Eating grapes reduces knee pain

grapes-384x288

Suffering from knee pain? Adding grapes to your diet can help you lessen that excruciating knee pain.

Daily grape consumption may help alleviate pain associated with symptomatic osteoarthritis of the knee and improve joint flexibility and overall mobility, a research said.

This is possible because of polyphenols (antioxidants) found in grapes.
“Our findings provide promising data that links grape consumption to two very important outcomes for those living with knee osteoarthritis: reduced pain and improvements in joint flexibility,” said Shanil Juma from Texas Woman’s University, US.

During the study, researchers assigned 72 men and women with knee osteoarthritis (OA) to either consume grapes in the form of a whole grape freeze-dried powder or a placebo powder.

The results showed that both men and women consuming a grape-enriched diet had a significant decrease in self-reported pain related to activity and an overall decrease in total knee symptoms.
This beneficial effect was more pronounced in females.
Evidence of increased cartilage metabolism was observed in men consuming the grape-enriched diet, the study noted.
Osteoarthritis is more likely to occur in people over 45 years of age, and women are more likely to have osteoarthritis than men.

Source: Yahoo news


Top 15 Juice Recipes for Good Health

carrotjuice_1__600x450

Give your body a much-deserved makeover with these healthy and refreshing juices with amazing benefits from clear skin to healthy detox.

Healthy juices are a great snack to tide you over between meals. All you need is a blender, fresh fruits or vegetables and milk. Juices will not only fill you up but are also healthy. We list out 15 top juice recipes that work well at anytime, any season.

organ cleansing detox juice recipe
Ingredients:
• 2 grapefruits
• 1 medium-sized beetroot
• 1 green apple
• 1 small lemon
• 1-inch ginger root (optional)
Method:
Mix all the above ingredients together in a blender and consume the juice immediately.

Vegetable juice recipe
Ingredients:
• Fresh cabbage (band gobhi) – 125 gms
• Fresh lemon ( nimbu ) – 1
• Celery ( ajmoda shaak ) – 25 gms
• Fresh pear ( naashpati ) – 250 gms
• Ginger root (adrak)- 1 inch
• Filtered Water – 500 ml
• Fresh Mint (pudina ) – 4 to 5 leaves
Method:
1. Chop the pear, cabbage, celery and ginger into small pieces and put it in a blender along with a cup of water; blend well for 1 minute.
2. Add the fresh lemon juice to the blended juice. Pour the juice in a glass and serve chilled with mint leaves.

Beetroot and Carrot Juice
If you love juices then introduce yourself with a nutrient-abundant beetroot-carrot juice. This juice provides health benefits from head to toe, especially for good vision. Try this juicy recipe to colour your diet with fibre, minerals and carotenoids.

Ingredients:
• 1 beetroot
• 1/2 kg carrots
• 1/2 piece of ginger (adrak)
• 2 tbsp (chopped) mint leaves (phudina)
• Black salt (sanchal) to taste
• 1 tbsp lemon juice
Method:
1. Blend all the ingredients in a mixer with some water except black salt and lemon juice.
2. Strain the liquid.
3. Pour in a glass add black salt, lemon juice and ice cubes.
4. Garnish with mint leaves.

Ingredients:
• 1 ¼ (chopped) spinach leaves (without stems and tough rib)
• 1 cup chilled fresh orange juice
• 1 ¼ cup cubed mango
• ¼ cup (chopped) fresh mint
• 2 medium ribs celery (finely chopped)
• ¼ cup (chopped) flat-leaf parsley

Method:
1. Combine all ingredients in a blender.
2. Keep blending it, until it is a smooth puree.
3. Pour into two chilled glasses and sip it.

Cabbage, Cucumber, Grapejuice recipe
Ingredients:
• 1/2 head purple cabbage
• 2 large cucumbers
• 2 handfuls purple grapes

Method:
• Wash all the ingredients thoroughly.
• Juice the cabbage, cucumbers and grapes in a juicer and drink immediately.

Watermelon Smoothie

Ingredients:
• 1 ½ cup roughly chopped watermelon
• 1 ½ musk melon (if you have some. Or you could add some more watermelon)
• Juice of 2 lemons
• 1 cup skimmed yogurt
• Some ice cubes

Method: Add all ingredients to a blender and blend into a smooth consistency. Enjoy your watermelon smoothie!

Natural Peanut Butter and Banana Smoothie

Ingredients:
• 100ml ice
• 200ml skimmed yogurt
• 1 tbs natural preservative-free peanut butter
• 1 chopped (ripe) banana
• 1 tsp honey

Method:
Blend all ingredients together, and add a little milk (if needed) to get a thin drinking consistency for this natural peanut butter and banana smoothie.
Green tea and mango splash
Experience the island winds as you sip this cooling concoction prepared with a mixture of fresh mangoes and green tea.
You can add strawberry or any other fruit you like.

Ingredients:
• 1 cantaloupe
• 1-2 Tbsp of raw ginger

Method:
• wash cantaloupe well. Slice.
• Slice of outer rind.
• You can juice the cantaloupe with or without the seeds. I juiced it with the seeds and loved it. It is a tad sweeter without the seeds.
• Juice in the ginger as well.
• Serve or chill.

Super Sinus Juice

Ingredients:
• 1 large orange or minola, peeled
• 1/2 lemon, de-seeded and peeled
• 1 medium sweet or tart apple, chopped
• 1 Tbsp fresh ginger, skin removed
• Cayenne spice

Directions:

Wash all your ingredients.Peel your orange and 1/2 lemon – and remove the lemon seeds. Orange seeds are OK, since they aren’t as bitter. Chop your apple into chunks that will fit in your juicer. You can juice the entire apple – core and all. Chop ginger into small chunks. Before you start juicing, be aware that there are two procedures for this juice. You can use just your electric juicer. Or you can use both an electric juicer and a citrus juicer: Add the citrus directly to your juicer and juice it pulp/skin and all. This will result in a ‘thicker’ juice since some of the pulp/skin juice will be extracted and is a bit thicker than pure citrus juice. Juice the citrus in a citrus juicer/squeezer separately and add it to the apple/ginger juice. This will result in a thinner, less pulpy juice. Your choice. Start juicing all your ingredients. Stir gently to swirl the flavors. Pour into serving glasses and top with cayenne. One tiny pinch to a few bold dashes will work. You can always add more later.

Almond Papaya and Banana Smoothie

Ingredients:
• 100ml ice
• 200ml skimmed yogurt
• 1 chopped (ripe) banana
• 1 cup chopped (ripe) papaya
• 5-8 almonds
•1 tsp drinking chocolate or coffee (for the strong hearted)

Method:
Blend all ingredients together for an icy cold and smooth almond papaya and banana smoothie.

Peach lychee Juice

Ingredients:
•1 (20-ounce) can lychees in syrup, drained and rinsed (or 20 peeled and seeded lychees)
•1 cup frozen and thawed sliced peaches (7 ounces)
•3/4 cup coconut water (or water)

Preparation:
In a blender, combine lychees, peaches, and coconut water; blend, scraping down sides occasionally, until smooth. Strain juice and, if desired, thin with water. Refrigerate up to 2 days (shake before serving).

Berry Green Smoothie

Ingredients:
• 1/2 cup Greek yoghurt (or normal yoghurt without whey)
• 1 cup berries (strawberries, blueberries, blackberries etc)
• 1 cup spinach
• 1 tbsp bran
• Ice cubes as required

Method:
1. Add yoghurt and spinach and blend until blended
2. Add the berries, bran and ice cubes to this and blend until smooth
3. Serve immediately

Mango Juice

Ingredients:
• 1 banana
• 1/2 cup yogurt
• 1 cup orange juice
• 1 cup ice cubes

Method:
Add 1 banana, 1/2 cup yogurt, 1 cup orange juice, and 1 cup ice cubes to a blender and blend. Now add 1 large, chilled mango (chopped) and pulse till it blends well.

Source: yahoo news


5 ways to stop snoring

snoring_377x171_103923127

There’s no miracle cure for snoring, but lifestyle changes may help.  As snoring can be related to lifestyle, there are some simple changes you can make to minimize it.

Snoring self-help tips:

Maintain a healthy diet and weight. Being overweight by just a few kilograms can lead to snoring. Fatty tissue around your neck squeezes the airway and prevents air from flowing in and out freely.
Try to sleep on your side rather than your back. While sleeping on your back, your tongue, chin and any excess fatty tissue under your chin will probably relax and squash your airway. Sleeping on your side prevents this.

Avoid alcohol before going to bed. Alcohol causes the muscles to relax more than usual during a normal night’s sleep. This added relaxation of the muscles makes the back of the throat collapse more readily, which then causes snoring.

Quit or cut down on smoking. Cigarette smoke irritates the lining of the nasal cavity and throat, causing swelling and catarrh. If the nasal passages become congested, it’s difficult to breathe through your nose because the airflow is decreased.

Keep your nasal passages clear so that you breathe in through your nose rather than your mouth. Try rubbing a few drops of eucalyptus or olbas oil onto your pillowcase. If an allergy is blocking your nose, try antihistamine tablets or a nasal spray. Ask your pharmacist for advice, and see your GP if you’re affected by an allergy or condition that affects your nose or breathing.

Source: NHS

 


Plugging leaky blood vessels to save vision

Red-Eye-1-200x300A new drug approach has been developed for safer clean-up of deformed blood vessels in the eye by a research team at the Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital in Toronto.

The growth of malformed blood vessels that can burst is a leading cause of vision loss in North America. Retinopathy and retina degeneration are associated with premature birth, with diabetes, and with increasing age.
Research just published by Dr. Andras Nagy and co-authors shows both safety and effectiveness in their bioengineered compound when treating retinopathy in mice. The therapeutic, which they called “Sticky-trap,” shuts down tiny deformed blood vessels in the eye without affecting healthy vessels in other sites of the body.

The research appears in EMBO Molecular Medicine, which published a separate editorial stating that the compound “holds great promise as a strategy that could be rapidly translated into clinical practice. […] We expect that Sticky-trap and future related molecules will have significant impact on the field of tumour biology in local control of recurrent disease. […]”

Dr. Nagy is a Senior Investigator at the Lunenfeld-Tanenbaum and holds a Canada Research Chair in Stem Cells and Regeneration. He is a Professor in the Department of Obstetrics and Gynacology at University of Toronto and an Investigator at the McEwen Centre for Regenerative Medicine. Co-authors include colleagues from University of California Los Angeles, The Scripps Research Institute (La Jolla CA), University of Toronto, and the Lunenfeld-Tanenbaum.

Selective action is key to safety
Like some other treatments for retinopathy, Sticky-trap is injected into the eye. The potential game-changer is Sticky-trap’s safety profile. It is stable and long-lasting once in the eye. If the compound gets into the circulation, it quickly inactivates — ensuring that it does not affect other blood vessels, tissues, and organs.
A problem in this research arena — called antiangiogenesis — has been finding a compound that is selective, closing off abnormal blood vessels only in the diseased organ while leaving all others intact. “That’s difficult, and it’s what makes this research high-risk as well as high-impact,” Dr. Nagy says.

Type 2 diabetes illustrates the challenge. “Patients with diabetic retinopathy are losing vision because blood vessels in their eyes overgrow, become deformed and burst, often tearing the retina in the process. Drugs that suppress the excess vessel formation in the eye could negatively affect healthy organs if they escape into the blood, causing kidney function problems, poor wound healing, and hypertension,” Dr. Nagy adds. These side effects are serious health threats that the Sticky-trap approach can avoid.

Advanced bioengineering
Over the nine years it took to bring the project to fruition, Dr. Nagy’s team used cutting-edge genetic and pharmacological techniques to engineer the new two-step biologics. Sticky-trap includes a binding component that attaches to the surface of cells, ensuring that it remains in place and is stable, as well as the biologically active component. “That’s important when a treatment involves injection directly into a diseased tissue,” says first author Dr. Iacovos Michael, a post-doctoral fellow in the Nagy lab.

“The longer-acting it is, the fewer injections a patient will need.” He adds that the project “is just the beginning for the establishment of a new class of pharmacological entity, ‘sticky’ biologics, characterized by localized, targeted activity. The same principle could be used to develop similar local-acting biologics for other conditions such as inflammatory and autoimmune diseases.”
Dr. Nagy is renowned for his work in stem cells, blood vessel biology, and creating genetic tools in cancer cells, among other areas. His team is also working on applications of the two step Sticky-trap for solid tumours.

Upon publication on May 6, Sticky-trap became available to biotech and pharmaceutical companies to adapt and develop.
“The significant advance in this approach is its built-in precision guidance system,” says Dr. Jim Woodgett, Director of the Lunenfeld-Tanenbaum. “Worldwide research efforts have developed powerful agents that can treat diseased tissues but if they cannot be steered to where they are needed, they can also cause collateral damage. The initial application to diabetic retinopathy shows proof-of-principle in a very important disease, but the approach can be adapted to other powerful drugs and diseases where localized activity is needed.”

Source: science daily


One bottle wine a day keeps the doctor away!

bottle-wine

Scientists have revealed that a bottle of wine a day is not bad for the health and abstaining is worse than drinking.
Former World Health Organisation expert has claimed that alcohol is only harmful when it is consumed 13 units in a day, the Independent reported.

Kari Poikolainen, who has analysed decades of research into the effects of alcohol on the human body, revealed that drinking more than the current recommended daily intake may in fact be healthier than being a teetotaler.

Poikolainen added that the weight of the evidence shows moderate drinking is better than abstaining and heavy drinking is worse than abstaining, but moderate amounts can be higher than the guidelines say

Source: Yahoo news

 


Why you should stop using your phone in the bathroom

image

You should probably stop bringing your phone into the bathroom with you, because there’s more growing on it than you think.

Anne Bialachowski, manager of infection control at St. Joseph’s Healthcare in Hamilton, was testing smartphones and tablets at St. Joseph’s on Monday as part of World Hand Hygiene Day, and found that some devices were more than just grimy.

Using an ATP test, which measures organic material that gets left behind on surfaces, Bialachowski found some phones and tablets had scads of things living on them — that organic material could be anything from fecal matter and E. coli, to the virus that causes the flu.

“It’s pathogens — so things that we worry about daily,” Bialachowski told CBC Hamilton. “And no, it’s probably not a good idea to take your phone into the bathroom with you.”

A clean reading on the ATP test is a score of 30, but some of the devices swabbed at St. Joseph’s had readings of over 100 — one person’s cellphone even had a reading of 400.

It’s hard to say exactly what part the rise of hand-held devices has played in the spread of pathogens, as few studies have been conducted on the issue, Bialachowski says. But it has added a new level of concern at hospitals, she adds. “With every new example of technology, it adds a layer of intricacy to our work.”

According to a U.K.-wide study by scientists from the London School of Hygiene and Topical Medicine and Queen Mary University of London, one in six mobile phones in Britain was contaminated with E. coli bacteria. Fecal bacteria and viruses like the flu can survive on someone’s hands and on surfaces for hours at a pop, especially in warm temperatures away from sunlight.

Pathogens like C. difficile can even live on a device for days, Bialachowski says.

And if people really want to use their phone as a replacement for a magazine or bathroom reader, you should get into the habit of wiping it down with a cloth after washing your hands, she says. A test with a simple dry cloth also performed at the hospital removed most problem germs.

But stay away from chemicals and sprays — they’re generally harmful for electronics.

Source: CBC


WHO finds Indian cities have dirtiest air; Chinese data foggy

Vendors selling drinks stand beside vehicles near the India Gate war memorial on a smoggy day in New Delhi

An effort by the World Health Organization to measure pollution in cities around the world has found New Delhi admits to having the dirtiest air, while Beijing’s measurements, like its skies, are far from clear.

The study of 1,600 cities found air pollution had worsened since a smaller survey in 2011, especially in poorer countries, putting city-dwellers at higher risk of cancer, stroke and heart disease.

Air pollution killed about 7 million people in 2012, making it the worl ..

Thirteen of the dirtiest 20 cities were Indian, with New Delhi, Patna, Gwalior and Raipur in the top four spots. The Indian capital had an annual average of 153 micrograms of small particulates, known as PM2.5, per cubic metre.

Beijing, notorious for the smog that has prompted some Anglophone residents to dub it “Greyjing”, was in 77th place with a PM2.5 reading of 56, little over one-third of Delhi’s pollution level.

WHO experts said the Chinese data was from 2010, the most recent year made available to them by China. But Beijing’s city government began publishing hourly PM2.5 data in January 2012.

A year after it started publishing data, Beijing’s air quality hit the “worst on record” according to Greenpeace, with a PM2.5 reading as high as 900 on one occasion.

Beijing’s government said last month that PM2.5 concentrations stood at a daily average of 89.5 micrograms per cubic metre in 2013 ..

At the cleaner end of the table, 32 cities reported a PM2.5 reading of less than 5. Three-quarters of those were Canadian, including Vancouver, one was Hafnarfjordur in Iceland and the other seven were American.

WHO experts insisted the survey was not intended to name and shame the dirtiest cities, since the cities involved were volunteering the information to try to help themselves clean up.

Maria Neira, WHO Director for Public Health, Environmental and Social Determinants of Health, said the aim was to “challenge” cities and thought the survey would help them to become more open about their dirty air, which is often caused by burning coal, smokestack industries and heavy traffic.

She rejected any suggestion that China might be cheating and said it was becoming much more sophisticated about collecting air pollution data, with a new push to clean up the big cities.

“We are very much discussing with China putting on the table the issue of air pollution. Our director general (Margaret Chan) was recently there and she declared that China was one of the countries with major problems with air pollution. We will continue discussions on that to make sure that relevant measures are in place to reduce air pollution.”
Source: Economic times


Processed cheese and colas kick-start production of harmful hormone

processed-cheese-slices

After sodium and fat content, a new study suggests adding phosphates to the list of unhealthy ingredients to look out for on nutritional labels, after making a connection between high blood pressure, heart disease and phosphate consumption.

Widely used as a food preservative and stabilizer, phosphates can be found in foods like processed cheeses, Parmesan, colas, baking powder and cured meats.

But after looking at the relationship between kidney disease, heart disease and high blood pressure, scientists in Vienna found that large amounts of phosphates can kick-start the production of a hormone called FGF23 in the bones, which puts strain on the heart and can lead to high blood pressure.

In their study, researchers found that mice with low levels of FGF23 excrete higher amounts of sodium in their urine, resulting in low blood pressure.

By contrast, animals with high levels of FGF23 were unable to excrete excess sodium, resulting in high blood pressure.

The problem is particularly worrisome for patients who suffer from kidney disease, as levels of phosphates and FGF23 are chronically high, putting them at increased risk of cardiovascular disease and high blood pressure.
The latest findings, published in the May issue of EMBO Molecular Medicine, build on previous research carried out by the same group that found the same hormone also controls calcium levels. Excess levels of FGF23 were seen to lead to increased take-up of calcium by the kidneys, resulting in vascular calcification.

Foods high in inorganic phosphates that should be limited include processed meats like ham and sausages, canned fish, baked goods, cola and fellow sugary soft drinks.

Source: ctv news


Early Fitness Can Improve the Middle-Age Brain

fitness

The more physically active you are at age 25, the better your thinking tends to be when you reach middle age, according to a large-scale new study. Encouragingly, the findings also suggest that if you negligently neglected to exercise when young, you can start now and still improve the health of your brain.

Those of us past age 40 are generally familiar with those first glimmerings of forgetfulness and muddled thinking. We can’t easily recall people’s names, certain words, or where we left the car keys. “It’s what we scientists call having a C.R.S. problem,” said David R. Jacobs, a professor of public health at the University of Minnesota in Minneapolis and a co-author of the new study. “You can’t remember stuff.”

But these slight, midlife declines in thinking skills strike some people later or less severely than others, and scientists have not known why. Genetics almost certainly play a role, most researchers agree. Yet the contribution of lifestyle, and in particular of exercise habits, has been unclear.

So recently, Dr. Jacobs and colleagues from universities in the United States and overseas turned to a large trove of data collected over several decades for the Cardia study. The study, whose name is short for Coronary Artery Risk Development in Young Adults, began in the mid-1980s with the recruitment of thousands of men and women then ages 18 to 30 who underwent health testing to determine their cholesterol levels, blood pressure and other measures. Many of the volunteers also completed a treadmill run to exhaustion, during which they strode at an increasingly brisk pace until they could go no farther. The average time to exhaustion among these young adults was 10 minutes, meaning that most were moderately but not tremendously fit.

Twenty-five years later, several thousand of the original volunteers, now ages 43 to 54, were asked to repeat their treadmill run. Most quit much sooner now, with their running times generally lasting seven minutes or less, although a few ran longer in middle age than they had as relative youngsters.

Then, the volunteers completed a battery of cognitive tests intended to measure their memory and executive function, which is the ability to make speedy, accurate judgments and decisions. The volunteers had to remember lists of words and distinguish colors from texts, so that when, for example, the word “yellow” flashed onto a screen in green ink, they would note the color, not the word. (The participants did not undergo similar memory tests in their 20s.)

The results, published last month in Neurology, are both notable and sobering. Those volunteers who had been the most fit as young adults, who had managed to run for more than 10 minutes before quitting, generally performed best on the cognitive tests in middle age. For every additional minute that someone had been able to run as a young adult, he or she could usually remember about one additional word from the lists and make one fewer mistake in distinguishing colors and texts.

That difference in performance, obviously, is slight, but represents about a year’s worth of difference in what most scientists would consider normal brain aging, Dr. Jacobs said. So the 50-year-old who could remember one word more than his age-matched fellows would be presumed to have the brain of a 49-year-old, a bonus that potentially could be magnified later, Dr. Jacobs added. “In other studies, every additional word that someone remembered on the memory test in middle age was associated with nearly a 20 percent decrease in the risk of developing dementia” in old age, he said.

In essence, the findings suggest that the ability to think well in middle age depends to a surprisingly large degree on your lifestyle as a young adult. “It looks like the roots of cognitive decline go back decades,” Dr. Jacobs said.

Which would be a bummer for anyone who spent his or her early adulthood in happy, heedless physical sloth, if the scientists hadn’t also found that those few of their volunteers who had improved their aerobic fitness in the intervening years now performed better on the cognitive tests than those whose fitness had remained about the same or declined. “It’s a cliché, but it really is never too late to start exercising,” Dr. Jacobs said, if you wish to sharpen your thinking skills.

This study did not examine why exercise may increase brainpower. But, Dr. Jacobs said, other studies, including some that have used the same data from the Cardia study, suggest that out-of-shape young people have poor cholesterol profiles and other markers of cardiovascular health that, over time, may contribute to the development of plaques in the blood vessels leading to the brain, eventually impeding blood flow to the brain and impairing its ability to function.

“The lesson is that people need to be moving throughout their lives,” Dr. Jacobs said.

Source: New York Times


An Aspirin a Day? Don’t Dose Yourself, FDA Says

aspirin_140505

Taking an aspirin a day may help prevent heart attack or stroke in some people, but it’s not for everyone — and the common drug can have serious side effects that offset the benefits.

That’s the reminder Monday from health officials at the federal Food and Drug Administration, who have finally told giant drugmaker Bayer Corp. not to expect the agency to give the go-ahead for labels listing aspirin as a drug for primary prevention of heart attacks and other problems.

Instead, the recommendation for daily doses of therapeutic aspirin remains the same: It should be used only in people at high risk for heart attack and stroke, and then only under a doctor’s care.

“You should use daily aspirin therapy only after first talking to your health care professional, who can weigh the risks and benefits,” said Dr. Robert Temple, the FDA’s deputy director for clinical science.

Some studies have shown that taking doses ranging from an 81-milligram baby aspirin to a 325-milligram full-strength tablet can be helpful and aspirin therapy is recommended for those who’ve had a heart attack or who are at high risk for one.

But no one should be taking daily aspirin just because they think it’s a good idea, said Dr. Richard Chazal, vice president of the American College of Cardiology.

“There’s been sort of a conception that since aspirin is so good that maybe it would be a good idea if everyone took it,” he said. “But the data don’t really support that.”

Aspirin is a blood thinner, which helps with heart attack and stroke, but also carries risk of dangerous bleeding in the stomach or brain. People need individual assessment of their health condition to determine whether aspirin is right for them.

Bayer asked the FDA in 2003 to allow label changes, citing studies that showed daily low-dose aspirin appeared to cut the risk of cardiac problems and stroke. The agency finally sent the firm an answer on Friday, saying that subsequent studies don’t show a significant benefit of aspirin for primary prevention uses.

But both FDA and Bayer officials acknowledged that there are a number of ongoing, large scale clinical studies under way to test the use of aspirin for primary prevention of heart attack and stroke. Bayer officials said the results of aspirin use in more than 50,000 patients are expected in the next few years.

One caveat: If you’re already taking aspirin under a doctor’s orders, don’t stop without checking. It can be life-threatening to abruptly halt your dose, said Dr. Steven M. Goldberg, a cardiologist at North Shore Cardiology and Internal Medicine in Great Neck, N.Y.

Source: nbc news