Making Practice Guidelines And ‘Choosing Wisely’ More Effective. I always thought I was an informed patient, favoring conservative treatment and helping to save Medicare and the health system money; but when push came to shove, I was a coward that did not speak up when unnecessary tests were ordered. When I saw the form, I remembered—vaguely—that Cochrane and other advocates of evidence-based medicine had stated that most of the time those tests (and their costs) were not necessary pre-cataract surgery. Yet despite all of this, I said nothing to my physician about the unnecessary testing I was ordered to undergo. How many other patients would have the information I had? There are a few ways to address unnecessary testing and its associated costs. One solution might be for routine tests (such as the one I experienced) ordered within a month of a cataract surgery bill to result in an off-setting reduction in the total payment to the doctor ordering the tests. Of course, there should be exceptions: as the Choosing Wisely campaign states, “An EKG should be ordered if patients have heart disease. I believe the Choosing Wisely program is very important, and I am not singling out eye surgeons. A third solution would be to address malpractice, as several people I have spoken to believe the eye doctor in my case ordered the tests as a protection against malpractice litigation.
When it comes to nabbing the wellness scene spotlight, juicing has never taken shade. And why would it? Not only is it an easier way to get the recommended four-and-a-half cups (or nine servings) of veggies in a day, juicing allows for the faster absorption of nutrients.
But if you’re new to juicing, be mindful of where you start. “It’s easy to want to put everything into your juice. But if the flavor is too harsh — which can happen when you’re trying to stay away from sugary fruits — chances are juicing won’t be a long-term commitment,” says Marjorie Cohn, RDN and Owner of MNC Nutrition.
Your sipping speed matters, too. You’ll want to drink up quickly to get the biggest nutritional benefit. “Juicing veggies (and fruits) increases surface area of the produce and exposes it to oxygen which is oxidation,” Cohn says. “Oxidation causes the antioxidants in the produce to breakdown, which is exactly what we don’t want. The sooner you drink up the more nutrients your juice will have.”
So which ingredients give you the most bang for your buck? Before whipping up your next green juice, stock up on a few of these expert-approved additions.
10 Best Ingredients You Should Add to Your Green Juice
Looking for a natural way to sweeten your juice? Skip the sugar and reach for carrots. They’re a perfect compliment to any bitter greens, and are chock-full of health benefits. “Carrots are known for minerals potassium, phosphorus and calcium. They’re also rich in beta-carotene — an antioxidant important for producing mucus membranes that protect our eyes and other organs and tissues,” says Cohn.
If you’re looking for visible payoffs, carrots can help boost the health of your skin. “Vitamin C is a precursor to collagen production, which diminishes as we age and increases fine lines and wrinkles,” says Alex Caspero, RD.
You might not consider herbs when whipping up your morning shake, but it’s time to rethink the pantry staple. Instead of reaching for the dried parsley, juice a few fresh sprigs to reap the nutritional benefits. “Parsley is very low in calories and adds a nice, herby flavor to green drinks,” Caspero says. “It’s also high in vitamin A, C and K and has been shown to have a