Addiction comes in a lot of shapes, forms and substances. And today I’m going to talk about alcoholism, a legal drug with costly consequences.
So let’s look into the numbers, the direct cost of alcoholism, annually, cost our society $225 billion dollars. Governments, local, regional, national, pick up nearly 50% of those costs, and these are just the direct costs.
Also we have to consider the indirect costs. What it costs families, what it costs jobs, what it costs to your own personal social life and well-being. Alcoholism is a disease and an illness no different than diabetes and hypertension. The only shame is not asking questions and seeking help.
Knowledge is power. Get the facts, make a change, make a difference.
Reduce YOur Risk
MEN AND HEART DISEASE
JUNE 20, 2016 VIDEO BY DR. ALEXANDER SALERNO
Hi, I’m Dr. Salerno. Men and heart disease. We all know men make the worst patients for their philosophy is, if it ain’t broke don’t fix it. Clearly that’s a broken philosophy. in today’s 21st century. Men take better care of their cars than they do of their own health. Unfortunately, a car engine has a check engine light when there’s a problem, but a man’s heart does not.
So how do we prevent this condition? Here’s one four-letter word for you, diet. Men, historically, think more is better but when it comes to eating, let’s replace the dinner plate with a salad plate and go to four, five small meals a day, protein rich and carb light.
Number two, exercise, and I’m not talking about zumba classes. I’m just talking about simply walking 40 minutes a day, every day. Whether it’s on a treadmill or in a park or in a school track.
And finally, social activities; smoking and drinking. Moderation is the key to your well-being. Especially when it comes to alcohol, one to two drinks and smoking, altogether, let’s just cut it out.
So what are the next steps, gentlemen? Think of your doctor as your mechanic. Pull in for a 10-point inspection. Ask questions because knowledge is power. Getting the facts makes a difference.
SOCIAL DRINKING VS ALCOHOLISM
JULY 12, 2016 VIDEO BY DR. ALEXANDER SALERNO
Social drinking is a social event, grabbing a drink at the end of a day or at the end of a week with a friend or a colleague. Whereas alcoholism is a manifestation of a disease and an illness. There’s a big difference between the two and now we’re here to discuss how do you determine which is which.
So to determine if you’re a social drinker versus an alcoholic, here are some basic questions and behaviors you have to ask yourself. One, do you drink to get drunk? Two, do you hide your habit? And question number three, has drinking impacted your social and professional life such as drunk driving, financial consequences, challenges in the workplace and, most importantly, challenges in the home place?
So if you’ve answered yes to any of these questions, or even hesitated, in being able to answer any of these questions, maybe it’s time that you take inventory and stock of your life. Alcoholism is a threatening condition.
Knowledge is power. Seek the right help because help is available.
Knowledge is Power
HEART DISEASE IN WOMEN
MAY 22, 2016 VIDEO BY DR. ALEXANDER SALERNO
Hi, I’m Dr. Alexander Salerno and I’m here today to talk about women and heart disease.
Heart disease is the leading cause of death in men and women in this country. One-in-three African-American women die from heart disease versus one-in-thirty-three African-American women die from breast cancer. As a medical community, we’re doing a poorer job in recognizing, protecting and treating women over the age of 50, compared to men over the age of 50, when it comes to heart disease.
So risk factors for heart disease in women include genetics, the concept that the apple doesn’t fall far from the tree. Number two, diabetes. Number three, chronic kidney disease, which affects one in nine americans. Number four, hypertension and hypertensive heart disease. And finally, obesity.
So how do we reduce this risk?
As my father used to say, a pound of prevention is better than a ton of treatment. See your physician, check your blood pressure, understand your cholesterol, look at your waistline and look at your diet. What you put in your body counts.
Number two, a baby aspirin a day keeps the cardiologist away. And number three, drugs like statins, which reduce not only cholesterol, but inflammation proteins, that are the building blocks to heart disease and cardiovascular events.
So what are the next steps? Ladies, you have to own it. Take control. Ask the right questions.
Knowledge is power. Until you know the facts can’t make a difference.
Knowledge is Power
MAY 20, 2016 VIDEO BY DR. ALEXANDER SALERNO
Childhood obesity. It’s a major epidemic in our country today. It’s having devastating effects on social, physical,
psychological and economical outcomes, not just today but for the future as well.
Causes of childhood obesity can be broken down into three categories.
Category number one, genetics. If our parents are obese there’s a strong likelihood that their children will be obese.
Number two, the environment in general. As pollution is increasing so is the negative impact it’s having on our youth today.
And finally, lifestyle. Gym classes have been replaced by the technology of X boxes, smartphones and computers.
So we know the causes of childhood obesity, now we need to know what are some of these solutions and cures. It starts, first, at the home with our parents and grandparents. Set an example, fill the cupboard with healthy snacks and meals. Partake in daily family activities that involve the great outdoors.
And also, it’s not just parents that need to set an example but our educators, our leaders, our athletes and our community in general. So ask questions. Get the facts. Knowledge is power.
Change makes a difference.
Knowledge is Power
FEBRUARY 7, 2016 VIDEO BY DR. ALEXANDER SALERNO
So whooping cough is a condition in which patients typically complain about chronic nagging cough. It’s a rather benign condition, it’s a very easily treated condition, but it’s an extremely infectious and contagious condition. And it’s very common actually, nowadays, we’ve been seeing epidemic proportions, even in my own office, I’ve seen 30, 40 cases a year, each year, over the last several years.
The risk factors for whooping cough is really exposure, especially to little children, so daycare workers, teachers, grandparents, babysitters, things like that. We make the diagnosis by either a blood test or swab test and once we make the diagnosis it’s easy to treat. It’s just one pill that you take for 5 days, extremely effective.
But a key to any condition is always prevention and that starts with a vaccine. It’s a simple vaccine, no side effects, one shot and protects you from whooping cough. But, again, it all starts with “Knowledge is Power.”
Have a conversation with your doctor and take it from there.
Knowledge is Power
FEBRUARY 1, 2016 VIDEO BY DR. ALEXANDER SALERNO
The pneumonia vaccine, I like to consider this the Rodney Dangerfield of vaccines, cause it gets no respect.
The pneumonia vaccine is a simple injection. One shot protects you for five years from what some statistics show at the 9th leading cause of death and hospitalizations. So many people in our community misunderstand this vaccine and are afraid of this vaccine, because they feel that it can make them sick. Unlike the flu vaccine, which has side effects, the pneumonia vaccine has no side effects other than injection site pain.
So who should get the vaccine? Anybody under the age of five, anybody over the age of 50 and then anyone who smokes, regardless of age, anyone who has asthma or COPD or emphysema or any other lung condition should get the vaccine. In addition to the pneumonia vaccine we have now Prevnar, it’s an additional booster, typically given one year after the pneumonia vaccine, that allows for even greater protection of some new strains of pneumonia that have been identified. Again, understand the facts over the fiction, make the right decision, talk to your doctor. Knowledge is Power.
Knowledge is Power
JANUARY 28, 2016 VIDEO BY DR. ALEXANDER SALERNO
So flu vaccine, it’s typically given once a year, cause each year we have different strains of the flu. It’s not a one-size-fits-all approach. We typically like to give it to the elderly, as well as to those under the age of five, but also those that have certain conditions like diabetes, dialysis patients, cancer patient’s and HIV patients, because they are at higher risk.
It’s one shot, it’s painless shot. The only problem is it is a live vaccine, any live vaccine can give you a bit of the flu. So a lot of people are concerned because they hear that the flu vaccine can make them sick, which is true, but sickness from the flu vaccine is far less severe in signs and symptoms than getting the actual flu.
If you have any questions about the flu vaccine or the flu itself, again, ask your physician. Knowledge is Power, you can’t fix a problem until you understand one.
Knowledge is Power
SLEEP APNEA: CAUSE AND TREATMENT
JANUARY 28, 2016 VIDEO BY DR. ALEXANDER SALERNO
Patients with sleep apnea, it’s the old saying, quality versus quantity. They do not get the quality sleep because they don’t get enough oxygen. That, in turn, can lead to daytime fatigue, lack of energy, headaches, uncontrolled and difficult to control blood pressure. When the oxygen levels go down they could actually increase your risk for a cardiac arrhythmia, which means an irregular heartbeat. So that’s why you really can call sleep apnea a silent killer.
Take your smartphone, hit the recording button, put it by your bedstand, and then replay it in the morning and listen to what happens at night while you’re sleeping. Snoring, choking, not breathing for several seconds, or waking up gasping suddenly or choking for air, those are the signs or symptoms. Weight loss obviously is a major option, surgery is a second option and then third, and most common, is sleeping with an oxygen machine. So when you wake up the next day, you actually wake up refreshed. If you have questions, ask.
Remember Knowledge is Power and you have to be an informed consumer them make the right choice.
Salerno Medical Associates’ Dr Alexander Salerno talks Sleep Apnea: Causes and Treatment. Find out why Knowledge Is Power.
Knowledge is Power
SALERNO MEDICAL ASSOCIATES: A FAMILY LEGACY OF CARE
JANUARY 16, 2016 VIDEO BY DR. ALEXANDER SALERNO
613 Park Avenue in East Orange is the office of Salerno Medical Associates. It may seem like just another building on this wide urban street, but it’s a building rich in history. A symbol of one family’s dedication to the community they have chosen to support for nearly a century. “You’re looking at a 19th century building that houses a 21st century practice. My father purchased the building, Alfonse Salerno, in the early 1950’s as his first home office. It was also the home for my grandparents. And, in fact, my grandmother was to face that greeted patients for many years as they came through the doors.
My father continued to maintain his presence here for 59 years. My mother’s also a physician, she continues to practice part time, she was one of the first female physicians in Newark. So it’s more than just an office, it’s more than just brick and mortar. It’s about history, it’s about tradition, it’s about our family taking care of your family.”
Salerno Medical Associates became a leader and advocate for the health and well-being of the increasingly urban community of East Orange and surrounding areas.
“During the sixties, during the race riots, when Newark was burning and on fire, many businesses, many doctors chose to leave the area, never to come back. But my mother and father stayed during the riots, and more importantly, after the riots to be part of the healing and rebuilding of the city and its people.” In the 1970’s a new generation was born who chose to carry on the family business into the 21st century.
“Growing up as an only child, I used to go with my parents on hospital rounds, house calls to both of their offices, and just see how to interacted with people. It’s something you don’t learn from a textbook, it’s something you just inherently see and develop and that was what was instilled in me. And so to me, it’s about compassion to the patient, it’s about commitment and sacrifice that I saw my parents do every day of my life, not because they had to but because they want to.”
Dr. Alexander Salerno, a former United States Air Force captain, chose to not only establishes practice here, but to take it to the next level, to meet the evolving needs of the community it serves. “When I joined my mom’s practice, and then eventually incorporated my dad’s practice, we formed Salerno Medical Associates in 2001. Initially, it was a primary care practice, but looking at changing community needs, we gradually expanded on the services and today it’s a one-stop shop. You can see a cardiologist, a pulmonologist, a gastroenterologist, a podiatrist, women’s health, preventative care, chronic care.
It has over 50 employees, it operates six days a week, it serves over 10,000 active patients.” In addition to expanding services, Dr. Salerno has also kept some long-held traditions intact, including Salerno Medical Associates house call program, which is one of the longest running programs of its kind in the area. Now called CHOP or Community Health Care Outreach Program, its services not only homebound seniors but also has expanded to address the needs of those with mental health issues.
In 2010, Dr. Salerno launched the Urban Healthcare Initiative Program, or UHIP, to address the growing disparity in healthcare outcomes in the urban community through education outreach programs.
He and his team reach out to the community through local churches, community centers, even barbershops. “I looked at Salerno Medical Associates to really take it to the next level, not be a follower but be a leader. In the old days, medicine was focused on treating problems, today medicine is about preventing problems. So we shifted the paradigm from reactive medicine to proactive medicine. As my dad used to say, a pound of prevention is better than a ton of treatment.” The building underwent major renovations between 2005 and 2007, building on the legacy of his family’s vision. “You know, when you walk in through that door, you’re not in your typical medical, sterile, medical office. I want it to be inviting, I want it to be comfortable, I want it to be welcoming, because it’s stressful enough to go to a doctor’s office. So my concept is I want it to be a home.”
Salerno Medical Associates has received numerous accolades over the years including being recognized by United Healthcare as a top healthcare metrics provider and earned the highest ranking for stellar care in a Horizon piloted patient-centered medical home program. But the real testament to the practice is the people. Generations of families have made Salerno Medical Associates their primary care provide. “I’ve been coming here for 36 years.
Three generations of my family has come here. And I keep coming because his concern is his patients. And I wouldn’t go any place else.”
“It’s an honor to be trusted to take care of the lives of people. At the end of the day, I want SMA to be a continuation of what my mother and father started. Where it’s still about passion, about holding a patient’s hand, about listening, about talking and about connecting with the community.”