Medical Assistant

HPV Update


If your child hasn’t already been vaccinated for human papilloma virus, now is the time. The FDA recently approved Gardasil 9, a more comprehensive vaccine that prevents 90% of cervical, vulvar, vaginal and anal cancers as well as strains of the virus that causes genital warts.

The original vaccine covers only two of the most common high-risk HPV types that lead to invasive cancers.

Getting the vaccine before becoming sexually active, when tweens have not been exposed to the infection is important. The earliest age given is 9, the ideal age group is 11 to 12 years. Experts are studying whether older kids need boosters,  but for now they recommend that the three shots be administered over a six-month period for girls up to age 26 and boys up to age 15. April 2015

In Case of Emergency


With more options than ever to 24/7 health care, choosing where to go for treatment can get confusing:

Could it be life threatening?

If even contemplating going to the emergency room; just go. Chest pains, difficult breathing or walking, severe physical harm and excessive bleeding are all signs in need of immediate attention.

Do you need a diagnosis and treatment ASAP for a more minor condition?

If your provider’s office is closed, consider and urgent care faciloity. These are equipped to handle UTIs, sore throats, skin rashes or simple eye conditions, plus they are open on weekends.

Are you worried a small symptom will get worse?

Digital doctors and urgent care centers provide relatively speedy medical advice. ( or’ll determine what’s wrong and whether the ailment will resolve on its own, as well as prescribe meds or suggest OTC options. Don’t always rely on them though because primary care providers are still best for regular checkups and preventative medicine because they stay on top of your health history. April 2015

Medication Dangers


A woman ends up in an ER every three minutes due to painkiller misuse! Although opioids and narcotic pain relievers can relieve symptoms, they can also be addictive. Use them safely:

  1. try other proven relief methods first lie mediation and acupuncture
  2. if prescribed an opioid, ask provider about the risks and benefits or see a pain specialist who has expertise in managing these meds and providing a variety of coping strategies
  3. avoid using opioids for more than three months. Long-term use of painkillers may increase the likelihood of overdose and addiction.
  4. take meds only as prescribed, avoid drinking alcohol, don’t combine painkillers and discuss all your prescriptions with a provider
  5. do not hoard painkillers in the house, since this ups the chance of misuse by your or family members
  6. store meds in a secure place. An increasing number of teens are abusing pain meds. Dispose of unused meds in the garbage after crushing and mixing with kitty litter or coffee grounds or turn them in to a drug take-back program. April 2015

Top 3 Supplements Vital for Health


Supplementing vitamins and minerals is not a substitute for quality food and exercise and synthetic vitamins and minerals are not as effective or readily absorbed by the body, but this author feels that today’s food doesn’t have the same nutritional value as it did 50 years ago. These supplements are critical to health and well being:

Vitamin D3 is not a vitamin and is actually a hormone that is used by the body by playing a crucial role in the body’s immune function all the way to developing bone strength. The winter months are important to supplement but 15-20 minutes of sunlight exposure in shorts and a t-shirt is enough to get your daily amount. 1000 IUs is a great start.

Omega 3′s are anti-inflammatory fats essential to the body, meaning we cannot produce them.  Our society is battling systemic inflammation from eating the standard American diet which means the foods we eat have sky rocketing amounts of Omega 6, which is inflammatory. The best way to get recommended Omega 3 is with high quality fish oil or you can eat fresh Atlantic salmon twice a week. IU’s are between 500-4000mg of EPA and DHA; the higher the number of mg, the more intense the support to your body.

Probiotics literally means for life. Some 80% of the immune system is housed in your gut, so probiotics are a must. Sauerkraut, Greek yogurt or a high quality supplement helps.

Healthy Eating Myths: How Many Have You Fallen For?


Coconut oil is a cure-all? Not exactly.


If your nutrition sources are primarily websites, blogs or social media, much of what you’re reading may be misleading, inaccurate and potentially even harmful to your health. Here are four popular Internet-driven nutrition myths you can stop believing now.

Myth: Coconut Oil is a Cure-All
Fact: Coconut oil is the latest miracle food. If you believe popular wellness websites, it’s good for just about everything – from making your teeth whiter, skin more luminous and hair shinier to boosting your brain and bone health and treatment for yeast infections. However, according to the Food and Drug Administration, which recently sent a stern warning to a marketer of coconut oil over the brand’s misleading and unsubstantiated health and nutrition claims, coconut oil isn’t all it’s cracked up to be.

According to registered dietitian Sonya Angelone, a spokesperson for the Academy of Nutrition and Dietetics, “Coconut oil’s health benefits are often credited to the medium-chain triglycerides it provides.” However, coconut oil actually contains very little – about 10 to 15 percent of all of its fat is the beneficial short-chain MCTs that contain no more than 10 carbon molecules, Angelone adds. While the major saturated fat in coconut oil is lauric acid (a 12-carbon molecule), there is insufficient published scientific evidence to suggest lauric acid provides any meaningful health benefits.

Coconut oil is more than 90 percent saturated fat. Butter, a distant second, is about 65 percent saturated fat. And like all fats, it’s also high in calories, weighing in at 120 calories per tablespoon. Using coconut oil when cooking Thai dishes and others recipes that call for the tropical oil won’t harm your health, but adding coconut oil to your diet probably won’t improve it, either.

Read about some more facts through this link.

, U.S. News & World Report



People with ADHD may have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), or be overly active. Although ADHD can’t be cured, it can be successfully managed and some symptoms may improve as the child ages.

American Academy of Pediatrics (AAP) has released a new clinical practice guideline that provides evidence-based recommendations for the diagnosis and treatment of children diagnosed with attention-deficit/hyperactivity disorder (ADHD).

Here are the recommendations for the diagnosis and evaluation of ADHD based on the guidelines:

  • The primary care clinician should provide initiate an evaluation for ADHD for any child 4 through 18 years of age who shows presents with academic or behavioral problems and symptoms of inattention, hyperactivity, or impulsivity.
  • To make a diagnosis of ADHD, the primary care clinician should determine that diagnostic criteria have been met based on Diagnostic and Statistical Manual of Mental Disorders – Fifth edition. Making a diagnosis includes documenting that the child is impaired in more than 1 major setting. The primary care clinician should include reports from parents or guardians, teachers, and/or other school and mental health clinicians involved in the child’s care. The primary care clinician should also rule out any other possible cause.
  • When evaluating a child for ADHD, the primary care clinician should assess whether other conditions are present that might coexist with ADHD, including emotional or behavioral, developmental, and physical conditions. The primary care clinician should recognize ADHD as a chronic condition and, therefore, consider children and adolescents with ADHD as children and youth with special health care needs. Care for such children and youth should follow the principles of the chronic care model and the medical home.

CDC website


What the new dietary guidelines mean to you

If you are confused about what foods to eat and what to avoid to maintain a healthy lifestyle, don’t worry. You are not alone. Remember the old food pyramid? It’s time to rethink we what we put on our plate and in our bodies.Woman holding bag of vegetables for vegetarian diet

The Scientific Report of the 2015 Dietary Guidelines Advisory Committee recently released a 571-page reportthat offers a new take on some previously thought nutritional data. The report is the primary body of literature that guides all recommendations on how Americans should eat and is targeted to those making nutritional policy in the U.S.

Dr. Hensrud says the report shows a continued emphasis on plant-based diets and less meat consumption. He stresses the guidelines change as new information and research becomes available, calling guidelines evolutionary, not revolutionary.

Guidelines recommendations include:

  • Increase plant-based diet
  • Consume less red and processed meat
  • An egg a day is okay
  • Less sugar consumption
  • Coffee and caffeine may have health benefits

Dr. Hensrud recommends the Mayo Clinic Healthy Weight Pyramid which emphasizes fresh fruits, vegetables and whole grains along with lean protein from a variety of sources and a limit on sweets and salt.

The fats of life


Monosaturated are prevalent in olive, canola and safflower oils; olives; nut butters; almonds, peanuts; avocados; dark chocolate. They reduce levels of the bad kind of LDL cholesterol, help increase good HDL cholesterol and get rid of plaque build up in arteries, especially when they are substituted for saturate fats. Enjoy, but if watching you weight be mindful of overconsuming calories.

Polyunsaturated are of two types:

1. omega-3 fatty acids which e prevalent in fatty fish, flaxseed, chia seeds, walnuts, canola oil. These prevent heart disease by lowering blood pressure, cholesterol an triglycerides and may also decrease the risk of diabetes. Make these foods the bulk of your daily 20 to 35% of calories from fat.

2. omega-6 fatty acids are prevalent in vegetable oils, walnuts, almonds, sesame seeds, some processed foods. Small amounts rime the body to attack invaders. Some of each of these fatty acids are thought to be linked to a lowered risk for CVD. Get these from whole foods.

Saturated fats are prevalent in mat, cream, butter, cheese and coconut oil. They may not be bad for your heart, but don’t enhance your diet either. Plus they are often eaten with carbohydrates which in large portions may increase your weight and risk for disease. Limit to 10% of total caloric intake.

Trans fats are prevalent in packaged cookies, chips, crackers, pastries, some microwave popcorns. They raise harmful cholesterol and lower the good kind. Indulge only occasionally.

January 2015

What’s the big fat deal?


5 myths about fat- debunked

Low-fat diets are the best for losing weight: eating fat won’t make you fat unless you eat too much of it. Fats are helpful for weight loss because at 9 calories per gram they help you stay fuller longer.

A daily fish-oil supplement will ward off heart problems: there is no scientific evidence that this is true. The benefit of these supplements depend on your consumption of omega-3 fatty acids from dietary sources, including fatty fish and plants. If you’re already eating two 3.5 ounce servings of fish a week, whether you have heart disease or not- supplements will provide no additional benefit.

Cooking spray is calorie-free: It’s close to calorie-free if you stick with a single serving, meaning a spritz that lasts one-quarter of a second or less, which hardly coats your pan. Another consideration; even if the label boasts a good for you fat such a olive oil or coconut oil, the product may rely on other types of oils and flavorings as filler.

Saturated fats are OK now: There is no evidence that saturated fats are linked to heart disease. This doesn’t mean you should increase your intake because the evidence doesn’t say these are helpful either. Several studies suggest that eating red meat whether it is lean or a fattier cut boosts levels of a strain of gut bacteria that promotes hardening of the arteries.

’0 gram trans fat’ on the label means the product is free of trans fats: not always FDA allows products with as much as 0.5 gram of trans fat per serving to be labeled ’0 grams trans fat’, which can add up.




by Kimberly Goad January 2015

Your Metabolism Tune – Up Plan

Skip the 6 AM workout and sleep in instead. Resting metabolic rate is lowest when you are resting and drops about 15% overnight, reaching its slowest point in the early morning. By sleeping at night you charge up your metabolism to make the most of the daylight hours.

Get your exercise in through short bursts throughout the day. Long, strenuous workouts burns calories but as soon as you finish one, your thrifty metabolism will bring those expended calories right back, in case you need them later. So break your exercise into smaller, more frequent periods of activity. This will increase your active metabolism without causing a spike in appetite. You may also maximize a metabolic effect known as the after-burn. If you do one big workout a day, the after-burn is once and done. But if you do 3 or 4 10-minute workouts throughout your day, you kick-start that after-burn every time. You’ll also build lean muscle mass, which when you are active can burn as much as 20 times the calories as fat.

Except on days you splurge you’ll need o up the ante on that day’s regimen. The suggestion is to add 45-minutes more exercise when eating 75% more than normal.

Put protein on almost every plate because digesting proteins requires more energy than any other type of calorie. Because it could be harmful to health to eat a diet that’s 35 to 40 percent protein; you should consume a happy medium: consuming fat, carbohydrates, and lean protein with most meals. Your body metabolizes each micronutrient differently (carbohydrates are the easiest to digest, fat requires slightly more work) Eat all three together and your metabolism will chug along optimally.

Go easy on fried foods and sweets. Your metabolism gets in to a habit of storing high-carb and high-fat foods as extra fat. Enzymes block the usual process of converting fat and carbohydrate calories into fuel and instead store more and more of them inn to fat.

Don’t forget to snack; it’s not good for long waits between meals which can trigger that thrifty metabolic instinct.

Swap diet soda for seltzer. For every diet soda you drink on a daily basis, your risk of becoming overweight within the next decade may increase by 65%.  Diet soda may blunt you body’s ability to process sugar, and that in turn throws of your metabolism.

February 2015