June, 2015

Calcium is import for bone health

3 myths about dairy-free foods

Calcium is important even when you're older, and milk can be a fine way to get it

Published: June 05, 2015 01:45 PM
ConsumerReports.org

Have you sworn off dairy? Maybe you think it will ease your stomach woes. Or, now that you're middle-aged, you assume your bones don't need as much. Or maybe you're just drawn to all the dairy-free options now on supermarket shelves, including dairy-free ice cream, yogurt, and coffee creamer. Should you join the crowd? Probably not. "Unless you have a medical reason to skip dairy, such as an allergy to milk protein, adults can benefit by eating some dairy every day," says Consumer Reports chief medical adviser Marvin M. Lipman, M.D.

Here we take a look at some common myths about milk and other dairy products.

Myth 1: After age 30 you don't need calcium for your bones

It's true that you reach peak bone mass by age 30, so getting calcium before that age is key, so you build as much healthy bone as you can. But calcium is still important. That's because after age 30 your bone mass begins to decrease, and not getting enough calcium in your diet speeds that loss. Adults age 19 to 50 need 1,000 milligrams (mg) of calcium per day, according to the National Institutes of Health. Women 50 and older and men 70 and older should aim for a daily dose of 1,200 mg.

Calcium is critical for many of the body’s basic functions, including regulating your heartbeat, says Victor Khabie, M.D. chief of sports medicine at Northern Westchester Hospital in Mount Kisco, New York. “The bones are a storehouse for calcium and if you're not ingesting enough orally then the body will take calcium from your bones to keep the level of calcium in your blood normal.” And that can lead to osteoporosis, or brittle bones. The body also requires adequate protein and vitamin D to “remodel” bone, the process that keeps bone healthy.

Myth 2: Calcium from pills is as good as calcium from food

Getting your calcium from dairy products is a good idea for several reasons. First, to keep bones healthy you need calcium, protein, and vitamin D. Dairy products deliver all three in one tidy package. For example, three cups of fortified non-fat milk provides about 900 mg of calcium, 25g protein, and 350 IU of vitamin D.

To get a day’s calcium supply without dairy takes careful planning. For example, you could eat 8 ounces of cooked broccoli, 3 ounces of canned sardines (with the soft bones), 2 oranges, 8 ounces of frozen collard greens, and 8 ounces of frozen green soy beans. And some research even suggests that getting too much calcium from supplements may be bad for your heart.

If you don't like milk, "Try adding yogurt to your diet," says Maxine Siegel, Consumer Reports registered dietitian Maxine Siegel, "and if it contains live-active cultures you'll also get a dose of probiotics, which may have health benefits."

Myth 3: I have to give up all dairy because I'm lactose intolerant

If you’re forsaking dairy because eating it brings on diarrhea, abdominal pain, and flatulence, there’s a good chance you are lactose intolerant—you don’t produce enough lactase, the enzyme that breaks down lactose.

The problem is common. It affects 80 to 95 percent of Native Americans, 65 to 75 percent of African Americans, and 7 to 20 percent of Caucasians. Among Asians the rate can exceed 90 percent. But just because lactose intolerance is common, don't assume that you are. Instead, if you suspect the condition accounts for your stomach woes, ask your doctor to test for the problem with a simple blood or breath test.

And even if you are intolerant, that doesn't mean you have to give up dairy entirely. There's an array of lactose-free dairy products on store shelves. "Lactose-free milk, cheese and yogurt contains all the beneficial ingredients without the lactose," Siegel says.

The bottom line

Dairy foods have garnered a bad reputation in some circles, but according to our experts, that bad rap is based on myths rather than actual science. In addition to promoting bone health, research shows that low-fat milk drinkers have a reduced risk of cardiovascular disease and type 2 diabetes. “Looking at the evidence, not only is milk not harmful, but for the average individual, milk is beneficial," says Robert Heaney, M.D, a calcium researcher at Creighton University in Omaha.

It's a good idea to limit whole milk and other full-fat dairy products that are high in saturated fat, which can put you at risk of heart disease. But unless you have a diagnosed medical reason to avoid it, low-fat or fat-free milk, cheese and yogurt deserves a place on your daily menu.

—Lauren Cooper - Consumer Reports

Robot-Assisted Knee Surgery

Dr. Victor Khabie performs NY's 1st robot-assisted knee surgery with Navio — 5 key notes

Written by  Laura Dyrda | Friday, 29 May 2015 00:00

 

Dr. Victor Khabie

 

Here are five things to know:

1. Several surgeons have been trained in the procedure at Northern Westchester hospital, including Evan H. Karas, MD, Victor Khabie, MD, Eric Grossman, MD, Stuart T. Styles, MD, David J. Yasgur, MD, and Jeffrey H. Yormak, MD.

2. The Navio system provides robotic guidance during partial knee replacements, designed to increase the procedure's accuracy.

3. The technology integrates a handheld intelligent instrument with intuitive CT-free registration and patient-specific planning process.

4. Software guides are also included with the technology, allowing surgeons to create implant plans that localize components and balance soft tissue. The technology then helps surgeons generate a virtual surgical plan in the place of a standard mechanical cutting guide and jigs.

5. Incisions are less traumatic and allow patients to recovery more quickly than total knee replacements for the appropriately-indicated patient.

 

Rotator Cuff Injury

The Chappaqua Daily Voice

posted May 8, 2015

Manny Pacquiao, Punching Power and the Role of the Rotator Cuff

Dr. Victor Khabie, Chief of the Department of Surgery and Chief of Sports Medicine at Northern Westchester Hospital in Mount Kisco, NY dispenses advice on rotator cuff surgery in light of professional boxer Manny Pacquiao’s shoulder injury.

When Dr. Khabie is not performing orthopedic surgery, he is a Ring Side Physician for the New York State Athletic Commission where he cares for professional boxers and has been present at ringside for numerous world championship bouts.

Dr. Khabie says, “It will be very difficult to box at a high level with a rotator cuff tear. The rotator cuff is critical in generating the punching power that boxers require to fight effectively. I believe that his injury significantly influenced the outcome of the recent high-profile fight against Floyd Mayweather.”

He adds, “The good news is that rotator cuff surgery is generally a very successful operation but can take one year to fully heal. A rematch in one year may be of interest to fight fans as Pacquiao would be at full force and would probably make a more competitive opponent. Mayweather will want to prove that he can beat Pacquiao when Pacquiao is back at full force and injury free.”

A lot of people, not just professional athletes, tear the rotator cuff in their shoulders. Dr. Khabie shares his thoughts on the signs of an injury, and what to expect when having rotator cuff surgery.

Signs of a rotator cuff injury

“If an individual has pain in their shoulder for more than seven days, experiences pain in their shoulder while he or she is trying to sleep at night, or has trouble lifting their arm above their head, it is time to see an orthopedic surgeon to see what is going on.”

Dr. Khabie adds that, “If someone sustains an injury while engaging physical activity, or a heavy object falls on the shoulder, he or she should have it looked at by an orthopedic surgeon to get to the bottom of the injury sustained.”

Can this surgery be avoided?

“Sometimes,” says Dr. Khabie. “If there isn’t in fact  a tear, physical therapy can often help along with exercises at home using an exercise band.”

Why would someone have the surgery?

“When a rotator cuff tears, it is no longer connected to the bone in the shoulder, called the humerus. It can only be reattached with surgery,” says Dr. Khabie.

How long is the hospital stay?

“Rotator cuff surgery patients go home the same day as the procedure. We operate on our patients arthroscopically, meaning we use only tiny incisions, which is much less invasive and speeds up the recovery time,” says Dr. Khabie.

What is the recovery like?

“Patients spend about four to six weeks with their arm in a sling. It takes several months to recover. After six months, most people are cleared to begin normal physical activity and exercise, or in the case of a professional athlete, they can begin training,” says Dr. Khabie. “After nine months, most patients feel back to normal.”

Editor’s Note:
Dr. Victor Khabie, MD, FAAOS, FACS is a member of the Somers Orthopedic Surgery and Sports Medicine Group. Dr. Khabie received his medical degree from Harvard Medical School and completed his fellowship in sports medicine at the world-renowned Kerlan-Jobe Orthopaedic Clinic in Los Angeles, California, where he served as assistant team physician to professional sports teams including the LA Lakers, Dodgers, Kings, Mighty Ducks, LA Sparks, and the USC Trojan football team.