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You and Your Healthcare Provider

 

 

For many, sharing person health details with their doctor can be uncomfortable. One of the most import factors in your relationship with your healthcare team is honesty.

In a 2018 study as many 80% of all patients lie or withhold information from their providers. Surprisingly a survey of 300 US adults in 2015 by ZocDoc found that women are more likely to lie or omit information during a doctor’s appointment. The same study showed that respondents over the age 65 avoided raising issues their doctor because they felt it was not serious or worth discussing.

Why patients do not share all health information

Alpine Cardiology - Female doctor with male patient

The 2018 study identified many reasons why a patient may lie or omit health information. The most cited reason was that they did not want to be judged or lectured about their behaviors. They also did not want to hear how bad their behavior/habits were for their health and want their providers to like them. For others they were simply embarrassed about their choices, didn’t want the information in their medical records or not wanting to waste their doctor’s time.

What do patients lie about?

Alpine Cardiology - Female doctor with female patient outsideThe simple answer is just about everything, usually from shame or fear. More common lies or omission are:

• How often they follow or that they didn’t follow their doctor’s instructions
• Medication management
• Diet and exercise
• Mental and emotional state
• Their sex life
• The financial situation and how it may affect their healthcare
• Sharing all their symptoms
• Whether they smoke, have quit smoking and how many cigarettes they smoke a day
• Their alcohol consumption
• Their use of recreational drugs

Some of these may seem unimportant to your health, but all of these things play a vital to your healthcare provider to understand your overall health and risk factors.

Alpine Cardiology - Female doctor with male patient in officeYour habits and hobbies can affect your medical care

 

They play a big role in your health and can even impact other health risks you may experience. We all know that smoking can lead to numerous health complications and if you doctor knows you smoke, they will make decisions accordingly.

“Bad” habits are not the only things you should share with your doctor. Letting your doctor know if you participate in any type of intense physical activity is important as well.

Your doctor has seen and it all

Alpine Cardiology - doctor holding patient handMost likely your healthcare provider has experience with thousands of patients and most likely anything you say will not surprise or shock them. Your doctor is not there to judge you but to help you. They can’t provide the care you need without having all the information.

Be honest about any of your concerns

If you have concerns about a vaccination, medication, or procedure, talk to your doctor. If you have anxiety about a procedure let them know so they can address those concerns. Your healthcare provider will happily provide explanation about a procedure or information about a treatment plan because the better you understand it, the more likely you are to follow it.

Why honesty is important

Alpine Cardiology - Female doctor with female patient in office

From the information you provide your doctor suggest treatments and procedures. If they are receiving bad information those treatments and procedures may not have the expected outcome.

Research has shown that have good communication with your medical provider will lead to more appropriate medical decisions with better outcomes. When your doctor doesn’t have all the information it makes it very hard, if not impossible for your doctor to properly diagnose and treat you.

 

Your healthcare provider is your partner not your enemy

Alpine Cardiology - Female doctor with female patient in hospital

Your entire healthcare team wants you to live your happiest and healthiest life, in order for that to happen they need to understand your overall health and habits.

No matter the issue, your doctor can answer your questions and provide additional resources. Being honest starts a conversation which is key to building a relationship to help you live a healthy life.

Remember, Dr. Bobish and her team are here to listen to your concerns and want to provide the best care they can for you. They cannot do that if you are not completely honest with them.

 


Ready to start your heart-healthy diet?

 

7 Steps to Eating Healthy

Changing your eating habits can be tough, especially if you are dealing with the stress of medical issues. When we are under stress, we tend to gravitate toward our comfort foods that are not heart heathy. You can eat well and healthy. Understanding which foods, you should eat more of and which foods to limit can help make the change to a healthy diet easier.

Controlling your portion size

Grilled Chicken

Portion control is more than just limiting how much you eat it is about understanding what a serving size (portion) actually is. In today’s world of mega size, super-size and 2 for the price of one, no wonder we struggle to eat healthy.

One of my favorites ways to control my portion size but still feel like I am getting a “full plate” of food is to use smaller plates or bowls. Seems silly, but numerous studies have shown that if our eyes see a full plate, we do not feel deprived and are more likely to be satisfied after one plate.

Read serving sizes and try to follow them. Pasta and rice serving is about the size of a hockey puck. Lean meat should be about the size and thickness of a deck of cards. Being able to judge serving sizes will take practice, use measuring cups, spoons, or a scale until you are confident in serving the right portions.

Add more fruits and vegetables.

Another trick is to fill your plate with low-calorie, nutrient-rich foods such as fruits and vegetables. Eating more vegetables and fruits may help you cut back on higher calorie foods.
Keep vegetables and fruits washed and cut in your refrigerator. These are perfect to grab when you are craving something sweet or crunchy.

We all know that eating fruit and vegetables are good for us and that they are a good source for vitamins and minerals. Did you know that like other plant-based foods, they contain substances that may help prevent cardiovascular disease?

Choose whole grains

Whole Grain Pasta

Whole grain products can be a good source of fiber and other nutrients. They can also play a role in regulating blood pressure and heart health. It is easy to increase the amount of whole grains in your heart healthy diet simply by substituting for refined grain products.

If you want to try something new add barley into your diet. Barley contains about three times as much fiber as a serving of oats. It is rich in a soluble fiber known as beta glucan and is recognized for its cholesterol-lowering abilities.

Watch your fat

You know you have to watch how much saturated and trans fat you eat. This is important to reduce your blood cholesterol and lower your risk of coronary artery disease. High cholesterol can increase your risk of heart attack and stroke.

Limiting how much saturated and trans fats you eat is an important step to reduce your blood cholesterol and lower your risk of coronary artery disease. A high blood cholesterol level can lead to a buildup of plaques in your arteries, called atherosclerosis, which can increase your risk of heart attack and stroke.

AvocadoThe 2020-2025 Dietary Guidelines for Americans recommend limiting saturated fat to less than 10% of total daily calories. To help meet this goal try some simple ways to cut back on saturated and trans fats:

• Trim fat off your meat or chose lean cuts of meat.
• Use less fats when cooking and serving.
• Choose low-fat substitutes when possible. Try low-sodium salsa or low-fat yogurt on your baked potato or sliced whole fruit or low-sugar fruit spread on your toast.
• Check food labels, even those that say reduced fat. Many may contain trans fats. Trans fats may be listed as partially hydrogenated oil on the label.

Sometimes you need a little fat, in those times choose monounsaturated such as olive or canola oil. Polyunsaturated fats found in certain fish, avocados, nuts, and seeds can be a good choice as well. Remember to use sparingly, all types of fat are high in calories.

Try for low-fat protein sources

SalmonLean meats, poultry and fish are great sources of protein. Choose skinless chicken and fish that are rich in omega-3 fatty acids, such as salmon, mackerel, and herring.
Low-fat dairy and eggs provide good protein as well. Look for lower fat dairy options such as skim milk, low or non-fat yogurt.

Another great source of protein that is low-fat and cholesterol free is legumes. Beans, peas, and lentils are great substitutes for meat and help to reduce your fat and cholesterol intake and increase your fiber intake.

Limit salt

Salt shakerLimiting how much sodium is in your diet is an important part of a heart healthy diet. The American Heart Association recommends that healthy adults have no more than 2,300 milligrams (about a teaspoon) of sodium a day. Ideally, most adults should not exceed 1,500 milligrams daily.

A good practice is to not add salt when you are cooking. Taste your food before adding a little salt. Also experiment with salt substitutes or fresh herbs and spices to add flavor to your dishes.
The biggest culprit of sodium in our diets are canned and processed foods. Eating fresh foods or making your own can help you control the amount of salt in your diet.

If you are using canned foods or prepared meals look for ones with no added salt or reduced sodium. Again, read the labels for the about of sodium per serving.
Meal plan

Plan your heart healthy diet for the week, make a list and stick to the list when shopping. When preparing your meal, make extra servings and freeze them to use on those days when you do not feel like cooking. This may help you avoid reaching for an unhealthy option.

Do not deprive yourself!

Allowing yourself an indulgence every now and then is okay. This may help you stick to your heart healthy diet if you know that an occasional treat will not derail your plan. If indulgence is the EXCEPTION, rather than the rule, things will balance out over the long term. Eating healthy the majority of the time is what is important.

Check with your Medical Provider

As always you should talk with your doctor about a heart healthy diet plan that is right for you.

For more information print our Food to chose and avoid to help you make the right choices.

Bowl of Vegetables


Tips for heart patients in the heat

Seniors with granddaughter walking outdoors. People in summer.

 

If you are a heart patient, especially if you are older than 50 or overweight, you should take special precautions in the heat.

Healthy Senior Couple Exercising In Garden TogetherBefore starting an exercise routine check with your healthcare professional and discuss any concerns you may have. You also want to talk about the medication you are on. Certain heart medications like beta blockers, ace receptor blockers, ace inhibitors, calcium channel blockers and diuretics (which deplete the body of sodium) can exaggerate the body’s response to heat.

Whether you are on medications or not, older people should take care in the heat. If you are going to be outside, it is important to drink water even if you do not think you need it. At the point you are thirsty, you are already dehydrated.

Everyone can maintain an active and healthy lifestyle regardless of the temperature outside, just make sure you take the proper precautions.

 

senior walking exerciseTips for everyone

Ready to brave the heat? It is best to avoid the outdoors in the early afternoon (around noon – 3pm). The sun is usually at its strongest and puts you at a higher risk for heat-related illnesses. Early in the day or evenings are great times to get outside and walk, garden, swim, or any outdoor activities. You can also take advantage of air-conditioned facilities like a mall or indoor track to walk when temperatures soar. Remember the buddy system, exercising with a friend is fun and safer.

More tips for staying comfortable and safe in the heat.

 

Something many do not think of is that we sweat a lot in our shoes. You want well-ventilated shoes and socks that repel perspiration. Keeping your feet comfortable in the heat makes for a more enjoyable time outside.

Dressing for the heat is important. You want to wear lightweight and light-colored clothing in breathable fabrics such as cotton. Synthetic fabric that repels sweat is a great option too.

Active and sporty senior couple engaging in healthy sports activiesDo not forget to protect your head and eyes. A stylish hat will not only look great but protect your scalp and provide some shade for your face. Sunglasses are important to protect your eyes from the sun. Use sunscreen with at least an SPF of 15 to any exposed skin and reapply it every two hours.

Hydrate, hydrate, and hydrate! Drink water before, during and after you go out in the heat. Avoid caffeinated and alcoholic beverages both can contribute to dehydrated.

Take regular breaks and rest. Relax in some shade or a cool place for few minutes, hydrate and continue. Just because temperatures may be high you can still exercise and enjoy outside, adapt, and stay safe.

Symptoms of heat exhaustion:

  • Headaches
  • Cool, moist skin
  • Dizziness and light-headedness
  • Weakness
  • Nausea and vomiting
  • Dark urine

If you experience these symptoms, move to a cooler place, stop exercising and cool down immediately by using cool wet cloths, compresses, and fanning. You may need to seek medical attention.

Symptoms of heat stroke:

The symptoms of heat stroke include (call 911 or the local emergency number right away):

  • Fever (temperature above 104 °F)
  • Irrational behavior
  • Extreme confusion
  • Dry, hot, and red skin
  • Rapid, shallow breathing
  • Rapid, weak pulse
  • Seizures
  • Unconsciousness

Consult your Doctor

Your doctor is a partner in helping you stay healthy and active; they can advise you about your specific needs. Your healthcare provider can help you choose activities that will help your heart and are safe for you.

Being active is part of your heart-healthy lifestyle. Along with a heart healthy diet, exercise may strengthen your heart muscle, lower your blood pressure and cholesterol, and help keep your bones strong. Regular exercise can help you lose weight and feel better.

If you are new to exercise start slow and build up gradually little by little. Remember the more exercise you can the healthier you and your heart will be. Any amount will help.

Side view of a man doing a stretching exercise with the help of his yoga partner


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