Local Health Update by Michael Jorde, M.D

Air quality issues resulting from recent fires in our region have contributed to an increase in the occurrence of airway and respiratory illnesses. Asthmatic patients should ensure that their inhaler supplies are not outdated and  seek medical care if respiratory symptoms present. Streptococcal pharyngitis is being seen more frequently in Shasta County.  Rapid strep testing is available at most local clinic sites.  Proper diagnosis and treatment of pharyngeal infections can reduce unnecessary over utilization of antibiotics. Influenza vaccination has begun in the...

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Vaccinations: Effective or Dangerous

We are starting our series with the topic of vaccinations, one of the controversial areas of preventive health care.  The arguments for and against vaccination are passionate and complicated.  This topic includes discussions on personal risk, personal rights, public good and public responsibilities.  The consequences are real.  Small outbreaks of Pertussis and Measles demonstrate a vulnerability in our population as the vaccine rates drop below critical levels.  And in California, families choosing not to vaccinate are having to home school...

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Annual Physical Exam

The value of an annual physical exam has been controversial since I started my practice in 1982.  Over and over again research has failed to demonstrate that people having annual or preventive exams experienced better health and longevity than those who did not have routine exams.  Why is is so difficult to prove something that intuitively feels obvious?  The answer is that research outcomes depend on what is measured. Traditionally, the annual exam was a time for patients to pause...

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Owner Comments

Health care costs and insurance rates are increasing at double digit rates, averaging over 10 per cent a year. Forty-five million Americans are uninsured and those with coverage are paying larger deductibles and co-payments. Physician's offices are being squeezed by increasing overhead and malpractice insurance costs. Hospital emergency departments have a high number of nonpaying patients. These pressures are requiring health care providers to practice more efficiently. This is changing the delivery of our health care. The Physician / Hospital...

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Owner Comments

Health care costs and insurance rates are increasing at double digit rates, averaging over 10 per cent a year. Forty-five million Americans are uninsured and those with coverage are paying larger deductibles and co-payments. Physician's offices are being squeezed by increasing overhead and malpractice insurance costs. Hospital emergency departments have a high number of nonpaying patients. These pressures are requiring health care providers to practice more efficiently. This is changing the delivery of our health care. The Physician / Hospital...

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Take Action

Electronic Medical Records are not the solution for personal responsibility. Everyone should take an evening and write on a piece of paper their own preventive health care plan and then follow it. No one cares about your health more than yourself. You are not helping your family or the health care crisis if you are neglecting your health.

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Did You Know?

HMC has been using electronic medical records for nine years. We have no plans to link our system to the 'grid', so you can have confidence that your records are truly private.   Hilltop Medical Clinic is not a Medicare provider, but Medicare patients are welcome at our clinic. Medicare patients are required to pay medicare rates at the time of service, but we electronically bill for the visit so you receive a prompt payment from the Medicare trust fund, usually...

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Primary Care Crises – Ideas for President Obama

Primary Care is in a crises. Physicians are leaving primary care for hospital based practices and only a small percentage of Physicians from US Medical Schools are starting Primary Care Residency programs. Shortages are predicted, and I believe are already present. It is going to be increasingly difficult to establish with a Primary Care Physician.   This is occurring because Primary Care services have been undervalued by Medicare and Insurance Companies. Our fees, for all practical purposes, are not negotiable....

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Personal Health Care Plan

At the end of Medical School, I believed that every person was normal or healthy until an illness developed and created symptoms Twenty-five years later I realize that no one is ever perfect. We all have personal health care burdens.   It is your responsibility to identify these burdens and make changes that decrease your risk for an illness that can harm your quality or length of life.   This serise will help you organize your personal health information as...

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Personal Health Care Plan – Family History

Genetics provide significant clues about inherited illnesses, so start by recording your family history. The list should include your Mother and Father, siblings, Grandparents, and your related Aunts and Uncles. For each entry record their relation, name, birth date, sex and significant health care issues or events. You can copy and paste from the following.   Family History (Name), birth date, male, alive / deceased on ____. List conditions Father. Mother. Brother. Sister. Father's side Grandfather. Grandmother. Aunts Uncles Mother's...

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PROCESSING