can persist for more than 12 weeks, is often better soothed with a heating pad. This type of discomfort may be caused by an injury or illness like arthritis or fibromyalgia, but in some cases, has no known cause. Frequently, the goal in treating chronic pain is minimizing discomfort as much as possible, to enhance your quality of life.

Here’s why heat helps: while ice reduces inflammation in areas with a buildup of fluid, heat is better suited for pain not caused by swelling, like arthritic joint pain. “Heat tends to be more appropriate for joint pain in people who suffer from osteoarthritis, because it increases blood flow to affected areas,” says Faber. There are exceptions: some with arthritic joint pain may benefit from applying ice to numb the sensation of pain, as well.

Heat also helps ease discomfort linked to achy joints and stiff muscles. By improving blood flow and circulation, it relieves pain and stiffness caused by conditions like tendinosis, chronic stiffness of tendons attached to the joints.

Sometimes, pain from injuries older than six weeks can also be alleviated with heat. “After a few weeks, icing sprains and strains doesn’t tend to be as beneficial,” says Faber. “At that point, it’s personal preference, and you should do what feels better.”

See your doctor
Some injuries shouldn’t be treated at home. See your doctor if:

  • An injury significantly affects your range of motion, rendering you unable to complete everyday tasks like bathing, cooking or dressing.
  • You injure certain parts of your body. “With any lower extremity injury, the hip, knee or ankle, that leaves you unable to bear weight, you should see your doctor,” says Faber.
  • You have a minor injury, and swelling doesn’t improve after a few days of at-home treatment.

Ignoring an injury or compensating for the pain by putting more pressure on other parts of the body can lead to permanent dysfunction, making treatment difficult. In that case, your injury may be less of a job for heat or ice and more of a job for your healthcare provider.

Looking for a doctor or ready to make a switch?
Visit stjoeshealth.org to find a doctor near you, or call 1-800-231-2211, and we can guide you through the process.

I Found the One!

When it’s the right one — you just know it. We just clicked. I felt so comfortable. It’s like we had known each other for years. I’d been searching for so long. I’ve even written about my struggle to find the one. Truthfully, I had almost given up looking… And then it happened.

I found my new primary care doctor.

It was hard for me as a health reporter to admit I didn’t have a doctor for so long. My last doctor had chosen to go concierge, meaning he was now charging close to $3,000 a year in return for more personalized care. But at this point in life, I’m healthy (knock on wood) and just need a doctor for my yearly physical. But how do you choose the right one? Admittedly, I’m picky.

Dr. Leslie Caren with a pediatric patient and his mother at the new St. Joseph Mercy Waterford Medical Complex. Dr. Caren treats adult and pediatric patients at Waterford Adult and Pediatric Medicine.

And then she just walked in. The moment we started talking I knew. I just knew.

I had gone to see the new St. Joe’s Waterford Medical Complex located at 59 and Pontiac Lake Road. The new medical facility features a lab, imaging services and an Urgent Care (opening July 1, 2019) along with the Waterford Adult and Pediatric Medicine practice. That’s where I met Dr. Leslie Caren, an internal medicine and pediatric specialist. She was so easy to talk to. Her calm demeanor, obvious concern and compassion made her an easy choice. Plus, she’s a St. Joe’s doc which was a high priority for me. She was so approachable and clearly interested in my wellbeing and, lucky for me, she had an appointment available for a physical. I grabbed it and never looked back.

On the day of my appointment, I wasn’t left waiting in a waiting room. She came in and took a thorough and complete history. It’s uncomfortable talking to a stranger about your most personal issues. But in this case, I instantly felt like I was talking to a friend. She just got me. She listened without interrupting and gave me thorough answers to any questions I had. It’s one of the main reasons I wanted a primary care physician — the better a doctor knows you, the more likely you are to get an accurate diagnosis.

But there are three other reasons I really wanted to have a primary care physician (and so should you):

Lila’s Health Report:
In order to stay healthy, you need to stay active and engaged. In addition to exercise, good nutrition and sleep, you also need a good dose of adventure. So each month I’ll share ways to boost the excitement and passion in your life with adventurous ways to create more wellness in your body, mind and your spirit.

A primary care doctor keeps you healthier as you age. Studies show, people who have a good relationship with a doctor don’t just get better care, they’re healthier! It’s like any relationship: The better you communicate and connect, the better the outcome. I have no doubt my new primary care doc will make sure I get all the tests and treatments I need to keep me healthy.

Someone has your back. Gone are any worries of who I would call if suddenly I need a prescription, or a specialist or quick medical advice. We talked so openly about so many topics from weight, to alcohol, to sex, stress and aging. I felt listened to, which is important. And I felt like someone truly had a plan to ensure I stay healthy for as long as possible. My new doctor arranged for all my lab work, followed through on the results and explained any concerns. I have 24-hour access to my health information and any lab results on the St. Joe’s portal. When I sent her an email through the portal, she responded!

Health is a team sport. It’s not just the primary care doctor that impressed me, it’s the whole office. After all, I’ll be dealing with all of them to book appointments, get my labs done or deal with insurance issues. The right primary care doctor needs the right support team.

Looking for a doctor or ready to make a switch?
Visit stjoeshealth.org to find a doctor near you, or call 1-800-231-2211, and we can guide you through the process.

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