Differences between emergency and non-emergency care
All too often, illness or injury appears out of the blue: You wake up in the middle of the night with intense abdominal pain. You stumble while carrying groceries up a flight of stairs, and cannot put weight on your swollen ankle. Or your baby spikes a high fever on the weekend.
Dangers can be reduced by teaching healthy habits at early age
It’s no secret that many Americans are severely overweight, and our children are no exception. In fact, there is growing concern about obesity in children and adolescents.
Learn proven methods for first aid for minor injuries and illnesses
Minor injuries and illnesses are usually treated at home, often with the help of a well-stocked first-aid kit and knowing what to do. The best outcomes come from using proven first aid methods.
Swimming pool safety rules parents of little children should know
When the weather gets hot, it’s nice to have a pool in the backyard where the kids can play and cool off. With proper preparation, pools can be both fun and very safe. Without it, accidents can happen. Young children are most at risk. Drowning is the second leading cause of injury-related death in children younger than 4, right after car accidents, according to the Centers for Disease Control and Prevention. Most of these drownings unfortunately happen with unsupervised children.
Learn the acronym BE FAST, for signs of a stroke and what to do
Every year about 800,000 people suffer a stroke in the United States. A stroke occurs when blood supply to the brain is interrupted. It is the No. 5 cause of death and leading cause of disability in the US.
Telehealth services are convenient and easy to use
Taking advantage of virtual care services to manage your health care can be a good option. Also known as telehealth or telemedicine, virtual care is widely available.
Common hand and wrist problem can be prevented and treated
You wake in the night with a painful tingling sensation in your fingers — or no sensation at all.
As your condition advances, you have trouble holding the steering wheel to drive or typing on your computer keyboard. You experience weakness in your hand and begin dropping small objects.
If these signs and symptoms sounds familiar, you may have carpal tunnel syndrome, which is a very common problem. The condition is often associated with overuse of the hands and wrist and other factors.
By District Attorney Summer Stephan
As California continues to set records for the number of people testing positive for the omicron variant of the coronavirus, you may find yourself becoming desperate to find an at-home test to avoid long lines at testing sites.
US News ranks healthy diet as best in several categories
US News & World Report recently weighed in on the best diets for 2022. The Mediterranean diet topped the scale as the best diet overall in the annual best diet rankings for the fifth consecutive year.
Home remedies for nausea relief
Most people have experienced nausea, that queasy feeling that often comes on suddenly. While nausea is not usually serious, it can be acutely uncomfortable. “Nausea is an uneasiness of the stomach that is often accompanied by an urge to vomit,” says Erin Lester, MD, a family medicine physician at Scripps Coastal Medical Center Solana Beach. “Anyone can experience nausea, and the symptoms are straightforward. You feel like you’re going to vomit, although you may not actually do so.”
It’s National Influenza Week, a national awareness campaign to highlight the importance of influenza vaccination. It comes right in the middle of that time of year when the flu bug is hitting our diverse communities. Here are 8 things people should know about flu shots if they haven’t gotten their flu shot yet. Doctors from TrueCare™ are available for questions and interviews. TrueCare is a nonprofit health care provider for those who are underserved in North San Diego County and Riverside County.
People at high risk for skin cancer should have regular skin exams
Skin cancer is an ongoing health problem in the United States. More than two people die of skin cancer in the US every hour. One in five Americans will be diagnosed with some form of skin cancer in their lifetime.
6 things to know about dietary supplements before taking them
Walk down the vitamin and mineral aisle of your local drugstore. You’ll see rows of capsules, liquids and powders listed as dietary supplements. Their labels claim they can help improve your health and well-being. But are dietary supplements necessary for your health.
Prepare questions, follow COVID protocols, use patient portal and more
You’ve waited several weeks to see your doctor, but after you leave the office you still have questions, and you don’t quite understand your diagnosis. If this sounds familiar, it’s time to improve your relationship with your physician.
A good patient-physician relationship can go a long way in helping you stay healthy — and getting the care you need when you’re not feeling well.
Provided By Dr. Gene Ma, Chief Medical Officer, Tri-City Medical Cente
“My dad had a stroke and he can’t speak but there’s nothing more that can be done.”
These were the helpless words of a friend who called to share with me that his dad had lost valuable time wandering around his wholesale membership warehouse store because he had suddenly been unable to communicate. By the time he was taken to his local hospital, it was too late to treat him with a clot-busting medication often used in severe stroke cases.
“Ask the doctor if there’s a thrombectomy capable stroke center in the region and if there is, request an immediate transfer,” I responded.
Stroke care has evolved dramatically since I started practicing emergency medicine almost 25 years ago. What remains a constant, however, is that time is critical. Delays in seeking care can be catastrophic, as would have been the case here. I’ve witnessed time and again the miraculous recovery after a stroke victim arrives paralyzed on one side of the body and is treated with tissue plasminogen activator(tPA). For patients who seek care within 3 hours of a stroke, this life-altering, clot-busting medication helps open up a clogged artery in the brain responsible for loss of function.
My friend’s experience impressed upon me how important it is for patients to recognize that stroke care no longer stops at 3 hours. Fortunately, for his dad, a regional Thrombectomy Capable Stroke Center was nearby. As the human brain is exquisitely intolerant of diminished oxygen flow from a stroke, he was expeditiously transferred to the regional facility where specialized doctors called neuro-interventional radiologists used a small artery to tunnel a catheter into the arteries in his brain and retrieved the blood clot. Thanks to the skill of those specialists at that advanced stroke center, he recovered almost immediately and today, you would never know he was almost left with what would have been a disastrous, life-altering deficit.
The data is irrefutable. People are waiting too long at home to seek emergency care when needed, for fear of COVID. We as emergency physicians are witnessing devastating strokes, heart attacks, infections, diabetic complications and many other preventable illnesses because of delays in seeking medical help during this pandemic. The reality is that COVID isn’t contracted in hospitals, but out in the community when we let down our guard(and our masks). Yet heart attacks and strokes lack the courtesy to wait out the pandemic.
Here’s what you can do to ensure the best possible outcomes for yourself and your family during these trying times:
About The Author
Dr. Gene Ma has served as an emergency department physician at Tri-City Medical Center for over 19 years and is Tri-City’s Chief Medical Officer.
For nearly 60 years, Tri-City Medical Center has provided high quality healthcare services for the sick and injured of our region. Located adjacent to Highway 78 at the intersection of the cities of Oceanside, Carlsbad and Vista—the “Tri” in Tri-City—the medical center is renowned for its heart attack, stroke care and orthopedics programs, a testament to the incredibly talented and dedicated individuals who choose to work there and serve patients 24 hours a day, 365 days a year.
Get the skinny on CBD from a medical professional
You might have noticed it touted as an ingredient in drinks, lip balms, lotions, drops, or even candies. CBD is all the rage right now and readily available at your neighborhood health store, coffee shop, or spa.
By Trey Triplette with 3natural Bionutrition
1. Bring Your Own Food
You may have heard the name or seen an article mentioning a new type of fitness program and wondered, “What is Medical Integration?” Medical Integration (MI), at its foundation, is small-group fitness training developed from evidence based research and led by nationally certified personal trainers with specialized certifications. This enables them to modify workouts for individual needs. It is the missing link between healthcare and fitness and only found at Tri-City Wellness & Fitness Center.
Dr. Hussna Wakily is an award winning, board certified general surgeon who takes care of all issues related to the colon and rectum, including hemorrhoids. Recently voted as Top Doctor 2019 for general and breast surgery. To learn more about Dr. Wakily or make an appointment, visit Tricitymed.org or call 855.222.8262.
Though it has taken nearly ten years, Oceanside has seen significant improvement in reducing the retail sales of synthetic drugs, and the corresponding calls for emergency services. This is due in large part to the efforts of Senior Deputy City Attorney Annie Higle, and a local ordinance adopted in April 2016 with support from the North Coastal Prevention Coalition (NCPC) and many community partners, including the Oceanside Chamber of Commerce.
Courteous of Tri-City Medical Center and Pacific Standard News
Every year, thousands of homeless San Diegans cycle through local hospitals and emergency rooms. Now a new state law is forcing hospitals and regional leaders to publicly grapple with where those patients can recover once they are released from the hospital.
by Tina F. Edwards, MD, World of Wellness, Healing Care
When you pay for something you expect to get something out of it. But, are you getting anything from the Healthcare you are buying for your employees? Are they healthier? Do they get good care? Do they have fewer sick days? Does any benefit accrue to you, the employer, for paying for this increasingly expensive service?
Why are you paying for healthcare, anyway? When did employers become responsible for their employees health and why? Essentially, it was an accident of history and a change in the tax code. During World War II, one way to attract laborers to essential war-time factory work was to offer better fringe benefits. One of those was health-insurance. In 1943, the IRS decided that employer-based-healthcare would be tax free—and thus the standard of employer funded health-insurance was born.[i]
Today, you probably pay a monthly amount for each of your employees to cover their health-insurance. That insurance, in turn, covers some or all of their health expenses. Usually, to keep costs low, you use a Health Maintenance Organization (HMO), perhaps with a large co-pay for each visit, or a PPO with a very large deductible. For that, they can potentially see their doctor after making an appointment for 1-2 weeks in advance. Maybe, if they are lucky, they can see some other provider that day or the next day if they are actually sick—and when do they call their doctors for an appointment? When they are well? The focus is rarely on preventing illness, but rather responding to it, maybe with pills, or hospitalization, or expensive testing. For each of those, they will pay a co-pay, usually ranging from $15 to $70 dollars, or more, for an ER visit when they can’t get in to see a regular doctor or urgent care.
What, you may ask, is the alternative? There is a new movement among primary care doctors and their patients today called Direct Primary Care (DPC). Born of the idea that it is Primary Care that is the real driver of health, a growing wave of doctors have decided to opt out of the insurance game, and take their services directly to the patient.
DPC patients pay a monthly fee to their doctor, usually less than $99 a month and averaging $50-$70/monthly, per patient, for most practices. Fees are usually based on age and family size. A DPC doctor limits their practice to less than a thousand patients, sometimes as little as three or four hundred. DPC doctors are available for same and next-day visits, texting, phone conversation, twitter messages, Facebook messages and even video chatting. DPC doctors can spend 30 minutes or an hour with patients, and can take all the time needed to do the right thing.
DPC doctors recognize that the current insurance model for Primary Care doesn’t serve the doctor or the patient. Insurance companies derive their revenue from the stream of payments from employers and insured. It is to their benefit to see that patients get as little care, in as little time, as possible, so that they can keep the most money for the company. They have to build nice buildings and offices to house all the administrators and rule-writers they have to pay to decide what patients can and can’t get from their doctors. In short, they get between the doctor and the patient, and they make money doing it.
DPC doctors know that good primary care can take care of 90%, or more, of everything patients need, and primary care is where the real work of health and wellness occur. What prevents this level of care in most traditional insurance-based doctors’ offices? First, the doctors have no time. To support the staff they need to comply with insurance and Medicare regulations, doctors have to have panels of 3000-5000 patients. That means they need to see thirty or more, patients, per day. That is why appointments are limited to seven to ten minutes on average, and doctors don’t listen to their patients. Second, they’ll do what they get paid to do. What they get paid to do is write their chart in such a way that their coders can code it “correctly” to get the most money out of the insurance company. They get paid for referring to specialists; they don’t get paid for listening to the patient long enough to figure out what is going on without that expensive referral.
It sounds strange, but it’s true. Nothing in the current structure actually pays the doctor to sit and listen to the complex human beings that are their patients, and try to help them. Doctors don’t get paid to talk about grief, isolation or anxiety. They don’t get paid to talk about diet and exercise, and their role in not just being healthy, but feeling healthy. They don’t get paid to talk to patients about their goals and aspirations, and how doctors can help. In short, doctors aren’t being paid to do what their patients really need them to do, which is help them to live healthy and fulfilling lives.
Direct Primary Care is a way to return to the roots of medicine, when the local doctor was a local resource for all kinds of health issues, not just strictly for handing out pills and referrals to other doctors. DPC doctors can help your business by keeping your employees healthy, fit, and energized. A healthy workforce is a productive workforce. If you’re among the growing number of employers who self-insures, DPC can help you keep those costs down by limiting referrals, expensive studies and ER visits to what is really needed, not just to what is convenient for the doctor overwhelmed by more than 30 patients a day.
When one ER visit for a simple problem can cost your employees thousands of dollars, DPC pays for itself just in avoiding those expensive visits. When DPC doctors focus on your employees’ health, and getting them to work, ready to work, and keeping the contagious away from work, DPC pays for itself in productivity. When you combine DPC with a health-care-sharing program like Liberty Health Share, or low-cost policies that cover hospitalization and more catastrophic costs, DPC pays for itself by saving you money directly on employee health costs. Finally, when you are able to offer your employees excellent primary care for themselves and their entire family, at very low costs, DPC pays for itself by making you a more competitive employer.
If you are frustrated by the current Health-care insurance system and looking for an alternative for yourself and your employees, look into Direct Primary Care. You can change your business to a better model, one that works for you and your employees.
Local DPC practices
World of Wellness, Dr. Tina F. Edwards, www.wowhealingcare.com,
reevoMD, Dr. Gordon Luan, www.reevomd.com,
Encinitas Personal Healthcare, Dr. Marty Schulman, http://www.martyschulmanmd.com
[i] Accidents of History Created the US Health System. Blumberg, Alex. Davidson, Adam, http://www.npr.org/templates/story/story.php?storyId=114045132
Last Thursday marked the Oceanside Chamber’s 11th Annual North County Health Fair at the Oceanside Civic Center Plaza. Hundreds of residents, along with visitors and members of the local business community came together to enjoy a beautiful day in the sun.
The event, presented by Tri-City Medical Center, offered community members an opportunity to get connected to the wide variety of health care resources that are available in Oceanside and surrounding communities. Dozens of exhibitors were on hand to provide information about the services offered by their businesses. Event sponsors included Scripps, Kaiser Permanente and Primary Care Associates/Cassidy Medical Group, Part of OptumCare.
On October 13th, the Chamber’s Oceanside Senior Expo event will take place at the same venue. For more information on the Chamber’s upcoming events, visit our Special Events page.
by Carrie Chacon
Here it comes, Holiday Deliciousness! I love everything about the holidays, the food, the weather, the friends and family, everything that makes this time of year special. Running around, eating on the go and hugging everyone I see fills me with joy… and taxes my immune system. I say “Humbug” to colds, sniffles and fatigue! I don’t want to forgo hugs and hot chocolate to stay healthy, so I take a few precautionary steps during the holidays to keep myself and my family healthy (well as healthy as possible, colds can be sneaky bugs!)