Aug 3, 2015

Psychotic Disorders Treatment At Home With MD24 House Call

Psychotic disorders involve distorted awareness and thinking. Schizophrenia is an example of a psychotic disorder, as it is a group of serious illnesses that affect the mind. These mental illnesses alter a person's ability to think clearly, make good judgments, respond emotionally, communicate effectively, understand reality, and behave appropriately. When symptoms are severe, people with psychotic disorders have difficulty staying in touch with reality and often are unable to meet the ordinary demands of daily life. However, even severe psychotic disorders usually are treatable.


Symptoms of a psychotic disorder vary from person to person and may change over time. Two of the most common symptoms of psychotic disorders are hallucinations and delusions:
  • Hallucinations are unusual sensory experiences or perceptions of things that are not actually present, such as seeing things that are not there, hearing voices, smelling odors, having a strange taste in your mouth, and feeling sensations on your skin even though nothing is touching your body.
  • Delusions are false beliefs that are persistent and organized, and that do not go away after receiving logical or accurate information. For example, a person who is certain his or her food is poisoned, even if it has been proven that the food is fine, is suffering from a delusion.
Other possible symptoms of psychotic disorders include:
  • Disorganized or incoherent speech
  • Confused thinking
  • Strange, possibly dangerous behavior
  • Slowed or unusual movements
  • Loss of interest in personal hygiene
  • Loss of interest in activities
  • Problems at school or work and with relationships
  • Cold, detached manner with the inability to express emotion
  • Mood swings or other mood symptoms, such as depression or mania
About 1% of the population worldwide suffers from psychotic disorders. These disorders most often first appear when a person is in his or her late teens, 20s, or 30s; they tend to affect men and women about equally. The exact cause of psychotic disorders is not known, but MD24 House Call believe that many factors may play a role. Some psychotic disorders tend to run in families, suggesting that the tendency, or likelihood, to develop the disorder may be partly inherited. Environmental factors may also play a role in their development, including stress, drug abuse, and major life changes. 

Most psychotic disorders are treated with a combination of medications and psychotherapy:
  • Medication: The main medications MD24 House Call used to treat psychotic disorders are called antipsychotics. These medicines do not cure the illnesses but are highly effective managing the most troubling symptoms of psychotic disorders, such as delusions, hallucinations, and thinking problems. Some of the medications are available by injection and only need to be taken once or twice a month,  for patients this can be  easier to keep up with compared to a daily pill.
  • Psychotherapy: Various types of psychotherapy, including individual, group, family and MD24 House Call therapy, may be used to help support the person with a psychotic disorder.
People with particularly severe symptoms, those in danger of hurting themselves or others, or those unable to care for themselves because of their illness, may require MD24 House Call to stabilize their condition. Each person being treated for a psychotic disorder may respond to therapy differently, some will show improvement quickly, while others, it may take weeks or months to get symptom relief. 

In general, there is no known way to prevent most psychotic disorders, but many of the related symptoms can be prevented with early detection and treatment. Seeking help from MD24 House Call (888-632-4758) as soon as symptoms appear can help decrease the disruption to the person's life, family, and friendships. 

Optometry Services At Home With MD24 House Call

MD24 House Call’s optometrists are primary health care providers who specialize in the examination, diagnosis, treatment, and management of the eyes. This includes diseases and disorders of the eyes, visual system and associated structures, as well as the diagnosis of related systemic conditions.

You may possess great vision, but a routine optometry exam can guarantee the health and longevity of your eyes. During an optometric examination, your vision and the overall health of your eyes will be measured and evaluated through a series of distinctive tests. This visionary service is a popular choice for most of our patients in Arizona as it gives them access to comprehensive ocular evaluations at home, one of our chronic care centers, or specialized providers. 


WHAT TO EXPECT FROM OUR OPTOMETRY SPECIALISTS:
MD24 House Call optometry services include an ocular health assessment, treatment and management of ocular diseases, therapeutic and cosmetic contact lens care, consultation, as well as a referral to more specialized eye services when appropriate. Comprehensive examinations and analysis are common among most of our patients. Our ocular evaluations include:
  • Detailed case history
  • Visual acuity
  • Pupil evaluation
  • Extraocular motility function
  • Color vision testing
  • Peripheral visual field examinations
  • Analysis of the accommodative and binocular visual system
  • Retinoscopy and refraction
MD24 House Call’s vision evaluations are an important part of our preventive care program. Anyone with a history of vision problems should invest in routine optometry exams and evaluations to maintain their sight. If you experience heavy squinting, constant blinking, headaches, changes in vision, difficulty with visual concentration within arm's length, or frequently rub your eyes - consider one of our specialized physicians when scheduling an exam. 

Your eyes are a delicate organ and clear vision should not be taken for granted. Eye problems can extend a lot further than vision itself and we encourage healthy and frequent optometry discussions with your eye doctor or family physician. 

SIGHT EXAM FREQUENCY RULES
  • People who wear contact lenses should be diligent in scheduling an annual exam.
  • People in their mid-twenties to mid-thirties who do not wear contact lenses should get an exam every two years
  • People in their mid-thirties and older should get an exam annually, because changes in vision and focus, along with eye diseases are more likely to develop
As aforementioned, even if you have above-average vision, eye consultations and regular eye check-ups are an important part of a healthy lifestyle. Our eye tests uncover the “status” of your eyes while highlighting physical problems that can be addressed sooner than later with diagnosis and treatment.  

Here at MD24 House Call, treatment options include prescriptions, glasses and lenses, contacts, other optical aids, and vision therapy. Our optometrist will discuss any additional testing that may be required to diagnose an eye disease or condition. 

Avoid experiencing a “sight for sore eyes.” Call MD24 House Call (888-632-4758) to schedule an appointment and begin improving what you see and how you see it!

Answering The Question: What Is Diabetes?


More often than not, a healthy lifestyle isn't triggered until one has a reason to take part. Eating healthy and exercising may be difficult for some, but avoiding these behaviors can create a new lifestyle that isn't as exciting.

Speaking of excitement, how would you feel if it was difficult for your body to produce energy? Commonly known as the "sugar" disease, diabetes can take over your life - and not in a positive way. The worst part? It can be avoided by simply taking care of yourself on a regular basis. According to the Centers For Disease Control & Prevention, diabetes is the 7th leading cause of death in the United States, and obesity is a common factor. Not only can this type of impairment end your life, but it can factor into the development of heart failure or disease, blindness, stroke, kidney failure, or nerve disease leading to  amputation.

So what is Diabetes, exactly? When we begin digesting our food, glucose (sugar) is turned into the energy that fuels our body. This energy is generated throughout our body by a hormone called insulin, which is created by our pancreas. Diabetes hinders the process of insulin generation and glucose begins building up in our blood instead of reaching the rest of our body. When those with Diabetes consume starchy vegetables, milk, yogurt, breads, cereals, fruit, legumes, and other sweets (foods with glucose), they're unable to produce energy from it. In turn, the cells starve and the excessive amounts of sugar begin damaging internal organs and one's normality of bodily function.

Although this doesn't seem too complex, in order to ensure you're not at risk, a diabetic is forced to monitor their blood sugar levels consistently - numerous times a day. Not only can this process wear on people over time, it can also lead to mental health concerns as depression or sadness settle in. Almost 1/3 of Diabetics experience anxiety, depression, or distress.

Diabetes Definition: The "official" definition of Diabetes is a disorder of carbohydrate metabolism, usually occurring in genetically predisposed individuals, characterized by inadequate production or utilization of insulin and resulting the excessive amounts of sugar, or glucose, in the blood and urine. This is also known as Diabetes Mellitus.

What Is Type 1 Diabetes? 

Type 1 Diabetes is typically found in children and young adults and it isn't very common among diabetic patients.  Although most research is unsure why, this form of the disease attacks one's pancreas. Also known as autoimmune disease, this type views insulin producing cells (islets) as a threat, or foreign, and begins to eliminate them.

Environmental factors are said to play into the development of Type 1 Diabetes, but there is currently nothing you can do to prevent or rid yourself of this disease.

Type 1 Diabetes Definition: Type 1 Diabetes is defined as an autoimmune disease that occurs when T Cells attack and destroy most of the beta cells within the pancreas so the organ isn't able to produce enough insulin - or no insulin at all. Without the capacity to make ample amounts of insulin, one's body isn't able to metabolize blood sugar (glucose), in order to use it as energy. When the glucose levels build up, toxic acids (ketoacids) begin building up and damaging the body.

What is Type 2 Diabetes? 

The most common form of the disease, Type 2 diabetes causes blood sugar levels to rise a lot higher than usual. Also known as hyperglycemia, this form causes your body to misuse or resist insulin. In the early stages of this disease, one's pancreas begins generating additional amounts of insulin - but over time, it fails to reach normal blood glucose levels and simply cannot keep up with your body's needs.

According to the Mayo Clinic, Type 2 Diabetes was once known as adult on-set or non insulin dependent Diabetes. It's considered a chronic condition that requires chronic care management by a professional or the individual themselves. As aforementioned, glucose is a fuel source for your body, and if you're unable to maintain normal levels, one with this condition needs to take extra measures to obtain normal health standards.

Alike Type 1, Type 2 can also cause hopelessness and mental distress. As a cure is nonexistent, one must maintain their weight and exercise regularly while consuming healthy foods. At times, this isn't enough and specific Diabetic medication and/or insulin therapy is suggested.

Type 2 Diabetes Definition: The dictionary defines Type 2 as a common form of Diabetes that develops especially in adults and most often in individuals categorized by hyperglycemia resulting from impaired insulin utilization alongside the body's inability to compensate by producing more insulin.

What Is Gestational Diabetes? 

In almost 4% of all pregnancies, this form of diabetes is prevalent. It pertains to hormonal changes during pregnancy that impact insulin's ability to function. In other words, your body doesn't have the capability of producing enough insulin for you and the baby - to support the process of pregnancy. Gestational Diabetes is typically hormonal and more common in women over the age of 25.

A woman's placenta supports their baby's development by producing hormones during pregnancy. When insulin resistance occurs, these hormones block the use of insulin properly, therefore impacting the baby as well. Some women need up to three times the amount and this can impact the baby;s development tremendously.

This form of the disease is treatable - but if left untreated, it can increase the chance of future health risks in the mother or the child. Managing your blood glucose levels during pregnancy will aid in a successful delivery of a healthy and normal baby. Once the child is born, Gestational Diabetes may leave you, but your chance of developing Type 2 Diabetes increases tremendously. Blood sugar levels typically return to normal 30-45 days after birth.

The Definition of Gestational Diabetes:  Medicinenet.com has an interesting definition for Gestational Diabetes. They define this form as a condition that appears during pregnancy and usually disappears after birth. Best controlled by dietary adjustment, it can cause birth complications such as macrosomia. (large baby due to fat deposits) It increases the risk of low blood glucose levels, serum calcium, and serum magnesium in the child. Successful management of the mother's blood sugar will determine whether or not the child develops any further abnormality. 

To register for MD24's Clinical Services, click HERE. For more information on how we can assist you in creating a more healthy and independent lifestlye call 1-888-632-4758.

Jul 20, 2015

Heel Pain Treatment At Home With MD24 House Call

The heel is a cushion of fatty tissue that protects the structures of the foot, including the heel bone, muscles and ligaments. Heel pain is a common foot complaint, it is most often caused by plantar fasciitis, a condition that is sometimes called heel spur syndrome. Heel pain is also created by stress fractures, tendonitis, arthritis, nerve irritation, or even a cyst in the foot or ankle.

SOME CAUSES OF HEEL PAIN
Every mile that you walk, 60 tons of stress is placed on each foot. Your feet can handle a heavy load, but too much stress pushes them over the limit. You can become susceptible for this type of discomfort if you consistently pound your feet on hard surfaces, (long runs or improper running form) playing change-of-direction sports, or wear shoes that irritate sensitive feet tissues. There are numerous other causes, but these are the most common according to patient activity.

When considering more natural cause, the faulty structure of the foot can eventually create extreme discomfort and pain. For example, those with overly flat or high-arched feet, are more prone to developing plantar fasciitis.

DIAGNOSING FOOT PAIN & DISCOMFORT
Due to the handful of potential causes, it is important to have heel pain properly diagnosed. To arrive at a diagnosis, the foot and ankle surgeon will obtain your medical history and examine your foot. When our telemedicine technology is utilized, this becomes even more convenient. Throughout this process the surgeon rules out all the possible causes for your heel pain other than plantar fasciitis. In addition, diagnostic imaging studies, such as x-rays or other imaging modalities, may be used to distinguish the different types of pain you may be experiencing. 

TREATMENT
A sore heel will usually get better on its own and typically does not  require surgery. One of the best forms of treatment is rest. Unfortunately, many people ignore early signs of heel problems and sometimes continue participating in activities that caused them discomfort to begin with. When you continue putting pressure on a sore heel, it will only get worse. We want to shed light on this at MD24 as this can become a chronic condition and lead to more severe problems with your feet and legs. Surgery is rarely necessary if treated and maintained properly and with care..

According to MD24 House Call, there are some treatments that you can begin at home, in case your heel pain is not serious:
  • Stretching exercises. Exercises that stretch calf muscles help ease pain and assist with recovery. 
  • Avoid going barefoot. When you walk without shoes, you put undue strain and stress on your plantar fascia.
  • Ice. Putting an ice pack on your heel for 20 minutes several times a day helps reduce inflammation. Place a thin towel between the ice and your heel; do not apply ice directly to the skin. Try using the paper cup method. 

  • Limit activities. Cut down on extended physical activities to give your heels and feet a rest.
  • Shoe modifications. Wearing supportive shoes that have good arch support and a slightly raised heel reduces stress on the plantar fascia.
  • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
No matter what kind of treatment you undergo for heel pain, the underlying causes that led to this condition may remain. Therefore, you can contact MD24 House Call (623-374-7774) for long-term treatment of heel pain - or ask us for some simple advice! 

Jul 9, 2015

EMPLOYEES OF THE MONTH


Last week, our monthly company meeting allowed us to showcase members of the MD24 team that have excelled in and out of the office.
Congrats to Eileen Shustak, Jennifer Chiodo and Erick Terry! 
We are proud of your commitment to our vision and look forward to what you continue to bring to the table! Your performance has been key to bringing us closer to more than 300 communities across Arizona!
Thank you!


Jun 10, 2015

Transition Care Program Home-Based With MD24 House Call

The Transition Care Program (TCP) Home-Based is a short term support service for the elderly patients after they are discharged from the hospitals. The Transition Care Program aims to provide additional support to help with the transition from hospital to home and support patients while they wait for their long term care arrangements to begin. MD24 House Call is a strategic partner to hospitals and skilled nursing facilities to provide comprehensive transitional care program solutions. Each of our hospital partners is assigned a team of dedicated Care Coordinators and  Practitioners who work closely with the hospital staff to ensure that the patient has a smooth transition care program from the hospital to their home after the patients are discharged, and act as a liaison between the hospital and the patient, their family and/or caregiver.
Before the patient leaves the hospital or short-term stay at a skilled nursing facility, the MD24 House Call Coordinator will review, with them, the 30 Day Plan after discharge. This meeting provides patients and their families the opportunity to obtain clarifications and specific details of the plan and to ask any other questions they might have of the staff.



Using MD24 House Call Transitional Care Program services, the Care Coordinator will proactively monitor the patient during this 30-day period and assist with obtaining their related medications and refill information, schedule follow-up doctor appointments, and arrange for transportation services when necessary. The Care Coordinator will contact the patient on a regular basis via telephone  to follow up with their care, answer questions, and refer them to the proper care provider if any problems arise.

MD24 House Call is the bridge connecting healthcare providers, patients and support services in Transitional Care Program services.  Our Care Coordinators will work closely with the existing hospital discharge department to coordinate patient care and provide reports on patient readmission rates. In addition, we will identify specific medical and skilled nursing facilities with high patient readmission and provide them with our specialized workflow analysis and consultative services to help reduce future hospital readmission. For more information on comprehensive MD24 Transitional Care Program Services, please contact MD24 (888-632-4758) or visit our website at www.md24housecall.com

Transitional Care Management Services With MD24 House Call

As hospital lengths of stay decrease, there is a growing need for alternative, higher levels of post-acute care that is custom-tailored for patients who are recovering at home after leaving the hospitals. Especially designed with the comfort and convenience, MD24 Transitional Care Program offer a unique and patient centric "Home-based" road to recovery.

Transitional Care Program Home-based balances the comfort and care for patients which is absolutely dispensable yet often times lacking within the transitional care program industry. Bridging the gap between illness and recovery requires state-of-the-art technology, efficient and effective clinical expertise, caring support, and an overall environment that promotes patient optimal recovery and well-being.  MD24 Transitional Care Program service offers a unique and comprehensive Transitional Care Program services solution.


How will it benefit you?
If you have been referred to MD24 Transitional Care Program - Home-Based services, a case manager may meet with you and your family or caregiver before you leave the hospital. They will discuss the help you need, develop a care plan and support services specifically for you and your family. They may arrange for various services such as:
• Healthcare related services
• Bathing or showering
• Dressing and undressing
• Social activities
• Light housework
• Transportation in some instances

You have the right to:
• Be involved in deciding what services you would like to receive
• Be provided with the proper information on the services so that you can make informed selection.
• Be offered with custom tailored services that take account of your lifestyle, language, culture and religion, etc.
• Be treated with dignity and have your privacy respected and protected
• File complaint about the services you receive without fear of losing services or being disadvantaged in any way
• Choose a person (such as a relative or friend) to speak on your behalf

MD24 specializes in optimal results and speedy recoveries. Transitional Care guests can count on our finest expertise, equipment, evidence-based practices, facilities, and therapists who are certified in multiple modalities and who offer the caring encouragement the patients need to help them through every steps of their recovery.  MD24 Transitional Care Program enhances the quality of care, the patient experience, and overall outcomes.

MD24 House Call Transitional Care Program is perfectly aligned with our acute care partners’ goals, health care delivery innovations, and able to offer a better patient experience overall.  Visit our website www.md24housecall.com or contact to MD24 at (623-374-7774) for more information.

May 28, 2015

Social Services By MD24 House Call

Depression, anxiety, stress, poor body image, grief, loss, a major change in your life can all affect your mental and emotional health and day to day living. Sometimes it is hard to know if what you are experiencing is depression or sadness, worry or anxiety. Sadness and anxiety are normal emotions that help alert us to, protect us from, and cause us to act. This is healthy!

Seriously, mental and emotional well-being is essential to overall health. Positive mental health allows people to realize their full potential, cope with the stresses of life, work productively, and make meaningful contributions to their communities.
Further, mental and emotional well-being is associated with health, job, family, and economically related benefits. A higher levels of mental and emotional well-being are associated with:
  • Decreased risk of disease, illness, injury 
  • Better immune functioning 
  • Speedier recovery 
  • Increased longevity
Depression, anxiety, stress, grief can be managed using interventions and strategies, MD24 House Call has some of the following services:
  • Cognitive behaviour therapy 
  • Relaxation 
  • Mindfulness 
  • ‘Talk’ therapy
Try to be more aware of your mental and emotions and reactions; to help you do a better job of managing your mental and emotional health, learn to identify and address the reasons for sadness, frustration and anger in your life. If you are aware that you're not functioning as you normally do, you know something is worrying you, this is the time to learn more about what is happening to you and perhaps seek help from MD24 House Call.

 YES!!! MD24 House Call can help people who have emotional problems or mental illness. If you have an ongoing mental and emotional problem, talk to us at MD24. We can help you find the right type of treatment. Don’t hesitate to contact MD24 House Call at (623-374-7774) for more information.