Health Topics

We hope you find our health topics informative. If you would like more information, please call our office at (423) 886-2004.

Making Changes to Improve Your Health

It’s January, and if you’re like most people, the thought of dieting has crossed your mind. After an indulgent holiday season, it common to want to clean up your eating habits, drink more water and add exercise to your daily and weekly routine. We all know these behaviors help us feel better but knowing where to start can also be overwhelming.

For decades, fad diets have come and gone – Slim Fast, Weight Watchers and Atkins come to mind. Now it’s whole30, paleo and keto. At times, certain eating programs can be effective in the short term. People naturally gravitate toward something that promises immediate results. That’s why they these diets are popular. But any eating plan that restricts specific foods or combinations of foods entirely is very difficult to maintain for the rest of your life. I’ll concede that they can play a role in helping jumpstart weight loss or when individuals want to make significant changes in their eating and exercise habits – but they aren’t designed for a life-long commitment.  

So what’s the better approach? Making small changes to your habits – eating or otherwise – is the most effective way to see lasting change. A total overhaul is nearly impossible for even the most disciplined person, so consistency is key to a healthy lifestyle. If you’re looking for some ideas, here are a few suggestions that I use personally to keep me on the right track:  

Keep it balanced – A well balanced diet can mean different things for different people. My simplistic version is to not eat too much of any one category of food – protein, dairy or carbohydrates. Within this suggestion, choose a variety of fruits and vegetables with every meal. The brighter colors you choose, the better. Fruits and veggies are loaded with fiber and the micronutrients we need for a healthy body and mind.

Choose the right fats – At one time, fat was considered the enemy of a healthy diet. No more! We know that trans fats play a role in raising your bad (LDL) cholesterol, lowering your good (HDL) cholesterol, and increase your risk of developing heart disease and stroke. High concentrations of trans fats are found in fast food, vegetable shortening, coffee creamer and refrigerated dough products like biscuits and cinnamon rolls. Limit these foods as much as you can.

The good news is that polyunsaturated fats have been shown to reduce the risk for heart disease. Fatty acids (omega-3 and omega-6) are essential building blocks the body needs for optimal brain function and cell growth. Walnuts, sunflower seeds, flax seeds and fish like salmon, tuna and trout are all excellent sources – and they are delicious, too!

Put down the processed foods – We all lead busy lives. Reaching for a quick dinner of takeout or a boxed meal kit that you know the kids will love is definitely the easier path after a long day. Any time you eat food from a box, it increases your sodium, fat and chemical intake – all enemies of a healthy lifestyle. If you make your food at home, it’s likely to be lower in salt, sugar and fat and higher in the nutrients your body craves. 

Count your calories – This tip is simple but effective. By keeping track of what you eat each day is a powerful tool for effective and long-term weight loss. The act of recording what and how much you’re eating can help you identify your areas of weakness (like indulging too often on office treats) and where you need to add more of the good stuff back in (like filling up on an extra side of grilled vegetables at dinner). There are plenty of free apps like My Fitness Pal or Lose It! that make keeping a food diary easier than ever before. 

Keep in mind that these suggestions are just that – suggestions that can serve as a starting point for new habits. People with specific health concerns, allergies or conditions like diabetes or heart disease do need to be more selective about the quality and quantity of carbohydrates in their diet. That’s why it’s critical work with your personal physician to develop a plan that meets your specific dietary and health needs. Best wishes for a happier and healthier you in 2019!

Greg Nieckula, D.O.

M.D. vs D.O.

As a doctor of osteopathy or D.O., I get asked this question all the time! And it’s one that I like to answer. There are effectively two pathways to earn a medical degree and two types of practicing physicians in the United States: allopathic physicians (M.D.s) and osteopathic physicians (D.O.s). Both complete four years of medical school, are licensed by the same state boards, receive advanced training in diagnosing and treatment of illnesses and disorders, and provide preventative care. M.D.s and D.O.s both provide diagnosis and treatment recommendations based on scientific conclusions.

As for the differences these days, there aren’t many. It boils down to the teaching philosophy. 

People are most familiar with the M.D. credentials that are informed by the allopathic approach. This method is a system of medical practice that combats disease by using remedies (like prescription drugs or surgery) to overcome the effects of a disease. The osteopathic approach sees things a little bit differently. It looks beyond the symptoms of an illness to examine the whole person. This approach emphasizes the integration of the entire body’s systems and drives the osteopathic method.

I personally decided to pursue my medical training to become a D.O. because my personality aligned with this philosophy of not treating a disease or symptom but instead putting my focus on taking care of human beings.

Sometimes people will also ask which type of degree is better. I don’t believe there’s an answer to that question. There are people who are hesitant to seek care from a doctor of osteopathy, and some seek me out specifically because of it. I think it’s all about your perspective and how you connect personally with your healthcare provider.  

When asked, I always recommend that people choose their physician based on their individual character and the level of medical care they provide – regardless of their title. When you decide based on these grounds, it sets you up for a solid, open and honest relationship between you and your physician, which I believe contributes to a healthier life. 

Greg Nieckula, D.O.

Holiday stress - it's not just in your head

Does the thought of the approaching holiday season keep you up at night, with a mental to-do list a mile long? Holiday stress can come in many forms, and there’s not many of us who are immune to these common feelings. There are two main reasons most everyone experiences some type of holiday stress.

  • We’re all busy people who lead busy lives. When you add in the planning, parties and extra work that come with the hustle and bustle of the season, that’s a recipe for feeling overworked and drained. We also put very unreasonable expectations on ourselves and on the people we love to create picture-perfect holidays and memories. Inevitably, we feel disappointed when reality doesn’t line up with what we imagined.
  • For many people, the holiday season also brings back memories and unresolved issues – not to mention reminders of family members who are no longer with us. These feelings are actually more like the blues but contribute significantly to feeling down or stressed during what is supposed to be a joyous time.

The question is – how do you manage it? How do you cope? It seems simple but taking time to remember why you’re putting in the extra work and effort to make special memories is a good place to start. Think about and enjoy the good things in your life and focus on the ones you love. And I tell folks not to feel silly if you need to come in and talk about it. Stress is real. The holiday blues are real, and it’s not an inappropriate conversation to have with your physician if you are feeling overwhelmed.

During those conversations, we dig into why you’re feeling the way you do. Is it because of the two things mentioned above? Are you super busy and placing extremely high expectations on yourself and family during the holiday season? Are you missing someone? If so, we’ll talk further about ways to better manage stress and set more realistic expectations.

If it’s more than the exhaustion of too many things to do and not enough time to do it, it becomes a question of whether there’s underlying issues that should be addressed. If your symptoms look more like depression or if you have unresolved feelings and emotions about losing a loved one, we’ll talk through additional medical recommendations – like seeing a counselor and examining what role medication may play in helping you feel better.

Stress is something we all experience – especially during the holidays. It’s good to know you’re not alone. Changing your mindset, taking a deep breath when things get hectic and focusing on the good things and good people around you are sure to make a difference. And if and when it’s just too much, don’t be embarrassed to talk with your physician. We’re here to help.    

Greg Nieckula, D.O.