IPALC Patient Newsletter
February/March - In This Issue:

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Thank You
Thank you to the community at large, who support the vision of IPALC and the leaders who devote their time, talent and treasure to keep goals in focus.  Without the patients of Lee County, the Physicians of Lee County wouldn't matter!

Don't fear fat! 

Fat doesn't make you fat. Some of the most nutritious foods out there are high in fat. The human body needs fat, because it gives us energy, builds cell membranes, helps with blood clotting and muscle movement, reduces inflammation, and helps us absorb some vitamins and minerals. There are "good" fats and there are "bad" fats. The good fats are mono-unsaturated and polyunsaturated fats, bad fats are man-made trans fats, and saturated fats fall in between the good and bad spectrum.

Since dietary fat has so many benefits, it can actually help people lose weight, which is still surprising to many people these days. Fat can help a person fill fuller for longer, so a person potentially is consuming fewer calories. When a person eats fat, it also helps slow the entry of glucose into the bloodstream, which helps moderate the blood sugar levels. With that said, fat is better at controlling appetite and cravings than short chain/highly absorbable carbohydrates, which give people a more crash and burn effect.

You've probably heard you should have fiber in your diet. However, what you may not know is the "Why?" Dietary fiber is essential for maintaining your health in a lot of different ways. 

Fiber is best known for its ability to allow people to go to the bathroom regularly by preventing and relieving constipation. Adding fiber into one's diet isn't hard; in fact, by adding fiber into your diet, your overall eating habits will improve for the better.

Dietary fiber is the parts of plant foods that the human body cannot absorb or digest. It passes through the stomach, intestines, and colon nearly intact before exiting. Fiber is classified in two ways: soluble and insoluble. Soluble fiber dissolves in water and forms into a gel-like substance.

Soluble fiber helps lower blood cholesterol and glucose levels. It can be found in oats, beans, apples, barley, psyllium, and citrus fruits.
Insoluble fiber helps move things through the digestive system and increases the bulk of the stool, so going to the bathroom isn't a struggle or infrequent occurrence. Insoluble fiber can be found in wheat bran, whole wheat flour, beans, nuts, cauliflower, potatoes, and green beans.

Foods that contain both soluble and insoluble fiber include: oatmeal, and beans.

Overall, the best food sources to get fiber from are whole grains, fruits, vegetables, beans, nuts, seeds, and legumes. There are plenty of high-fiber breads and protein bars on the market too. These products often offer an unnaturally high amount which can result in rapid changes in your bowel function (gas, cramping and larger stools).

When it comes to daily fiber intake, a woman should have between 20 to 30 grams per day and a man should have between 30 to 40 grams per day. Besides the major benefit of normalizing bowel movements, dietary fiber provides a lot of other benefits.

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More health blogs are available by going to ipalc.org/blog/


Raymond Kordonowy, MD

Please enjoy our newsletter.  I hope more of you are following our blogs as our local doctors provide you with information about health and diseaseFrom our website, you can now have operator assistance if you are seeking an Independent Physician.  Please provide us feedback when you use the service as this is new to the community doctors and their staff as well. 

2017 is going to be a transformational year in health care.  I am optimistic that the public is going to have many more choices as it relates to insurance products.  Health Sharing ministries are already an option to traditional insurance to cover unexpected health episodes while preserving money in your bank account for normal health care utilization.  

The new Health and Human Services secretary, Dr. Tom Price has had years of congressional experience in this area.  He has also proposed practical and principled health care policies to the congress. Having seen these proposals in the past I can tell you he gets it. Let's hope he can break up some of the stranglehold unelected Medicare committees and policy wonks have on our Medicare program and general health care markets.
We are seeing a national increase in the Direct Primary Care model for patient care.  This model works free of any insurance policy.  Doctors in Family and Internal Medicine are reassessing their business expenses and models and learning that if they don't sign burdensome insurance contracts they can offer more care at a lower price.  They contract directly with patients and offer unlimited and common primary care services and office access for an affordable monthly fee.  Dr. Rebekah Bernard MD and   I offer such a practice model in Lee County.  Other doctors are certain to move to this option as well. The irony of our Health Insurance= Health Care debate is more and more doctors no longer wish to work with or for an insurance company.  Being champions for patients our association is eager to do what is best for our patients- a direct contract removes many conflicts of interest.  I can't say the same for hospital employed doctors. 

Raymond W. Kordonowy MD IPALC President

Physician Spotlight

IPALC would like to offer you a different feature physician each month to help you learn who our Independent Physicians are in our community. 


As you begin reading our newsletter, if there is a specific group or physician in Lee County you wish to know more about,  send an email to  info@ipalc.org so that we may feature that physician or group.


About Dr. Paul Tritel, M.D. 

Dr. Paul Tritel was born in Washington, DC, but was raised in Fort Myers after the age of three.

After graduation from Fort Myers High School, he attended the University of Pennsylvania, where he obtained his Bachelors Degree in Biology. 

From there, he went on to Hahnemann University School Medicine, where he obtained his MD. Dr. Tritel completed his residency training in internal medicine at the University of Florida in Gainesville. He worked as an internist in West Palm Beach, where he also gained experience as a hospitalist and worked in the field of hospice / palliative care at Hospice of Palm Beach County. 

Since moving back to his hometown of Fort Myers in 2004, Dr. Tritel has worked in the field of internal medicine / primary care and has built a reputation as one of the highest rated internists in the area. 

He also worked part time at Hope Hospice, maintaining his strong passion for palliative medicine. Dr. Tritel has maintained his Board Certification in Internal Medicine since 1999. 

He is a member of both the Lee County Medical Society and the Florida Medical Association.

He currently practices at  Tritel Concierge Medicine (TCM) where their mission is to  provide quality medical care in a serene environment. To create a personal healthcare experience. To affect the health and wellness, and thereby lives, of our members. 

They offer: 
  • Internal medicine and comprehensive healthcare in a concierge model, including:
    • Annual executive physical
    • Management of chronic disease
    • Treatment of acute illness
    • Preventative medicine
    • Patient education
    • Coordination of care
    • Balance, yoga, and pilates
    • Nutrition and fitness evaluation
    • Mental health



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