Cardiac Catheterization do's and dont's

Do’s and Don’ts after your Cardiac Catheterization

Do’s….

  • Keep your bandage clean and dry for 24 hours after the procedure
  • You can remove the bandage after 24 hours from your procedure, remember to wash your hands before removing the bandage 
  • If you notice any bleeding, lie down, apply pressure over the site and call your doctor
  • You can shower after 24 hours from your procedure
  • If we used your wrist for the procedure- you may elevate it on a pillow for comfort
  • Take your medications as directed by your doctor 
  • Take short walks around your house 
  • Rest and resume your usual activity

Don’ts…

  • Don’t lift anything over 10 pounds for 1 week
  • Don’t submerge your site (wrist or groin)  in water (bath or pool) for 1 week after procedure
  • Don’t drive or operate heavy machinery for 48 hours after your procedure 
  • Don’t consume alcohol for 48 hours after your procedure 
  • Don’t sign any legal documents for 48 hours after your procedure 
  • Don’t strain while having a bowel movement, make sure you eat fiber rich foods like fruits whole grains and vegetables 

Go to the Emergency room if  you have ….

  • Chest pain
  • Trouble breathing
  • Fast heart beat 
  • Feeling dizzy 
  • Numbness or weakness of your face, arm or leg specifically on one side of your body 
  • Sudden confusion, trouble speaking or understanding
  • Sudden difficulty walking, dizziness, loss of balance
  • Sudden onset of severe headache 
help scheduling covid vaccine nj

COVID-19 VACCINE – What NJ Residents Need to Know

COVID-19 VACCINE Information

We are over a year into this pandemic but we now have a light at the end of the tunnel. We have 3 safe and effective vaccines approved in the U.S.  Almost everyone should be getting vaccinated when it is your turn.  If you have specific questions about the vaccine or if you should get it, please contact your doctor to discuss.  The vaccine is free to everyone regardless of insurance or immigration status. The bigger question now is how to get the vaccine scheduled.  This is a summary of all the places and websites with special emphasis on help for seniors over 65 finding it hard to find a vaccine or difficulty navigating the internet/computer.

NJ SENIORS CAN CALL 855-568-0545 8am-8pm for help scheduling a vaccine

Websites NJ residents can register on:

State of New Jersey:  https://covidvaccine.nj.gov/

Atlantic Health: https://www.atlantichealth.org/conditions-treatments/coronavirus-covid-19/covid-vaccine.html#alerts

St. Luke’s Health Network : https://www.slhn.org/covid-19/protect-yourself/covid-19-vaccine

By County – Websites to register on:

Warren county : http://www.co.warren.nj.us/Healthdept/WCCOVIDVaccine.html  must check repeatedly for when vaccine available

  If you need assistance scheduling an appointment you can call 908-878-3188 press 2  Monday-Friday 10-2

Morris County : sign up at Atlantic website

Sussex County : register for Fairgrounds: https://www.sussex.nj.us/cn/webpage.cfm?TPID=17520

Seniors 65+ can call 856-249-7007 8am-8pm for assistance

Pharmacies offering the COVID Vaccine:

Shop Rite:  https://shoprite.reportsonline.com/shopritesched1/program/Imm/Patient/Advisory

CVS: https://www.cvs.com/immunizations/covid-19-vaccine

Walgreens: https://www.walgreens.com/topic/promotion/covid-vaccine.jsp

Walmart: https://www.walmart.com/cp/1228302

Seniors 65+ can call their local Walmart for dedicated senior appointments if that store is giving the vaccine.

Weis: https://www.weismarkets.com/pharmacy-services

Helpful Websites for Seniors Scheduling the COVID Vaccine

 Here are other sources for seniors (computer savvy children or grandchildren may need to help) 

NJ Vaccine Matchmakers for seniors

 (65 and older) : https://wgirls.org/requestforhelp/

Get My Vaccine : https://www.getmyvaccine.org/

Find a Shot : https://www.findashot.org/appointments/us/NJ

Vaccine Spotter : https://www.vaccinespotter.org/NJ/

Facebook New Jersey COVID  Vaccine Info Group : https://www.facebook.com/groups/891546924927251/

Twitter Resources

Vaccine Bot NJ

 Twitter: twitter.com/nj_vaccine / Vaccine Bot NJ @nj_vaccine

CVS COVID Vaccine Bot-NJ : @NJCVSCovidVax

Additional resources

Related website with resource guide: sites.google.com/view/vaccine-bot-nj

tristate obesity society logo

Speaker at the Tri-state Obesity Society: Obesity Medicine Virtual Career Panel 2021

February 2021

The Tri-state Obesity Society (TriOS) enthusiastically welcomes three physicians who have trailblazed careers in obesity medicine. Join us for a 1-hour presentation and Q&A during which Drs. Bijal Dave, Rameck R. Hunt, and Amy Articolo share their professional journeys, practical advice for those newly interested, and their visions for the future of obesity medicine.

Dr. Godkar awarded prestigious Burton L. Eichler Award, for outstanding community contributions.

Is type 2 diabetes putting your or a loved one’s heart at risk?

 ♥ If you have type 2 diabetes, understanding

your risk for heart disease is one of the most

important things you can do—for the sake of

your health and the people you cherish most.

But the good news is, the sooner you

understand your risk, the sooner you can

talk to your healthcare provider to learn more

about the link between type 2 diabetes and

heart disease. Learn about the connection.

Recognize your risk. Talk to your

healthcare provider. Spread the word.

The sooner the better.

  That is because people with diabetes are

two to four times more likely to develop

cardiovascular disease than people without

diabetes.1 That means you may have a higher

chance of having heart disease, stroke or even

dying—precious time lost with those who

mean the most.

Scheduling an appointment with your

healthcare provider is an important first step

to addressing the link between type 2 diabetes

and heart disease.

BELOW ARE SOME QUESTIONS THAT CAN HELP YOU START THE CONVERSATION:

  Do you think I am at risk for a heart attack or stroke?

♥  Is my diabetes increasing my risk?

♥  What else contributes to my risk?

  Is this something I should be concerned about now?

♥  What lifestyle changes can I make now to lower my risk for
heart disease?

  If I already take a medication for my heart, am I still at risk?

  Is there something I can do to help prevent a heart attack
or stroke?

♥  What resources can help me learn more about this?

  How will I know if I’m making a difference?

Type 2 diabetes & your heart What’s the connection?

 

 


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what foods are heart healthy?

What foods are good for my heart? Posted in New Jersey Herald 1/9/2018

Bijal Dave, M.D., is a family physician specializing in diet-oriented treatment of chronic diseases and a medical staff member at Atlantic Health System’s Hackettstown Medical Center and Newton Medical Center

Q. What foods are good for my heart?

A. A heart-healthy diet is not only good for our heart but also for our waistline and our pockets in the long term. Eating certain foods on a regular basis can certainly reduce the risk of heart disease.

1. Turmeric — The yellow spice that gives Indian curries its distinct color has been known for its medicinal properties in the Indian subcontinent for thousands of years. Science is now backing up that curcumin, turmeric’s active compound, has plethora of health benefits.

a. It can benefit the heart in multiple ways. It has heavy duty antioxidant, anti-inflammatory and anti-platelet activity, which means it not only lowers inflammatory changes that are the root cause of heart disease, but it also acts as a blood thinner, which prevents clot formation in heart disease. It also helps in repair of cardiac muscle after a cardiac event occurs. Patients who have irregularity of cardiac muscle, known as cardiac arrhythmia, will benefit by regular intake of curcumin, as curcumin helps with regulation of calcium homeostasis in heart muscle which causes cardiac arrhythmias.

b. It is also helpful in patients who have already gone through heart surgery. Curcumin supplementation at certain amounts will reduce ischemia (i.e. reduced blood supply), injury or inflammation to the already-affected heart muscle.

c. Curcumin has super antioxidant activity is comparable to vitamin C and vitamin E and it also helps with improving blood flow through vessels. It is especially helpful in diabetics to reduce the incidence of cardiovascular complications such as heart failure. Curcumin extracts that contain black pepper have also been shown to reduce the LDL or bad cholesterol. Add turmeric to your foods or take a good quality curcumin extract daily to improve your heart health.

2. Fish – high in omega-3s such as Atlantic mackerel, salmon, sardines, herring, trout and cod liver oil should be consumed at least thrice weekly for optimum heart benefits. Omega-3 fatty acids may decrease triglycerides, lower blood pressure slightly, reduce blood clotting, decrease stroke and heart failure risk and reduce irregular heartbeats.

3. Nuts – Walnuts, almonds, pistachios … munch on a handful of them, a couple of times a week and you will be doing the old ticker a big favor. In addition to packing a protein punch, nuts are great sources of PUFAs and MUFAs, which help lower the bad cholesterol. They are also rich in fiber and plant sterols, which reduces cholesterol; vitamin E, which helps reduce the development of plaque in arteries; and L-argininie, which improves the flexibility of arterial walls, thereby reducing incidence of narrowing and less prone to blood clots.

4. Berries – Berries are chock full of heart healthy phytonutrients such as polyphenols and fiber, which are very helpful in preventing heart disease. They have a heavy dose of antioxidants, which makes them a sweet medicine indeed for prevention of cardiac disease.

5. Chia seeds – ground flax seeds and hemps seeds in that order are omega-3 powerhouses and should be consumed on a daily basis. Just add them to your salad, smoothie or cereal to ensure optimal heart health.

woman

Insomnia

60 million Americans cannot sleep every night. 60 million ! sounds like a pretty significant illness to me . However, we know precious little as to why insomnia occurs- except a few known causes like caffeine, Electronic Gadgets , alcohol & stress …
Sleep disruption affects life in more ways than we realize. Not only do we feel like we are dragging ourselves all day, it increases perception of pain, makes us more anxious & slightly more irritable than our usual selves. some of us are pushed towards feeling depressed & very unsatisfied with our lives.
Insomnia leaves a very obvious mark on our faces as well. One look at an insomniac and you can tell they have spent their night tossing in the bed. The dark circles, the bags under eyes give away the story of our nights….

Now , there are 2 kinds of sleep starved people. The first kind have trouble falling asleep…the ones who count sheep and then there are the ones who have trouble staying asleep. These people wake up early in the morning after 2-3 hrs of sleep and then toss for the rest of the night. The physiological effects of insomnia are present in both and no one kind is better than the other
Is there any relief ?
There is, but you have to have an open mind and experiment with different options available out there to find one that best suits your needs & lifestyle. Of course there are medications, but lets reflect upon some non medication options first .

Preferably, turn down your coffee intake after 3 pm. i know this sounds too early, but the effects of caffeine from coffee last a lot longer if u have one cuppa Joe at 3 pm , you still have 1/3rd of it in your system by 9 pm. Caffeine from tea is slightly kinder to us, so consider that instead. Even better, consider green tea !

Food Options to treat Insomnia

1.   Consuming a cup of Tart Cherry juice

2.   One ripe banana

3.   A cup of warm milk with a pinch of nutmeg

4.    A cup of warm milk with a quarter teaspoon of turmeric

These are all kitchen based remedies that work very well when consumed at bedtime.

Oil Therapy

  1. Massaging your eyelids with cold pressed castor oil,
  2. Putting a drop of castor oil in each eye,
  3. Massaging your feet or the crown of your head with slightly warmed sesame oil also work really wellThey act by relaxing the muscles and inducing sleep.

CBT audio tapes – These heard at bedtime also work well

Deep Breathing exercises – performed right on your bed work extremely well

Now lets consider some medication options

OTC medications

  1. Benadryl
  2. Melatonin
  3. Valerian Root
  4. Magnesium supplements

Prescription Medications

Several classes of medications are available these days for insomnia treatment

Some common drug names are ambien, sonata, lunesta, restoril, halcion,belsomra,seroquel, xanax, ativan, valium

All these drugs come with their own risks and side effects. They can also be induce addiction. Some of them can cause complex sleep related behaviors such as sleep walking, sleep eating,sleep driving. Patients often do not have any memory of these incidents next day. Also, these drugs should not be taken if you have consumed alcohol at night. Why ? because all these medications work to slow down your brain activity and along with alcohol intake that effect can be additive and potentially dangerous.

But that does not mean that you should not take them even if you are suffering due to prolonged insomnia. Because not everyone suffers from side effects ! this is the key thing to consider. If one has tried all non-medication options and nothing seems to bring them constant relief from the devastating fatigue that insomnia brings, then please do not suffer. consider medication options – you may have to go through some trial & error before figuring out what works for you, but its totally worth the effort

There are also some alternative treatments that can be considered albeit consideration has to be given if they interact with your current medications or not . There are several combinations available on the market consisting of valerian, melatonin, Theanine,Lemon Balm,Hops etc which may help with insomnia. Before you take these, please ensure if they are compatible with your current medications.

In conclusion, there is relief for insomnia , we just have to be patient and look for it . Happy Snoozing !

 

couple

Coronary Angioplasty

A coronary angioplasty is a procedure performed to improve blood flow in the arteries of the heart, by re-opening or enlarging blocked blood vessels. The blockages usually develop as a result of atherosclerosis. Atherosclerosis occurs when plaque builds up on the inner walls of the arteries and causes them to harden and narrow, often leading to coronary artery disease. A coronary angioplasty involves the insertion of a tiny balloon that is inflated to open and widen the artery. It is often combined with the insertion of a small wire tube called a stent, that helps to keep the artery open, so it will not narrow again in the future.

Candidates For A Coronary Angioplasty

A coronary angioplasty may be recommended for people with with blockages in the arteries of their heart, especially if they are experiencing chest pain and discomfort. It may also be performed if lifestyle changes and medication have not been an effective form of treatment and after an individual has suffered from a heart attack.

The Coronary Angioplasty Procedure

Patients are often sedated but remain awake during the procedure. During the angioplasty procedure, an incision is made in the arm or groin, and a catheter is inserted. A contrast dye is injected through the catheter, to highlight the clogged areas during the procedure. A tube with a deflated balloon is inserted through the catheter to the blockage. The balloon is inflated to widen the artery, pushing the plaque aside allow the blood to flow through smoothly. To hold the artery open and prevent it from narrowing again, a wire mesh tube called a stent may be inserted. Some stents are coated with medication that is slowly released into the arteries to help prevent scar tissue from forming and blocking the artery. The coronary angioplasty takes approximately 1 to 2 hours to perform.

Recovery From Coronary Angioplasty

After the procedure, patients are required to stay in the hospital for a few hours so that their condition can be monitored. Some patients may stay in the hospital overnight for observation. The site where the catheter was inserted is checked for bleeding and patients may experience soreness or tenderness in the area. Medication is prescribed to to help prevent blood clots from forming. Patients are often able to return to work approximately one week after the angioplasty procedure. Cardiac rehabilitation may be recommended after a coronary angioplasty. Patients are encouraged to make certain lifestyle changes after this procedure to lower their risk of coronary artery disease. Life style modifications may include exercise, quitting smoking, losing weight and reducing stress.

Risks Of Coronary Angioplasty

While a coronary angioplasty is considered a common medical procedure, complications are rare, however they may include:[/vc_column_text][/vc_column][/vc_row]

  • Blood clots
  • Bleeding
  • Abnormal heart rhythms
  • Allergic reaction to contrast dye
  • Heart attack
  • Stroke
The risk of complications is higher in people over the age of 65, people with extensive heart disease and blockages in their coronary arteries, and individuals with chronic kidney disease.

Call Advanced Cardiology & Primary Care LLC

To learn more about coronary angiography, call Advanced Cardiology & Primary Care LLC today to schedule an appointment with one of our physicians.