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A Healthier Weight: 3 Key Steps

qa-160Q & A with Dr. Falana Carter of MPCP, Arundel Mills

Q: What are the key challenges for patients who struggle with weight?

A: Given the demands of family, career, and social responsibilities, it’s no wonder many people find that their health is pushed to the end of the priority list. I tell patients who struggle with obesity that there are 3 simple steps to improve their cardiac health, lower cholesterol, and reduce BMI (Body Mass Index) through lifestyle changes:

    1. Eat 3-4 meals daily – don’t skip any meals! When you skip a meal, you slow your metabolism down – your body needs to eat every 4-6 hours.
    2. Exercise – schedule it into your daily routine.
    3. Be “selfish” for your health.

Q: How do you start the conversation with patients who need to lose weight?

A: As part of their exam, I ask, “So what are you doing for exercise?” Often patients tell me they don’t have time to exercise; this is where I encourage them to be selfish. If you set aside a regular time to exercise, and let your family and friends know, they’ll respect that schedule and not distract you from your goal.

Q: In addition to eating on a regular schedule, how big a part does nutrition play?

A: Nutrition plays a central role. I emphasize the importance of eating healthy – more protein, healthy snacks; less sugar and processed foods. I also recommend using myfitnesspal.com, a free online weight loss tool. And for patients willing to share their password, there’s even the capability for their doctor to see what they’re eating, and provide feedback and guidance in their weight loss process.

Q: How are you incorporating these principles into your practice

A: Soon, the Arundel Mills office will launch a program dedicated to improving patients’ health through lifestyle changes, so we’re excited about this opportunity to help more individuals achieve their goals.

Falana P. Carter, M.D. joined Maryland Primary Care Physicians, Arundel Mills in 2011 and is certified by the American Board of Family Physicians. She received her medical degree from University of South Florida College of Medicine in 2001 and completed her residency program in Family Medicine at Portsmouth Family Medicine, Eastern Virginia Medical School in 2004.

ADD in Adults

by Janice Rutkowski, M.D.

add-160ADD & ADHD* are similar disorders that often first present in childhood, but can extend into adulthood as well. It is estimated that a full third of children with ADD will continue to be affected later in life. Since this disorder was not well understood in the past, many individuals were un-diagnosed. But the onset of the internet and better understanding of disordered human behavior, have helped many patients realize they may have a problem.

Most adults with ADD find they have difficulty with organization and planning, are easily distracted, feel a sense of restlessness or anxiety, and lack ability to resist impulses to stray from a task or project. Unfortunately, this inability to stay on task can lead to problems at school, in the workplace, and in personal relationships. Serious consequences such as divorce, job loss and substance abuse can be more common for those with ADD/ADHD.
However, there are several treatment options to help! The first step is talking with your doctor. While there is no one test to diagnose the condition, detailed information from the patient and sometimes family members can be very useful. A physical, including blood work and an EKG, should be done to ensure there are no other health issues causing the symptoms.

Treatment is usually very effective with a combination of diet, behavioral therapy and stimulant drugs, such as Adderall or Ritalin. There are many newer medications as well and your doctor will work with you to find the most effective. Some drugs come in extended-release form so you do not have to take multiple doses during the day, and some non-stimulant drugs are also available. Side effects may include sleeplessness, loss of appetite, mood changes or heart rhythm abnormalities. But most patients tolerate the therapy quite well and are amazed at the difference in their work and home life.

So, please talk with your doctor if you are concerned you might have ADD or ADHD- or the symptoms- so you can work together to treat it effectively.

*ADD stands for Attention Deficit Disorder. ADHD is Attention Deficit Hyperactivity Disorder.

Janice Rutkowski, M.D.Dr. Rutkowski is a Maryland Primary Care Physicians, LLC partner and is certified by the American Board of Internal Medicine. She received her medical degree from the University of Limoges in 1981 and completed her residency program in Internal Medicine at Maryland General Hospital in 1984.

Arundel Mills Sports Physicals

We offer a comprehensive sports exam for your child’s participation in team sports.

Our exams are $35.00

plus an additional $5.00 if your organization requires a urinalysis
Payment is due at the time of the exam

Most insurances do not pay for a Sports Physical. Full payment is required a the time of service.

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