From the Doctor’s Desk

Dr. Obinna Nwobi                 

Vascular & Interventional Pavilion

April 2, 2015

Celebrate Foot Health Awareness Month with a Brisk Walk Suggests Dr. Nwobi

Tampa, Florida - A walk in the fresh April air is an ideal way to participate in the national American Podiatric Medical Association’s Foot Health Awareness Month. 

“Walking is great exercise for the feet,” said Obinna Nwobi, MD, of Vascular and Interventional Pavilion. Both podiatrists and vascular surgeons agree that good blood flow is essential for foot health. A brisk 30-minute walk every day is just what the doctor ordered.
Simple steps for daily foot care include:   

• Improve circulation by walking, bicycling, dancing, and swimming  
• Inspect feet for the cuts, sores, blisters, redness, warm spots, or swelling. Wash feet in warm water. Moisturize for soft skin. Cut toenails straight across  
• Wear socks and proper fitting shoes
• Protect feet from heat and cold
• Wiggle toes. Flex feet and ankles for five minutes two to three times each day to maintain blood flow 

“Feet are our foundation,” said Dr. Michael King, president of the American Podiatric Association. “Healthy feet are fundamental to the quality of our daily lives. We need to take care of them every day, and see a medical professional if they begin to hurt.” Vascular surgeons and podiatrists work closely to access and treat patients with severe foot problems. 

Symptoms that require care by a podiatrist:    

• Hair loss on toes may be a sign of poor circulation
• Blue thread veins and very white skin is common among lifelong smokers and may indicate vascular disease 
• A swollen foot may indicate a blocked lymph node or deep vein thrombosis, a dangerous blot clot in the legs  
• Corns and blisters are important to treat promptly in those with diabetes. Sufferers may not feel the pain in their feet due to numbness, and left untreated, these conditions may lead to serious illness. 
• Dry, cracked heels may indicate a thyroid problem 
• Swollen feet may indicate heart or kidney problems 
• Any changes in the color, thickness, or loosening of the toenails should be evaluated

Additional foot care information is available at www.todays podiatrist.org, www.VascularWeb.org, and www.VascularPavilion.com or call (813)-922-3177.

If you have any questions regarding anything vascular feel free to call our offices at 813-922-3177 or visit our website at www.VascularPavilion.com, or www.PremierVeins.com

Dr. Obinna Nwobi                 

Vascular & Interventional Pavilion
March 20, 2015

It’s March Madness a.k.a. Couch Potato Time Advises Dr. Nwobi

Tampa, Florida - From March 15 (Selection Sunday) to April 6 (National Championship), March Madness consumes America. Arm chair hoopsters stare at their flat screens with tournament brackets in hand.  

“Instead of simply cheering, try some fancy footwork,” said Obinna Nwobi, M.D., a member of the Society for Vascular Surgery®. “Participate in March Madness by shooting a few hoops.” 

For a 150-lb. person, 30 minutes of basketball can burn off: 

• 153 calories shooting hoops solo
• 204 calories during an informal game 
• 272 calories during a five-on-five game of basketball*
Source: www.livestrong.com

“Your vascular system will have a great work out,” said Dr. Nwobi.  “Vigorous exercise such as basketball pumps your blood and lowers your blood pressure. This helps to keep your weight down. These are all positive health benefits.” 

For the slam-dunk of vascular health: 

• participate in 30 minutes of exercise daily. This may reduce the risk of stroke, the fourth leading cause of death in America according to the United States Center for Disease Control and Prevention’s 2010 National Vital Statistics Report. In 2010, 137,000 Americans died of stroke. 
• eat healthy,
• don’t smoke, 
• maintain a healthy body weight.

The lack of regular physical activity results in 250,000 deaths annually according to a 2003 report in the medical journal, Circulation.  Least physically fit persons have a mortality risk 4.5 times higher than physically fit persons.

Non-invasive vascular disease screening tests and medications are available. For vascular health information, visit: www.PremierVeins.com, www.VascularPavilion.com, or VascularWeb.org. 

If you have any questions regarding anything vascular feel free to call our offices at 813-922-3177 or visit our website at www.VascularPavilion.com, or www.PremierVeins.com

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Patients with Stents May Benefit from Omega-3s

By Beth Fontenot, MS, RD, LDN

People who have had stents placed to open clogged coronary arteries may benefit from taking omega-3 fatty acids along with aspirin and Plavix to prevent future heart attacks. So says a new European study.

A stent is a small tube placed in a clogged coronary artery after a catheter procedure to keep it open and allow normal blood flow to the heart. Stent placement increases the risk of blood clot formation at the site where the stent is placed which can block the flow of blood to the heart resulting in a heart attack. Blood thinners are routinely given after stent placement to reduce this risk.

Omega-3 fatty acids have blood thinning properties. People who have existing coronary artery disease are encouraged to consume more foods rich in omega-3 fatty acids including fatty fish such as salmon, mackerel, herring, lake trout, sardines, and albacore tuna. According to the American Heart Association, "Research has shown that omega-3 fatty acids decrease risk of arrhythmias (abnormal heartbeats), which can lead to sudden death. Omega-3 fatty acids also decrease triglyceride levels, slow growth rate of atherosclerotic plaque, and lower blood pressure (slightly)."

This new study looked at the effect of omega-3 fatty acids in pill form on people treated with blood-thinning drugs after having a stent placed. Conducted at John Paul II Hospital in Krakow, Poland, the study, led by Dr. Grzegorz Gajox and colleagues, had 54 participants who were on average about 63 years old. All previously had clogged arteries opened by a catheter procedure and stents placed to keep the vessels open. All of the patients were on standard medical therapy after stent placement which included a daily aspirin and the blood thinning drug, Plavix, for four weeks after the stent was placed.

The Omega-PCI Study, a double-blind, placebo-controlled trial, was designed to determine what effects omega-3s might add to the effects of aspirin and Plavix. For the study, 30 patients were randomly assigned to take the pill form of omega-3s (1,000 milligrams of EPA and DHA) every day, and the other 24 patients received a placebo. When compared to the control group, the patients treated with omega-3s produced less thrombin, a clotting factor, and formed clots with a structure that made them easier to disrupt. This could prove important in protecting patients with stents from having future heart attacks.

The researchers pointed out that these findings could not be extended to other groups of people such as those who are healthy, those with an increased risk of coronary artery disease, or those who do not take blood-thinning drugs. Also, important to note is that fish oil is an adjunct treatment, not a replacement for blood-thinning drugs.

The researchers are planning a larger follow-up study that will include outcomes and continue indefinitely.

The study was published in the May 26, 2011 issue of Arteriosclerosis, Thrombosis and Vascular Biology: Journal of the American Heart Association.

June 17, 2011

Source: TheDoctorWillSeeYouNow.com


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