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Primary Care vs. Urgent Care vs. The ER
When seeking medical care, there are several different provider types and options from which to choose. For example, you may have asked yourself a common question: Should I go to my primary care provider, urgent care or the emergency room? Sarah Herbert, APRN with Renown Medical Group – South Carson, provides guidelines to help you easily make this decision. When should you go to the Emergency Room (ER)? Making a visit to the ER should be reserved for severe symptoms and/or life-threatening conditions, including: Chest pain Severe shortness of breath or difficulty breathing Weakness or numbness on one side Slurred speech Fainting/loss of consciousness Continuous bleeding or major open wounds Severe allergic reactions Coughing or throwing up blood Drug or alcohol overdose Sharp pain in lower abdomen Severe dehydration and not responding to nausea medication (needing IV fluids) High fever that does not get better with medicine Serious burns Broken bones/dislocated joints Head trauma Find an Emergency Department Near You If you’re still unsure of where to go for appropriate medical care, it’s best to check with your primary care physician. And remember, for a life-threatening emergency, call 9-1-1 immediately!
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When to Seek Care for Abdominal Pain
Abdominal pain is one of the most common complaints that brings individuals to the emergency room. We spoke with emergency physician Bret Frey, MD, to ask about when and where to seek care for abdominal pain. Dr. Frey advises that any time you feel something is developing inside your body that is substantially different from what is normal for you, understand that something is wrong. He further explains that warning signs of an acute medical situation include fever, vomiting or a rapid change in function and ability to move due to pain. These symptoms indicate that one needs to be evaluated by a medical professional. This evaluation will include the care team conducting an examination and asking a series of questions to determine if additional diagnostics, such as lab work or imaging, are needed. Be prepared to discuss where the pain is and what it feels like, in addition to how long it’s been bothering you and if it’s constant or intermittent. While appendicitis often comes to mind when thinking about abdominal pain, Dr. Frey says that this is not the bulk of cases that the Emergency Department sees. In fact, often the pain does not have a specific diagnosis, but our team of board-certified emergency physicians are experienced in assessing and caring for those experiencing the acute symptoms he described. “We often don’t come away with an answer about exactly what it is, but we substantially rule out life threats in a very methodical and systematic way,” said Frey. The abdomen includes many organs, including the stomach, liver, small and large intestines, gallbladder and pancreas. In addition, pain stemming from your chest, pelvis or back may be felt in the abdominal area. If you are experiencing abdominal issues that are persistent but not an emergency, talk to your primary care doctor about what you are experiencing, and be prepared to review the history of this pain, medications, allergies and diet. He or she will be a good partner to review conditions such as gas, heartburn, constipation, diarrhea, inflammation or menstrual and ovulation pain. Drinking plenty of water is always an important part of supporting your health.
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Now It's Fast and Easy to Schedule a Primary Care or Pediatric Appointment Online with Renown Medical Group
You can now schedule a new patient appointment 24/7 from your computer or cell phone, with no need to call. You get home from work, look at the note on the refrigerator and remember for the third day in a row, you failed to make an appointment with a new primary care doctor or schedule that pediatrician visit for your toddler. You tried to do it on your lunch hour but got distracted with other things. Frustrating! Now, one health system is making it easy for people to schedule their primary care and pediatrics doctor appointments online, and 24 hours a day, 7 days a week. Over 3,000 new appointments are available with Renown Children’s pediatricians. “I booked an appointment that way and I thought it worked great,” said Daryl Hendery, a returning patient who just scheduled his annual check- up with his Renown physician. “It was very easy to use. I just clicked on my doctor’s name and booked an appointment for next week. I was kind of surprised at how easy it was to schedule.” Hendery says he’ll book online again, instead of calling. Many people like Daryl love the ability to set an appointment without ever needing to speak to an actual person. Patients Encouraged to Use Online Scheduling With Renown’s new online scheduling feature, you can now book your primary care and pediatric primary care appointments with Renown Medical Group without making a phone call to the office. Our dedicated team of primary care physicians and pediatricians offer a full range of services—including annual checkups, complete physicals, immunizations, lab work, and referrals to specialists—at multiple locations across northern Nevada. “One of the biggest advantages is that you can set an appointment when and where it’s convenient for you to do so,” said Sierra Kelly-Martinez, MPH, director of the Customer Engagement Center at Renown. “You can schedule that appointment whenever you want, at 9 o’clock at night, while waiting in line at the grocery store or during after school pick up, or whenever you think of doing it.” “It’s really quite easy and empowering to have control of your own scheduling,” she adds. “Anyone wanting a new Renown primary care physician or provider, or a Renown Children’s pediatrician, can schedule through the www.renown.org website. If you’re a new patient or don’t have your MyChart profile set up, visit www.renown.org and click on the ONLINE APPOINTMENTS button or the Find A Doctor tab. Under the New Primary Care or New Pediatric Patients tab, click on “Book Your Appointment.” Select your insurance provider, click the Location you’re looking for- Or “Any Location.” You can then choose the time and provider and schedule your appointment. Renown accepts most insurances including Hometown Health, Senior Care Plus, Anthem Blue Cross, Cigna, United, Medicare, and Medicaid. If you’re a Returning Patient, you can schedule a primary care or pediatrics appointment by clicking on Book Your Appointment through the www.renown.org website which will automatically take you to your MyChart account. You will be asked a few questions about your visit to ensure To schedule an appointment using MyChart, you can: 1. Log in to your MyChart account 2. Select “Schedule an Appointment” from the main menu or “Visits” from the top menu 3. Select a provider or reason for your visit 4. Answer decision questions on visit 5. Select a date and time from the available options 6. Enter the reason for your visit 7. Verify the appointment information and click Schedule You can also schedule an appointment by selecting the name icon in the top right corner, selecting the name of the child you're scheduling for, and then selecting “Schedule an Appointment.” If you don't see a date and time that works for you, you can click the Search for additional available appointments link to view available appointments at all locations. MyChart MyChart is a convenient, online portal where patients can communicate with their doctors, view your medications, request prescription refills, access test results, message your doctor, pay your bill, and now schedule appointments online. Benefits of Online Appointment Scheduling Though the new online, scheduling tool is new, it’s easy to use and not much different than making an online reservation at a restaurant. Benefits include: · 24/7 Access: Patients can book appointments at any time, from anywhere. · Real-Time Availability: View real-time appointment slots and select a time that fits your schedule. · Appointment Management: Patients can easily cancel or reschedule appointments with just a few clicks. · Appointment Reminders: Receive automated reminders via email or text to avoid missed appointments. Renown is committed to enhancing patient care and improving the healthcare experience. With the launch of the online scheduling option, patients have more control and flexibility over their healthcare journey. “We are always looking for ways to improve the patient experience and make access to our physicians and advanced practice providers easier and faster” said Rahul Mediwala, MD, MBA, CEO of Renown Medical Group. “Our new online scheduling tool is just one of the many ways we’re working to make healthcare more convenient for our patients. Over the next year, we will be increasing the number of Renown physicians and medical providers who have online appointment availability, as we look to improve the health of our community.” For more information or to schedule an appointment, visit www.renown.org. Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.
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Make Hydration a Priority for Your Health
As the temperatures skyrocket and we return to more outdoor activity, one thing is certain: you must hydrate to stay cool, healthy, and functional. But how much water do you need, and what are some easy ways to ensure you are getting enough? Aurosis Reddy, DO a family medicine provider with Renown Medical Group, shares what you need to know. How Much Water Is Enough? Experts agree that recommended daily water intake can vary depending on different factors such as your weight, metabolism, location, diet, physical activity, and health. As a rule of thumb, women should aim for a daily fluid intake of 91 ounces, and men should aim for 125 ounces. It is important to listen to your body and recognize when you might need to increase your water intake. For example, if you’re partaking in strenuous exercise, or spending time outside in the heat, you’ll want to give your body more water and electrolytes to function properly. How Can I Tell If I Am Dehydrated? Decreased coordination Fatigue Less urination Dizziness Dry, sticky lips and mouth Increased thirst Headache
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3 Healthcare Musts for Millennials
Many millennials are fortunate to have good health, but it’s important to be prepared for your next doctor’s visit. Here are three things that millennials should stay on top of for tracking and maintaining their health. For many millennials, doctor visits and preventive healthcare fall by the wayside. Alison Lynch, MD, a family medicine provider with Renown Medical Group says there are a few key things you can do now to set yourself up for a healthy future. 1. Establish with a Primary Care Provider Millennials are more likely to go to urgent care or consult the internet when a healthcare issue arises. While these are helpful tools, here’s a better one: a primary care provider. The benefit of establishing with a primary care provider is that your medical records, history and a baseline for your health will be documented. That means that when a problem or question comes up, your doctor will already have helpful information on file and can help you navigate your needs. Having a primary care provider is often required for prescription refills and referrals to a specialist. By establishing now, you’ll be able to get what you need in the future much faster. Make an Appointment Today 2. Protect Yourself and Your Community There are a few vaccinations and screenings that Dr. Lynch recommends for millennials. Flu Shots: These are available every year and are recommended for protecting not only yourself against the flu but also others you may come into contact with. Flu shots are usually available from August through December through your healthcare provider, pharmacies and pop-up events. Tetanus or Tdap: Most people receive a tetanus shot as a child, but it’s recommended that everyone get a booster every 10 years. If you are overdue, talk to your primary care provider or pharmacist about getting updated. Pap smear: If you’re a woman, a pap smear is recommended every three years in your 20s and every five years in your 30s. HPV vaccine: This vaccine helps prevent the virus that causes cervical cancer as well as the majority of head and neck cancers and warts. The HPV vaccine is recommended for all genders up until age 45. STD screening: Consider an STI/STD screening if you’re sexually active.
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6 Healthcare Action Items for the LGBTQIA+ Community
Every patient, regardless of how they may identify, greatly benefits from preventive healthcare and early detection. Members of the LGBTQIA+ community face unique considerations when it comes to their health, and a proactive approach to preventive screenings and vaccines is important in order to address their individual health needs. Dr. Karen Thiele, Family Medicine Physician with University Health and Assistant Professor of Family and Community Medicine at the University of Nevada, Reno School of Medicine, breaks down key steps that LGBTQIA+ patients should take to safeguard their health. PrEP and PEP Pre-exposure prophylaxis (PrEP) is a strategy to prevent human immunodeficiency virus (HIV) infection. It is an important measure for those who are HIV-negative but may be at risk of contracting it. The highest risk sexual practice is receptive anal intercourse, due to the relative fragility of rectal tissue. This medication can stop HIV from spreading in the body and help patients maintain their HIV-negative status. PrEP is available in both pill form, which is taken every day, and injection form, of which the first two injections are initiated one month after another while all other injections are initiated every two months. Post-exposure prophylaxis (PEP) is an antiretroviral drug regimen taken after potential HIV exposure to prevent an HIV-negative individual from converting to HIV-positive status. PEP is only for emergency situations and must be started within 72 hours of exposure – sooner is always better than later – and must be taken for 28 days. PrEP and PEP are available in many ways, including visiting your primary care provider (PCP) or an urgent care location. HPV Immunization All genders and identities can protect themselves against human papillomavirus (HPV), a sexually transmitted infection (STI) that can lead to the risk of cervical, mouth, head, neck, throat, anal, vaginal, penile and vulvar cancers. HPV is so common that nearly all sexually active people, regardless of sexual orientation and practices, will be exposed at some point in their lifetime. The HPV vaccine (common brands include Gardasil and Cervarix) is a safe and effective method to prevent HPV, according to the Centers for Disease Control and Prevention (CDC). This vaccine protects against infections that can lead to HPV-related cancers and precancers, as well as genital warts. While patients should start receiving the vaccine at 9 years old years old, unvaccinated adults up to the age of 45 can also receive the vaccine through their PCP – better late than never!
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