The Doctor

Welcome to Millennium Family Practice!

logo

From here you can learn more about our state-of-the-art services, as well as requests appointments, referrals, prescription refills, and download patent forms. In addition, we also have general clinical information that may be of interest to yo Millennium Family Practice participates with all major health plans. Our dynamic physicians treat people, not patients, reaching beyond the practice of medicine for every member of your family. It is our commitment to provide comprehensive, primary, preventive and urgent care that makes the difference. For an appointment, please use the website or call our office at 410-313-9662 Our physicians have privileges at many area hospitals including Mercy Medical Center, Howard County General Hospital and St. Agnes Hospital. They also provide services at some nursing homes in the area.

 

TIME TO GET YOUR FLU SHOT

 

FLU SEASON IS HERE AND THE SHOTS ARE AVAILABLE IN OUR OFFICE FOR ADULTS AND KIDS.

The best time to get a flu shot is before you feel flu symptoms. The single best way to prevent seasonal flu is to get vaccinated each year. In addition, good health habits may also help protect you against the flu. The resources below will help you learn about steps you can take toprotect yourself and others from flu and other respiratory illnesses;

  • Avoid close contact.

Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.

  • Stay home when you are sick.

If possible, stay home from work, school, and errands when you are sick. You will help prevent others from catching your illness.

  • Cover your mouth and nose.

Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

  • Clean your hands.

Washing your hands often will help protect you from germs.

  • Avoid touching your eyes, nose or mouth.

Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

  • Practice other good health habits.

Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

 

posted by Ogo on September 16, 2011 

 

 HEART DISEASE AND WAYS TO PREVENT IT

  

 

Heart disease is the umbrella term used to describe a number of medical conditions affecting the heart and the blood vessels supplying the heart.

While many people seem to believe heart disease is an illusive ailment, it has become increasingly common. Statistics from 2007 have revealed that heart disease is the number one cause of death in the United States.

Each type of heart disease has different symptoms, although many of these symptoms may be similar.

Some commonly experienced heart-related symptoms which may suggest signs of underlying heart disease include:

  • Angina: Describes chest pain and discomfort often present in serious heart problems. Angina can be experienced as heaviness, pressure, aching, burning, fullness, squeezing or a painful feeling in your chest. It is often mistaken for indigestion or heartburn.
  • Shortness of breath
  • Palpitations, or noticeable changes in speed of heart rate
  • Dizziness or fainting
  • Weakness or fatigue
  • Edema - Swelling of your ankles, feet or abdomen )
  • Nausea or vomiting
  • Cough or wheezing
  • Cyanosis -  bluish tint to the skin, fingernails and lips

Major risk factors in developing heart disease include:

Minor risk factors::

  • Stress
  • Birth control pills
  • Sex hormones
  • Alcohol
  • Sweating

 TIPS FOR PREVENTING HEART DISEASE

  1. Check your blood pressure regularly. Prolonged high blood pressure can dramatically increase your chances of developing heart disease.
  2. Don’t smoke. If you do, consider quitting smoking naturally.
  3. Aim for a healthy weight. Obesity is dangerous for the heart, so try and maintain a stable, healthy weight. A healthy diet, regular exercise, and a little help from a reputable weight-loss program can help you achieve your ideal goal weight.
  4. Learn to manage stress. Stress puts unnecessary strain on the heart and the immune system, making it essential to take care of your emotional well-being. If stress is a problem, consider making necessary life changes or adopting stress-reducing techniques such as yoga, Pilates, or meditation.     
  5. Regularly check cholesterol levels.High cholesterol is one of the leading causes of heart disease and heart attacks. Cholesterol clogs the arteries and restricts blood flow to and from the heart. Aim for a Total Cholesterol level of < 200 mg/dl, HDL Cholesterol of ≥ 40 mg/dl for men and ≥ 50 mg/dl for women, LDL cholesterol of ≤ 160 mg/dl, ≤ 130 mg/dl and ≤ 100 mg/dl for those at low, intermediate and high risk for heart disease respectively.
  6. Manage diabetes. If you are diabetic, be sure to manage your condition efficiently. People with diabetes are two to four times more likely to develop cardiovascular disease.
  7. Choose good nutrition. Eat a heart-friendly diet low in fats, salt, calories, and red meat, and high in vegetables, fruits and fiber. Eating healthy does not have to be boring. Learn to use the numerous available resources that offer tips to preparing quick, tasty, and heart-healthy meals.
  8. Stay physically active. Try to find time in the day to fit in at least 30 minutes of exercise. An exercise routine is one of the best ways to keep your heart and mind in top form. It is advisable that you consult with your doctor before starting a new exercise routine.
  9. Limit alcohol. It is recommended that alcohol consumption be limited to one drink a day, preferably with a meal. Studies have shown that red wine is an excellent source of antioxidants and may aid in preventing bad cholesterol (LDL) from forming. It is also believed that red wine may prevent blood clots and aid in reducing blood vessel damage that is sometimes caused by fat deposits.
  10. Daily intake of Vitamins. Taking moderately high doses of B vitamins such as B6, B12 and folic acid can lower blood levels of homocysteine, a substance which researchers now believe is as harmful—if not more so—than cholesterol. Vitamin E and Coenzyme Q10 are particularly potent antioxidants, both of which have been shown in medical studies to be beneficial to the heart.

 

 

HbA1c  - Standard for Diabetes Diagnosis

posted by Ogo on June 23, 2010

What is HbA1c?

Hemoglobin is the oxygen-carrying pigment that gives blood its red color and is also the predominant protein in red blood cells. About 90% of hemoglobin is hemoglobin A(the "A" stands for adult type). Approximately 8% of hemoglobin A is made up of minor components that are chemically slightly different; hemoglobin A1c, A1b, A1a1, and A1a2. Hemoglobin A1c(HbA1c) also known as glycosylated or glycosylated hemoglobin or glycohemoglobin is a minor component of hemoglobin to which glucose is bound.

In healthy people the HbA1clevel is less than 6% of total hemoglobin. Studies have demonstrated that the complications of diabetes can be delayed or prevented if the HbA1clevel can be kept below 7%. It is recommended that treatment of diabetes be directed at keeping an individual's HbA1c level as close to normal as possible (<6%) without episodes of hypoglycemia (low blood glucose levels).

Why measure HbA1c?

In addition to random fasting blood glucose levels, HbA1clevels are routinely measured in the monitoring of people with diabetes. HbA1c levels depend on the blood glucoseconcentration. That is, the higher the glucose concentration in blood, the higher the level of HbA1c. Levels of HbA1c are not influenced by daily fluctuations in the blood glucose concentration but reflect the average glucose levels over the prior six to eight weeks. Therefore, HbA1c is a useful indicator of how well the blood glucose level has been controlled in the recent past (over two to three months) and may be used to monitor the effects of diet, exercise, and drug therapy on blood glucose in people with diabetes.

The International Expert Committee, the ADA, the European Association for the study of Diabetes, and the International Diabetes Federation , published a consensus in July 2009 to make HbA1c  the preferred test for diagnosing type 2 diabetes. However, the ADA backed away from calling HBA1c the preferred test in January 2010, but acknowledged that it may become the most popular diagnostic test for type 2 diabetes.
The International Expert Committee identified HbA1c levels of 6.0%-6.4% as very high risk while noting that people with lower HbA1c levels also may have increased risk for diabetes if other risk factors are present.
The ADA's 2010 clinical practice recommended that HbA1c levels of 5.7%-6.4% are indicative of high risk, and state that patients with these levels may be referred to as having prediabetes.
The American Association of Clinical Endocrinologists suggest that a HbA1c level of 5.5%-6.4% may be a better cutt off to identify higher-risk patients.
Unlike the glucose tests, HbA1ctest does not require patients to fast before testing, and carries several other advantages. Nevertheless, HbA1ctesting should not be used for diabetes diagnosis in patients with conditions such as iron deficiency or renal disease as these impair the correlation between HbA1c and average blood glucose.
  
  
Reference:
Sherry Boschert - Family Practice News:HbA1c Now the Standard for Diabetes Diagnosis; International Expert Committee's Consensus opinion endorsed by three major associations; March 15, 2010.

  

 

KNOWING WHAT DIETARY FAT IS RIGHT FOR YOU posted by Ogo on March 5, 2010.

Most foods contain several different kinds of fats — including saturated, polyunsaturated, monounsaturated and trans fats — and some kinds are better for your health than others are.

For over thirty years, fat in our diet has been considered the culprit in obesity, heart disease, and high cholesterol. Sifting through all the conflicting information on fats can leave you with even more questions. When choosing fats, your best options are unsaturated fats: monounsaturated and polyunsaturated fats, and , omega 3 fatty acids. These fats, if used in place of others, can lower your risk of heart disease by reducing the total cholesterol and low-density lipoprotein (LDL) cholesterol levels in your blood.

HEALTHY FATS

Below are the best food sources of these healthy fats:

Type of healthy fatFood source
Monounsaturated fat Olive oil, peanut oil, canola oil, avocados, nuts and seeds
Polyunsaturated fat Vegetable oils (such as safflower, corn, sunflower, soy and cottonseed oils), nuts and seeds
Omega-3 fatty acids Fatty, cold-water fish (such as salmon, mackerel and herring), flaxseeds, flax oil and walnuts

HARMFUL FATS

Saturated and trans fats (trans-fatty acids) are less healthy kinds of fats. They can increase your risk of heart disease by increasing your total and LDL ("bad") cholesterol. Dietary cholesterol isn't technically a fat, but it's found in food derived from animal sources. Intake of dietary cholesterol increases blood cholesterol levels, but not as much as saturated and trans fats do, and not to the same degree in all people.

Below are common food sources of harmful fats:

Type of harmful fat Food source
Saturated fat Animal products (such as meat, poultry, seafood, eggs, dairy products, lard and butter), and coconut, palm and other tropical oils
Trans fat Partially hydrogenated vegetable oils, commercial baked goods (such as crackers, cookies and cakes), fried foods (such as doughnuts and french fries), shortening and margarine
Dietary cholesterol Animal products (such as meat, poultry, seafood, eggs, dairy products, lard and butter)
 

  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

FDA

shared-rr-background

WebMD

 


Search MedlinePlus
for information to help answer health questions.

How Healthy are YOU?