In mybook®: Health
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ImmunizationsNationally, Influenza results in billions of dollars in lost wages every year, and recent studies found that an estimated 75 million missed workdays annually, and about 200 million days of restricted activity, are due to this vaccine-preventable disease. Yet vaccination rates remain alarmingly low, especially among working adults. In fact, adults between the ages of 18 and 49, typical ages of those in the workplace, have the lowest influenza immunization rates of any other age group. *
SinusitisChronic sinusitis typically lasts more than 4 weeks and occurs more than 4 times per year. If you are diagnosed with chronic sinusitis, you should visit a specialist for evaluation. Chronic sinusitis can be caused by nasal polyps or tumors, allergies, or respiratory tract infections (viral, bacterial, or fungal), among other reasons.
Weight ManagementSome services not included: weight loss surgery, weight loss programs, long-term care, acupuncture, and cosmetic surgery.
Primary CareEach time you do a self-exam, check these areas for changes in size, texture, and color, and for ulceration. If you notice any changes, call your primary care provider or dermatologist.
Ear InfectionsMiddle ear infection. When microorganisms infiltrate the space behind the eardrum, a middle ear infection (otitis media) can result. This happens most frequently in infants and young children.
Family PracticeUrgent Care & OHC of TX PA in Boerne is now hiring a Full Time LVN, LV. Must have Family Practice or Urgent Care experience. Please email your resume to email@example.com.
Emergency CareUrgent Care & OHC of TX is looking for part time front desk clerks who are willing to float to all 4 of our locations to pick up shifts during the week and on weekends. Must have medical office experience along with insurance knowledge. Please email your resume to firstname.lastname@example.org.
ColonoscopyColon Cancer. Those 50 to 75 should get screened regularly, and older people should discuss the pros and cons with their doctor and decide. Options include a colonoscopy, which examines the entire colon, every 10 years, or a sigmoidoscopy, which looks at the lower third, every five years plus a stool test every three years, or an annual stool test. As far as other guidelines, no groups suggest screening younger than 50 unless high risk. The ACS also doesn't say to specifically stop at age 75.
AutismRehab and habilitative services, those that help people recover from an accident or injury and those that help people with developmental issues. In Texas, habilitative services, including physical, occupational, and speech therapy, are covered for children with autism up to age 10.
EpilepsyAvoid fluids containing either caffeine or alcohol, because both substances can make you lose more fluids and worsen heat exhaustion. If you have epilepsy or heart, kidney, or liver disease; are on fluid-restricted diets; or have a problem with fluid retention, check with your doctor before increasing liquid intake.
Computed TomographyLung Cancer. The test is a low-dose CT scan. The ACS only recommends this for high-risk people (such as older individuals who've smoked for years).
ChemotherapyIn advanced cases of melanoma, immune therapies, vaccines, or chemotherapy may be used. These treatments are typically offered as clinical trials. Clinical trials are studies of new therapies to see if they can be tolerated and work better than existing therapies.
Radiation TherapyPeople who cannot undergo surgery may be treated by external radiation therapy. Radiation therapy is the use of a small beam of radiation targeted at the skin lesion.
UltrasoundOvarian Cancer. Tests include a blood test to look for a protein linked with the cancer, and a trans vaginal ultrasound. This test is generally not recommended by anyone for the general public.
RadiologyThese include missing some cancers and ordering additional tests when no cancer turns out to be there. Some doctors took issue with the decision to use the task force recommendations as the basic source. "I'm disappointed they followed the task force guidelines, because we feel they are inadequate to protect women," says Debra Monticciolo, MD, chair of the American College of Radiology's Quality and Safety Commission and vice chair of radiology at Scott & White Healthcare in Temple, Texas.
Testicular CancerTesticular Cancer. The test is a physical exam of the testicles. ACS does recommend this as part of routine care; the task force doesn't.
Ovarian CancerHowever, the recommendation for women at low risk for ovarian cancer not to seek screening is a good one, says J. Matt Pearson, MD, assistant professor and a gynecologic oncologist at the University of Miami Miller School of Medicine's Sylvester Comprehensive Cancer Center.
Cervical CancerCervical Cancer. Women 21 to 30 should have a Pap smear to test for cervical cancer every three years. Women 30 to 65 can wait five years if they have had testing for human papillomavirus ( HPV ), the virus that causes the cancer. Those 65-plus can skip screening if they were screened regularly earlier. Those under 21 can also skip the test, as experts know the cancer is not common at those ages.
Lung Cancer"If you are serious about preventing cancer, you don't smoke, you exercise, and you try to get to a normal weight," Santa says. Obesity has been linked with about 4% of men's new cancers and 7% of women's, he says. Getting to a normal weight may especially lower the risk for uterine and esophageal cancers. Regular exercise can reduce colon and breast cancer risk. Smoking is linked with lung cancer as well as cancers of the larynx, oral cavity, esophagus, bladder, kidney, and pancreas.
Prostate CancerProstate cancer. The blood test is known as the PSA (prostate-specific antigen) test. The ACS says to discuss PSA tests with your doctor, but doesnâ€™t recommend widespread screening of everyone.
Internal MedicineDiabetes is a threat to inactive overweight or obese individuals. A Finnish study conducted between 1987 and 1992 showed that inactive obese individuals had an increased risk of developing diabetes, according to an April 2004 issue of "Archives of Internal Medicine." The study goes on to state that increasing your activity levels and reducing your body weight greatly decreases your chances of developing diabetes.
UrologyThe recommendation to avoid PSA tests refutes evidence that they work, say Dipen Parekh, MD, a professor and chair of urology at the University of Miami Miller School of Medicine's Sylvester Comprehensive Cancer Center. "There is no question the decline in the incidence of advanced prostate cancer is due in large part to PSA screening," he says.
NephrologyPatrick is the proud father of 4 children; Nicholas, Cassie, Sean and Kayla. His wife practices Nephrology in the Medical Center in San Antonio.
General SurgeryJohn Rheiner, M.D. is a native of San Antonio, born at the Nix Hospital. He attended Churchill High School, and then Texas A&M University in College Station, Texas, where he received a Bachelor of Science degree in Biology. Immediately following his graduation from A&M, he was accepted into medical school at the University of Texas Health Science Center in San Antonio, and received his M.D. degree in 1985. Dr. Rheiner then completed three years of General Surgery residency training at the L.S.U. Medical School Residency Program in Shreveport, Louisiana. He returned to San Antonio in 1988 and worked in Urgent Care Medicine with Texas Med Clinic in San Antonio for 20 years, until 2008. In April of 2008, Dr. Rheiner joined the Boerne Urgent Care Clinic, electing to practice close to his home in Fair Oaks Ranch.
Ankle SprainGreat experience! Professional staff, people skills are outstanding! I was in the Boerne Clinic location in July for an ankle injury. Never having anything like that happen to me before, I was a newbie. Not only was I having an issue with my injury, it was at a bad time dealing with a family death and my state of mind was not that great. Everyone there was so nice to me and made me feel secure and better about my circumstance and injury and very patient with me. My care was great; I had no problems with the care I received. Follow up on phone calls and questions were great. I have no problem referring everyone I know in that area to use the Boerne Urgent Care Clinic. From staff to the medical care I was excellent. Too bad it wasn't a location in Bandera but it was still manageable. Thanks and I am recovering just fine.
Skin CancerSkin cancer is the most common of all human cancers, with 1 million people in the U.S. diagnosed each year with some type of the disease.Â Cancer occurs when normal cells undergo a transformation and grow and multiply without normal controls.
LesionsSpider bites, and more specifically, brown recluse spider bites are actually rare occurrences. Most spider bites will be felt and most of the time the attacking spider will be seen. Brown recluse bites many times are minimally painful, but recluse bites very commonly lead to a condition called loxoscelism. Loxoscelism is a flu-like illness with fever, body aches and a rash that occurs soon after envenomation by Loxosceles reclusa, otherwise known as the brown recluse spider. Recluse bites typically do not become infected or lead to pus-filled, draining wounds characteristic of MRSA. Recluse bites are an envenomation, not an infection. Rarely, recluse bites will become necrotic, where the tissue surrounding the bite site will deteriorate and slough away. Treatment is difficult and the lesions commonly take months to heal.
Attention Deficit Hyperactivity Disorder (ADHD)ADHD is one of the most common neurobehavioral disorders of childhood. It is usually first diagnosed in childhood and often lasts into adulthood. Children with ADHD have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), and in some cases, are overly active.
Physical TherapyPerfect solution for me! Thanks for being where you are. I took my son, age 16, to the Urgent Care in New Braunfels after a football injury. We waited for less than 15 minutes before being seen. I was so impressed with the staff, nurses and physician. An X-Ray was done promptly, then the physician placed a cast and explained the injury and the recover to me in depth and made sure my son understood his limitations. A nurse came in and measured him for crutches and did a great job of teaching him how to use them. We returned one week later for cast removal and a follow up exam, the physician recommended physical therapy and gave us a great referral. Upon my son’s return to school, we spoke to both the football trainer and school nurse at NBHS and both were also impressed with the care given to my son. They have even taken their own family members to your facility. As a mother, that really impressed me that these professionals agreed with me. As a nurse, I am proud that such great health care is available in New Braunfels. Thanks again for a great experience, we will be returning.
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