All Posts tagged tvhc

Global issues, local impact: infectious disease preparedness

 

Keith Gnagey, CEO

Keith Gnagey, CEO

The three-pronged media surge about enterovirus D68 (EV-D68), influenza and Ebola has heightened awareness about the presence of infectious diseases and the methods of preventing the spread of those infections. Information is a good thing. Of course, becoming a victim of any of the three would not be a good thing.

Whether you believe the dangers of these viruses are overhyped or not, you should know that locally, Teton Valley Health Care stays current with global and national health concerns and makes every effort to share up-to-date treatment and prevention recommendations with our community and our staff.

Training for all employees who could have contact with a potential Ebola patient has already begun. In virtually every way, our clinical personnel know and follow preventive measures as part of their regular routine. With a deadly infection like Ebola, extra care must be taken in terms of information gathering, hazardous material disposal and decontamination. In the unlikely event that TVHC would have contact with an Ebola patient, we would certainly render initial care and then follow protocols to transfer the patient to an appropriate facility.

Rural hospitals and clinics such as ours are not immune to the health issues of our world. Although we may not have to worry about an onslaught of guinea worm, we do need to be prepared for diseases that have the ability to travel to and spread among our population, in addition to the contagious illnesses that sprout from within our community such as giardiasis, influenza, and chicken pox. The unfortunate resurgence of some childhood diseases such as pertussis and German measles are also potentially deadly illnesses for which we must be prepared.

As a community, we should take every viable opportunity to defend ourselves against diseases. This includes becoming informed from reliable sources, getting proven vaccinations and following the basics: wash your hands often and thoroughly, cover your coughs and sneezes, and stay home if you’re sick.

 

At Teton Valley Hospital, we have a visitor restriction policy in place. At both clinics and our hospital, face masks and hand-cleansing stations are posted at each entryway. We’ve increased the number of facility cleanings and our admissions employees clean their patient area stations after encounters.

We continue to offer free pulse-oximetry tests for anyone who is concerned they – or their children – may have EV-D68. Flu shots are available for $25 although most insurances do cover flu and other vaccinations.

If you need vaccinations or medical treatment but can’t afford it, please contact our financial counselor at (208) 354-6331 about our financial assistance plans and charitable care availability. Whether or not you choose to have medical services at our clinics or hospital, we can also help you understand your health insurance policy so you get the full benefits of your coverage.

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Health ABCs from a PA-C: Cholesterol 101

It’s health fair season, and I know many of you will have your discounted lab draws done this week at Teton Valley Hospital. One of your options for those draws is blood chemistry profile. With this test you’ll get a good overview picture of your kidney and liver health, blood count and lipid profile. The lipid panel means you’ll get a measure of your HDL (high-density cholesterol), LDL (low-density cholesterol) and triglyceride levels. But what does this mean to you?

Let’s start with the basics. Cholesterol is a waxy, fat-like substance found in your body and many foods. Your body needs it to build healthy cells and function properly. Too much cholesterol can accumulate in your body and cause plaques on your arteries. These plaques can block blood flow causing a heart attack or stroke.

We monitor two main types of cholesterol through blood work. LDL, “bad cholesterol” makes up the majority of the body’s cholesterol. LDL is known as “bad” cholesterol because having high levels can lead to a buildup in the arteries and result in heart disease. HDL, “good cholesterol” absorbs LDL and other cholesterol molecules and carries it back to the liver, which flushes it from the body. High levels of HDL, or “good” cholesterol, reduce the risk of heart disease and stroke.

Here is a list of appropriate blood levels:

Desirable Cholesterol Levels
Total cholesterol Less than 200 mg/dL
LDL (“bad” cholesterol) Less than 100 mg/dL*
HDL (“good” cholesterol) 40 mg/dL or higher
Triglycerides Less than 150 mg/dL

 

Treatment options for high cholesterol first start with TLC (therapeutic lifestyle changes). The first and most important lifestyle modification we encourage is to maintain a healthy weight. The important thing about weight loss is understanding it isn’t about short-term dietary changes. It’s about a lifestyle that includes healthy eating, regular physical activity, and balancing the number of calories you consume with the number of calories your body uses. Fewer calories in than calories expended is the way to lose weight. To better understand how many calories you need for your body and health concerns, see your primary care provider.  AHA graphic physical activity

Increasing your physical exercise is another lifestyle modification essential to maintaining a healthy heart and keeping your weight stable which in turns prevents chronic illness. Studies have shown that 30 minutes of aerobic activity five times a week is beneficial as primary prevention of heart disease. It is also important to try to maintain your target heart rate while exercising. This can be calculated by counting your pulse for 10 seconds and multiply by 6 to find your beats per minute. You want to stay between 50 to 85 percent of your maximum heart rate. This range is your target heart rate. Your maximum heart rate is 220 minus your age. If you are taking blood pressure medications, your target heart rate may be different, and you should consult your doctor before beginning a new exercise program.

Another way to control high cholesterol is with medications. Statins are a commonly prescribed medication with great value. They have proven to reduce risk of heart attacks and strokes. These medications are essential for people with cholesterol resistant to TLC and/or people with moderate to high levels of cholesterol.

An alternative therapy for people with mild high cholesterol is Red Yeast Rice. Red yeast rice (RYR) is the product of yeast (Monascuspurpureus) grown on rice. It is a dietary staple in some Asian countries. It contains the same compound found in statins, (HMG-CoA) reductase inhibitor. Studies have shown this product to be effective for treatment of hyperlipidemia (high cholesterol). More specifically, decreases in total cholesterol (TC), LDL cholesterol (LDL-C), and triglycerides (TG) have been noted. Consult with your primary care provider to see if this therapy may be beneficial to you.

Hopefully this gives you a better understanding of cholestrol in general and how you can work to keep your cholesterol levels within normal ranges.

Don’t forget that TVHC’s discounted lab draws run now through Saturday, September 13. Remember to fast for 8-10 hours prior to your draw if you plan to get the blood chemistry profile (which includes lipids). You can have your results read at our annual Harvest Health Fair Saturday, September 27 at Driggs Elementary. I’ll be there and I hope to see you at this important community event!

Anna Gunderson, PA-C is a nationally certified Physician Assistant. She works at the Driggs and Victor Health Clinics and is currently accepting new patients. Call (208) 354-2302 to make an appointment or visit tvhcare.org for more information on the services offered at Teton Valley Health Care.

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Health ABCs from a PA-C: The latest BEAT on high blood pressure

High blood pressure is a common medical concern. It’s often referred to as “the silent killer” because it causes much damage to the heart before symptoms are felt. Luckily, it’s easy to diagnose with regular wellness checks. Annual wellness exams are generally covered by insurance, too.

What is normal?

In a normally healthy person, high blood pressure (hypertension) is defined as > 140 (systolic value)/ 90 (diastolic value) from two random readings. Mild hypertension is defined as systolic value of 140-159 and diastolic value of 90-99.

Systolic pressure measures the peak pressure in the arteries when the ventricles contract, and diastolic pressure measures the minimum amount of pressure in the arteries when the ventricles are filling with blood. Both numbers are important, and any elevation in either number is used to diagnose hypertension.

Action steps

If you have mild hypertension, you may wonder if you should start prescription therapy. Evidence shows that treating mild hypertension reduces your risk for a heart attack in the future. But you have options to try before starting one of the many pharmaceuticals.

  1. Yoga has shown to improve blood pressure if practiced regularly once daily for 6-12 months.
  2. Daily meditation for at least 20 minutes has shown to reduce blood pressure.
  3. Garlic has a modest effect on your blood pressure and can be found in pill form.
  4. Fish Oil lowers triglycerides, which improves blood vessel health, which in turn reduces cardiovascular risk.

Consult with your provider to see what therapy is best for you.

Monitoring your blood pressure is an important aspect of staying healthy. Everyone should have at least one general wellness check (which screens for medical problems such as high blood pressure) with a provider annually.

With the enactment of the Affordable Care Act, most insurers are now required to cover an annual wellness exam. Check with your insurer to confirm you benefits prior to making an appointment.

Anna Gunderson, PA-C is a nationally certified Physician Assistant. She works at the Driggs and Victor Health Clinics and is currently accepting new patients. Call (208) 354-2302 to make an appointment or visit tvhcare.org for more information on the services offered at Teton Valley Health Care.

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