www.nwphysicians.com Summer Edition 2018 - New West Physicians
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
www.nwphysicians.com
20 Denver metro area locations
Summer Edition 2018
feature story
What to do about
neck and back pain
Ken Cohen, MD, FACP
Chief Medical Officer
YOUR SPINE is a column of 25 vertebrae all
stacked upon one another. They are each sepa-
rated by cartilage cushions and supported by
groups of muscles that help to stabilize the spine.
When the muscles become weak from lack of ex-
ercise or injury, or when the cartilage begins to
break down, back and neck pain can be the result.
Sometimes, working with your physician, you are
able to completely correct the pain, but other
times only partially. This inability to completely fix
neck and back pain has resulted in many different
approaches to the problem, only some of which
have shown benefit.
Evidence-based medicine is the study of what is
proven to work. This allows us to avoid treatments
that are ineffective or even potentially harmful.
Because neck and back pain are so common, it is
It’s important to understand that for some patients,
particularly important to determine which treat- there will always be a level of pain that doesn’t go
ments actually help our patients.
away. This is very difficult for many patients, and
working with a counselor who specializes in pain can
What works provide tools and strategies to manage the pain.
n Physical therapy that progresses to other
spine-strengthening exercises shows the
greatest long-term benefit. This is because
the increase in muscle strength stabilizes and
What doesn’t work
supports the spine. Physical therapy can tran-
sition to yoga, Pilates, Tai Chi, and other forms
of strength and flexibility training.
Others things have been shown to be ineffective.
n Improving ergonomics is another critical part
of a spine program. n Opioid therapy is at the top of the list. Many drugs that have been used
for years have been shown not to help neck and back pain including
n Ergonomics is the science of studying your muscle relaxants, valium-type drugs, and certain drugs affecting nerve
day to day activities, job, hobbies, etc., to transmission such as pregablin (Lyrica) and its cousin, gabapentin. An-
make certain they are carried out in such a ti-inflammatories such as ibuprofen, have some benefit and are safe in
way as to not worsen pain. many, but not all patients.
2 New West Express
n Some treatments, such as stem cell injections, have not been So what is the take-home message? It can be frustrating when
studied at all and we have no idea if they are of benefit at modern medicine offers a limited tool kit. On the other hand,
this time. this should never be an excuse for trying treatments that don’t
work or could be harmful. Sometimes the goal is reduction in
n ESI (cortisone injections into the spinal canal) is another pain, but not complete elimination of pain. If injections or sur-
therapy proven to be largely ineffective. There are only a few gery are a valid option, your care team will help you make the
situations in which this can be beneficial and then usually best decision and help you avoid unnecessary, potentially harm-
only for a few weeks. ful or expensive care. Working with your primary care physician
to develop a good rehabilitation plan and the right team to pro-
n In many patients there is no benefit to spine surgery and
vide it will almost always be of high value and lead to significant
some patients may be worse off after than before surgery.
improvements in neck and back pain.
Welcome to our new provider
Brita Krabacher, D.O.
Arapahoe Internal Medicine
www.nwphysicians.com 3
Senior Reach Provides
One-on-One Support in Senior Reach provides short-term sup-
port (up to 12 sessions) to help seniors
Your Home stay independent in their homes and learn
new coping strategies to adjust to life’s
changes. Our counselors have specialized
LATER LIFE is filled with wonderful expe- family member, or pet, and family conflict experience in working with older adults to
riences for many, including the chance to can affect many older people. build on their strengths and help them feel
enjoy retirement, spend more time with empowered and hopeful about the future.
family, and being able to set your own Fortunately, there is a program that can
schedule. Most adults age well, and find help. Senior Reach is a program of Jef- Anyone can make a referral for someone
their later years to be incredibly satisfying. ferson Center that offers counseling and they are concerned about. If you’ve no-
care management services in the home ticed a family member, neighbor, or friend
However, life can also bring challenges to adults 60+ who live in Jefferson, Clear isn’t quite the same—maybe they’ve
that may keep a person from being able Creek, Gilpin, Boulder and Broomfield stopped going out to social activities, or
to fully enjoy their later years. Financial counties. their appearance is more disheveled than
strain, physical illness, loss of a partner, usual—you can call Senior Reach and they
will help guide you through the process of
getting that person connected to services.
If you would like to speak to someone
about the challenges in your life, or if you
know someone who might benefit from
extra support, we invite you to call Senior
Reach. They can schedule a free emotional
and mental wellness assessment. Senior
Reach staff also has information about lo-
cal resources that may be helpful for your
specific situation, such as transportation
and minor home repair.
To learn more about Senior Reach, visit
the Website or call (866) 217-5808 to
schedule an appointment.
Transitions and Farewell
Thank you!
“Vic” Doyle, MD Michelle Thomas, MD
Bear Valley Family Medicine Cherry Creek Internal Medicine
Retired after 25 years Retired after 30 years
4 New West Express
Summertime Health Updates
Sneezing
Elizabeth Baker, M.D.
Park Ridge Family Medicine
Summertime: the kids are out of school, BBQs are fired up, va- choice for treating nasal allergies (runny nose, congestion,
cation plans are made, and allergies are in full swing. For many sore throat). Remember that these can take a few days to
people, allergies can really put a damper on their enjoyment of kick in. Don’t confuse these with decongestant nasal sprays
the season. Common allergies: such as Afrin or Neo-•Synephrine, which should never be
Allergic Rhinitis or “Hay fever”—runny nose, sneezing, nasal used for more than a few days at a time.
congestion, scratchy throat, itchy ears, watery or itchy eyes, post- n Traditional antihistamines, such as Benadryl or Chlortri-
nasal drip, cough, and fatigue metron, are effective, but tend to cause sleepiness and only
Allergic conjunctivitis or “Allergy eyes”—itchy, red, watery work for 4-6 hours at a time.
eyes and swollen eyelids n Non-sedating antihistamines, such as Claritin,
Allergic dermatitis—itchy, hive-type reaction to an exposure Allegra, Zyrtec, Xyzal (all also available as generics) are effec-
such as grass, animals, etc. tive medications, and most are available at your local drug-
store without a prescription. These work for nasal allergies,
Allergic bronchitis—chronic cough, chest tightness and wheez-
as well as skin and eye allergies. These are sometimes sold
ing associated with an allergy exposure
in preparations that contain a decongestant (similar to Su-
About 1 in 5 Americans experience hay fever. Symptoms can dafed), so look at labels before you mix with other medica-
range from mild and annoying to severe enough that afflicted tions.
people miss work and school. They are more prone to sinus infec-
n Allergy eye drops can help eye symptoms very quickly. Zat-
tions and lung problems. Thankfully, there are many treatments
ador and Opcon-A are specifically for allergies—they help to
that can help:
treat the reaction instead of just covering up “red eye”.
Decreasing exposure can make a big difference. Closing windows
When allergies are severe or are not responding to conventional
at home and work, wearing a mask when doing yardwork, and
over-the-counter treatment, it is time to see your primary care
avoiding exposure by making the kids mow the lawn can be very
doctor. There are prescription medications and other treatments
effective. People may carry many pollen particles and allergens
available, as well as allergy testing.
on their skin and clothing, and pets get lots of
pollen stuck in their fur if they are outdoors.
Showering before getting into bed (and hav-
ing your pets sleep outside of the bedroom
or bathing them frequently) can help. Join us on Social Media
n Certain herbal treatments can have
benefit. Small studies show that using Now it is easier than ever to keep up with New West Physicians, health topics of
Butterbur, Fermented Red Ginsing, or interest, and provider information through your favorite social media channel.
Benifuuki green tea can help with allergy Take time to connect with us on:
symptoms when taken regularly.
n Saline nasal irrigation (the Neti pot or Follow us on Twitter Follow us on You Tube
Neil Med Sinus Rinse) helps to alleviate
symptoms and rinses allergens from the
nasal passages.
Follow us on Facebook NWP Blog
n Nasal allergy sprays—sold under
names such as Flonase, Nasacort and Na-
sonex or their generic equivalent—are
safe for adults and kids to use every day, Follow us on Linkedin
and are considered the most effective
www.nwphysicians.com 5
Patient News
Get Ready, Get Set, Let’s Play! …
Importance of a Sports Physical
Compliments of Kidshealth.org
A SPORTS PHYSICAL EXAM helps determine whether it’s safe for you to participate in a particular sport. Most states
actually require that kids and teens have a sports physical before they can start a new sport or begin a new competitive
season.
The two main parts of a sports physical are the medical history and the physical exam.
Medical History Physical Examination
This part of the exam includes questions about: During the physical part of the exam, the doctor will usually:
n Serious illnesses among other family members n Record your height and weight
n Illnesses that you had when you were younger or may n Take a blood pressure and pulse (heart rate and rhythm)
have now, such as asthma, diabetes, or epilepsy reading
n Previous hospitalizations or surgeries n Test your vision
n Allergies (to insect bites, for example) n Check your heart, lungs, abdomen, ears, nose, and throat
n Past injuries (including concussions, sprains, or bone n Evaluate your posture, joints, and flexibility
fractures)
n Whether you’ve ever passed out, felt dizzy, had chest
pain, or had trouble breathing during exercise
n Any medications that you are on (including over-the-
counter medications, herbal supplements, and prescrip-
tion medications)
Schedule your sports physical today!
Visit our Website’s Location Page for easy access.
6 New West Express
It Started With a provider spotlight
Summer Trip
By Joel Strohecker, D.O.
Hospitalist
FOR ONE WEEK EACH YEAR, a group ini- have a life expectancy in the 50s. In 2016 the community and have been warmly
tially organized by a church traveled to Gua- Camotán Clinic was started as a nonprofit welcomed by these gracious people. It has
temala to provide medical care to the indig- organization with the goal of providing made working here enjoyable and fulfilling.
enous people living in a remote section of health care to this unrecognized commu-
the country. As a member of that group nity in remote southwest Guatemala. After
who made the week-long trip for the past 9 several months of construction the clinic
years, I realized that one week out of a year opened in late 2017. We so far have hired a
was wholly inadequate to truly make a dif- Guatemalan dentist, nurse and office man-
ference medically. While we saw improve- ager. I have been traveling about every 6
ments in malnutrition, some water practic- weeks with different doctors to work in the
es (we distributed filters and educated the clinic. We are up and running offering ev-
population) and a few communicable dis- erything from pediatrics to dental care and
eases, by and large we would return each geriatrics. We will be starting an obstetric
summer to the same issues. Three years program in September. In time, we will hire
ago, another doctor and I began discussing a doctor but for now our frequent medical
plans for making a permanent clinic in this trips from the U.S. suffice as we build our
remote section of the country. patient base and learn the needs of the
people more completely.
While the Guatemalan government pro-
vides some vaccinations to children, there Our clinic is situated in the valley with large
is otherwise no organized medical care up mountains all around us. Some of our pa-
in these mountains. Most families live in tients come down to see us but we often
thatched huts with their animals and prac- have to do “Hut Calls,” traveling up on the
tice subsistence farming. They are mountain to see our patients. Word spreads
exposed to numerous infections, as well fast and those who are able to travel have
as malaria and tuberculosis. A simple the option of a truck transport that charges
tooth infection (there is no dental care or 8 cents for the ride down to our clinic.
education) can lead to a bloodstream To learn more, or if you would like to
infection and death. While most We are just getting started. Already we volunteer or support our clinic, visit
Guatemalans have a life expec-tancy of have felt tremendous appreciation from camotanclinic.com.
70 years, those in remote areas
www.nwphysicians.com 7
Learning Lab
Melissa Coomes, M.D.
New West Physicians Broomfield
A Look at Functional
Medicine
Melissa Coomes, M.D.
New West Physicians Broomfield
THROUGHOUT MY CAREER AS A PHYSICIAN, I have worked The Functional Medicine model is an individualized, patient-
to blend various evidence-based treatment methods optimize centered, science-based approach that empowers patients and
health for each individual patient. I focus heavily on healthy practitioners to work together to address the underlying causes
lifestyle education, emphasizing nutrition, physical activity and of disease and promote optimal wellness.
stress reduction through mindfulness. I have additional training
in integrative medicine and most recently have begun training to It requires a detailed understanding of each patient’s genetic,
become certified in Functional Medicine. biochemical, and lifestyle factors and leverages that data to direct
personalized treatment plans that lead to improved patient
There are a lot of different terms out there that encompass “alter- outcomes.
native” medicine. For example, the term “integrative medicine” In Functional Medicine thinking, when significant inflammation
refers to the combining of mainstream medicine with healing-ori- is in the body (root cause), it could lead to chronic conditions
ented medicine, taking into account the whole person, including such as depression, heart disease, arthritis and diabetes, or other
all aspects of lifestyle. It emphasizes the therapeutic relationship devastating illness such as cancer. While it is important to treat
between practitioner and patient, is informed by evidence, and the diabetes, depression or other conditions, if we can delve
makes use of all appropriate therapies. Another method that into the root of the problem, determine why. By addressing root
has gained a great deal of attention in recent years is Functional cause, rather than symptoms, practitioners become oriented to
Medicine. identifying the complexity of disease. They may find one condi-
tion has many different causes and, likewise, one cause may result
8 New West Express
in many different conditions. As a result,
Functional Medicine treatment targets
the specific manifestations of disease in
each individual. Chronic conditions are
on the rise, and Functional Medicine has
the potential to reverse or even eliminate
the devastating affects of some of these
conditions.
Patients treated at the Cleveland Cen-
ter for Functional Medicine reported a
decrease in fatigue, depression and auto-
immune problems. At the same time, the
4,200 patients also reported a reduction
in their out-of-pocket health care costs.
With the rising costs of health care, as
well as time restraints, patients are look-
ing to various modalities for treatments
and improvement in their general well-
ness. It is important.
Remember You Can Pay Your Bill Online
To make paying your bill more convenient, New West Physicians has selected Authorize.Net to provide an easy, safe, and
secure way to pay your bills online with a credit card.
n Authorize.Net accepts MasterCard, VISA, Discover, and American Express credit cards.
n Payments post to your account within two business days.
Visit our website today at www.nwphysicians.com and click on the “Online Bill Pay” icon located on the Home Page near
the ”Search” feature.
9
Packets and Forms
Whether you need to complete a New Patient Packet, transfer your medical records from another office to New West
Physicians, or prepare for a procedure, the easy-to-access forms are located on our webiste by clicking Packets and Forms.
Manage Your Health the Easy Way
It’s now easier than ever to reap the benefits of joining the MyHealthConnection Patient Portal. The customer service line gives patients
the ability to call a toll-free number for assistance with technical issues. You will be able to:
n Communicate with your providers about non–urgent health issues
n Request appointments
n Request prescription renewals
n Review test results as soon as they are available
n Review medical history and keep your record up-to-date with allergies or other health information
n Update your address, phone number, or other personal information to save time during your next office visit
Support when you need it
Patient Portal Support
(888) 670-9775
support@followmyhealth.com
6am-6pm (MST) Monday thru Friday; closed all major holidays
**For medical emergencies, always call 9-1-1 immediately.**
Get started today by visiting our Website and selecting Patient Portal. Download the MyHealthConnection Brochure, complete the “Request
an Invitation to Join” section, and take it with you to your next visit so they can verify your information in person to protect your privacy.
10 New West ExpressPantescan Salad delicious recipe
Potatoes, tomatoes, onion, olives and capers combine Directions:
in this healthy Mediterranean twist on a potato salad.
Boil the potatoes, peel, and slice them.
Add the sliced tomatoes, onion, olives,
Ingredients: and capers. Season with extra-virgin
olive oil and sprinkle with oregano.
• 3 potatoes • 1 red onion, sliced
• 1 oz. capers, rinsed • Dried oregano, as desired 10
• 5 tomatoes, sliced black olives Nutritional
• 2 Tbsp. extra-virgin olive oil Information:
Makes 8 servings
Calories per serving – 112
Total fat-4g
Sodium-129mg
Carbs-18g
Fiber-2g
Considering Surgery?
Let Us Help
WHEN YOU ARE CONSIDERING SURGERY formation on the benefits and risks of dif-
or would like more information about ferent treatment options. Individuals who
a variety of health topics, the Health are presented with all of the treatment
Information Library videos explain test, options for a condition are empowered to
treatment, and care options through real- make an informed decision that is right
life experiences to help you make the best for them. Also, there are resources about
decision for you or a family member. In depression, diabetes, sleep disorders and
fact, one-third of medical conditions have more.
more than one treatment option for you
to consider and, the more information It’s easy to get started; simply click on
you have, the more satisfied you will be Health Information Library located on
with your decision. our Website, follow the registration
instructions and you are on your way.
The Health Library Decision aids will
provide you with balanced, unbiased in-
www.nwphysicians.com 11New West Physicians’ 125 providers practice from 18 offices conveniently
located near where you live and work with accessible office hours.
Visit www.nwphysicians.com/locations to find a provider near you.
Follow us on Twitter Follow us on You Tube
Follow us on Facebook Follow us on Linkedin
NWP BlogYou can also read
