• President’s Message
     In this issue of Healthy Living, we focus on the Neuroscience Center of Excellence, exploring conditions of the spine, neck and brain in depth. Aches and pains are nothing new to most adults,... click for more
  • Barbara Sinatra and Ma...
    In April, the Junior League Sustainers of the Coachella Valley and the Barbara Sinatra Children’s Center at Eisenhower will partner to recognize National Child Abuse Prevention Month. On April 2,... click for more
  • Eisenhower Physician P...
    Over the past several years, Svetlana Rubakovic, MD, FACP has been invited to present new research data about melanoma genetics to the international melanoma community — namely, the 7th International... click for more
  • The Memory Assessment ...
    Since 2007, residents of the Coachella Valley who are struggling with memory changes — and the people who love them —have been offered close-to-home access to the Memory Assessment Center (MAC). The Center offers a newly revised, first-of-its-kind program for diagnosing Alzheimer’s disease, dementia or a related memory disorder, as well as a wealth of care and support resources tailored to their individual needs.

    The Memory Assessment Center, under the operation of Eisenhower Medical Center and located in the Uihlein Building on the Eisenhower campus, is a collaboration between Eisenhower, the Keck School of Medicine of the University of Southern California (USC) and the Alzheimer’s Association®, California Southland Chapter, that provides a comprehensive, multidisciplinary approach to evaluation, care and support. click for more
  • Eisenhower Desert Orth...
    In keeping with its longstanding tradition of community service, Eisenhower Desert Orthopedic Center (EDOC) is involved in numerous activities and programs that “pay it forward” to local residents.... click for more
  • A Primer On Choosing A...
    The importance of having a primary care physician cannot be overstated. A primary care physician is a doctor who helps patients maintain their overall health and well-being, as well as coordinating a patient’s care when specialists or other medical professionals are needed. Seeing patients at regular intervals and not just during times of illness, a primary care physician can also help a patient to establish and maintain healthy lifestyle goals. Family physicians, geriatricians and internists are all primary care physicians.

    Getting to know a patient over time can have a profound effect on the health of that patient — understanding a person’s family history, workplace situations and stress, age-related concerns and more. Establishing a long-term care relationship with a patient can help a primary care physician treat an acute problem or focus on a larger issue. Regular visits to one’s primary care physician may also help expedite the diagnoses and treatment of high risk factors like high cholesterol or hypertension before a serious illness has had time to develop. In short, the primary care doctor is a patient’s first line of defense for getting well and staying well. click for more
  • Breast-Imaging — Seein...
    In the world of breast imaging, dense breasts present the most difficult problems in detecting cancer. Standard mammography equipment often cannot detect cancer lesions in women with dense breast tissue. According to Eisenhower Radiologist John Cutrone, MD, Board Certified in Radiology/Diagnostic Radiology, “It’s like looking for a small cloud behind a big cloud. Some small cancers, which are typically white on a mammogram, are easily obscured by breast tissue, which is also white.” 

    Thanks to a generous donation from BIGHORN Behind a Miracle (BAM), Eisenhower Schnitzer/Novack Breast Center was able to purchase the most advanced, state-of-the-art dense breast imaging diagnostic tool available, and is only the second facility in California to offer this exciting new technology. The SenoBright® Contrast-Enhanced Spectral Mammography (CESM) from GE Healthcare is a powerful diagnostic modality — able to detect minute cancers, as well as reduce the waiting time between detection and diagnosis. click for more

  • Relief From A Lifetime...
    Engineer and private pilot Neil Whelchel was just nine years old when he first experienced the rapid palpitations. “I would change my position or hold my breath and it would happen. As I got older the episodes got longer.”

    Whelchel went to doctors who ran electrocardiograms (EKG) and ultrasounds but nothing ever turned up and he was often dismissed. Rapid heart rate — supraventricular tachycardia — was something the young man learned to adapt to. He even taught himself to “reset” his heart by doing vagal maneuvers (methods used to reset or slow the heart rate). “At the time, I didn’t know that I was doing vagal maneuvers. I just was curious and aware of my body and was able to figure it out.” Whelchel would hold his breath and bear down, or press on his carotid artery to reset himself. He would sometimes use ice on his face, chest or back to put his heart back into rhythm. click for more

Portion Control

A Long-Term Strategy for Health

The issues surrounding weight gain can be complex, but there are strategies for losing weight slowly and sensibly, with a long-term goal of ongoing weight management and maintenance.

One strategy for weight loss/maintenance is portion control — examining one’s dinner plate size is a good place to begin. During the past 50 years, dinner plates have grown from what we now view as “salad plate” size to “serving platter” size. A 12- or 13- inch dinner plate is common and much larger than the 9-inch plates of the past. However, eating from a full 9-inch plate may feel more satisfying than eating the same amount of food from a larger plate.

According to Mallory Benavides, Dietitian, Eisenhower Medical Center Nutritional Services, portion control is one of the best ways to lose — and maintain — weight. For Benavides’ patients, portion control begins with education.

“When a patient comes in, we talk about their diet,” says Benavides. “I ask them to write down what they eat, how much they eat, and when they eat, over a period of three days. Most people don’t think they eat much throughout the day, so they’re surprised when they see it written down on paper.” Benavides educates her patients about recommended portions, something that is especially helpful when dining out. “Once I show my patients how large a portion should be, I tell them to go home and measure selected foods so they’ll be able to “eyeball” a correct portion without having to measure their food all the time,” she says.

What does a half cup of cooked rice or beans look like? A half cup of chopped vegetables equals the size of a half of a baseball or a rounded handful, while a cup of leafy greens might equal the whole baseball. Practice paying attention to portion size at home and when dining out.

Some people eat the right foods, but in quantities that are too large. Portion control can help these individuals reduce the size of their meals along with their calorie intake.

Benavides emphasizes that carbohydrates are our main source of energy, so it is important to make healthy choices: vegetables, fruits, whole grains, beans, and non-fat dairy products like plain Greek yogurt. “If we deprive ourselves of the good carbohydrates, we’re going to feel sluggish or tired throughout the day which often translates into cravings for sweets and caffeine,” notes Benavides. “We need the good carbohydrates for energy.”

Using a 9-inch plate, a meal should consist of:
½ plate of vegetables
¼ plate of 3 ounces of meat (fish or chicken) or meat substitute.
Three ounces is about the size of a deck of cards.
¼ plate of starch (potatoes, whole grain rice or pasta)
Daily protein requirement for most healthy people: 5 to 7 ounces

Overly restrictive diets and high expectations can contribute to failed weight loss. According to Benavides, patients have more success thinking in terms of moderation and portion control. “People have different needs, different metabolisms and different habits,” says Benavides. “We like to take an individual approach with each client.”

Tips For Eating Out
Consider sharing a small appetizer or salad, and entrée. Or, when ordering food, ask the server to put one half of the meal into a “take home” container before you are served. You’ll be able to finish your meal without feeling too full.

Share one dessert between a table of four. Everyone gets a bite or two and the extra calorie intake is greatly reduced. For tables of two, share something lighter, like fresh fruit or a small scoop of sorbet.

Include steamed or roasted vegetables as one of your sides, without added butter or sauce.

Skip the bread basket or have just one slice before asking the server to remove the rest.

Potatoes without added fat are a good source of fiber and nutrients. One cup of whole wheat pasta with marinara sauce is another side option.

Ask for fresh lemons to squeeze on salad and vegetables instead of using dressing.