Onion & Olive Tart
Onion & Olive Tart This wonderful onion and olive tart is based on a recipe from Molly O’Neill.  Think if it as an Americanized version of the classic French Pissaladiere – a Nicoise savory tart made with anchovies, onions, olives and herbs.  The classic Pissalidiere is made with a thin pizza crust (though Julia Child made hers with puff pastry) and derives it name from its use of pisalla – a condiment speciality of the coastal area around Nice made from ground anchovies with olive oil, herbs and spices. Today, I’ve made my mother-in-law Irene’s variation of the tart without anchovies....
Source: The Blog That Ate Manhattan - May 14, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Quiches & Savory Pies appetizers Make-ahead Onion and olive tart Onion pie Pisalliadiere Source Type: blogs

Onion & Olive Tart
Onion & Olive Tart This wonderful onion and olive tart is based on a recipe from Molly O’Neill.  Think if it as an Americanized version of the classic French Pissaladiere – a Nicoise savory tart made with anchovies, onions, olives and herbs.  The classic Pissalidiere is made with a thin pizza crust (though Julia Child made hers with puff pastry) and derives it name from its use of pisalla – a condiment speciality of the coastal area around Nice made from ground anchovies with olive oil, herbs and spices. Today, I’ve made my mother-in-law Irene’s variation of the tart without anchovies....
Source: The Blog That Ate Manhattan - May 14, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Quiches & Savory Pies appetizers Make-ahead Onion and olive tart Onion pie Pisalliadiere Source Type: blogs

Bronx River Pathway Ride
Boy is spring ever late coming this year. Last weekend found us more than eager to finally get out in the warmish weather. Figuring Central Park would be packed, we decided to take our bikes north of the city to the Bronx River Pathway. This Greenway runs along the Bronx River in West Chester County, NY. The trail has three paved segments, which are not continuous. We chose to ride the uppermost section from Greenacres Road to Kensico Dam, about a 10 mile round trip. It’s not an entirely bucolic country ride, since the highway and civilization are never far away, but there are more than enough green spaces and point...
Source: The Blog That Ate Manhattan - April 25, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Biking New York City Bronx River Parkway Path Day trips NYC Kensico Dam Source Type: blogs

Almond-Lemon Torte w/ Strawberries
The never ending search for the perfect Seder dessert continues. This one’s coming close. Of course, my family would probably say the prefect Passover dessert has already been found in my mother in law Irene’s hazelnut strawberry shortcake. Problem is, delicious as it is, I can’t bring the shortcake to my kosher friends’ seder tomorrow, since it is served with whipped cream and the Seder is a meat meal. (My husband’s family is, as Jerry Seinfeld says, “Jew-ish”…) Hence my search. The fallen middle in this torte is a given. It’s what happens when you depend on eggs alone...
Source: The Blog That Ate Manhattan - April 22, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Desserts Almond Lemon torte Kosher Passover Seder Strawberries Source Type: blogs

Prophylactic Mastectomies Increasing Despite No Survival Benefit
One of the more concerning trends in breast cancer treatment is the growing use of bilateral mastectomy to treat breast cancer that is present in only one breast. We call this prophylactic contralateral mastectomy – or removal of a normal breast in order to prevent future breast cancer. A new study of almost half a million women with breast cancer reports that in 2009, 12.7% chose to treat cancer in one breast by removing both breasts, a rate almost triple that in 2002. Unfortunately, the additional surgery added no benefit, as survival rates were no better among women who had bilateral mastectomy compared to those...
Source: The Blog That Ate Manhattan - March 14, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Breast Cancer Source Type: blogs

Maple Cheesecake with Roasted Pears
She may have gone to prison for insider trading, but Martha Stewart does make one mean cheesecake. Maple syrup lightly sweetens the cheese filling and is brushed on pear slices as they roast before being layered atop the cheesecake, made here with a classic graham cracker crust. Not too heavy, not too sweet. Perfect. Maple Cheesecake with Roasted Pears  Martha uses a vanilla wafer crust, but I prefer the traditional graham cracker crust. She broils her pears, I simply roasted them. She sprays her roasting pan with cooking spray, I brush it with canola oil. I used an Epicurious recipe for the crust because it had less sug...
Source: The Blog That Ate Manhattan - January 5, 2016 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Desserts cheesecake maple pears roasted Source Type: blogs

False Positive Mammograms & Subsequent Breast Cancer Risk
A recent study points to a higher risk of breast cancer in women with a history of a false positive mammogram. Investigators examined the number of breast cancers occurring over 10 years with whose routine screening mammogram had resulted in either a “call back” normal mammogram or a benign breast biopsy (false positive mammograms), and compared it to the number of cancers in women whose mammogram was normal on the first go round (true negative mammogram.) Women who had a false positive mammogram had a higher risk of breast cancer in the subsequent 10 years compared to women with a true negative mammogram. How...
Source: The Blog That Ate Manhattan - December 4, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Breast Cancer Mammography breast biopsy false positive mammogram Risk Source Type: blogs

False Positive Mammograms & Subsequent Breast Cancer Risk
A recent study points to a higher risk of breast cancer in women with a history of a false positive mammogram. Investigators examined the number of breast cancers occurring over 10 years with whose routine screening mammogram had resulted in either a “call back” normal mammogram or a benign breast biopsy (false positive mammograms), and compared it to the number of cancers in women whose mammogram was normal on the first go round (true negative mammogram.) Women who had a false positive mammogram had a higher risk of breast cancer in the subsequent 10 years compared to women with a true negative mammogram. How...
Source: The Blog That Ate Manhattan - December 4, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Breast Cancer Mammography breast biopsy false positive mammogram Risk Source Type: blogs

Uquora – Hope, Hype and Maybe a Case of Diarrhea
Before you go out and spend $25 for 10 packets of Uquora, the new after-sex UTI prevention drink that launched today, you should consider if it actually works. What’s in Uqora? Uqora’s main active ingredient is D-Mannose (2 gm), combined with Vitamin C (600 mg), Vitamin B6, Calcium and Magnesium. (The company website does not list amounts for the last three ingredients.) The ingredients are made into a powder that you mix with water and drink. The manufacturer claims that Uqora will reduce the chance of getting a UTI if you drink it after having sex, after exercise or during travel, all activities linked to re...
Source: The Blog That Ate Manhattan - August 20, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Women's Health Post-coital Post-sex PRevention Uqora urinary tract infection UTI Source Type: blogs

HPV Myths – BUSTED
There’s an awful lot of misinformation out there about HPV and the HPV vaccine. Let’s see what I can do to clear up the confusion. Here are eight myths I find myself having to continually address with my patients. Let’s bust ’em! Myth#1 – HPV is forever Wrong. 90-95% of the time, HPV infections clear without any treatment. For those women with persistent HPV infection, we have pap smears to detect and treat precancerous lesions (dysplasia) years before they become invasive cancer. Myth #2 – If I’ve had the HPV vaccine, I don’t need Pap smears. Wrong again. While the HPV vaccine is h...
Source: The Blog That Ate Manhattan - August 17, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: HPV HPV & Cervical Cancer abnormal pap Cervarix Gardasil HPV Vaccine Source Type: blogs

Time Makes a Better Bread – and A Better Bread Maker
I”ve been making Jim Lahey’s bread for about four years now. My first attempt was in New York City during Hurricane Irene, when I knew I’d be home for at least 24 hours with nothing to do but make this bread. which has a 12 to 18 hour rise, followed by a second two hour rise prior to baking.  The result was delicious, though a little flat.  But hands down the best bread I’d ever baked. My first attempt at Jim Lahey’s No-Knead Bread I decided to try making bread during weekends at our cottage in the Endless Mountains, and immediately gravitated to Mark Bittman’s speedier version of La...
Source: The Blog That Ate Manhattan - August 9, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Bread Jim Lahey Mark Bittman No-Knead Source Type: blogs

Treating Menopausal Vaginal Dryness
Sex is supposed to be fun, and it’s definitely not supposed to hurt. But one of the consequences of menopause is vaginal dryness, which for many women means painful sex. With the loss of ovarian estrogen, vaginal walls that were once elastic, expandable, supple and sturdy can, over time, become tightened and fragile. The vaginal walls can become as thin as tissue paper, unable to withstand the manipulation that occurs with sexual activity, and can tear and even bleed with intercourse. “Use it or lose it” When sex becomes painful, the natural response is to begin to avoid intercourse. But without continued sexual acti...
Source: The Blog That Ate Manhattan - August 2, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Menopause painful sex sex hurts vaginal atrophy vaginal dryness Source Type: blogs

Smoked Trout
It only took us 10 years to get Mr TBTAM’s cousin Lou and his wife Maria up to our little town in the mountains, but it was a visit well worth the wait.  Not only did we have a great time, but Lou caught two trout in one of the feeders streams to the Loyalsock. On a warm summer day yet, when trout are supposed to be nowhere to be found in shallow waters. Of course, I smoked the trout. I’ve been wanting to make smoked trout since I first tasted it in Austria three years ago. My own attempts at fishing last year had yielded nothing more than a few tasty little perch. Now I had not one, but two 12 inch trout to ...
Source: The Blog That Ate Manhattan - July 19, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Fish brine recipe Smoked trout Source Type: blogs

The Caya Diaphragm – What You Need to Know to Prescribe or Obtain It
A new diaphragm has become available in the United States – It’s called Caya, and it’s available in a single size and by prescription only, and is designed to be used with a nonoxynol-9 contraceptive gel. Caya was developed as a collaboration between PATH and CONRAD, two non-profits responding to the needs of women for easy to use, effective, non-hormonal, user controlled contraception. Researchers at CONRAD, in a user-centered design process, worked their way  through over 200 different prototypes to arrive at the current one-size, non-latex diaphragm, which was initially called the SILCS diaphragm. The...
Source: The Blog That Ate Manhattan - July 3, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Best of Birth Control Posts Family Planning barrier contraception Caya Diaphragm HPSRx Source Type: blogs

Ave Verum Corpus
Thought I’d share this one piece from my my choral concert last month. It’s one of the most beautiful pieces of music ever written – Mozart’s Ave Verum Corpus. It’s not perfect, but I think we actually did it justice. Hope you enjoy listening to it as much as we enjoyed singing it. (I sing with the Collegiate Singers of NYC, a community choir on the Upper West Side. We performed in concert with The Plymouth Choir on May 9th at the First Baptist Church on Broadway and 79th. A wonderful space with great acoustics. Check us out if you love to sing. No audition required, though we assume you can hold a tune and ...
Source: The Blog That Ate Manhattan - June 3, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Uncategorized Source Type: blogs