Category Archives: Video

Breast Cancer Screenings

I’m Dr. Alexander Salerno. Did you know that breast cancer, after skin cancer, is the second leading cancer in American women today? Regular check-ups and screenings play a major role in early detection and treatment. But recent, new, conflicting guidelines from various national organizations has led to confusion for many women. So, let’s break it down.

Until recently, the standard guideline for a mammogram was age 40 for most women. Now, the American Cancer Society has changed our recommendations to 45 and older. The American College of OB-GYN still recommend starting at the age of 40. While the US Preventive Services Task Force recommends waiting until the age of 50. The three groups also differ on how often a mammogram should be performed.

The American Cancer Society suggests screenings between the ages of 45 and 54, annually, and then every two years thereafter. The American College of OB-GYN recommends annual checkups and the US Preventive Services Task Force recommends every two years.

So which choice is right for you? Well, this is an important conversation you need to have with your doctor. Whether you go early, whether you go later, it’s going to be based on your own personal background, family history and the facts.

So more than ever it’s important to you ask questions, get answers and remember knowledge is power.

Alzheimer’s Disease

Hi, I’m Dr. Alexander Salerno and today we’re gonna have a conversation about Alzheimer’s Disease. This is a topic very near and dear to me because my grandmother lived and died with Alzheimer’s Disease.

Alzheimer’s Disease is a disorder that affects the memory and the brain; things like higher reasoning, learning, remembering gradually become destroyed as the disease progresses. It’s a debilitating disease, not only to the patient , but also to the family and loved ones. So today we’re going to separate the facts versus fiction about Alzheimer’s disease.

True or false? If you suffer memory loss like forgetting your keys or where your glasses, are you’re developing early Alzheimer’s. False. Senior moments are not Alzheimer’s disease. Memory loss is experienced by most of us at some point in time. It is a cause for concern when the functioning of daily living activities and the ability to communicate are affected.

True or false? Only older Americans are subjected to Alzheimer’s Disease. False. Early-onset Alzheimer’s can affect people as early as 30, 40 and 50 years of age. This is usually due to a dominant gene that is passed on from one generation to another.

True or false? Alzheimer’s Disease is fatal. False. The disease itself is not fatal, but Alzheimer’s Disease can lead to conditions such as pneumonia, falls and trauma, and gradual debility and malnutrition. Patients typically live eight to ten years after diagnosis is made.

True or false? Alzheimer’s can be cured. This too is false. Currently, there are no treatments that can prevent or cure Alzheimer’s Disease.

We only have medications to slow the rate of progression. If you have questions about Alzheimer’s Disease, have a conversation with your doctor.

Ask questions. Remember, knowledge is power.

Breast Cancer Risks

Hi I’m Dr. Alexander Salerno and today we’re going to have a conversation about breast cancer, the second most common occurring cancer in the U.S.

So it’s really important that you know your risk factors some risk factors that cannot be changed or altered include gender, age and family history, Other factors include dense breasts, ethnic background and race. Studies show caucasian women are more likely to get breast cancer compared to Asian, Latino and African-American women.

So what are some of the modifiable risk factors that you can do to reduce your chance of getting breast cancer? Limiting alcohol consumption, maintaining a healthy weight, diet and exercise, and quitting smoking. If you have a child, breastfeeding has been shown to lower the risk of breast cancer as well. And finally, hormone therapy. If you need to be on hormone therapy it’s best to discuss the options with your doctor and together to choose a short-term therapy and ideally replace it with non-hormonal therapy when or if possible.

So if you’re concerned about breast cancer. talk your doctor. Ask some questions. Remember, knowledge is power.

Hepatitis C Prevention and Treatment

Did you know that the Center of Disease Control reports that as many as five million Americans today are infected with the Hepatitis C virus.

Hep C is caused by a virus which ultimately infects the liver. In due time, Hep C can result in liver failure, otherwise termed cirrhosis, and in some instances may progress the liver cancer.

Hep C is primarily spread through blood-borne products. Some common modes of transmission of Hepatitis C include IV drug use, unprotected sex, sharing razors, scissors, toothbrushes with an infected person. Also tattooing and body piercing can increase your risk if proper hygiene is not practiced. If you were born between 1945 and 1965, your chances of Hepatitis C maybe higher.

Presently, there is no vaccine for Hepatitis C like we have for Hep a and Hep B, but there are new treatments that can cure Hepatitis C in as much as ninety-six percent of cases. So if you have questions about Hepatitis C, ask your doctor. Remember, knowledge is power.

End of Life Care and HealthCare Proxy

Hi, my name is Dr. Alexander Salerno and I’m going to talk to you today about end of life and health care proxy.

What is the healthcare proxy you ask? That’s a person that you designate to make healthcare decisions when or if the time comes that you can’t. These decisions can include whether or not to have surgery, medical testing, medical care and even end-of-life care.

Why do you need a healthcare proxy? Well the old adage too many chefs in the kitchen comes to mind. When it comes to making decisions regarding your health it’s important that you designate a family member or friend to speak on your behalf.

It’s never easy to discuss about your end-of-life, but nevertheless it’s an important conversation you need to have with your loved ones again. Again, ask the questions, make the choices and remember knowledge is power.

The Cost of Alcoholism

KnowledgeIsPower: The Cost of Alcoholism. Salerno Medical Associates’ Dr Alexander Salerno talks about the cost of this common addiction. “It’s a disease just like diabetes or hypertension. There is no shame. The only shame is in not getting help.”

Heart Disease in Women

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.

Pneumonia Vaccine

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.

Find out why #SalernoMedicalAssociates’ #DrAlexanderSalerno calls the #PneumoniaVaccine “The #RodneyDangerfield of #Vaccines” #KnowledgeIsPower.

Hospice Care: Fact Vs Fiction

One should consider hospice, and have a discussion with hospice, when you have a loved one that is frequently visiting emergency rooms and hospitals for the same chronic condition. Conditions like terminal cancer, terminal congestive heart failure and advanced Alzheimer’s Disease.

The idea of hospice is for us to die with dignity and die with our families close to us, not into a sterile, cold environment like a hospital intensive care unit. Studies have shown that people under hospice live a little bit longer, live a lot better and die a lot better than they do in the overused intensive care units of hospitals today. Have a conversation with your doctor, and your doctor can always then direct you to even more knowledgeable organizations and centers where, again, people can come out to your house and sit down in the comfort of your living room to have this difficult conversation.

If you have questions, ask. Remember, Knowledge is Power and you have to be an informed consumer to make the right choice.

Salerno Medical Associates’ Dr Alexander Salerno talks Hospice Care: The Facts Vs Fiction. Hospice – Terminal Illness – Dying with Dignity. Find out why #Knowledge Is Power.

A tough but important topic. #SalernoMedicalAssociates’ #DrAlexanderSalerno talks #HospiceCare: The Facts Vs Fiction. Find out why #KnowledgeIsPower. Please help us spread the word, like and share! #Hospice #TerminalIllness

Dizziness & Elderly‬

One of the top, most common complaints I see in the geriatric elderly population, in my office, is the complained of dizziness. So as a senior you should mention dizziness because dizziness results in fear of falling. Fear of falling results in changing your lifestyle and then ultimately a poor quality of life. When you look at dizziness, in some instances there are curious, cause sometimes it could be due to a complication of a sinus infection, something called labyrinthitis, in which case there are some medicines that can help. And then also, when it comes to just general, overall dizziness, Tau Chi, which is an exercise, has been shown to dramatically improve balance and reduce falls in the elderly.

So, again, not always do you have to go to a bottle and yet a pill, sometimes you have to actually go to putting in some time, effort. And in most instances, a form of exercise that correct and rectify dizziness, balance, gait disorder, all of which can lead to falls and emergency room visits. If you have questions, ask.

Remember, Knowledge is Power and you have to be an informed consumer to make the right choice.

Salerno Medical Associates’ Dr Alexander Salerno talks Dizziness in Elderly & Seniors: Causes & Treatment. Knowledge Is Power.

Anxiety & Panic Disorder

Anxiety disorder and panic disorder, they’re medical conditions. In the old days it was considered taboo, and a sign of weakness, but really it’s a medical condition no different than asthma or hypertension or heart disease. These disorders are due to chemical imbalances in the brain, but also can present with physical manifestations. They can imitate stroke, they can imitate heart attack, they can imitate migraine headaches, they could imitate irritable bowel syndrome.

So that’s why we call anxiety the great imitator. About 50% or more of patients that walk through a primary care doctors door, every day, has a form of anxiety that goes completely undiagnosed and unmanaged. There’s not a test, there’s not an x-ray that can tell us about whether or not you have anxiety, it’s truly based on the good old fashioned history and discussion and communication that you have with your physician.

If you have questions, ask. Knowledge is Power. You can’t fix a problem until you recognize one exists.

Salerno Medical Associates’ Dr Alexander Salerno addresses Anxiety & Panic Disorder: Causes and Treatment. Learn why Knowledge Is Power.

Childhood Obesity

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.

Whooping Cough

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.

WHOOPING COUGH

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.

#WhoopingCough is on the rise. Protect yourself. #SalernoMedicalAssociates’ #DrAlexanderSalerno tells you how. #KnowledgeIsPower. Please help us spread the word by liking and sharing!

FluVaccine: Fact and Fiction

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.

#SalernoMedicalAssociates’ #DrAlexanderSalerno talks the #FluVaccine: Fact & Fiction. Find out why #KnowledgeIsPower. And please help us spread the #knowledge by liking and sharing!

SleepApnea: Causes and Treatment

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.

#SalernoMedicalAssociates’ #DrAlexanderSalerno talks #SleepApnea: Causes and Treatment. Find out why #KnowledgeIsPower. Please help us spread the word, like and share!

Clinical Depression

Bipolar disorder is a condition that is, by the definition, “bi” having two phases.

The first phase is mania, which oftentimes, patients actually love because they’re extremely productive, they have high energy, they’re accomplishing many things. Unfortunately, the other part of bipolar depression is the depression part and that’s the real challenge, because these patients, during that phase, have no energy, no motivation, can’t get out of bed, no productivity, no social interaction. It’s just a complete polar opposite.

Bipolar disorder, there’s not really a one-size-fits all approach. Treatment options include non-traditional methods like biofeedback and one-on-one counseling, the more traditional pharmacological options, which include medications, but the most important thing is you really just need to acknowledge that there is a problem and that starts by having a conversation with your physician or your
clinician.

Again, Knowledge is Power. You can’t fix something until you realize that it exists.

Salerno Medical Associates’ Dr Alexander G Salerno talks about Bipolar Disorder: Causes and Treatment. Learn why Knowledge Is Power.

Bipolar Disorder

Salerno Medical Associates’ Dr Alexander Salerno addresses Anxiety & Panic Disorder: Causes and Treatment. Learn why Knowledge Is Power.

Anxiety disorder and panic disorder, they’re medical conditions. In the old days it was considered taboo, and a sign of weakness, but really it’s a medical condition no different than asthma or hypertension or heart disease. These disorders are due to chemical imbalances in the brain, but also can present with physical manifestations. They can imitate stroke, they can imitate heart attack, they can imitate migraine headaches, they could imitate irritable bowel syndrome.

So that’s why we call anxiety the great imitator. About 50% or more of patients that walk through a primary care doctors door, every day, has a form of anxiety that goes completely undiagnosed and unmanaged. There’s not a test, there’s not an x-ray that can tell us about whether or not you have anxiety, it’s truly based on the good old fashioned history and discussion and communication that you have with your physician.

If you have questions, ask. Knowledge is Power. You can’t fix a problem until you recognize one exists.

Seasonal Affective Disorder

Seasonal Affective Disorder is exactly what the word sounds like. Seasonal changes affect our mood. So when we go from summer to winter, with the change in the time and change in the weather, it certainly has an direct impact on our mood, on our energy and our overall well-being.

The symptoms for seasonal affective disorder can vary. It can be as subtle as sleep disturbance, change in diet, change in appetite, change in energy levels to more serious conditions in that sense that it can affect your daily activities of living from work to social relationships to professional activities and outcomes.

Treatments include biofeedback, light therapy, exercise, weekend trips even out of the Northeast region. Some of these have been really shown to benefit seasonal affective disorder. Change the location, you changed the mood. If you feel that you’re suffering from seasonal affective disorder, don’t be shy, have a conversation with your clinician or doctor.

Again,
Knowledge is Power

CHOP stands for Community Healthcare Outreach Program

Learn about CHOP! Find out what we can do for you!

CHOP stands for Community Healthcare Outreach Program, a program that can provide fully integrated primary care for your behavioral health facility. CHOP is an evolution of the ground breaking work of the late Dr. Alfonse Salerno, founding member of the second generation, family-run Salerno Medical Associates in East Orange, New Jersey. Originally called SHOP (Senior Healthcare Outreach Program), it was launched in 2002 as a return to the traditional house-call program for urban community seniors by Dr. Salerno’s son, Dr. Alexander G Salerno. Since then it has become the longest running house-call program of its type the area. In 2015, Dr. Alexander G Salerno renamed the program CHOP and expanded its services to include the state’s mentally ill population, which has long been underserved by the community. CHOP is still committed to local seniors, but has added screenings, healthcare and chronic disease management to all populations in need, including those with psychiatric and other adult disorders.