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South Macomb Internal Medicine

South Macomb Internal Medicine

Warren, MI

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Warren

Thoughts On Building A Community, Not Just A Practice

February 26th, 2021

By Dr. Scot Goldberg, MD

Thoughts On Building A Community, Not Just A Practice

Practicing medicine is a very serious endeavor.  A heck of a lot of training goes into becoming a doctor.  Pre-med alone is tough – organic chemistry anyone?  Not to mention getting into and surviving med school, and then there are residencies, board exams – it’s high pressure and a challenging curriculum.  When you come out the other side and earn the title of “Doctor” you’ve been thoroughly tested and trained.  It’s a long hard road.

I’m not complaining – just providing context.

Community

 

Meanwhile a whole lot of effort and hard work goes into building a practice.  Learning to become a doctor is one thing.  Starting a business is a whole other set of skills and challenges and plenty of risk.  It takes time and running a business as many of you probably know is not easy.  And even when you’re “established” there are many variables out of your control such as…..oh I don’t know……a pandemic perhaps?  Granted everyone has been challenged by that, but at the core of the pandemic is the virus itself and people’s health which as doctors puts us at the heart of the matter.

Again – not complaining.  It’s a gift to be in the profession of helping people and being able to do it for a living!

But here’s where we get to the nitty gritty of those two things and taking them to the next level which is my point:

If it takes perseverance, smarts and motivation to become a doctor, and savvy and solid decision making to run a business, it takes humanity to build a COMMUNITY and that’s what we are trying to do here!  Sure we want to be profitable and provide proper care, but medicine can be heavy.  There’s laughter and tears, pain and relief, anxiety and joy, and plenty in between, and embracing them all while building relationships is what makes a community.  A community around our practice.

We have enjoyed this new path of social media – Facebook, our newsletter, blogging here on the website and the like.  Sharing Saturday Silliness, Foodie Fridays, Tuesday Trivia and plenty more on these different platforms allows us to inform, teach, laugh and learn together and we love getting the feedback from all of you – our patients!  We like interacting with you and knowing you – not just treating you, and that goes for our entire staff!  We hope you are enjoying the content and here’s to better times ahead and the continued journey!

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South Macomb Internal Medicine

28401 Hoover Rd.  Warren, Michigan 48093

Phone: (586) 276-7530

South Macomb Internal Medicine has been designated a Patient Centered Medical Home by Blue Cross Blue Shield of Michigan.

Join us on Facebook at facebook.com/SMIMdoc for updates, articles and fun!

Call us and ask to be added to our email newsletter that comes out every couple weeks!

Telehealth and virtual appointments are still available as well as nutritional services with Nanette Cameron, RDN. Don’t forget to ask us for a $25 gift certificate along with a copy of Nanette Cameron’s cookbook The Perfect Day for trying dietary services with Nanette the first time for patients who have insurance coverage! Nanette is also available virtually!

Feel free to click on the categories and keywords below to find more content as we add more to the website!

 

Filed Under: Life Stories In Medicine, Patient Centered Tagged With: Patient Centered Medical Home, PCMH, Warren

How and Why to Get Your Vitamin D – It’s VERY IMPORTANT!

February 12, 2021

By Nanette Cameron, RDN

They call Vitamin D the “sunshine vitamin” because sunshine literally gives you vitamin D!  Well, it’s pretty tough to get vitamin D that way right now for two pretty obvious reasons:

  1. The pandemic.  We just aren’t spending as much time away from home with restrictions in place to mitigate the spread of COVID-19 and as a result many of us aren’t getting as much sunlight as we might normally get.  You can certainly spend time outside in a pandemic, but less movement and travel naturally can lead to a little less sunlight, and besides………
  2. ……it’s FREEZING out right now.  During the winter we naturally spend less time outside and even when we do we’re bundled up so our skin isn’t absorbing sunlight.

Vitamin D

While there is some debate about this, recommendations range for you to get from 800 to more than 2000 International Units (IU) per day of vitamin D and without supplements it’s extremely difficult to get to that level consistently.

So many people are deficient in Vitamin D and it’s very important because of the following health benefits:

  • It helps with depression
  • It helps absorb calcium to help prevent osteoporosis (which is why dairy milk is fortified with vitamins A & D to help with the calcium).
  • It helps your immune system
  • It helps prevent heart disease
  • It can help prevent obesity

There aren’t a ton of obvious food choices that provide vitamin D either, so as we mentioned we highly recommend you take supplements, and be sure it’s vitamin D3 (not D2).  Without supplements here are your main options:

Sardines

Salmon – fattier fish has more vitamin D in general

Herring – and by the way herring for example has about 216 IUs per 3 oz.  Remember the recommended daily amount is as high as 2000!

Cod Liver Oil

Canned Tuna – 3 oz of light tuna has about 268 IUs

Egg yolk – Grass fed chicken eggs have more at 37 IUs per yolk – not a ton and these are pricier than non-grass fed eggs.

Milk – 115-130 IUs per cup – you would have to drink a lot of milk still not nearly enough (some plant based milk beverages are also fortified with vitamin D)

Not exactly a long list…

You can have your vitamin D levels tested at South Macomb Internal Medicine so you know if you’re deficient.  40-80 ng/ml is the healthy level of D we should have in our blood.  Oh and another tip for when the weather is nicer – the darker your skin color the less your skin absorbs vitamin D from the sun, and any sunscreen blocks it completely which is a bit of catch 22…  You need to protect your skin from too much sun but you won’t get the vitamin D when you do – which once again is why we need to supplement!

So pay attention to your vitamin D, get tested, and supplement!

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South Macomb Internal Medicine

28401 Hoover Rd.  Warren, Michigan 48093

Phone: (586) 276-7530

South Macomb Internal Medicine has been designated a Patient Centered Medical Home by Blue Cross Blue Shield of Michigan.

Join us on Facebook at facebook.com/SMIMdoc for updates, articles and fun!

Call us and ask to be added to our email newsletter that comes out every couple weeks!

Telehealth and virtual appointments are still available as well as nutritional services with Nanette Cameron, RDN. Don’t forget to ask us for a $25 gift certificate along with a copy of Nanette Cameron’s cookbook The Perfect Day for trying dietary services with Nanette the first time for patients who have insurance coverage! Nanette is also available virtually!

Feel free to click on the categories and keywords below to find more content as we add more to the website!

 

Filed Under: Nutrition Tagged With: Doctor, Doctor's Office, Healthy Eating, Internal Medicine, Internist, Macomb, Macomb Doctor, Medical Practice, Metro Detroit, Metro Detroit Doctor, Michigan, Nutrition, Nutrition Tips, Pandemic, Warren

Why High Cholesterol Needs To Be Taken Seriously and What You Can Do About It

January 29th,2021

High Cholesterol

High Cholesterol is serious business

Cholesterol is a substance that exists in the lipids, or fats, in your blood and your body uses cholesterol to build healthy cells. However, having high cholesterol can increase your risk of heart disease.

A person with high cholesterol tends to develop fatty deposits in their blood vessels, which can eventually clog the vessels and make it difficult for enough blood to flow through the arteries. The heart in this situation may not get as much oxygen-rich blood as it needs, which increases the risk of a heart attack. Also, decreased blood flow to your brain may cause a stroke.

High cholesterol can be inherited, and it may often be the result of unhealthy lifestyle choices. It is largely preventable and treatable. A healthy diet, regular exercise and sometimes medication can go a long way toward reducing it.  Here is a recent article from Harvard Medical School entitled 11 Foods That Lower Cholesterol.  We also have Nanette Cameron available to help – she is our nutritionist and she has even published a cookbook called The Perfect Day.  Just ask us for a $25 gift certificate along with a copy of her book for trying dietary services with her the first time for patients who have insurance coverage!  Nanette is also available virtually!

NO SYMPTOMS

High cholesterol has no symptoms. A blood test is the only way to detect it.

Cholesterol test – A blood test is taken after you have fasted for a certain number of hours. It measures your total cholesterol, triglycerides, LDL, and HDL levels. Cholesterol’s components — LDL, HDL, and triglycerides — work together for the healthy functioning of your body. But too much or too little of these fats can lead to artery damage and cardiovascular disease.

There are three main components of cholesterol:

  • LDL (low-density lipoprotein):  L for “lousy” cholesterol, because it can damage your cardiovascular system. LDL carries most of the cholesterol in the blood to be stored away for future use.
  • HDL (high-density lipoprotein): H for “healthy” cholesterol that carries cholesterol from the body to the liver, where it is eliminated.
  • Triglycerides: The most common type of fat in your body, triglycerides, transport (carry) and store fat in the blood. When you eat excess calories, especially sugar and alcohol, they are stored as triglycerides.

There are two main ways to manage cholesterol (many patients require both): medication and changes in lifestyle which we discussed earlier. Medications are commonly prescribed if you are at high risk for cardiovascular disease (CVD), or you are at moderate risk and have additional risk factors.

Our doctors will personally assess your individual situation and make
a plan that will help you manage your cholesterol effectively.

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South Macomb Internal Medicine

28401 Hoover Rd.  Warren, Michigan 48093

Phone: (586) 276-7530

South Macomb Internal Medicine has been designated a Patient Centered Medical Home by Blue Cross Blue Shield of Michigan.

Join us on Facebook at facebook.com/SMIMdoc for updates, articles and fun!

Call us and ask to be added to our email newsletter that comes out every couple weeks!

Telehealth and virtual appointments are still available as well as nutritional services with Nanette Cameron, RDN. Don’t forget to ask us for a $25 gift certificate along with a copy of Nanette Cameron’s cookbook The Perfect Day for trying dietary services with Nanette the first time for patients who have insurance coverage! Nanette is also available virtually!

Feel free to click on the categories and keywords below to find more content as we add more to the website!

Filed Under: Heart Health, Nutrition Tagged With: Cholesterol, Doctor, Doctor's Office, Harvard Medical School, HDL, Healthy Eating, High Cholesterol, Internal Medicine, Internist, LDL, Macomb, Macomb Doctor, Medical Practice, Metro Detroit, Metro Detroit Doctor, Michigan, Nutrition, Nutrition Tips, Patient Centered Medical Home, Warren

Getting the COVID-19 Vaccine, Feeling Good and Ready to Care For You All!

January 8th, 2021

COVID-19 Vaccine

We wanted to check in with an update to let you know as of this writing that Dr. Goldberg is two weeks and two days out from his first COVID-19 vaccine shot and he’s doing great!

COVID-19 Vaccine

 

That’s our guy!!!.

He had soreness in his left arm for one day which is actually a good thing.  A little soreness shows that the vaccine caused an inflammatory reaction – and that it’s working.  Otherwise he has been doing very well, and his second and final shot is next Wednesday!

We’re all getting the COVID-19 Vaccine!

Additionally Ascension sent an email that ALL associates and their staff can now come in for vaccines and so all of our South Macomb Internal Medicine Staff have been invited to get vaccinated!

COVID-19 Vaccine

 

We’re back OPEN and fully operational at the office – ready to serve and ready to care for you!  Better days ahead.  Everyone stay safe, masked, social distanced and well!

Stay tuned for updates and we’ll see you soon!

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South Macomb Internal Medicine

28401 Hoover Rd.  Warren, Michigan 48093

Phone: (586) 276-7530

South Macomb Internal Medicine has been designated a Patient Centered Medical Home by Blue Cross Blue Shield of Michigan.

Join us on Facebook at facebook.com/SMIMdoc for updates, articles and fun!

Call us and ask to be added to our email newsletter that comes out every couple weeks!

Telehealth and virtual appointments are still available as well as nutritional services with Nanette Cameron, RDN. Don’t forget to ask us for a $25 gift certificate along with a copy of Nanette Cameron’s cookbook The Perfect Day for trying dietary services with Nanette the first time for patients who have insurance coverage! Nanette is also available virtually!

Feel free to click on the categories and keywords below to find more content as we add more to the website!

Filed Under: COVID-19, Vaccination Tagged With: Ascension Health Care, Coronavirus, Coronavirus Pandemic, COVID Vaccine, COVID-19, COVID-19 Pandemic, Doctor, Doctor's Office, Internal Medicine, Internist, Macomb, Macomb Doctor, Medical Practice, Metro Detroit, Metro Detroit Doctor, Michigan, Pandemic, Patient Centered Medical Home, PCMH, Primary Care Medical Home, vaccinations, Warren

An Update on COVID-19 and Some Answers To Your Vaccine Questions

December 17th, 2020

By Dr. Scot Goldberg, MD

Hello all!  So the situation around the COVID-19 pandemic remains fluid indeed.  We know this has been and continues to be tough on everyone and we aren’t exempt from that by any means – we are all in this together.  But we are hopeful with vaccines now being distributed and we are proud that they are being produced in and shipped from Pfizer in Michigan!  Are we at the actual end of this pandemic?  No.  Is there light at the end of the tunnel?  We say yes!

Vaccine

I have received numerous requests for information regarding the vaccine from many of you.  I have also received numerous emails from Ascension which is the hospital I am most affiliated with and although the coronavirus vaccine is getting into into Macomb County, it appears that it will first be delivered into the hospitals and given to front line workers such as in the ER, ICU and COVID floors.  Certainly this makes sense.  The people treating those with the virus and being exposed need to be protected.

Some Details On The COVID-19 Vaccine

Due to the logistics of storing the vaccine and the increased education needed for those that administer it I do not anticipate that we will be giving the vaccine out of our office.  I also anticipate that it will indeed still be several months for the doctors offices and the general population to get their vaccines as well, so we need to continue to make wise and safe choices individually per the CDC guidelines – all of us.  I do expect nursing homes and assisted care facilities that have high risk patients and staff to receive vaccines before our office and the general public receives theirs.

So as tough as this year has been, we need to be patient!  Easier said than done sure, but stay focused on the fact that this will indeed be temporary.  We will get through this and we hope that blog posts like these will be fascinating to read a few years from now in a “remember when” kind of way.  Stay safe everyone!  Call us when you need us – we are here to help.

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South Macomb Internal Medicine

28401 Hoover Rd.  Warren, Michigan 48093

Phone: (586) 276-7530

South Macomb Internal Medicine has been designated a Patient Centered Medical Home by Blue Cross Blue Shield of Michigan.

Join us on Facebook at facebook.com/SMIMdoc!

Feel free to click on the categories and keywords below to find more content as we add more to the website!

Filed Under: COVID-19, Vaccination Tagged With: Ascension Health Care, Coronavirus, Coronavirus Pandemic, COVID Vaccine, COVID-19, COVID-19 Pandemic, Doctor, Doctor's Office, Internal Medicine, Internist, Macomb, Macomb Doctor, Medical Practice, Metro Detroit, Metro Detroit Doctor, Pandemic, vaccinations, Warren

Nutrition and Preventative Medicine Go Hand In Hand!

December 3rd, 2020

By Dr. Scot Goldberg, MD

On our Facebook page and in our email newsletter we talk a lot about nutrition – especially on what we call “Foodie Fridays”, and as it relates to preventative medicine it’s a key element.  We found a recent article that explores the role of nutrition in fighting against COVID-19 which is obviously on everyone’s mind in these challenging times, but it can apply to anything since a healthy immune system can help you ward off plenty of illnesses!  We can help with diet – just ask us for a $25 gift certificate along with a copy of our nutritionist Nanette Cameron’s cookbook The Perfect Day for trying dietary services with her the first time for patients who have insurance coverage!  Here is the link to the article at News Medical:  Healthy diet plays vital role in warding off COVID-19

Nutrition and preventative medicine

SMIM is Focused on nutrition AND preventative medicine

So to be clear, we are very focused on preventative medicine all the way around – we have a page dedicated to it on our website, and we aim to help you! Regular well visits and open conversations with a healthcare team that cares about and gets to know you is the best way to stay well!  We don’t want you sick.  We want you to have success with your health and we want to use our knowledge and experience to help you prevent disease!  Do NOT wait until you are sick to start taking care of yourself – that approach really makes no sense.
Stay safe and be well!

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South Macomb Internal Medicine

28401 Hoover Rd.  Warren, Michigan 48093

Phone: (586) 276-7530

South Macomb Internal Medicine has been designated a Patient Centered Medical Home by Blue Cross Blue Shield of Michigan.

Join us on Facebook at facebook.com/SMIMdoc!

Feel free to click on the categories and keywords below to find more content as we add more to the website!

Filed Under: COVID-19, Nutrition, Patient Centered Tagged With: Ascension Health Care, Coronavirus, Coronavirus Pandemic, COVID-19, COVID-19 Pandemic, Doctor, Doctor's Office, Healthy Eating, Internal Medicine, Internist, Macomb, Macomb Doctor, Medical Practice, Metro Detroit, Metro Detroit Doctor, Michigan, Nutrition, Nutrition Tips, Pandemic, Warren

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South Macomb Internal Medicine
28401 Hoover Rd
Warren, MI 48093

Phone: (586) 276-7530

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