Premier Concierge Medical Blog

This page will help to keep you updated about our office, important health information and concierge medicine in general.

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BlogCatalog

Nov 09, 2015

Parkinson's Wellness Recovery Program

Gloria Siegel, trained PWR instructor, hosts exercise classes for Parkinson's patients once a week on Fridays at 1:00 PM at the following address:

Good Shepherd Lutheral Church
1489 Laskin Rd., Va Beach, VA

Patients give Gloria's classes excellent reviews.

Call our office at 416-6750 to learn how to contact her or go to her facebook page.

Oct 02, 2015

Our New Health Library

How often have you left the doctor's office, having been told of a new diagnosis, and not really remembering much of what he or she said? Or perhaps you just want more information about it.

How often has a family member asked you, "What did the doctor say?", or "What's wrong with you and how can it be treated?" Well, now you can access our Health Library located on this website and get information that's easy to understand. You can print pages to keep in your personal health record, or you can easily email the information to family members. Just enter your diagnosis or medical condition in the search box and get the information you need.

Continue reading "Our New Health Library"

Mar 09, 2013

Health Insurance Information

Looking for some reliable, updated, easy-to-understand information about health insurance in the U.S., and how it is affected by Obamacare? Check out this site...

Continue reading "Health Insurance Information"

Jul 07, 2012

Healthcare Reform

How much do you really know about the Patient Protection and Affordable Care Act?

First, take the health reform quiz at the Kaiser Family Foundation site.

Then check out the July 7, 2012 blog entry on the Art of Patient Care website for links to some factual information about it.

Art of Patient Care Blog

Or, go to the following websites...

American College of Physicians

www.healthcare.gov

www.insuremekevin.com

Jul 02, 2012

Hepatitis C

Hepatitis C is a common infection of the liver affecting about 150 million people worldwide. After the initial infection, about 85% of the time the virus remains in the liver causing a slow inflammatory process that does not cause any symptoms, but over many years can lead to the development of cirrhosis and eventually liver failure.

The infection can be spread by transfusion (especially for those transfused before 1992), IV drug use, tattooing, body piercing, healthcare exposure, and probably by sexual activity.

There are treatments available for Hepatitis C, which can result in a 50-80% cure rate, but you have to know you have it first.

About 50% of people have it and don't know it.

Prior recommendations for testing only included certain high risk groups of people. However, a recent study suggests that screening for Hepatitis C should be broadened to include all adults between the ages of 20 and 69. If this is done, liver-related mortality will decrease by 1% for every 15% of the population tested.

If you would like to be tested or have any questions about it, please let us know or talk to your physician about it.

Jul 02, 2012

Email Communication with Twistle: Fast, Easy and Secure

We are always looking for better ways to communicate with our patients and colleagues, so when a new, free, secure internet-based messaging system became available, we had to investigate.

Twistle is a new, password-protected, email-based messaging system that was created specifically for doctors' offices that allows patients and doctors to type messages to each other and send documents and even pictures back and forth. This is similar to text messaging or instant messaging, only much more secure. It allows direct communication to your personal physician or to the office staff for things like setting up appointments, refilling prescriptions, asking billing questions or even non-emergent medical questions. Your doctor will be able to easily send you lab or X-ray results and you will be able to respond or ask questions.

Of course, you still have all the other options of communicating with us as before - including calling the office staff, or calling your physician directly, or even using regular email although Twistle could easily take the place of the latter option much more securely than before.

You have to be invited to sign up, so if this is something you would like to try, please let the office staff or your doctor know so that we can send you an email invitation.

You can see how easy it is to get set up with this program on the following instruction page... Twistle Instructions

Jan 28, 2012

Pharmacy News

Many of our patients who use Express Scripts for their long-term medications have been dismayed by the recent loss of association between Express Scripts and Walgreens.

What we are suggesting for those patients is that they should consider signing up with CVS CareMark. They should go ahead and establish an account now. Then when they need a medication renewed that previously was handled by Express Scripts, let us know, so that we can call it into CVS Caremark. This seems to be the easiest and smoothest way of making the transfer.

Apr 02, 2011

April Newsletter!

The new April Newsletter is now available for download. Go to the following link below this text to download your copy. All the past issues are there for you to see as well.

Also don't forget to sign up to get all future VBPM newsletters delivered directly to your email box!

Continue reading "April Newsletter!"

Nov 29, 2010

Newsletter!

Don't forget to download your newest copy of the VBPM Connection! The December issue is now available. You can also download all the past issues from this page...

Continue reading "Newsletter!"

Oct 10, 2010

October Newsletter!

The October newsletter is now available for download. It's full of news and tips to help you stay healthy!

Continue reading "October Newsletter!"

Sep 23, 2010

**New Restrictions on the Use of Avandia by the FDA

Due to the increased risk of heart problems, the FDA has restricted the use of Avandia (rosiglitazone) to those diabetic patients in whom no other treatment is effective or tolerated. The Europeans have banned its use altogether in those countries. If you are on Avandia, don't stop it right away, but you should contact your physician and see if any other treatment could be substituted effectively.

Continue reading "**New Restrictions on the Use of Avandia by the FDA"

Sep 19, 2010

How Can Diet Improve Your Blood Pressure?

People often ask what they can do to keep their blood pressure down without having to take medication. "Eat less salt" is the usual quick answer, but sometimes it's not always easy knowing how to go about doing this. This handout from the Prescriber's Letter may help - "How to Eat Less Salt".

An even better diet however is the one called the DASH (Dietary Approaches to Stop Hypertension) diet. This includes salt reduction, but goes further to help reduce saturated fat and cholesterol and increase fiber. It not only lowers blood pressure but decreases risk of heart disease as well. Click the link below to learn more about it.

Continue reading "How Can Diet Improve Your Blood Pressure?"

Sep 14, 2010

ARB Medications May Increase Risk of Cancer

When it rains, it pours! Here's another study showing evidence suggesting that the widely used ARBs (Angiotensin Receptor Blockers) - specifically telmisartan, but may include others like losartan, valsartan, etc. may modestly increase the risk of cancer, particularly lung cancer. These drugs have been shown to be very beneficial in the treatment of heart disease, diabetes and hypertension. They actually reduce mortality in those conditions. So, if you are on one of these drugs, DON'T stop it immediately. It may be helping you more than harming you. The best thing to do is discuss it with your doctor and see if there may be an appropriate substitute for you, or if the benefit of continuing the drug is greater than the risk. To help put the risk in perspective, the overall risk of developing some type of cancer in a person's lifetime is around 41%. According to this study, taking an ARB over 4 years increases the risk by 1.2% - not that much, relatively speaking. In addition, the study did not show any increase in the number of cancer deaths.

Continue reading "ARB Medications May Increase Risk of Cancer"

Sep 14, 2010

Oral Osteoporosis Drugs May Increase Risk of Esophageal Cancer

A new article appeared in the British Medical Journal showing evidence that suggests that if you use drugs like Fosamax, Boniva or Actonel for a prolonged period of time, there may be an increased risk of esophageal cancer. The usual risk in the average population is around 1 out of a thousand. If you take one of these oral bisphosphonates for 5 years or more, the risk goes up to 2 out of a thousand. This is just one more thing to consider when deciding whether or how long to stay on one of these drugs. You have to weigh the risk of developing multiple bone fractures due to osteoporosis vs. the increased risk of esophageal cancer. If you're taking one of these medications, you may want to have your doctor help you decide whether or how long to continue.

Continue reading "Oral Osteoporosis Drugs May Increase Risk of Esophageal Cancer"

Sep 13, 2010

Low Carbohydrate diet - Is It Healthy?

A recent study published in the Annals of Internal Medicine showed that those people who ate a low carbohydrate diet substituted with animal sources had a higher mortality rate than those who ate a low carbohydrate diet with vegetable sources. In other words, it depends on what you eat in place of the carbohydrates. If you eat mostly eggs, bacon, and red meat this is not good for you. If you substitute vegetables like green beans, broccoli and other vegetables in place of the carbs, you will fare better in the long run. However, the accompanying editorial indicated that more studies are needed, before we can close the case on this. Stay tuned.

Continue reading "Low Carbohydrate diet - Is It Healthy?"

Sep 03, 2010

Discount Referral Program!

Here's a good way for our current members to get a significant discount on next year's fee!

After September 1, 2010 , and for the next 6 months, for every patient that you refer who actually joins the practice, we will give you $200 off your next year's fee!

Sep 03, 2010

Internet Medical Research

Many patients like to find out more information about their symptoms or illnesses on their own through Internet research. The Medical Resources page on this site can help you find almost anything you want to know from reliable, reputable sites. One of the best programs I know that has the most complete information available for both professionals and patients alike is UpToDate. You can use the following link to look up almost any medical topic that you want.

If you are seeing this, you have attempted to link to the UpToDate widget but are experiencing a problem. Please visit UpToDate for more information.

Also see our Medical Resources page for even more sites at the following link...

Continue reading "Internet Medical Research"

Sep 01, 2010

Flu and Flu Shots

Flu shots are available now, although most doctors believe the best time to start giving them is in mid September through October and November. They can be given as late as Feb or March. The H1N1 will be incorporated into the main flu vaccine along with 2 other strains this year so there should not be a need for 2 separate shots.

There are lots of myths that have floated around over the years about flu shots. Here is a document derived from the CDC that may help to dispel some of these myths...

Continue reading "Flu and Flu Shots"

Sep 01, 2010

Calcium and Vitamin D

Calcium metabolism and Vitamin D are very important for maintenance of strong bones and muscles. However, there has been some controversy recently about the safety of Calcium supplements. Here is an article from the Prescribers' Letter that may help explain this further...

Continue reading "Calcium and Vitamin D"

Aug 22, 2010

Moving again!

As many of you know, after an unavoidable delay, and 2 more moves, we are happy to be back in our new office at 1860 Colonial Medical Ct., hopefully permanently this time. Feel free to come by and take a tour!


Home Sweet Home!


Jun 06, 2010

New Office!

We are excited to be moving into our new office on July 1, 2010 - located across the parking lot from where we are now! The address is 1860 Colonial Medical Court, Virginia Beach, VA 23454. The phone numbers should remain the same. We will have significantly more space and are hoping to initiate more exercise and nutritional training for our interested patients after we move. Ask any of our staff if you have any questions or suggestions. 416-6750

May 28, 2010

Quality Medical Services

What do we mean when we talk about high quality medical services? Is your primary care office providing the best available care for you and your family?

Continue reading "Quality Medical Services"

Feb 26, 2010

Exercise Reduces Anxiety

A study by Herring, et al, demonstrated that, in sedentary patients with chronic illness and anxiety, the anxiety symptoms are greatly improved by going through exercise training on a regular basis for 3 or more weeks. Ask your doctor if this might be helpful for you-Arch Internal Med/ Vol 170, No.4, Feb. 22, 2010

Feb 26, 2010

Lung Cancer Risk

The best way to reduce risk of lung cancer for smokers is to quit smoking. Former smokers still have some risk depending on how long ago it was that they quit. A recent study funded by the National Cancer Institute suggests that former smokers may be able to reduce their risk by eating more leafy green vegetables or folate, or by taking multivitamins. This seems to help repair the DNA in lung cells and improves cellular function.-JAMA, Feb. 24, 2010, p.722

Feb 17, 2010

Hold the Salt!

A recent article in the New England Journal of Medicine authored by Bibbins-Domingo, et al demonstrated that if all of us in the US would reduce our daily salt intake by 3 grams per day (normal consumption is 7-10 grams/d), we could significantly reduce the frequency of new cases of coronary heart disease, stroke and heart attack by tens of thousands per year for each. This would potentially reduce mortality rates by as much as 92,000 deaths per year. Even if we just reduced our intake by 1 gram per day, the improvements would be substantial, not to mention the significant reductions in medical costs that would occur.

So if you're a "salt-oholic", think twice before you pick up that salt shaker! An ounce of prevention can make a huge difference in your future health. - GJW