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Coronary Artery Disease (CAD)

3D illustration of Heart – Part of Human Organic.

Heart Disease is a chronic condition that is one of the leading causes of death in the United States. Heart Disease describes the different types of heart conditions. Heart conditions that are often associated with Heart Disease are Arrhythmia, Atherosclerosis (hardening of the arteries), Cardiomyopathy, Congenital heart defects, Coronary artery disease (CAD), and Endocarditis (Heart infection). Coronary artery disease is the most common type of Heart Disease in the United States, about 18.2 million adults aged 20 and older have CAD[1]

 

Plaque build-up along the walls of our arteries can cause coronary artery disease.  Cholesterol and other material within our arteries make up these plaques. As the plaques continue to deposit in the lining of our artery walls, that build-up can cause our arteries to narrow over time to where blood flow within the artery is either partially blocked or completely blocked. In a healthy artery wall, the cells are smooth and elastic, which allows for blood to flow with no issues. Chest pain and discomfort are two typical signs and symptoms of CAD. For most people, a heart attack is often the first clue that they may have CAD. Those symptoms are chest pain, shortness of breath, pain or discomfort in the arm or shoulder, and light-headedness. Over time, CAD can weaken the heart muscles to the point where the heart cannot pump blood properly, thus causing heart failure[2]. There are many diagnostic tests that a physician can use to diagnose the onset of CAD. A few standard tests are an electrocardiogram (ECG), Echocardiogram, and Cardiac CT scan.

 

There are many risk factors associated with CAD. Age, sex, family history, smoking, blood pressure, cholesterol levels, weight, activity levels, and stress are all essential factors that play a role in the onset of CAD. Family history is one risk factor to pay close attention to. A familial history of heart disease is often associated with a higher risk of CAD. If your brother or father is diagnosed with heart disease before the age of 55 or if your mother or sister is diagnosed with heart disease before the age of 65, you’re at an increased risk[3]. Blood pressure and cholesterol also play an essential role in the onset of CAD. Individuals with uncontrolled high blood pressure can result in the hardening of their arteries. High cholesterol not controlled can result in the formation of plaques along the walls of our arteries, causing Atherosclerosis. With uncontrolled high blood pressure and cholesterol, they can lead to blocked arteries and a heart attack’s common signs. Obesity, lack of physical activity, and high-stress levels are also associated with the onset of CAD. Risk factors for CAD often occur together and may trigger other underlying risk factors.

 

When treating and preventing CAD, there are many different factors to take into account. Lifestyle changes such as quitting smoking, maintaining a healthy weight, and lowering your blood pressure, cholesterol, and blood sugar are critical steps to prevent CAD. Regular physical exercise and a diet rich in fresh fruits and vegetables with very few processed foods help prevent CAD. Limiting both your sodium and sugar intake can help lower both your blood pressure and blood sugar[4]. Medications such as Aspirin and Beta-blockers help treat and maintain CAD. Aspirin is a blood thinner that can help reduce blood clots’ frequency, potentially helping prevent the obstruction of your coronary artery. Beta-blockers help slows down our heart rate and decreases our blood pressure, reducing our heart’s demand for oxygen[5]. Maintaining a healthy diet, moderate physical activity, and taking medication can help prevent or treat CAD.

[1] Heart disease facts. (2020, September 08). Retrieved February 04, 2021, from https://www.cdc.gov/heartdisease/facts.htm

[2] Coronary artery disease. (2019, December 09). Retrieved February 04, 2021, from https://www.cdc.gov/heartdisease/coronary_ad.htm

[3] Coronary artery disease. (2020, June 05). Retrieved February 08, 2021, from https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613

[4] Prevent heart disease. (2020, April 21). Retrieved February 16, 2021, from https://www.cdc.gov/heartdisease/prevention.htm

[5] Coronary artery disease. (2020, June 05). Retrieved February 16, 2021, from https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/diagnosis-treatment/drc-20350619

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Interim Public Health Recommendations for Fully Vaccinated People

Source CDC, Updated Mar. 8, 2021

Key Points:

This is the first set of public health recommendations for fully vaccinated people. This guidance will be updated and expanded based on the level of community spread of SARS-CoV-2, the proportion of the population that is fully vaccinated, and the rapidly evolving science on COVID-19 vaccines.

For the purposes of this guidance, people are considered fully vaccinated for COVID-19 ≥2 weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or ≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson [J&J]/Janssen ).†

The following recommendations apply to non-healthcare settings.

Fully vaccinated people can:

  • Visit with other fully vaccinated people indoors without wearing masks or physical distancing
  • Visit with unvaccinated people from a single household who are at low risk for severe COVID-19 disease indoors without wearing masks or physical distancing
  • Refrain from quarantine and testing following a known exposure if asymptomatic

For now, fully vaccinated people should continue to:

  • Take precautions in public like wearing a well-fitted mask and physical distancing
  • Wear masks, practice physical distancing, and adhere to other prevention measures when visiting with unvaccinated people who are at increased risk for severe
  • COVID-19 disease or who have an unvaccinated household member who is at increased risk for severe COVID-19 disease
  • Wear masks, maintain physical distance, and practice other prevention measures when visiting with unvaccinated people from multiple households
  • Avoid medium- and large-sized in-person gatherings
  • Get tested if experiencing COVID-19 symptoms
  • Follow guidance issued by individual employers
  • Follow CDC and health department travel requirements and recommendations

 

For more information visit the Centers For Disease Control and Prevention  

 

 


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Attention House Call Providers

Have your expenses increased, and your reimbursements decreased?hiring providers

Starting a house call practice may seem easy—but to grow it and sustain it is a significantly different issue.

Owning your individual practice may mean that you are always on-call. There are many challenges that the patient health care field presents before a medical provider even gets to see their patients. That may mean having to spend additional time away from your loved ones. The risk of provider burn-out is real.

Maintaining a private practice means you are involved with all the grinds and complexities of the business each day – hiring, personnel management, scheduling, getting medical coding and submitting billing correctly, fighting claim denials, collecting from patients, maintaining business operations, marketing your business & developing growth, credentialing, dealing with technological difficulties and interpreting health care laws. If all of this sounds more stressful than satisfying to you, contact us about joining our team of Physicians, Nurse Practitioners, and Physician Assistants.

In 2021, Mobile Physician Services will be celebrating our 15-year anniversary! Mobile Physician Services is a recognized Patient Centered Medical Home (PCMH), multi-specialty medical house call practice. Our providers visit the patients in their home, whether it be a private home, assisted living facility or an independent living facility. Our industry-leading house call doctors, nurse practitioners and physician assistants take a proactive approach to chronic disease management and chronic illness support.

Our providers visit on average six to eight patients per day; schedule may vary depending on location, distance travelled, or whether visiting a private home or multi-patient community. The lower volume allows providers time to focus and deliver the highest quality of care to each individual patient.

Each provider is supported by dedicated teams of office staff, including medical assistants, schedulers, billers, intake coordinators, credentialing, operations, and a business development team.

If you are ready to make a change and get back to focusing on patient care and loving what you do every day, contact us at (855) 232-0644 ext. 4090 or info@mps-mail.com.

House Calls

Hello 2021! Start thinking about your next Annual Wellness Visit

 

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Healthy Moments – Weight, Diet & Nutrition Videos

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Healthy Moments YouTube videos associated with the Weight, Diet & Nutrition

 

 

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