Anchor
Paradise Valley Medical Clinic PC  
Summer Newsletter

        
      
Douglas M. Lakin, MD      
9977 N. 90th Street, Suite 180
Scottsdale, AZ  85258

P: 480.614.5800
F: 480.614.6322 
In This Issue
FROM THE DOC
Six Common Summer Health Issues
4 Surprising Ways to Use Beer This Summer
Our New Patient Portal
Things Happy Couples Do to Stay Together
Pat's Book Review Corner
Fitness Trackers
Dental Tips From Dr Marie
Energy Drinks Worse for Your Heart Than Caffeine Alone
Doctor's Visits...... Why Checkups Are Vital
Yes, There Really Are Millions of Tiny, Dead Bugs In Your Pillows!
Best Sun Screens 2017!
Insights By Steve: Check It Out!
We Need Your Help!
Summer Grilled Salmon Burgers wuth Avocado Salsa
Quick Links
Join Our List
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Join Our Mailing List
FROM THE DOC
Dr Lakin Sitting carteen
AUTHENTICITY
 
Our patient Al Golin passed away a few weeks ago; He was one of the original 'PR men', and a great guy to boot.
 
In honor of him, his agency had put together a series of brief video montages that explained Al's philosophy of life and work, and one of the best stories he shared was about his hotel travels with Ray Kroc, on the road visiting his stores. In it, Al explained the value of authenticity, being real, honest, and open in a natural way; a way that connects with people.
 
In this time of uncertainty about what we are seeing and hearing in the news and media, it is not lost on us here in our office that we offer that authenticity that people are seeking.
 
We truly care about our patients as individuals We are available whenever you need Our goals for you are unbiased; we are looking out for your best interests We acknowledge that we are among the best in the country and that we provide an additional level of service that is of value to our patients and goes beyond what their insurance provides.
 
Stick with us.   Our office is beginning its 44th year this summer and we'll make it to 60 years and beyond....at least that's the plan.


 
 - Yours in good health, 
              Dr. Lakin   
 
VOL 13 / Issue: #3 Summer/ 2017
Six Common Summer Health Issues and What To Do About Them!
 
Feeling dizzy outside? Sprain your ankle while running on an outdoor track? Always craving ice cream?
Summer arrives with sun, humidity and frequently, a whole different host of health concerns. Here are the answers to these questions and a few other summer health problems.

1. Constipation on vacation
A large part of the American population experiences travelers' constipation. That's because when people travel, they experience a change in lifestyle, schedule, diet, fluid intake and activity, which can result in constipation.
Further, the stress of packing or having to use bathrooms in airports, hotels or other peoples' homes can disrupt bowel functions. To combat this (and avoid a stomachache), pack healthy snacks for the road, eat at the same time that you normally would and limit caffeine intake.

2. Dizzy spells
Dizziness has a number of possible causes in the summer including dehydration due to lack of proper fluid intake, or the result of excess caffeine.
If you're prone to feeling dizzy, try wetting a washcloth to put on your wrists or neck, or even sucking on ice cubes throughout the day to continue cooling your body temperature. Remember to boost your water intake during the summer months - people don't realize how much fluid they lose in the heat.

3. Exercise injuries
If you're used to running on a flat surface like a treadmill, your chances for an ankle sprain or injury can increase when you're exercising outside.
If you feel a twinge or something more serious in your ankle joints, it's important to know how to handle it so you don't perpetuate the pain or injury.  It is recommended that you tend to the injury immediately and not trying to "walk it off."
Suggestions:
  • Rest the ankle until it feels comfortable to bear weight.
  • Ice the joint as much as possible to limit the pain and swelling.
  • Compression will also help in controlling any swelling and will limit motion, preventing re-injury - a bandage or ankle wrap will do.
  • Elevate the ankle - this will limit the amount of excess fluid that could travel to the injured area.
After trying this, it's time to decipher if the injury is a more serious one.
If you are unable to bear weight after an ankle injury or 'sprain,' you need to obtain X-rays to confirm that you don't have a fracture.  Tenderness and swelling are commonly present after an ankle sprain, but inability to bear weight is associated with a higher risk of having an ankle fracture."

4. Ice cream cravings
Why is it that we crave ice cream so much more in the summer?  Cold drinks and foods have lower temperatures, which absorb more heat and satisfy your hypothalamus, which helps to control body temperature, thirst and even hunger.
While those cravings aren't such a bad thing, keep in mind that there are delicious homemade and healthy alternatives, such as frozen berries blended with bananas.

5. Difficulty sleeping
If you feel like you're having a harder time sleeping during the summer months, you're not crazy.
If the temperature is too warm when you're sleeping, it can cause your body to stay up.  We normally fall asleep when the body's core temperature drops at night. It's part of the normal circadian rhythm. If the temperature is too warm, we cannot fall asleep, leading to a night of tossing and turning. Sleeping in a cool, dark environment will help your body get the sleep that it needs.
Make sure to set your thermostat lower in the evenings and avoid intense exercising at night, which will cause your body temperature to rise.

6. Excessive thirst
This is common in the summer, especially when you're exercising outside. When you sweat, your blood rushes to the surface of your skin to help prevent your body from overheating.  As you sweat, you lose water and heat and your brain asks you to replenish in the form of thirst.
While water is obviously the best way to stay hydrated, it's important to drink it consistently as opposed to chugging it all at once.  Profusely chugging water can actually lead to dehydrated kidneys as the water may not be making its way to these organs. Excess water could be dispelled through the rectum, because the kidneys can only process half a liter per hour.
Also monitoring your hydration level by looking at the color of your urine: it should be straw-colored to transparent yellow.
And remember to avoid energy drinks. While it IS important to replace lost sodium (salt) as a result of sweating in the heat, consuming energy drinks to rehydrate may actually place you at higher risk for dehydration because of high amounts of caffeine contained in such beverages.

Stay cool, hydrated and in a routine! Remember these tips to relax more and stress less this summer!

                                                     - By Stephanie Mansour, TODAY
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4 Surprising Ways to Use Beer This Summer (Besides Drinking It) . . . .
This summer, many of us will gather in a park or backyard for the unofficial kickoff to - and barbecue season!
Which means lots of beer will be consumed: Sales of the bubbly beverage begin to increase in May, peaking during the late summer, when we're all spending hot, lazy weekends gathered around our grill.
If you find yourself the host of a summer party, it's likely you'll wake up to a dozen half empty beer bottles scattered around the yard. But resist the urge to dump them out! You may be surprised to learn some of the ways you can put those flat suds to use. Use these four beer hacks around your house this summer to get the most out of every single drop:

1. Remove stains
Next time you spill coffee on the rug during a groggy Monday morning, reach for some stale beer leftover from your Sunday Funday. Just pour over the stain and blot with a clean towel.

2. Restore wood
Has your coffee table seen better days? Use flat beer on a clean cloth to restore the luster to wood furniture.

3. Add shine to hair
Time to crack open a shower beer. It turns out that beer can add shine and body to dull hair - thanks to the vitamin B and natural sugars in the beverage. Dump it over your hair, let it sit for a few minutes and then rinse it out with cold water.

4. Ward off bugs
Citronella candles not doing getting the job done? If your guests are getting eaten alive, pour stale beer into buckets and place them in the corners of your backyard. It turns out, small flies and mosquitos are a fan of a cold lager, too. Meaning they will be busy imbibing, and not nibbling on you.

                                                                               - by
Brianna Steinhilber, MSNBC 

                                                


  DR. LAKIN'S NEW SECURE PATIENT PORTAL  
'MyHealthRecord.com'

Dr. Lakin and staff are very excited to announce we have upgraded our secure patient portal!
We changed vendors, and our new secure portal, MyHealthRecord.com, is easier to use and easier for us to respond to your requests.

 

At your convenience
  • View your health record from any Internet-enabled device
  • Exchange secure messages with Dr. Lakin or our staff
  • Request and manage appointments
Anytime access
  • Lab orders
  • Test results
  • Upcoming appointments
  • New Document and articles from Dr Lakin New
To access our new patient portal, MyHealthRecord.com, you are required to complete a short questionnaire.  This is a very simple process.... quick and easy.  If you need assistance, we are always here to help.
   
Call us for your invitation email! 
It will give you all the information you need to use our secure portal, MyHealthRecord.com, for your medical care!
 


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Things Happy Couples Do to Stay Together

 
If you were to create a prescription for a happy relationship, experts recommend including a healthy dose of couples doing nothing together.
The idea of "less is more" - quiet moments in each other's company, without busy activities or other people - slows time down, which gives people the chance to focus on each other in an authentic, mindful way, and reconnect.

Think about your free time
If you notice that whenever you have any free time together, you're always planning an activity or always involving other people, consider that it may benefit your relationship long term to back off that a bit.  Add back some down time.

Let nature help you reconnect
Involve the senses by going to any nature setting, Bernstein recommended. Go for a walk together, smell the flowers, enjoy strolling through a botanical garden, relax on the beach.

Quiet time can be an invitation to talk
"Doing nothing" is an opportunity to attune to each other. If you're sitting and reading a newspaper together, and one spouse points out an interesting article, that's an opportunity for the other spouse to say, "Let me hear about that."  It gets the communication going.

Remember eye contact
Take 30 seconds or a minute to look into your partner's eyes. Enjoy a lingering, mutual gaze, the kind you had when you were first dating.
That's the most you can slow down time and be really mindful.

                                                                                       - Today, Happy Living
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Pat's Book Review Corner.....
 
Summertime implies/suggests vacations, relaxation, positive changes, new directions and reminds us that it's time to "catch our breath"; it's time to renew old interests, friendships and begin new ones and so it is with our pursuit of reading.
 
Depending on interest as well as time, find, take the time to kick back, to relax, as well as excite our interests and challenge our minds.  There is a "feast of books" out there just waiting to be read!.......and here are a few!
 
Suggested titles and select reads include the "Killing Series" by Bill O'Reilly (not a "sleeper" among them!) but some difficult realities hit  the reader hard!). "Killing the Rising Sun" is unforgettable and a piece of history never to be forgotten. Another in the same series is "Killing Patton" also clarifying and informative. O'Reilly presents a consistent thread of successful relating of events and informative historical facts. This series could fill your summer months with hours of satisfying reading, well written, well presented and informative.
 
Perhaps something lighter, something more entertaining is on your agenda.  Return to Spencer Quinn's series "Chet the Dog Detective".A light, entertaining series with humor found thru-out!
 
"Breath iInto Air" by Kalanithi an informative and sensitive account of a young surgeon whose life was cut short sadly too soon but the value of his time spent, well remembered.
 
So renew, re-read, relax! Kick back, revisit past "reads" and pursue new ones! Reading ...always fulfilling,  no matter the season.
 
ENJOY!
Pat











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Fitness Trackers: Good at Measuring Heart Rate, Not So Good At Measuring Calories
 
 Sleek, high-tech wristbands are extremely popular these days, promising to measure heart rate, steps taken during the day, sleep, calories burned and even stress.
And, increasingly, patients are heading to the doctor armed with reams of data gathered from their devices. "They're essentially asking us to digest the data and offer advice about how to avoid cardiovascular disease," says cardiologist Euan Ashley, associate professor of medicine at the Stanford University Medical Center and Stanford Hospital and Clinics in northern California. And, being somewhat near Silicon Valley, he says he gets a lot of tech-savvy patients bringing fitness-tracker data to appointments.
The problem, he says, is that he just didn't know how reliable that data was. So, he and colleagues decided to study seven of the most popular devices and compare their accuracy to the gold-standard tests that doctor's use.

Click here to read more......

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Dental Tips From Dr. Marie. . . . 
Marie_1_2013
Dr. Marie Jacobs
Are Dental Sealants for Patients of All Ages?

Daily brushing and flossing are the best ways to help prevent cavities and maintain good oral health. However, extra protection may be needed to reduce the chance of tooth decay, and dental sealants may act as a barrier in preventing cavities.
 
Sealants are designed to fill in the grooves and pits on the chewing surfaces of "back teeth." By doing this, they prevent bacteria and plaque from being trapped deep in the fissures and pits where the bristles on a toothbrush cannot reach to clean. These pits and fissure cavities are the types of decay that are often asymptomatic and typically difficult to diagnose on an X-ray; therefore, inhibiting the start of decay is a good step to take for prevention.
 
A sealant is a thin layer of resin-based material bonded onto the chewing surface of a tooth, sealing out bacteria and filling in the nooks and crannies of the tooth. Applying sealant is a quick and painless process. The dentist will clean and dry the tooth, or teeth, to be sealed before placing an acidic gel on the tooth's chewing surface. This gel "roughens" the tooth surface so a strong bond will form between the tooth and the sealant. After a few seconds, the gel is rinsed off and the tooth is dried once again before applying the sealant onto the grooves of the tooth, which fills in the pits and fissures. The dentist then uses a special blue light to harden and "set" the sealant.
 
Sealants will usually last several years before needing to be reapplied. During your routine dental visits, the condition of the sealant can be examined and reapplied as needed. With the exception of an allergy that may exist, there are no known side effects from sealants.
 
Dental sealants are a great, non-invasive treatment to protect back teeth from decay. The Centers for Disease Control (CDC) supports the use of sealants in children stating that "....school-age children without sealants have almost three times more cavities than those with sealants."
 
It is important to note that adults can also benefit from sealants and studies indicate that the need for sealant application in adults is increasing. For adults who grew up with the benefit of fluoridated water, fluoride tooth paste, and perhaps fluoride rinses and/or treatments, along with routine dental exams, it is likely they experienced a very low incidence of cavities and the need for fillings. However, as we age, changes occur in one's general health status, the need for medications develops (many of which cause dry mouth, creating an increased potential for cavities), there are dietary changes, perhaps even the physical ability or manual dexterity to maintain good oral health, as well as other age-related influences which occur. Such alterations have a potentially negative impact on the oral environment, and the untreated/unfilled teeth with the pits and fissures still intact, become far more vulnerable and are now at a greater risk for tooth decay. So, while sealants were once primarily considered as a recommended treatment for children,
and adolescents, those considerations are now expanding to include an older population of patients who can certainly benefit from sealant placement.
 
So, YES, dental sealants are for patients of all ages.  
 
Some dental plans include coverage for sealants. However, considering treatment costs, dental sealants can be approximately one third the cost of a restorative filling and can reduce the likelihood of necessary future restorative dental care expenses. Patients can discuss the use of dental sealants with their dentist to determine if that may be an appropriate treatment option.
 
Dental sealant placement is a safe, cost-effective, preventive-care measure that is durable and can be reapplied as needed.   It is a positive contribution toward maintaining good oral health and thereby favorably affecting general health, well-being and a healthy smile.
 
Here's to your good health.

Marie C. Jacobs, D.D.S.
Professor Emerita Loyola University Chicago
 
Energy Drinks Worse for Your Heart Than Caffeine Alone: Study. . . .
 
Drinking 32 ounces of energy drink is associated with potentially harmful changes in blood pressure and heart function that are beyond those seen with caffeine alone, according to a new study.

There are more than 500 energy drink products on the market, and their increased popularity is matched by a significant rise in energy drink-associated emergency department visits and deaths.
Manufacturers and fans of these products claim they are as safe as caffeine, but there is little evidence to support that claim.

Caffeine in doses up to 400 mg (about five cups of coffee) is generally recognized as safe by the Food and Drug Administration. While energy drinks usually contain caffeine, little is known about the safety of some of their other ingredients the study team writes in the Journal of the American Heart Association.
To see what effects these other components have, researchers compared physical changes in a group of 18 healthy men and women after consuming a commercially available energy drink and after drinking another concoction with the same amount of caffeine but none of the other ingredients.

Besides 320 mg of caffeine - the amount in about four cups of coffee - the energy drink contained 4 ounces of sugar, several B vitamins and a proprietary "energy blend" of taurine and other ingredients that are often found drinks like Monster Energy, Red Bull and 5-Hour Energy.

Sachin A. Shah of David Grant Medical Center on Travis Air Force Base and University of the Pacific in Stockton, California, and colleagues measured the participants' blood pressure and used an electrocardiogram (often called an ECG or EKG) to measure heart electrical activity for 24 hours after the subjects consumed the drinks.
An ECG change known as QTc prolongation and sometimes associated with life-threatening irregularities in the heartbeat was seen after drinking the energy drink, but not after drinking the caffeine beverage, the study team reports.

Several drugs have been withdrawn from the market just for causing ECG changes of a similar magnitude, the authors note.
Blood pressure increased by close to 5 points after drinking the energy drink, but by just under 1 point after drinking the caffeine beverage. Blood pressure also remained elevated six hours later.

These changes are by no means worrisome for healthy individuals, the researchers say, but patients with certain heart conditions might need to exercise caution consuming energy drinks.
Larger studies are needed to evaluate the safety of the noncaffeine ingredients contained in energy drinks, they conclude.
"The energy drink industry claims that their products are safe because they have no more caffeine than a premium coffee house coffee," said Dr. Jennifer L. Harris from University of Connecticut's Rudd Center for Food Policy and Obesity in Storrs, who wasn't involved in the study.
"However, energy drinks also contain a proprietary 'energy blend,' which typically consists of stimulants and other additives. Some of these ingredients (including taurine and guarana) have not been FDA-approved as safe in the food supply, and few studies have tested the effects of caffeine consumption together with these 'novelty' ingredients," she said by email.
"On top of that, energy drinks are highly marketed to adolescent boys in ways that encourage risky behavior, including rapid and excessive consumption," she said. "As a result, emergency room visits by young people in connection with energy drinks are rising."
Any research that compares the effects of consuming energy drinks versus caffeine alone provides important evidence for public health advocates who have urged the energy drink companies to stop targeting youth with these potentially harmful products, Harris added.

More than 5,000 cases of people who got sick from energy drinks were reported to U.S. poison control centers between 2010 and 2013, and almost half of those cases were in children did not realize what they were drinking
Energy drinks typically contain high levels of sugar and at least as much caffeine as a cup of coffee. But the drinks also often tout the energy-boosting effects of a mix of other ingredients, ranging from taurine and l-carnitine, naturally occurring amino acids, to ginseng (a Chinese herb typically used in alternative medicine). But despite this "special blend" of ingredients, studies suggest energy drinks don't boost attention any better than a cup of coffee does.

Even just one 16-ounce energy drink can increase blood pressure and stress hormones and could put a healthy young adult at risk for heart damage, concludes a 2015 Mayo Clinic study.
                                                                                                      - by Reuters
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Doctor's Visits:
Why Checkups Are Vital. . . . . .

 
Annual Physicals 101:

When you were little, your parents probably made sure you had an annual checkup with your doctor. But as you've grown older, you may have gotten out of this habit.
Health professionals stress that these regular exams are important to help identify risk factors and problems before they become serious. If diseases are caught early, treatments are usually much more effective. Ultimately, having a regular doctor's visit will help you live a long and healthy life.

It is also very important for you to play an active role to get the most out of your doctor's visit. Before your exam, review and update your family health history, be prepared to ask if you're due for any general screenings or vaccinations, and come up with a list of questions if you have particular health concerns.

During your actual doctor's visit, don't be shy about getting your questions answered. Also, if the doctor gives you advice about specific health issues, don't hesitate to take notes. Time is often limited during these exams, but by coming prepared you're sure to get the most out of your checkup.

Have you scheduled your physical for 2017 yet?

                                                 - By Lynn Yoffee, Health Living

Yes, There Really Are Millions of Tiny, Dead Bugs In Your Pillows
 
 It's the season for cleaning - and you might want to start with your pillows.
Recent reports have shed light (er, horror) on the fact that there are millions of tiny, dead bugs living in our pillows. And yes, it's true. They're called dust mites - they're teeny, tiny arthropods, according to the Asthma and Allergy Foundation of America. And they're munching on your dead skin cells.

"They don't bite people - they're not like ticks or fleas, although they're in that family," Dr. Gailen Marshall, an allergist and immunologist at the University of Mississippi Medical Center, told TODAY. "The problem is that they go where there are a lot of skin scales. One of the best places in the world is your pillow. These little dust mites take those skin scales that come off of you and me and everyone else and eat them."

Dust mites are too small to see without a microscope, but they look like tiny, white bugs. When they die, dust mites' bodies (and their waste) is left behind, buried deep in our pillows, bedding, furniture, carpets and more. (Ugh...) And when we breathe that in, it can cause allergies.

Marshall called dust mites an "increasing problem" due to warmer temperatures, and said they can be especially problematic during allergy season, when people are already experiencing seasonal allergies.

What does a dust mite allergy look like?
Think runny or stuffy nose, itchy eyes and sneezing. That's right: typical allergy symptoms. So you might have a dust mite allergy, and not even know it. Given that we're already dealing with high levels of pollen, it's a good time to try to get rid of some of the dust mites currently living in your home. You probably won't be able to kill them all, but washing your bedding, including your pillows, is a good start.
"It's very difficult to kill (dust mites) completely," Marshall said. "You just kind of control them."

The Asthma and Allergy Foundation of America recommends people wash their sheets and blankets once a week in hot water, invest in pillow and mattress covers and avoid wall-to-wall carpeting, if possible. Regular and careful dusting can help, too, Marshall said.

The place you should focus on the most? The bedroom. That's likely where you have the most skin scales lurking - in other words, food for the dust mites.
"If (patients) are persistent about controlling the amount of food and dust in the bedroom, we typically see symptoms get much better," Marshall said.

                                                                                   - By Rheana Murray
, TODAY
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Consumer Reports Reveals Best Sunscreens
To Buy In 2017
Summer is here, and while you're stocking up on sandals, bathing suits and planning your next weekend getaway - you might want to consider buying some new sunscreens.

Consumer Reports just released their annual list of top sunscreens, with a few important reminders. The number on the bottle isn't always accurate: Of the 58 lotions, sprays and sticks rated by Consumer Reports this year, 20 of them tested at less than half of the SPF listed on their label. For example, one sunscreen they tested was labeled SPF 30, but the UVB protection it actually provided was between 10 and 19.
There were some winners, though. Here are their top five sunscreens:
  • La Roche-Posay, Anthelios 60 Melt-in Sunscreen Milk, $36
  • Equate, Sport Lotion SPF 50, $5
  • Pure, Sun Defense Disney Frozen Lotion SPF 50, $6
  • Coppertone, WaterBabies Lotion SPF 50, $12
  • Equate, Ultra Protection Lotion SPF 50, $8
If you can't find one of the products listed above, Consumer Reports recommends using a sunscreen with an SPF of at least 40. It should also contain ingredients like avobenzone rather than "natural" ingredients.
Looking for a sunscreen you can spray? Trader Joe's Spray SPF 50+ received an excellent rating, along with Banana Boat SunComfort Clear UltraMist Spray and Equate Sport Continuous Spray SPF 30. Though there are a few things to keep in mind when using a sunscreen spray.
"You have to hold the nozzle close to your skin, and don't spray the product into the wind. You often see parents running behind kids on the beach, spraying. That's not an effective way to apply sunscreen," Joshua Zeichner, M.D., director of cosmetic and clinical research in the dermatology department at Mount Sinai Hospital in New York City said, in the report.
You should also rub the sunscreen in after you spray it on - which some people don't do.
Regardless of what kind of sunscreen you choose, follow these steps to avoid getting burnt:
  • Shake the bottle. This helps to distribute the ingredients throughout the bottle.
  • Apply sunscreen BEFORE you go outside. Aim for 15 to 30 minutes before.
  • Reapply every two hours. And whenever you get out of the water, no matter how much time has passed, or if an ingredient is water resistant.
Remember to apply sunscreen to often-forgotten parts of your body like your scalp, toes, ears and more. Wear a hat when you can!
 
                                                        - Gabrielle Frank, TODAY
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Insights By Steve: Check it Out!
  

 Think About It!

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We Need Your Help!
Pills Keeping you on your correct medication is as important to us as it is to you.  With your help, we can be more efficient and be sure you are getting your refill requests on time and to your correct pharmacy.

Tips:
1. If you need a refill, be sure to call your pharmacy FIRST, not our office.  They will know if you have more refills, and if not, they will call/fax/electronically message us with your request.  Then we will contact you if there is a question or concern.

2. Remember to call your pharmacy in plenty of time so you do not run out of your medications.  Sometimes we need  up to 48 hours to complete a request and we do not want this to be a hardship for you.

3. Register and use our SECURE PATIENT PORTAL for refill requests.  We monitor this continually and again will contact you if there is a problem.

4. Remember we do not refill pain or routine medications on Fridays or weekends and all pain medications must be picked up at our office.  We cannot mail or any medications outside our office.  Please plan ahead and make arrangements!

We are always here to help you and appreciate the opportunity to care for your healthcare needs!

Yours in good health,
Dr. Lakin & Staff

Grilled Salmon Burgers with Avocado Salsa
 
Fresh and fast salmon burgers that you make yourself with a creamy avocado salsa topping!

Prep Time 20 minutes
Cook Time 8 minutes
Total Time 28 minutes
Servings 4
353 cal
 
Ingredients
  • 1 pound salmon fillet
  • 1/2 cup panko crumbs (See above substitutes for Paleo W30 and GF).
  • 1 egg
  • 2 green onions chopped
  • 1/2 poblano pepper seeded and chopped
  • 1 tablespoon fresh lemon or lime juice
  • 1/2 teaspoon salt
    Coupons
  • 1/4 teaspoon pepper
  • Avocado Salsa
  • 1 large ripe avocado - peeled seeded and chopped
  • 1/2 poblano pepper seeded and chopped
  • 2 green onions chopped
  • 1 tablespoon fresh lemon or lime juice
  • 1/4 teaspoon salt
  • 1/4 teaspoon pepper
  • 1/4 teaspoon salt
Instructions
  1. Skin and chop salmon fillet.
  2. Put in large bowl.
  3. Add panko, poblano,egg, lemon or lime juice, salt and pepper.
  4. Mix well.
  5. (hint: make a cross on top of the salmon mixture before making into patties to ensure consistent size)
  6. Heat indoor grill pan or outdoor BBQ to medium high heat.
  7. Cook for about 4 minutes on each side until cooked through.
  8. Avocado Salsa
  9. Combine all ingredients in medium bowl
  10. Top burgers with salsa. Serve with or without bun.
Nutrition Facts
Grilled Salmon Burgers with Avocado Salsa
Amount Per Serving (4 g)
Calories 353 Calories from Fat 206
% Daily Value*
Total Fat 22.9g 35%
Saturated Fat 4.5g 23%
Cholesterol 62.4mg 21%
Sodium 520.5mg 22%
Total Carbohydrates 12.4g 4%
Dietary Fiber 4.3g 17%
Sugars 1.7g
Protein 25.4g 51%
* Percent Daily Values are based on a 2000 calorie diet.

                                                                  - by Kathi @ Laughing Spatula

 

  
Fireworks     

Have a safe and healthy Summer!  
Dr. Douglas Lakin & Staff 

Paradise Valley Medical Clinic PC