Patient care is priority number one at Medical Arts of New York. We take pride in our work and hold ourselves to higher standards than most. We do not punch clocks and never make patients feel as if we do not have time for them. We make every attempt to ensure your visit to the doctor’s office is as comfortable as possible. We understand that under normal circumstances, you would prefer to be anywhere else. If you need to be seen by a doctor, then at least you should be treated with respect and courtesy for your troubles. If you are proactive about your health and regularly schedule six month follow ups or annual exams, then your doctor should remember your name and make you feel as if you are in a safe environment to discuss anything and everything related to your health and well-being.
Conditions We Treat
Mind and Body
The health of a person is never found in one dimension. It is a known fact that attitude and believing one can improve is key in promoting good outcomes in health. Medicine is changing insomuch as doctors now accept that the emotional component of a patient can affect health. Knowing it and doing something about it are two different things. Many patients come to us with vague symptoms believing tests can find the answers to what ails them. We see the person in three dimensions and believe that there is a fourth, intangible dimension that also requires exploration. Any doctor can send a patient for blood tests, x-rays, and CAT scans. A doctor should also ask about the level of happiness, joy, and satisfaction in one’s life. All too often doctors dismiss them. “The tests are normal. Good day.” In our opinion, that’s not good enough. Many people suffer from feeling as if they have lost their way because of the dramatic pace of life in New York City. The mind and the body need to realign so the separate parts can work together as a unit. This is not a traditional area of medicine, but increasingly patients ask questions about spirituality, meditation, and Eastern philosophies they’ve heard can help return harmony to one’s life. There is not one simple solution, but having a medical team that can explain and recommend new areas to explore might ignite an idea that helps one find their direction again.
America is the fattest nation in the Western world with total obesity rates approaching 40%. According to the Journal of American Medical Association, non-Hispanic blacks have the highest age-adjusted rates of obesity (49.5%) compared with Mexican Americans (40.4%), all Hispanics (39.1%) and non-Hispanic whites (34.3%). Medical problems related to obesity include heart disease, stroke, type 2 diabetes and certain types of cancer, which are some of the leading causes of preventable death. The solution is simple: eat healthier and exercise, but it is the most challenging solution to implement. Billions of dollars are spent every year in medical research to find the “fat genes,” in weight loss drugs, gym memberships, and weight loss and diet centers. The answer never changes. The best method for losing weight and keeping it off is to stop dieting and make a lifestyle change. Time to busts some myths! Myth number one: dieters believe when the weight comes off, they can go back to the same old diet. We are programmed to have a set number of fat cells. They don’t go away. They just return to storing excess calories when available. Myth number two: I can eat anything I want because I workout every day. The truth is some weight loss is achieved through exercise, but if you are eating 3000 calories a day, but only burning about 500 calories a workout, you are gaining weight. How many times have you heard people say, “it must be my thyroid, I workout everyday and I can’t lose weight.” Obesity is a difficult subject because it also carries an emotional component too often forgotten in the rush to drop pounds. We at Medical Arts recognize the painful truth that weight issues and obesity are a multi-factorial problem requiring special care and focus on all the circumstances surrounding weight. We have had success in helping people get on the right path to good healthy eating habits. We have seen many patients meet their weight-loss goals. We believe in a holistic approach that addresses all of your needs, be it emotional, spiritual, or simply moral support. If we can’t provide it, then we will coordinate with the many experts we work with who can. Together we can take the first steps toward a new you.
There are so many supplements on the market claiming to improve performance, burn calories, release or stimulate certain hormones to make you bigger, stronger, or faster. It is very difficult to separate the ones that work from those that don’t. Some supplements can be dangerous depending on your medical or family history. Some work exceptionally well and have real research behind them, while others are worthless. The information available on many products is sometimes incomplete, or can keep dangerous ingredients hidden in impossible-to-pronounce names. How do you know what you’re taking and how much and how often should one take it? These questions are very important. One doesn’t always need a doctor to help answer these questions, but it is good to know that there is someone available who can help. At Medical Arts, our philosophy revolves around diet and exercise. We believe the prevention of illness and the slowing down of the aging process is the key to longevity and a good, healthy, vibrant life. Many doctors still believe that vitamins don’t help and that they are a waste of money. Those doctors probably don’t exercise either. Not the kind of person who should be giving advice about a healthy lifestyle. The market for these products is rapidly changing and it is nearly impossible to keep up with all the new products hitting the stores daily. We not only believe that vitamins and supplements help, Dr. Palencia swears by them and credits his improved athletic performance to them. In designing an individual plan for your athletic goals, we can help sort through the jungle of sports nutrition products and assemble a winning combination for you.
There are some disease states that only occur in women. This is why a new field in medicine developed recently known as “Women’s Health.” Many women believe this simply means gynecological health. It is much more. Women change differently with time than do men. Women also speak, respond, and express symptoms differently than men do. This is why it is important for women to have a doctor that understands the difference. In the past, women were never studied in research and it was assumed that their bodies would simply respond the same way a man’s body does. Thankfully, those days are behind us. Women have special-care needs that require specific attention. The most obvious is gynecological care in the form of PAP smears, prenatal care, and surgical services of the pelvic organs. Gynecologists are very good at what they provide, but many don’t have the time to be primary care providers, or simply don’t want to handle more complex problems that can arise. They usually recommend that you see another physician. Here is where we shine. At Medical Arts, we coordinate all care necessary for the woman as well as monitoring hormones and helping one transition through the normal phases of life. We take the time to listen. We know that you know your body and can tell when something isn’t right. Call us and see if we are a good fit.
Men are an interesting challenge in medicine. It is well known that men don’t go to doctors until late in the game. It is either bleeding or the pain is just not improving after six months. How can we change that? It’s easy. Trust. Men want to feel as if their doctor “gets it.” Men like to bond and form a team. When that confidence is shared, men will not delay too long to see the doctor. They are after all, men. They will still delay some. But more importantly, they will be freer to seek medical attention in areas where men have traditionally suffered in silence. It is part of our culture to believe that seeking help is a sign of weakness. If you believe that you will not be judged, then asking for help is easier. Men’s Health is more than prostate care. One might argue that for years all of Medicine was Men’s Health. Today some think it only relates to prostate issues. It is much more. Testosterone levels begin to decline with age. The new term being used is “andropause”, similar to women’s menopause. Declining testosterone levels lead to increased abdominal fat, loss of muscle, lack of sex drive, loss of stamina and strength, and reduces the ability to handle stress. This is critical because other disease states can present in a similar fashion. At Medical Arts, we are aware of these differences and try to distinguish normal aging from disease states. We always try to lead our patients to healthier and more sustainable ways of slowing the aging process while protecting you from disease. Let’s build a better you through teamwork.
Dyslipidemia (High Cholesterol)
Dyslipidemia (High Cholesterol) is a condition that occurs when your body produces more cholesterol than it can use. Cholesterol is a substance that the human body uses to make cells, hormones, and many other substances in the body that are necessary. The human body can make cholesterol and we also can get it from our diets. Maintaining healthy levels of cholesterol is important because it can either keep us healthy and help fight disease, or when too high, can cause diseases like arteriosclerosis and atherosclerosis. These conditions cause the small, medium, and large blood vessels in the body to clog. The danger of clogged arteries is that it could lead to heart attacks, stroke, pain and weakness of the legs, and could basically damage any organ in the body that receives blood from many blood vessels. High cholesterol levels are particularly dangerous for people who have high blood pressure, diabetes, and/or both. When people suffer from any two or all of these conditions aggressive measures need to be taken because the risk of heart attacks, organ damage, and stroke increases even more. Many times correcting the diet, starting an exercise program, and taking targeted supplements can lower cholesterol to safe levels. In a condition like diabetes, the medical research indicates that taking Statins (Crestor, Lipitor, Zocor, etc., medicines that specifically target and lower cholesterol) can substantially reduce your risks of heart attack. We at Medical Arts know the research. If we can get you on track for a healthy diet and exercise program, the research shows there is nothing better: the patient as a whole improves, not just the cholesterol level. Come see how we can help you get on the right path for better whole-body health.
The human body changes with age. Medications that are given to the elderly can sometimes act longer or not act long enough. The liver and kidneys slow down with age. Many medicines are transformed or removed by these organs. Doctors have to pay particular attention to medications given to the elderly because of potential side effects or drug-to-drug interactions. You should always bring all of your medications to all visits. The human body also slows down and becomes less flexible with age. Many elderly complain of arthritis pain. Many don’t exercise because they have pain in their joints. They are commonly given medicine for the temporary relief of pain. They go home and wait to get better, but find that they don’t. At Medical Arts of New York, we understand the challenges of aging and the complexities of balancing medications for the elderly. We work with specialists to maintain open lines of communication for optimal patient care. But we never forget that the elderly need to stay active and integrated into the community. A recent study confirmed that diet and exercise is the best therapy for arthritic joints. We have been saying this for years! We encourage and motivate patients to get moving for great health and longevity.
Hypertension (High Blood Pressure)
Living in New York is stressful so it is no surprise many of us raise our blood pressures when we get agitated. High blood pressure or hypertension is more complicated then getting your “blood to boil.” Hypertension is a disease state where blood pressure is constantly elevated above predetermined limits. This happens even when we are relaxed and not currently under any stressful conditions. There are several causes of high blood pressure. The causes we can identify are known as secondary hypertension because the high blood pressure is a direct consequence of that problem. Correct the problem and the hypertension improves. The reason we can’t identify, we call that essential hypertension, basically because “essentially,” we don’t know why. There are theories, but none worth describing here. At Medical Arts of New York, we try to give diet, exercise, nutrition, and vitamins a try before turning to medications. There are highly motivated patients who prefer not to take medications. There are also some patients for whom medications will need to be added to their natural approach for patient safety concerns. High blood pressure is known as the silent killer for good reason. Many patients don’t feel or simply choose to ignore the symptoms until it is too late. Don’t be one of them. Come and talk to us and let us help you take control of hypertension before it controls you.
There are two types of diabetes: type I and type II. Type one diabetes mellitus (T1DM) is an autoimmune disease of the young, where the body destroys the insulin-producing cells of the pancreas. T1DM requires insulin replacement. Type two diabetes mellitus (T2DM) is more commonly found in adults and is thought of as a problem where the body cannot use insulin well. This is usually considered a genetic, weight, and lifestyle problem. Early screening can help us postpone and/or delay T2DM. T2DM is a progressive disease that will destroy your eyes, kidneys, heart, and brain. It requires serious monitoring and commitment to change. At Medical Arts of New York, we first help you identify the problem. We then help you plan a reasonable diet and exercise program. If medications are necessary, then we move in that direction. A highly motivated patient can make anything possible with the right guidance and determination. Unfortunately, there is no other way but to take T2DM head-on. If you don’t stop it in its tracks, then it will take you for an unpleasant ride.