House Calls

House Calls Started This Year

House calls are meant for patients who are temporarily or permanently home bound, or for other good reasons can't make it into the office.

To schedule a house call: Tel (203) 853-1919; email istaw@drstaw.com

Monday, November 16, 2015

To My Patients - emailed 11/16/2015


Continuing Medical Education. Please be aware that I will not be in the office on Thursday and Friday on this week. I’ll be attending the Continuing Medical Education meeting of Pri-Med in NYC. Janine will be in the office during our usual hours, and I’ll be accessible.
It’s never hurts to validate what you know and to learn more.

A couple of medical notes;

  1. Probiotics. Numerous probiotics preparations are now available over the counter. Studies found them useful in the treatment of a number of common conditions such as Irritable bowel syndrome, diverticular disease (recurrent diverticulitis), traveler’s diarrhea, vaginal infections, bloating caused by certain drugs and foods, diarrhea caused by antibiotics, and others.
But which probiotic is best suited for you? We can help.

  1. Non-prescription sleep supplements. If you’re having “minor” sleep problems, either falling asleep, maintaining sleep, or both, you may want to try over the counter supplements and other ways to help with the sleep issue. Many patients report help from Melatonin (usual dose 1-5 mg), taken about 45 minutes before bed time, others report benefit from the use of Valerian root, or the combination of both. Using a relaxation technique (such as the Relaxation Response, transcendental meditation) helps a lot. The list of things you can do without prescription sleep medicines goes on…
Do you need advice? Call us at (203) 853-1919.

This holiday season, as we have done for many years, we’ll again run our food drive. Boxes will be available at our office to collect non-perishable food (has to be in the original package), and sundry items. They will be distributed in the name of our patients to home shelters in our area in time for the holidays.

Stay well,

Dr. Staw
istaw@drstaw.com

Sunday, November 8, 2015

Back From Vacation

Sandy and I returned from vacation on Monday. Spent two great weeks in France and Israel, and have been back in the office since Tuesday.

The blog will become more active again, concentrating on contemporary health issues and special notices, keeping up with my practice motto: We help you live a longer, healthier life.

Did you get you flu vaccine this season? If not, you can still do it and be protected for the upcoming flu season. Looking for information about this year's vaccines? click here for the CDC information sheet.

A comment about our trip: fewer overweight people everywhere we visited. They walk!





Sunday, March 15, 2015

Sent to my patients on 3/12/2015.

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Are you ready for spring? The snow is melting away about as fast as it fell. Enjoy the change in seasons, it's good for the soul...


Heart Health 

February was National Heart Month. While February may be over, taking care of your heart is a year-round commitment.

This is a reminder that, while heart disease is the number one cause of premature death and disability in the US, the risks of developing heart disease can be reduced significantly by making important changes in lifestyles, medical treatment, and early detection.

The most important modifiable risk factors for the development of premature heart disease include: Smoking, overweight, uncontrolled high blood pressure, uncontrolled diabetes, excess alcohol consumption, high "bad cholesterol" and lack of physical activity.

Heart disease can be delayed by many years by paying attention to your particular situation, and by "doing the right thing." We recently adapted for use in our office a heart risk calculator, which can give you an estimate of your risk for developing heart disease. This can be used to see how the risk changes if certain changes were made, such as achieving better blood pressure control, losing weight, etc.

Give us a call today; we'll develop a personalized program to help you reduce your heart related risks.


Alpha Lipoic Acid 

Does the alpha lipoic acid supplement, available over the counter, have any value? Several patients asked me about it, and the answer may interest you.

Alpha lipoic acid is an antioxidant that plays an important role in several bodily functions. It helps eliminate free radicals, which are the harmful waste products of metabolism and which are contributing to the aging process. Alpha lipoic acid also helps convert nutrients into energy within body cells. With these qualities, it is thought to be helpful in two important instances:
  • In people with diabetes, it may help reduce the symptoms of peripheral neuropathy (burning, pain and/or numbness, usually of the feet), and lessen the detrimental effects of diabetes on the heart, kidneys and small blood vessels. It may also improve insulin sensitivity, which then allows the body to burn sugar more effectively. Alpha lipoic acid has been officially approved in Germany for the treatment of diabetic neuropathy for many years.
  • In patients who are trying to lose weight, and who are already on a reduced calorie diet, alpha lipoic acid supplements may enhance weight loss, especially when combined with EPA, an omega-3 fatty acid. This has been shown in a small study of women, and probably holds for men, too.

As with many other supplements, don't just go and buy it. Let's make sure first that this is what you need, and that you take the right preparation and dose and minimize the chance of side effects. Call today for a quick an easy assessment.


High Deductables Got You Down? 

As always, we're doing our best to make medical care affordable. Many patients now have a high deductible. In many instances you may have to spend $5,000-12,000 before your insurance kicks in, and you are charged "retail" fees for services such as office visits and labs. In order to make medical care more affordable, we limited our self-pay basic office visit to a minimum (usually $85-95, and scaled down in cases of financial hardship), and have made arrangements with two labs for very reasonable fees for blood tests that are not covered by insurance.

Please take care of yourself and don't deny yourself of necessary medical services!

Stay well, 

IS

Tuesday, December 30, 2014

Mediterranean Diet, Sugar-Sweetened Beverages, and Ashwagandha

A few pearls for December:

Are you taking an ashwagandha supplement? Ashwagandha is an Indian herb from the Nepal region. It has been used by many patients for the treatment of mild anxiety and insomnia, and also for enhancement of cognitive and physical performance. Some studies say it may work.
Consumer Lab recently tested several Ashwagandha preparations, and found some of them not delivering the advertised amount of the product. They recommend the Pure Encapsulations preparation as the best one. Click here for an overview.

Are you on the Mediterranean Diet yet? A recent study done at Brigham and Women’s Hospital in Boston inferred that sticking to the Mediterranean Diet increases your lifespan. This is not surprising; we already knew that with this Diet your weight decreases, cholesterol profile improves, and the risk of a heart attack is diminished. The essentials of the diet are: Lots of fruits and vegetables, legumes, fish (it’s the fatty ones), extra virgin olive oil, and unrefined grains. A glass of red wine is good, and dark chocolate is not bad. Meats and fat containing milk products are not part of this diet, and should be kept to a minimum. We have a good Mediterranean Diet summary in our office. You are welcome to it, just request it by email at istaw@drstaw.com, or call the office (make sure we have your email address).

Are you still drinking sugar-sweetened beverages? If you do – stop it.
Considered one of the most important studies published this year, this study, an analysis of studies on more than 170,000 people, shows that the consumption of sugar-sweetened beverages increases the risk of heart disease. This is more so among men and American populations. Water is the drink of champions!!!

Have a great holiday season and stay well.


Saturday, November 29, 2014

See The Doctor And Save $$$ This Holiday Season

Are you uninsured or under-insured? Do you deny yourself of medical care because of financial constraints? The following is taken from a recent press release. It's OK to spread the word, perhaps other physicians will join.


Local Doctor Explains How Getting A Physical Before The New Year Makes You Money And Why He's Offering Office Visits For $75 Or Less

By Amy Tessler (Open Post)November 24, 2014 at 2:38pm 

Whether you’ve been too busy to get to the doctor for your annual physical or think you just can’t afford it, there’s no time like the present to go! Many insurance companies are currently offering a money incentive ($250-$500) to members who complete their physical examination before the end of the year.

Dr. Igal Staw, of Respiratory Associates P.C. in Fairfield, says, “This incentive is a benefit to both the insurance company and patients, because patients are more likely to take advantage of preventive services, and the insurance company then saves money on recurrent medical visits. It’s really a win-win.” Dr. Staw suggests checking to see if your company participates. If you haven't had your periodic medical evaluation yet, this is the time to do it. And if you’re worried about the cost of your office visit, don’t be.

From now until January 1st, any patient who visits Dr. Igal Staw at his Fairfield office will receive a quality medical exam, and the cost for this initial visit will not exceed $75.  According to Dr. Staw, “I’ve seen too many patients over the last few years deny themselves healthcare due to high deductibles or lack of insurance.  We want to ensure everyone has truly affordable medical care tailored to their needs, especially at a time of year where budgets are really pushed to the max.” 
The office will also offer blood testing at deeply discounted rates as well as X-rays, MRI’s, and cardiac stress testing/monitoring at appreciable discounts. The $75 rate is scalable in cases of financial hardship, because “you can’t put a price on the gift of health.”  To make an appointment, please call 203-853-1919.


At David's garden


Igal Staw, M.D. is board certified in internal medicine and pulmonology. His practice, Respiratory Associates P.C. at 2000 Post Road, Suite 202 in Fairfield, focuses on Internal Medicine and Pulmonary Medicine, with an emphasis on prevention, lifestyle changes, and reduction of the risks that predispose you to the development of disease. 

Twitter / Dr. Staw