Wednesday, July 24, 2013

Lunch Ideas

Blog #5
Dennis Matzkin MD

Last week I shared breakfast ideas and recipes that my wife and I enjoy regularly.  This week I promised to write about our lunch menu.

Lunch is a busy time of day for both of us so we have a simple repertoire. My wife makes the best turkey sandwich. We often eat salads leftover from dinner with grilled chicken or salmon on top, from the night before, or we will top with sliced turkey or tuna in water,  and vinaigrette dressings by Paul Newman. We enjoy soups by Publix, roasted tomato, and spring vegetable are our favorites. Our preferred take out is from Fresh2Order....usually a half soup half salad combination.  I prefer the tomato soup and Asian salad with fresh tuna, my wife loves the Mediterranean salad and the wild mushroom soup.  If we wind up at Subway, the meal is a 6-inch turkey or roast chicken, no cheese, on honey oat, lots of veggies, spicy mustard, vinegar and as a special treat, baked chips.

The Best Turkey Sandwich
Boars Head Cajun Style Turkey sliced thin
Half teaspoon light mayo and sweet mustard
Sliced ripe tomato
Small handful arugula
Two slices of Arnold Healthnut Multi grain toasted
(You know what to do)

I would love some new ideas so please feel free to post your favorite nutrition lunch ideas made at home or store bought!

Sunday, July 21, 2013

Jamie Oliver TED Talk

Watch this 20 minute video of chef, Jamie Oliver and think about the responsibility we all have to eat whole, nourishing foods.

http://www.ted.com/talks/jamie_oliver.html

Tuesday, July 16, 2013

Breakfast Ideas

Blog #4
Dennis Matzkin, MD
Previously I have provided you with a basic list of staple foods.  Today I will share our typical breakfast
My weekday go-to is one slice of Arnold multigrain bread...the one that has 5 grams of protein.  I toast this and spread it with one tablespoon of crunchy peanut butter. I wash this down with either hot coffee or tea.

A great alternative usually prepared by my wife is a Southwestern Eggbeater. This is sold in a small carton and consists of egg white with a zesty spice. The pan is sprayed with olive oil and the egg liquid browns quickly on both side. Placed on a toasted 100 calorie Arnold sandwich thin and spread with a touch of butter/margarine with pepper and a slice of tomato. It is delicious.

My wife's preferred morning breakfast prior to her work-out is a "green" smoothie
  • a half cup vanilla flavored almond milk
  • 1/4 of a frozen banana
  • frozen mixed berries
  • handful of baby spinach
  • scoop of vanilla soy protein powder
  • teaspoon of ground flaxseed
  • water to cover
  • packet of sweetener or 2 teaspoons agave syrup.  

Blend and enjoy!

Another favorite of ours is a slice of multigrain protein toast, a light spread of mayo/mustard.  Slice a hard boiled egg on top, add a slice of tomato, salt and pepper.

When we eat breakfast out we order egg white omelettes with peppers, onions, mushrooms and tomatoes.  Occasionally we will add a small amount of cheese. No potatoes/hash browns or grits - but we will each eat a slice of wheat toast.

If we have no time at all, we either grab a Luna bar or a string cheese and a few crackers!

Please post some of your favorite low carb, low calorie breakfasts for some new ideas I can share with my patients.

Read a future blog for some great lunch ideas.

Thursday, July 11, 2013

Tuesday, July 9, 2013

A Typical Day

Blog #3

Dennis Matzkin, MD

Last week I shared the steps that need be taken in order to gain control over your personal health and wellness with regard to nutrition. This week I will share what food a typical daily diet might feature.
In upcoming blogs please look for recipes and then activity that you can add to your day to gain further health and wellness benefits.

Breakfast
One slice of multigrain toast with 5 grams of protein
One tablespoon of peanut butter
Or
Egg-white omelet, vegetables and/or lean protein with same slice of toast
Coffee/tea

Mid-morning snack (choose one)
One string cheese
One hard-boiled egg
Greek yogurt
Handful of almonds & 4-6 pieces of dried apricot
Luna bar
Wasa cracker with a teaspoon peanut butter
Hummus & cucumber slices

Lunch
Toss salad with turkey, lean beef, salmon or tuna
Olive oil based salad dressing
One portion of wheat crackers
Two tablespoons of hummus
Or
A sandwich on a an Arnold sandwich thin
Vegetable soup

Afternoon Snack
Same choices as mid-morning snack

Dinner
Choose from a combination of the following but be sure to include some protein and some vegetables.
Grilled or broiled fish or lean meat or veggie burger
Steamed or grilled vegetables of your choice
Quinoa
Toss salad or sliced tomatoes, cucumbers and onion
Vegetable soup

Guilty Indulgence (Only if needed)
½ cup fat free frozen yogurt
94% Lite popcorn (small microwave bag)
Additional snack from snack list

Thursday, June 27, 2013

Taking Small Steps to Improved Health

Blog #2
Dennis Matzkin, M.D.

Last week I pointed out how obesity leads to multiple systemic diseases that affects all body systems including the eye, which as an ophthalmologist, is of great concern to me.
In this blog I will explain the first steps to help you take control of your eating habits, thereby taking control of your health and well-being.

Step 1: Admit that you are overweight

There is no need for a medical definition to tell whether you are overweight. You don’t need to divide your weight by your height to figure out your BMI body/mass index. If you are overweight, you just know that you are overweight!

Chances are you are taking a mix of antihypertensive, cardiac and cholesterol lowering medications. Chances are you are diabetic. Wouldn’t it be awesome to be in such great shape that you could reduce or even eliminate most of these medications?

Imagine the improved lifestyle you would enjoy. Less medication means more money in your pocket. Fewer side effects from medications lead to an overall sense of wellbeing.  Less chronic disease means less doctor/specialist visits. Less doctor visits means more time to enjoy life. Taking a proactive approach to your eating habits contributes to a better quality of life - more energy, more time and more money.

Step 2: Make the decision to change and be accountable

You must decide that you will no longer permit your emotions to get in the way of your intellect when it comes to eating well and living well. Along the way it helps to have a partner or coach to participate in your new lifestyle and encourage your efforts.  Keeping a food journal adds another level of accountability.  A paper journal is fine, or you can download myfitnesspal.com for free.

Step 3: Learn how to choose a good balance of satisfying foods
  
Read the labels on the food in your pantry and fridge. Notice that labels list the level of carbohydrate, fat, protein and calories. When you are focusing on losing weight or maintaining weight, you need to limit your caloric intake. Myfitnesspal.com will also help you monitor your daily caloric intake.

Calories from refined carbohydrates are particularly dangerous because they are sweet, inexpensive, and addictive. They are abundant and easy to purchase. It is these carbohydrates that primarily cause weight gain and the associated health risks mentioned above. The list of carbohydrates to avoid is long.
o    Bread (whole grain bread with 5 or more grams of protein per slice is an exception)
o    Alcohol - beer wine spirits
o    Sugary drinks and fruit drinks
o    Rice
o    Potatoes
o    Chips
o    Cookies, cakes candies, ice cream
o    Sugary fruits in large quantities
        
These foods typically cause your insulin levels to rise, which stimulates the hunger center in the brain which causes you to crave more food especially more carbs.      
  
Step 4: Toss those foods

Throw cookies, candies, chips, rice, potatoes, ice-cream and white breads into a garbage bag. Remove those temptations from your home.

Step 5: Substitute healthier eating choices
Some good choices include:
·         Lean meats, fish, and low fat cheeses
·         Green vegetables such as broccoli, asparagus, spinach
·         Egg whites (one whole egg per day is fine)
·         Limited amounts of high protein unrefined bread (1-2 slices per day)
·         Peanut butter (small amounts)
·         Almonds
·         Fresh berries
·         Fruit in limited amounts with a protein source
·         Greek yogurt
·         Energy bars (7-9 grams of protein, under 200 calories; Luna is my favorite)
·         Olive oil
·         Flax seed oil
·         Seasonings and herbs

These food choices are more filling, have a higher protein component and less likely to lead to food cravings.

Remember to start small.  Little changes can make a huge difference if you stick to them over time.  Consistency is the key.

In next week’s blog I will outline how to put these foods into a satisfying day’s diet that will lead to progressive weight loss, and change your way of eating for life.

Monday, June 17, 2013

Diabetes, Obesity and the Eye

Welcome to my first blog posting.  Please note we are still constructing this page but I wanted to get started.  Please feel free to email me with questions regarding this post at:
alliedeyeassociates@gmail.com.  Look for bi-weekly posts and regular responses to your posts. 

Sincerely,
Dennis Matzkin, MD

I see many patients referred from their primary care doctor for diabetic eye disease screening.
What is the specific concern about their eyes?

  • Bleeding from retinal damage
  • Retinal detachment
  • Cataract
  • Glaucoma

These are all serious blinding conditions.

What is most remarkable about these patients is that for the most part they are overweight.
Not just a little - but often 50-100 lbs overweight.
Many patients exhibit difficulty walking and breathing. Compounding these problems is often smoking.

These patients often know that they are in bad shape and should lose weight, but have no idea how to improve their overall health.

They are prescribed more pills by their primary care doctor, and scheduled for more visits to specialists:

  • Ophthalmologist
  • Cardiologist
  • Pulmonologist
  • Rheumatologist
  • Podiatrist
  • Vascular surgeon

This is a huge drain on the human body and the root problem- the OBESITY- is not being addressed. Added to this is the financial drain on patients, insurance companies and family members in the care and support of their relatives.

My future blogs will provide sound, reasonable, systematic ways that obese patients can regain control of their overall health and well being.