Aug 28, 2014

Ankle-Brachial Index Test

This test is done by measuring blood pressure at the ankle and in the arm while a person is at rest.


The Ankle-Brachial Index (ABI) result is used to predict the severity of Peripheral Arterial Disease (PAD). A slight drop in your ABI with exercise means that you probably have PAD. This drop may be important, because PAD can be linked to a higher risk of heart attack or stroke.

Why It Is Done?
This test is done to screen for Peripheral Arterial Disease of the legs. It is also used to see how well a treatment is working (such as medical treatment, an exercise program, angioplasty, or surgery).

Results
The ABI result can help diagnose Peripheral Arterial Disease (PAD). A lower ABI means you might have PAD. A slight drop in the ABI with exercise, even if you have a normal ABI at rest, means that you probably have PAD.

Normal
A normal resting Ankle-Brachial Index is 1.0 to 1.4. This means that your blood pressure at your ankle is the same or greater than the pressure at your arm, and suggests that you do not have significant narrowing or blockage of blood flow.1

Abnormal
An abnormal resting Ankle-Brachial Index is 0.9 or lower. If the ABI is 0.91 to 0.99, it is considered borderline abnormal.

What To Think About?

Undiagnosed arterial disease in the arms can cause inaccurate test results.

Blood pressure readings may not be accurate when the blood vessel being measured is hardened by calcium (calcified). Arteries may calcify more than usual if you have Diabetes or Kidney Problems (renal insufficiency).

A very abnormal ABI test result may require more testing to determine the location and severity of PAD that might be present.



Questions to Ask Our Doctor About Ankle-Brachial Index Tests:

  • How high is my risk for peripheral artery disease (PAD)?
  • Am I a good candidate for an ankle-brachial index (ABI) test?
  • What happens next if the ABI indicates possible blockages in my legs?
  • What types of follow-up should I expect if my ABI is abnormal?
  • Does the abnormal ABI test mean I have PAD?
  • What symptoms should I look for?
  • Can I continue walking, running, biking, swimming, or whatever exercise I like to do?
Call us at (888)-632-4758 or www.md24housecall.com and book an appointment TODAY.

Aug 26, 2014

Symptoms of Peripheral Neuropathy


MD24 House Call follows a specific protocol to help people who are suffering with Neuropathy. We utilize the following:

   •    State-of-the-art procedure with proven efficacy, and high success rate.
   •    On-site Neuro-diagnostic testing, and Durable Medical Equipment (DME).
   •    Prompt Insurance Verification, Billing submission, and Payment options.

Aug 21, 2014

Testimonials about Neuropathy


Take a few minutes and read these testimonials from two patients who suffered with Neuropathy. After being treated with our proven methods, they were afforded the chance to reclaim their lives.
This is how they changed their previously painful everyday life:

“My goodness, it was a scary thing when I first started feeling it. I thought; maybe I’ll just go to the Doctor, maybe it has to do with something she can cure. But my Doctor didn’t have a lot of knowledge on what I later learned was Neuropathy. I found out that it could be caused by Chemotherapy; which I’ve had in my life, and then it was in my legs and I could feel it up towards my knees, and in my feet. One day I was reading my newspaper and I saw an ad: and I don’t usually pay attention to ads. This one kind of hit me, and I thought, I’m gonna call. I started coming to the Neuropathy clinic here and it’s like a miracle. The first time I came here, they had a smile… everybody had a smile! To me; because I work with so many people, and have my whole life, that means a lot to me. That means, Yep, we’re here to help. It took 3, 4, or 5 times to really notice a difference in the numbness in my leg, between my ankle and my knee. I talked to one of my tenants today and she was telling me a friend of hers had Neuropathy. He had the same numbness in his feet. I said you gotta have him come over and come with me. I’m a caregiver, so I’ve told my office about the treatment and if they know anybody, to direct them this way… I sincerely hope that anybody reading this will call and give this treatment a chance to help.”
Marilyn Hall

‘Well, I had noticed it probably about 5, 6 years ago. I was starting to have a little bit of difficulty in my feet with sensation. Also a feeling like my feet were cold most of the time. Tactile stimuli type sensations. I developed Type II Onset Diabetes, and that was about maybe 7 to 8 years ago. Consequently, I developed Neuropathy. One of the things I noticed with my Neuropathy was that shoes didn’t seem to feel comfortable, also some major discomfort in the foot and going up the back of the leg… Well, discomfort, and just an annoyance. I’m physically quite active; I’ve been a walker all my life, been very active all my life physically. I had researched everything that had been done in this area. When I looked into it, I followed through.”
“So consequently that was an open invite. I chose the option, came in for a free consult. In the course of the treatment; I did go the 16 weeks, 32 sessions. I have completed that as of about a month ago. My outcome has been very, very positive! I’d say that I’ve had a 90% improvement. Hopefully it will stay that way. I don’t have the sensation of cold feet: and my testing, my pre and post testing, indicated that I was about 90 to 95% improved from the pre. For me it’s been a positive thing and I’m optimistic it will stay that way. I think there are two options. One that I pursued in the treatment of Neuropathy, the other one was medications. I opted not to do that. There are a number of medications out there you can take for this, but I chose this option. I figured I had nothing to lose.”
Dr. Lynn Groth

Contact us now
Currently serving more than 280 community locations across Maricopa County; MD24 House Call is only one phone call away (623-374-7774) from providing patients with stress-free medical care in their own homes, and our goal is to keep them from being re-admitted to the hospital.

If you are interested in learning more about MD24 House Call’s Neuropathy treatment program; or want to register as a new patient, call us at (623) 374-7774, or visit our web site at www.md24housecall.com. If you are a Director or Manager of a Skilled Nursing, Assisted or Independent Living Facility in Phoenix, Arizona, and would like to learn how MD24 House Call can help your Residents with their medical needs, call us today!

Jul 22, 2014

TELEMEDICINE APPLICATION – PATIENT’S VALUES FIRST



With the law being passed in Arizona as of April 2013, we are now treating patients suffering from: trauma, burn, pain, cardiology related issues, infectious diseases, mental health disorders, and neurologic diseases (including strokes), wound care issues, dermatology and more through 4G smart-phone telemedicine, combined with onsite visit(s).

Our Telemedicine reach is to “THE PATIENTS” with the concept “Patient’s Values First”.  Once registered and scheduled, with one touch, residents living in senior retirement communities, long term care settings, group homes, private homes and rural areas can reach their own doctor group via telemedicine, and then follow up either in the clinic or at home.  If you are doctor groups or Accountable Care Organizations looking for a free telemedicine solution to help your patients with one-touch design, please contact us at media@md24housecall.com to add your organization(s) in the app at no additional charge.  We can help your patients plus their family members and friends directly reach you quickly and securely.

MD24 House-Call medical services include Primary Care, Urgent Care, Podiatry, Wound Care, Transitional Care, Coumadin management, Psychology, Psychiatry, Pain Management and Eye Care at home. Patients can contact your own primary care clinicians and follow up in the clinics with your regular clinicians.  If your doctor group is not in the app yet with their logos, please tell your doctor to email us via media@md24housecall.com and we will contact your doctor(s) immediately.  We are currently inviting everyone to join at no additional costs.  Patients can contact either their own clinicians or any service at home. This can range from home health nurse to mobile labs to doctors.  We have a full commitment on the services’ quality with patient's values first.

More importantly, you can instantly have a live teleconference with any home health agencies, hospices, mobile labs, mobile x-ray, private duty caregivers, infusion therapy at home, etc. at no additional costs.   You can contact the home services in your local areas of your choice via live teleconference with one touch from your smart phone.  If your favorite agencies are not in the MD24's app, please advise them to contact media@md24housecall.com to add their logo into the app for your future call.

You can download the app and then use Telemedicine before the clinicians come out. After you are registered as a new patient, you can book an appointment then call our certified telemedicine clinicians at your convenience when you need urgent care or primary care.  With Video Call, you will get most of the care in a timely manner including medications refills, anywhere-anytime. Then a clinician will follow up with you either at home or in the clinic(s)

Besides, there is no time limit to take a first call because your care and values come first. Once registered and scheduled with a telemedicine clinician, you can have as much time as you need to get the care you need through video conference via 3G/4G Internet Connection.

There are 3 steps to install the Telemedicine app:
Step 1: Type in MD24 or Telemedicine in Google Play (or Apple Store in 4 weeks). Download the app. 
Step 2: The first time you make the telemedicine call, it will ask you to install Skype.  If you don't have a Skype username, please create a username and password for Skype.  If you already have one, enter your username and password. You will not have to repeat step 2 in the future.
Step 3: Turn on the MD24 telemedicine app, then touch either "Registration/Billing" button to register as a new patient with our staff, or touch "Scheduling" to book an appointment with the telemedicine clinician(s).

If clinicians cannot perform "in person" onsite visits IMMEDIATELY, you can use Telemedicine anytime and anyplace eventually.  At this point, our office hours are 7:30 AM to 4:30 PM.  We have answering services after hours and weekends. All you have to do is to pick up your 4G-Smart phone, turn on our telemedicine app and then "Make A Call" to our clinicians instantly anywhere with a scheduled appointment.

If you are an Infusion company or a Home Health company, you can get the doctor’s orders done in a timely manner for a new patient by the following steps:
Step 1: Download and Install MD24 Telemedicine app as mentioned in question # 5
Step 2: Contact "Registration" via the MD24 telemedicine app to register the patient with MD24.  Once done, you can then touch "Scheduling Department" icon to book an appointment with a clinician. 
Step 3: Talk to clinician during scheduled appointment time.  Your order will be processed in 24 hours if you use the Doctors Alliance web-based platform.  Send an email request to ma@md24housecall.com for a Doctors Alliance contract that includes the discount.

We are working hard to release the iOS version very soon.  We project within 4-8 weeks.
Telehealth Devices (i.e. wireless scale, wireless BP cuff, wireless pulse ox, wireless glucometer, etc.) will be available in iOS and Android in the near future too.  An announcement letter will be sent when it’s ready. 
You can also call us at (888)-632-4758 ext 4.  You can also contact us via media@md24housecall.com.