Walk With the Doc
   
        With many demands and distractions in life,
maintaining our health can be challenging.  The
statistics speak for themselves.  Nationally, weight gain,
diabetes, heart disease, depression and high blood
pressure are on the rise.

   Turning the tide will require more than a fad diet.  A
more successful approach is one that offers
opportunities for small successes.  Set the goal too high
and you may become discouraged.  A daily walk is often
a good choice for sustainable success.  Make the walk
fun and you triple your chances for success.  Perhaps,
audio books, podcast or music are your thing.  For
many, a friend to chat with can make the difference.

    While I’ll miss the walk this Saturday, my walking
partner will stand in for me.  That’s right – we walk come
rain or shine.  Fortunately, every morning this year has
been very nice.  Monday morning I will be back,
recharged, and looking forward to being here for you.

   
Nancy Neighbors, MD



                  Thoughts to Ponder

   Excess stress can lead to health problems.  Finding a
technique to balance unavoidable stress helps.  Often
some combination of exercise, muscle relaxation,
meditation, massage therapy, or stretching activities like
yoga and tai chi are the answer.

   Perhaps you are reconsidering late night shows that
cut into your sleep. If you've been burning the candle at
both ends, it's time to give your body a break.

   The foods we bring home determine what we eat.  
Consider shopping with a list rather than succumbing to
last minute shopping impulses.  When you plan in
advance, fresh fruits and vegetables are more likely to
end up in your basket.  Shopping when not hungry also
makes wise choices easier. As a bonus, a list can lead
to significant savings at stores that match competitor’s
prices.  To realize amazing bargains on fresh produce,
bookmark weekly specials at web sites like Aldi.com,
Sprouts.com, Kroger.com, WinnDixie.com, etc.

   There's a stockpile of evidence that exercise is part of
what keeps us in good physical and mental health.  That’
s why my fall trip this year includes taking three long
walks each day.  It’s medicine for the body, mind and
spirit.


                 
Annual Checkups

   Perhaps it's been a few years since you or someone
you care about had a wellness checkup?  These
checkups are a good time to review your overall health
and discuss plans that might eliminate the need in future
years to remark, “Had I known I would live this long, I
would have taken better care of myself.”

   Annual checkups are also a time to discuss age
appropriate screenings that can help spot potential
problems.  

   To get the most from an annual checkup complete
your online health history using the reason for your
appointment as “General Exam.”  With this information in
hand before your appointment I can often do more for
you.

    Prostate Cancer Awareness

   September was prostate awareness month.  If your
special guy didn’t get the memo, you might mention that
prostate cancer is the most common non-skin cancer
among American men.  It’s important to understand the
symptoms, the risk and how to make an informed
decision about screening.  More information is available
at the links below:

  •
ZERO - The End of Prostate Cancer    
  •
CDC & Prevention of Prostate Cancer    
  •
National Cancer Institute Prostate Cancer   
  •
Medicare Preventive Services Educational Tools

              
               Medicare Part D

   It’s that time of year again for the Medicare
generation with two ways to get
Medicare prescription
drug coverage–either with a Medicare Prescription Drug
Plan (Part D), or with a Medicare Advantage Plan (Part
C).
  With the costs of medications rising over 7% annually
it’s smart to shop for plans that reduce cost for the
prescription you routinely use.  What may have been a
bargain plan last year may not be a bargain in the
coming year.  Plans often revise their list of covered
medications (formularies) and prices.  

   To help get organized for this annual price
comparison ritual you may find the
Medicare and
Medicaid Services website a good place to get started.

   To determine expected cost you need to compare
each plan’s monthly premium cost, deductibles and out-
of-pocket expenses. With a Medicare Advantage plan,
you can skip this step since drug costs are part of the
plan.  While an insurance agent can be helpful, some
may try to sell you a more expensive plan than
necessary.  It’s best to do your research before
contacting an agent.