How to Tackle Tough Eating Triggers

The holidays are creeping up! On the flip side of celebrations with family and friends, this time of year also brings busier schedules and heightened stress. With so much going on, healthy eating can fall by the wayside. Then, by the time New Year’s rolls around, we succumb to the siren song of “New year, new you!” because, well, the “old you” might not feel so hot after existing primarily on sugar and empty carbohydrates for weeks.

Indulge in moderation! Food is meant to be enjoyed, especially with loved ones. However, when unhealthy eating becomes a habit, it causes far-reaching health consequences. Eating foods that don’t fill you up and provide genuine nourishment can lead to overeating, weight gain, bad gut health, and low energy.

Enjoying an occasional treat doesn’t have to snowball into a daily struggle. Here are some common scenarios you may find yourself in, and some options to make the best choices for your health.  

Living alone

Trigger

“Making meals for one is hard.”

Fix

Your big advantage is that you can prepare anything you’d like because you’re only cooking for yourself. Bring on the spices, flavors, and kitchen chaos. Look at it as an opportunity to try new things in smaller portions. If something flops? Thank you, next! And if you always find yourself with an abundance of leftovers, start a meal swap with some friends.  

Trigger

“I can eat whatever whenever because no one is around to judge.”

Fix

Just because you live alone doesn’t mean you don’t have anyone. You have yourself, and you’re important. Set specific mealtimes for yourself and hold to them so you can acclimate your habits to a set schedule. For external support, tap into friends or family members who have healthy relationships with food. Do a daily dinner check-in, send each other pictures of your breakfast, or cook and eat the same meal together via video chat.

Wrangling kids

Trigger

“We’re really busy and I don’t have time to plan out healthy meals.”

Fix

Don’t beat yourself up. Gather healthy meal inspiration as you go – start a Pinterest board, save Instagram posts, bookmark ideas in your internet browser, or ask friends to share their favorite recipes. Get familiar with quick meals (not everything requires the oven!) so you can stock your kitchen with the necessary ingredients to throw together healthy meals fast. Plan what you can, but understand that slips happen. Every day gives you fresh new opportunities!  

Trigger

“I just eat what my kids eat – or I don’t eat at all, and then I overdo it later.”

Fix

When you’re putting together snacks for your kids, put together snacks for yourself too. Nuts, dried fruit, bananas, cherry tomatoes, carrot sticks, and whole grain wraps can keep you going through a long day. And drink plenty of water – staying hydrated keeps your energy up and your metabolism going.  

Dealing with life stressors  

Trigger

“I’m on a tight budget, so I can’t spend a lot of money on healthy food.”

Fix

Healthy eating can be affordable. Don’t be fooled by expensive things posing as being extremely healthy at the grocery store. High cost doesn’t always equal high health value. Focus on getting nutritious low-cost staples like whole grains, eggs, chicken, pork, milk, and seasonal fruits and veggies. Store brand basics are just as good for you, if not better, than something with a snappy tagline that’s twice the price.

Trigger

“My job is understaffed and I’m just exhausted. I don’t have the time or energy to critically evaluate every single thing I’m going to eat.”

Fix

Carve out some time each week to prepare healthy food you can use in multiple quick dishes:

  • Boil six chicken breasts and shred them to use in chicken tacos, soup, or salad.
  • Hardboil a dozen eggs.
  • Roast a few kinds of vegetables that have the same cooking times. Potatoes, carrots, and cauliflower can all share a slow roasting pan.
  • Make several black bean burgers and freeze them until you need them.
  • Put together a simple dish, like a big pot of lentils and carrots, so you know you’ll have something reliable to eat whenever you need it, no fuss required.

Keep your pantry stocked with ingredients you know you’ll use regularly. This list might include brown rice, lentils, pasta, spices, salsa, and canned goods like beans, chopped tomatoes, green chiles, corn, and chicken broth.

Working in a foodie culture

Trigger

“There’s always unhealthy food around.”

Fix

Make sure you’re eating nutritious, filling meals and snacks throughout the day. You’ll be more equipped to turn down doughnuts in the break room if your stomach isn’t empty from skipping breakfast. If you’re comfortable, let some close coworkers know that you’re staying away from the food deluge. They might feel the same way you do, so you can band together to say, “No thanks.”  

Trigger

“All of our company events and get-togethers center around eating.”  

Fix

Talk with the people in charge of planning work celebrations and volunteer to help make changes. Address the issue with proactive ideas, not just gripes. Think about the best solutions for your workplace. Could you swap out the holiday happy hour for something non-food based like axe throwing or painting? What about setting healthier parameters for the office potluck?

Learn about how Annette Logan-Parker, CEO of Cure 4 The Kids Foundation, created a healthy workplace.  

Your primary care provider can help create a plan to eat right based on what your body needs. Talk with them about the eating challenges your lifestyle presents, and put together a solution together.

Roseman Medical Group provides quality, empathic, patient-centered care. Our primary care providers are dedicated to your health and well-being. Contact us at 702-463-4040 to schedule an appointment.

Cultivating A Healthy Gut

Did you know some bacteria are good for you?

Your body is a home for many different bacteria. Some can make you sick, but lots are working hard to keep you healthy. The bacteria in your digestive system, also known as your gut, play an important role in your overall health.

Your gut operates in a precise balance between the bacteria that cause inflammation in the body and the bacteria that fight inflammation. However, when the balance tips and the inflammation-causing bacteria gain power, that inflammation can spread from your gut to other parts of your body via the bloodstream. Use of antibiotics can also cause the balance of power to shift, so after a course of antibiotics, the good bacteria are also minimized.

Gut health can affect your immune system and mood, and influence your risk for chronic diseases. It’s even connected to neurological conditions like dementia.

Symptoms of poor gut health include frequent stomach pain, bloating, gas, heartburn, constipation, diarrhea, and nausea. But even if you don’t experience these symptoms, your gut may still contain bacteria that are working against your good health, so actively maintaining equilibrium is important.

Tips for cultivating a healthy gut:
  • Take your time when you eat. Eating slowly and chewing thoroughly helps your body process each possible nutrient.
  • Add fermented foods like yogurt, miso, kefir, sauerkraut, and kimchi to your diet. These are all excellent sources of probiotics, the live good bacteria your gut needs.
  • Make sure you’re getting enough fiber. Your gut health will benefit from fruits, and legumes, along with pro- and prebiotic supplements. When you’re doing your next grocery run, grab some berries, peas, Brussels sprouts, bananas, and leafy greens. Plus, opt for whole grain bread or rice for even more fiber.
  • Take care of yourself. Digestive health impacts and is impacted by other factors like weight, stress management, and sleep.

Because everyone’s gut is unique, needs and health strategies will vary. Talk with your doctor about what you can specifically do to improve your gut health.

Roseman Medical Group provides quality, empathic, patient-centered care. Our primary care providers are dedicated to your health and well-being. Contact us at 702-463-4040 to schedule an appointment.

Student Profile: Susan Thomas, MSN/FNP ’22

Get to know Susan Thomas, a Roseman nursing student completing her clinical rotation through Roseman Medical Group as part of her MSN/FNP degree.

All Roseman students work directly in our communities throughout the course of their programs. FNP students like Susan expand their knowledge and skills by completing about 525 clinical hours in 13 months.

Tell us about you! Where did you grow up? What are some favorite childhood experiences?

I grew up in beautiful Las Vegas, Nevada. I spent a great deal of time travelling the world, learning different cultures and traditions. Some of my favorite childhood experiences are vacations with cousins in the countryside, reading books over summer breaks, and making friends with people all over the world in boarding school.

How did you decide to go into nursing?

I chose nursing because I love taking care of people and bringing them joy with my goofy self at their most vulnerable times of being sick. Saving lives and providing empathetic comfort for both the individuals and their families is very fulfilling.

What drew you to Roseman?

Roseman has a stellar reputation with well-recognized academically competent providers. I am excited to learn from them and be a positive, additional asset to the collaborative team.

What’s your favorite part of your work at RMG?

The teamwork, respect, and love among the individuals who work at RMG surprised me and made me feel welcomed. Dr. Navarro has been the best preceptor and a pleasure to work with. His precision in carrying out appropriate diagnostic testing for each medical visit is impeccable and I will incorporate it into my practice.

Is there anything surprising or unexpected you’ve learned during your time at Roseman?

I have learned that every individual who works at RMG is important and essential for the team to function smoothly without missing any required details for each patient.

Who or what inspires you?

Resilience in humans inspires me. Humans’ ability to adapt well in the face of sickness, adversity, trauma, tragedy, and stress is what I strive to help with  in providing  primary care

What do you hope to accomplish in your career?

I hope to use my acute critical care nursing experience to become the most efficient family and psychiatric mental-health nurse practitioner focusing on holistic, patient-centered care.

How do you take care of yourself?

I am currently a coffee and chocolate connoisseur. I take care of myself by working out, hiking, and spending time with my family and friends. Travelling to Malaysia is next on my bucket list.

Susan is hiking

Welcome Michele Brock, RMG’s Newest MSN/FNP

Michele Brock headshot

Michele Brock, RN, BSN, MSN, AGNP-C joins Roseman Medical Group from Michigan. She grew up in a town of 1,200 in southwest Michigan, where her parents were factory workers by day and farmers by nights and weekends. They raised hay, strawberries, chickens and cows, with some horses and donkeys in the mix, along with quite a few dogs. “My parents were great educators. You be kind. You don’t steal. You don’t cheat. You love each other. You work hard. You wanna eat,” she adds in a testament to the grueling culture of agriculture, “you get up.”

When Michele was in her early twenties, her mom passed away due to a contaminated needle used in a cortisone injection. She’d been sick throughout Michele’s childhood, struggling with inflamed joints and using a wheelchair. Michele says her death acted as a personal motivator and driver.

Michele earned her Associate’s Degree in Science, and another in Science and Nursing, from a junior college in Michigan. While she was spending time with a friend whose son was in the pediatric ward, she noticed a nurse and was “enamored with what she was doing – her grace, her kindness to the baby.” In turn, the nurse told her, “You should go to school and become a nurse. We need more nurses.”

Michele went on to get her bachelor’s and master’s degrees online while working full-time. She credits the accessibility of online learning as a monumental reason she was able to complete her programs. She’s always been passionate about teaching and is excited to work with Roseman’s patients, students, and providers alike. “As nurses, we’re supposed to be compassionate and kind to the patients,” she says, “so why don’t we bring that over to the people that we’re teaching?”

People matter a lot to Michele. She intentionally chose to focus on geriatric care after studying under a gerontologist who lovingly took time to get to know each patient and make care decisions based on their unique situations, no matter how busy his schedule. “He acted like they were the only thing that mattered in that moment,” she recalls. Now, she brings that patience, consideration, and respect to her work today. “Older people have a voice that can be muffled, and they have so much to offer,” she says. “Not only are they great historians, but we should listen to them for their care options. What’s driving them and why? We can find that out by listening.” She believes comprehensive understanding leads to better patient care. That understanding can only come from taking the time to get to know individual situations and needs.

Rural health is especially invigorating for Michele. In Michigan, she serviced four to five different villages, serving people ages 18 to 96. “I feel like it’s not my job. It’s my calling,” she says. She’s looking forward to implementing her experiences, knowledge and compassion at Roseman. “It felt like a family,” she reflects. “Everybody was warm and kind, and this is how teaching should be.”

Welcome to RMG, Michele!

Michele will start mid-October and will be accepting new patients shortly thereafter. Please call RMG at (702) 463-4040.

October 2021 Health Monthly

Welcome to the October issue of Health Monthly!

Our leaves may not be changing yet in Southern Nevada, but it surely does feel like Autumn is in the air. Our mornings have become cooler, we have had rain, and the days of 100 degrees+ are behind us.

Your providers at RMG hope that your October is off to a good and healthy start.  Children have finished their first quarter at school, university students are approaching their Fall Break, and football is gracing our fields and televisions. These are wonderful symbols of a healthy community, but COVID-19 continues to claim lives and stress our healthcare infrastructure.

We continue to encourage all our patients to get vaccinated and for those eligible, to receive their COVID-19 booster. Currently there are boosters for only those who have received a Pfizer vaccine previously. Eligibility can be found here: https://covid.southernnevadahealthdistrict.org/vaccine/about-booster-doses/. We also encourage all patients to get their flu shots, which are widely available at this time.

This month, read about Susan Thomas, Roseman MSN/FNP student who is doing clinical rotations through the RMG clinic. While Roseman’s MSN/FNP program is online, all clinicals are done in student’s home states. 

Meet Michele Brock, RMG’s newest provider. Michele’s hardworking childhood and family experiences led to her to nursing, which she views more as a calling than a career. Michele will soon be seeing patients at RMG.

Also, find out more about the bad rap Cholesterol gets. Cholesterol is essential to our bodies, yet it has received negative attention through the years amid healthy food campaigns.  Find out “normal” levels in a lipid panel, and how healthy habits can keep Cholesterol in check.

Cholesterol Gets A Bad Rap

Many associate the bright yellow Cheerios cereal box with heart-healthy claims and promises to reduce Cholesterol. Towards the end of the 20th century, American consumers were

Read More »

We also thought it would be fun to offer our readers some brain games, given that our practice is focused on Primary Care and Neurology.  Play away, and learn that the key to good brain health is to keep learning and keeping our brain active and challenged.

Finally, connect with us this fall for the Fall Neighborhood Health Series Events. They are a great way to get engaged, learn, and to stretch the limits of our knowledge. Check it out at https://speakers.roseman.edu/.

We wish our RMG patients happy and healthy Fall days.

In good health,

Your RMG Team

October 2021 Health Monthly Articles

Cholesterol Gets A Bad Rap

Many associate the bright yellow Cheerios cereal box with heart-healthy claims and promises to reduce Cholesterol. Towards the end of the 20th century, American consumers were barraged with “healthy” food claims made by packaged goods food advertisers, largely as a result of the FDA’s 1999 approval of the claim that “a diet rich in whole grain foods and other plant foods and low in saturated fat and cholesterol may reduce the risk of heart disease and some cancers.” But in 2009, the FDA pushed back box of Cheerioson Cheerios’ expanded claims and asked General Mills to revise its advertising which stated that consuming Cheerios could “reduce cholesterol by 4 percent in 6 weeks” stating that only pharmaceutical companies could make such specific claims.

It was in this era that consumers became much more aware of their diets in relation to whole grains, fat, and cholesterol. The 1990’s shepherded in an era of the food industry’s promotion of low-fat, fat-free processed foods full of sugar — who remembers Snackwells and Olestra?

Despite this era of confusing health claims, healthy whole grains are, in fact, recommended as part of an overall strategy in reducing cholesterol given their high-fiber qualities. But cholesterol remains a confusing topic for consumers and patients. Some doctors feel that cholesterol has been unfairly vilified, and that has led to confusion.

Cholesterol is implicated in the pathology of plaque formation when, according to Dr. Arup Chakraborty, PhD, Associate Professor of Pharmaceutical Sciences, it is also one of the most essential molecules in the human body. Cholesterol is an essential biomolecule that allows for the maintenance and proper structure and function of the body, essential for survival.

Doctors recommend that patients over 20 get a lipid panel, completed during a routine blood draw, once every three years to better understand their levels of HDL, LDL, Triglycerides, and total cholesterol.   Low density lipoproteins (LDL cholesterol) have been named incorrectly “bad cholesterol” when, in reality, it is a lipoprotein carrier that is extremely important in the transportation of cholesterol across the body. LDL is only “bad” when it becomes too high, with healthy ranges below 190. High density lipoproteins (HDL cholesterol) protect against heart disease by filtering LDL and preventing it from building up in arteries. Healthy ranges for HDL in men are below 40 mg/dl and for women below 50 mg/dl. Triglycerides are the form in which most fat exists in food and in the body. Higher ranges of Triglycerides (above 150) are associated with higher risk of heart disease. Total blood cholesterol, another important measure, is a measure of HDL, LDL, and other lipid components.

Numbers alone do not equate to risk. Rather, results of a lipid panel, in concert with other factors such as age, blood pressure, smoking status and use of blood pressure medications, create a fuller picture of risk of heart disease.

Coronary Heart Disease (CHD) is a condition where atherosclerotic plaque builds up in the coronary arteries of the heart which supplies oxygen. CHD can cause chest pain, shortness of breath, and even a heart attack. Those with diabetes are also at increased risk as diabetic patients have smaller LDL particles or sdLDL.

Treatment for those with risks of CHD often include the use of Statins. They are low in cost, taken orally, and have been thoroughly researched for safety and efficacy. There are other medications used and many more in different phases of clinical trials. Other approaches include smoking cessation, modifications to diet, and increase in exercise. Physical activity helps reduce the lipid profile by utilizing more cholesterol precursors and glucose for energy. Healthy diets full of fruits, vegetables, whole grains and fiber can decrease the intestinal absorption of cholesterol and reduction in LDL. Phytosterols can also reduce cholesterol by inhibiting absorption in the GI tract and are naturally found in vegetable, olive and nut oil and have high concentrations in legumes, nuts, seeds, and whole grains.

Cholesterol is an essential building block of the human body. If you have any concerns about cholesterol or wish to discuss your risk of CHD, speak to your RMG healthcare provider.

Article by Vanessa Maniago with Dr. Arup Chakraborty

Ways to Keep Your Brain Healthy

Living a healthy life is about more than just being physically active. Keeping mentally busy is important too! Just like any other muscle, your brain needs exercise to function at its best.

Challenge yourself.

Make a point to do activities that encourage you to think in new ways:

Have a go at this Roseman word search! Can you find…

doctor, healthcare, immunization, neurology, nurse, patient, pharmacy, research, Roseman

RMG word search

Stay involved socially.

Mental stimulation takes a variety of forms. Social interaction, whether in-person or virtual, is another important (and fun) way to stay sharp. Engaging with others also builds your sense of purpose and boosts your mood.

Consider opportunities like:

  • Joining or starting a book club
  • Participating in a church group
  • Adopting or fostering a pet
  • Getting involved with a nonprofit board
  • Mentoring someone younger in your field
  • Organizing regular video or phone calls to connect with friends and family

Make regular check-ups a priority.

A healthy body includes a healthy brain. Visiting the doctor regularly ensures you’re getting the care you need for your whole self.

Roseman Medical Group has providers who specifically focus on neurology, including Parkinson’s Disease, Huntington’s Disease, and ALS. You can call (702) 463-4040 to learn more about our services and schedule an appointment.

The Roller Coaster Ride that is COVID-19

As we continue to navigate the roller coaster ride of COVID-19, we encourage our patients to complete their COVID-19 vaccinations. Nevada is not immune to national trends, and to date, in Clark County, as of September 9th, we have experienced over 307,000 cases with roughly 5,200 deaths. We have administered approximately 2.3 million vaccines with an almost 48% total vaccination rate. Roseman University, through its vaccination pods, had administered nearly 8,000 vaccines in our community.  

More than 72% of people 18 years and older in Clark County have received at least one dose of the COVID-19 vaccine, and in the US, roughly half of the population is fully vaccinated with 63% of the adult population having received at least one dose. While white adults account for the largest share of unvaccinated adults, Black and Hispanic populations remain less likely than their White counterparts to have received a vaccine, leaving them at increased risk, especially as the variant spreads. Reaching high vaccination rates across individuals and communities will be critical in achieving broad protection, mitigating the disproportionate impacts of the virus for people of color, and preventing widening racial health disparities in the future. Globally, 5.52 billion doses have been administered, which is enough to fully vaccinate 28% of the global population.

On August 23, 2021, the Food and Drug Administration (FDA) approved its first COVID-19 vaccine known as the Pfizer-BioNTech COVID-19 Vaccine, and will now be marketed as Comirnaty (koe-mir’-na-tee), for the prevention of COVID-19 disease in individuals 16 years of age and older.  The vaccine continues to be available under emergency use authorization (EUA) for individuals 12-15 years of age and for the administration of a third dose in certain immunocompromised individuals. It is the hope that this approval will instill additional confidence in those still unvaccinated.  COVID-19 vaccines protect against severe illness including disease caused by Delta and other variants circulating in the US. Nevada, in line with the Centers for Disease Control and Prevention (CDC), continues to recommend wearing a mask inside regardless of vaccination status.  Those with immunocompromised systems may not build adequate immunity after the initial 2-dose primary mRNA Covid-19 vaccine series, and as such are advised to receive an additional dose. This fall, boosters may be made more widely available to individuals, those being eligible starting 8 months after they received their second dose of an mRNA vaccine (either Pfizer-BioNTech or Moderna).

September 2021 Health Monthly

Welcome back to the Roseman Medical Group Health Monthly Newsletter.

We hope our patients enjoyed their summer, spent time with family and friends, got outdoors, and lived healthfully. We hope you also had a wonderful Labor Day Weekend.  We offer our heartfelt appreciation to all who comprise the American workforce. The weather in Nevada is finally beginning to cool, and children are back to school. Also, an unofficial end to summer, Labor Day signals the cyclicality of the school year. This year, across the country, K-12 schools are primarily offering in person learning, and while exciting, is not without some trepidation.

In this issue, we provide you with an update on COVID-19 locally, nationally and globally, and how vaccination efforts are impacting our communities of color.

Meet Shawwna Short, Family Nurse Practitioner, who is seeing new patients. Find out how Shawwna’s childhood experiences shaped her nursing journey.

Welcome Shawnna Short!

This month, we spotlight Shawnna Short, who joined Roseman University in mid-May as a Nurse Practitioner with the College of Medicine‘s medical practice, Roseman Medical Group (RMG). Shawnna

Read More »

Find out more about the Fall Neighborhood Health Series and register to join us. Finally, read about Aging and Weight Gain, something many of us work to fight.

Aging & Weight Gain

Americans refer to the “Quarantine 15”, pointing to the weight gain many experienced during the lock-down starting in March 2020 as a result of COVID-19.

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We wish you a wonderful, healthy September and hope to see you in the office sometime soon.

September 2021 Health Monthly Articles

Welcome Shawnna Short!

This month, we spotlight Shawnna Short, who joined Roseman University in mid-May as a Nurse Practitioner with the College of Medicine‘s medical practice, Roseman Medical Group (RMG).

Shawnna grew up in Ohio on a 52-acre farm that cultivated tobacco, and was home to many animals and livestock. While idyllic, her childhood was full of hard work, planting, harvesting, and tending to the animals. There weren’t many other girls doing what she was doing, and so within her grew a “can-do” pragmatic ethos that guides her work today. She was just a high school student when she earned her CNA to become a certified nursing assistant through a vocational program at her High School. From there she went on to earn her BSN and then MSN/FNP as a Family Nurse Practitioner. Her experience spans the Cardiac Unit as well as Hospice Care. Hospice Care offered Shawnna a new perspective on patient care—care that extends to the grieving family members who are in the process of parting with their loved ones.  It was in this environment that Shawnna leaned heavily on her team. She then moved into Pain Management and Acute Care, and Infectious Diseases and Wound care. With such diverse experiences in her life as a Nurse Practitioner, and with her upbringing on her Ohio farm,  Shawnna brings an incomparable work ethic and holistic view of patient care.

In her spare time, she enjoys gardening and hiking and is most inspired by women entrepreneurs and those who worked for their success. In the next year, she hopes to hike Salome Jug Trail in Arizona. One of her favorite places to visit is Gilcrease Orchard.

I am passionate about providing excellent, collaborative care to my patients. RMG has an excellent reputation and I’m excited to learn new skills and be part of a team.”

We welcome Shawnna to RMG.

Shawnna is accepting new patients at this time. To schedule an appointment with Shawnna, please call RMG at (702) 463-4040.