by Guest | May 30, 2024 | Being Well, Featured, Uncategorized, Work Well
When your primary care provider (PCP) retires, you move, or your insurance changes, finding a new healthcare provider can be challenging and anxiety-inducing. You want someone you can trust with, well, you. You want someone knowledgeable and empathetic to your personal needs. After all, this is someone you will see during times of vulnerability. Finding the right fit and fostering a good relationship is a vital part of managing your health. There are steps you can take to find someone you are comfortable with who provides the care you are looking for.
Choosing Your Doctor
Many different things go into why you choose a specific healthcare provider. Determine what is most important to you when selecting someone to see.
Qualifications: A PCP is a healthcare provider who sees people for common medical problems. Traditionally, this was a doctor. In the State of Oregon, medical doctors (MDs), osteopathic doctors (DOs), nurse practitioners (NPs), physician assistants (PAs), and naturopaths (NDs) can all work as primary care providers. Each type of provider has medical training, but the training varies based on their education, which affects how they provide care.
Get to Know Them: Look up their profile on the clinic’s website. This usually includes a photo and a bit of information about the person. Reading online patient reviews may give you a sense of their communication or practice style.
Office Hours and Availability: Finding someone who works when you don’t will make getting your routine care easier. Make sure you know their clinic’s hours, including any weekend or evening availability. Also, when you call to schedule, ask about the specific provider’s availability. Are they booked out months in advance? That is a warning about potential difficulty seeing them when an issue arises.
Insurance Coverage: Some clinics may take your insurance, but your insurance may not cover the one provider you want to see. An example of this is with naturopaths who are not covered by Medicare. It is also important to remember this when your insurance changes. A new insurance may not cover the provider who has managed your care for the last 10 years. Contact your insurance company for a list of covered providers.
Before Your First Appointment
Preparing your first appointment will make the appointment go more smoothly for both you and the new PCP. There are basics any new healthcare provider will need:
Collect information on your medical history:
- Past surgeries, illnesses, chronic health conditions
- Current medications, supplements, and allergy list
- Vaccination record
- Family medical history
Make a list of concerns to talk about with the provider:
- What is most concerning to you that day?
- Keep the list short with at most three items. Appointments are typically only 20-40 minutes. Respect the provider’s time to see their other patients by scheduling a second visit if needed.
- Do you have high blood pressure or diabetes? Write down recent readings to share with the provider.
Making the Most of Your First Visit
Show up prepared to get the visit off to a good start. This will help reduce any anxiety or stress you may have about it.
- Make sure to give yourself enough time for the appointment without needing to rush off to another task.
- Arrive early to fill out paperwork.
- Bring any past medical records or contact information for your previous PCP and specialists.
- Remember that insurance card!
Plan for open communication.
- Be honest about your health. The PCP can’t give you the best care if pieces of your healthcare puzzle are missing.
- Talk about your healthcare goals. Are you worried about a family history of dementia or trying to bring down your blood pressure? Let them know.
- Ask questions to clarify information you don’t understand.
- Request a written summary of the visit for you to review later.
- Know the next steps, such as any follow-up visits or referrals.
Building a Long-Term Relationship
Any good relationship requires effort from both sides.
- Stay in touch with your healthcare provider by scheduling regular well checks.
- Schedule and keep the follow-up visits your provider recommends. These visits are generally to keep an eye on health concerns.
- Keep your PCP updated about any changes to your health, such as new injuries or surgeries.
- If you see a specialist, go to urgent care, or the emergency room, make sure the records of your visit are sent to your PCP.
Finding a PCP can go smoothly with a bit of preparation. One of the fundamental components to developing a good relationship with your healthcare provider is seeing them regularly, not just when you have a problem. This helps the PCP get to know you and your health situation. Open communication will go a long way in building a strong provider-patient relationship, which can help to improve your health outcomes.
AUTHOR: Leanna Coy, FNP-C, Family Nurse Practitioner and Health Content Writer
by Guest | May 17, 2024 | Being Well, Featured, Uncategorized
Fortunately, Buzzfeed has never claimed to be able to give you any medical diagnosis. But plenty of other sources on the internet walk the fine line between “this is not medical advice” and “this sure sounds a lot like medical advice”. There’s a quiz for everything, and a “cure” for everything. A problem you didn’t know you had, and the product that can solve it (for three easy payments of $19.95, plus shipping and handling!) Anything and everything to do with your health can be found with a few taps on your phone, so it’s important to recognize how media literacy ties in with health literacy.
Let’s take a step back. About 21% of US adults experience chronic pain, or pain that lasts for three or more months. Millions suffer from conditions that have no known treatment or cure. Our doctors don’t always have the answers we are looking for. After all, they can’t prescribe a treatment that doesn’t exist, or diagnose a condition that they don’t have the evidence for. And so, we strike out on our own determined to find a solution to the pain we carry every day. A solution beyond the scientific boundaries of conventional medical practice. Collectively, these solutions are referred to as alternative medicine.
Alternative medicine has real value to many individuals and cultures. That is not up for debate. For thousands of years, alternative medicine was the only medicine. However, there is potential for significant harm as these practices have expanded from healers utilizing medicinal herbs to Dr. Charlatan on the internet trying to sell you an at-home detox regimen that may very well do more harm than good. Many treatments or devices label themselves as alternative medicine when they are little more than a scam.
Here, health literacy and media literacy collide. Having the ability to recognize what information and products are legitimate and which are deceptive (not to mention potentially harmful and a waste of money) can make a significant difference in your health and quality of life. Let’s go over some questions to ask as you evaluate the validity of medical information online:
- Does it come from a reputable webpage, such as that of a university or hospital
system? Keep in mind that anyone can post deceiving information on social
media, or even on a website of their own. The website URL can give you some
clues. Websites ending in .edu=educational institutions, .gov=government agencies, .org =an organization (often non-profit), .com=commercial, and.net=network. Be particularly wary of .com and .net websites, as they could be hosted by anyone.
- Does it conflict with other reputable sources? If so, consider getting a second (or
third) opinion.
- Does the source profit off of your choice? Are they trying to sell you anything (a
device, a course, a supplement)? If they are promoting a supplement, is it their
own brand that they are trying to sell?
- Is it sensational? Black and white? Health information should be educational, not
headline-grabbing or clickbait.
- Do they have credible sources/citations?
- Is the person or organization making statements credentialed to do so? (Some
titles sound legitimate, but require no training or certification. For example,
anyone can claim to be a “nutritionist”, but “registered dietician” is a protected
title for trained professionals.)
To encourage a safe health practices, consider these tips:
- Avoid long gaps in medical care. Establish with a primary care provider (PCP)
and maintain regular visits. Let them know if anything changes with your health.
- Avoid self-diagnosing. Seek the most accurate diagnosis possible from a trained
physician.
- If you choose to take any supplements, ask your doctor if there is any risk that
they will interfere with your prescription medications. Remember that
supplements are not regulated by the Food and Drug Administration and
sometimes do not contain the product or dosage reflected on the label.
- Don’t change or stop any prescribed medications without consulting your doctor.
- Evaluate how much you are spending on alternative treatments, and whether you
are getting the positive outcomes you are looking for.
What medical treatments or information you choose to follow is ultimately your decision. If alternative medicine provides you with healing and comfort, that’s fantastic! But if you have any questions or concerns about your health, always go to a physician first. Keep up with Tillamook County Wellness’ health literacy campaign to continue learning about how you can play an active role in managing your health. And in the meantime, stick to the TikToks that teach you about gardening, not self-medicating. Be well, Tillamook!
written by Sarah Ermer, MPH, CHES, from Tillamook Family Counseling Center
Resources:
Rikard SM, Strahan AE, Schmit KM, Guy GP Jr.. Chronic Pain Among Adults — United States, 2019–2021. MMWR Morb Mortal Wkly Rep 2023;72:379–385. DOI: http://dx.doi.org/10.15585/mmwr.mm7215a1.
U.S. Department of Health and Human Services. (2024, February 13). Is this legit? accessing valid and reliable health information. National Institutes of Health.
https://nida.nih.gov/research-topics/parents-educators/lesson-plans/legit-accessing-valid-and-reliable-health-information
by Guest | May 2, 2024 | Being Well, Featured, Uncategorized
Navigating healthcare can be confusing, and knowing when and where to seek medical attention can feel like solving a complex puzzle. There are different types of medical care, including primary care, urgent care, emergency care, and online doctor visits, and each serves a specific purpose. Having a clear understanding of the differences between them is vital for maintaining your health effectively.
Primary care is your first point of contact for managing your overall health. Your primary care provider (PCP) can help with routine check-ups, preventive care, and treatment of common illnesses. Establishing a relationship with a PCP is important because they get to know your medical history and can provide personalized care and guidance. You should visit your PCP for regular screenings, vaccinations, management of chronic conditions (like diabetes or hypertension), non-emergency illnesses (like colds or infections), and general health concerns.
Urgent care centers are equipped to handle non-life-threatening medical issues that require prompt attention but are not severe enough for an emergency room visit. They offer extended hours and typically treat conditions like minor injuries, infections, and illnesses that need immediate care but are not critical. You should choose urgent care for conditions like sprains, minor burns, fever, vomiting, stitches, or other urgent but not life-threatening issues, especially when your PCP is not available.
Emergency rooms are designed to handle critical or life-threatening situations. If experiencing chest pain, difficulty breathing, sudden weakness or numbness, severe burns, or major trauma, head straight to the ER or call 9-1-1. Don’t hesitate. Use emergency care for serious injuries (broken bones, severe cuts), severe illnesses, heart attacks, strokes, or any condition that could be life-threatening.
Telemedicine or virtual visits with doctors provide a convenient way to consult healthcare professionals remotely. This option is suitable for non-emergency issues when an in-person visit is not necessary. You should consider online visits for minor illnesses (like sinus infections, rashes), medication refills, follow-up consultations, or initial assessments of symptoms.
Health literacy is a crucial skill that empowers individuals to take charge of their well-being and navigate the healthcare system effectively. Having a primary care provider is essential for several reasons, including continuity of care, preventive care, health advocacy, and chronic disease management. Your PCP manages your long-term health needs and coordinates care across specialists, ensuring holistic and personalized treatment.
When visiting a healthcare provider, whether it’s a PCP, urgent care, or online doctor, expect a comprehensive evaluation, a physical examination, diagnostic tests, and a treatment plan. Remember to communicate openly with your healthcare provider, ask questions, and voice any concerns you have about your health. Your active involvement in your healthcare journey can lead to better outcomes and improved overall well-being.
Understanding the nuances of when and where to seek medical care empowers individuals to make informed decisions about their health. By embracing health literacy and establishing a relationship with a primary care provider, individuals can navigate the complexities of healthcare with confidence, ensuring timely access to appropriate care when needed.
To learn more about Medical Services or to find a Primary Care Provider, please visit: https://adventisthealth.org/tillamook/doctors/
https://tillamookchc.org/medical-services/
https://www.nehalembayhealth.org/
Resources:
“Primary, Urgent, Emergency Care and Online Doctor Visits – What’s the Difference?” UnityPoint Health, www.unitypoint.org/news-and-articles/primary-urgent–emergency-care-whats-the-difference. Accessed 29 Apr. 2024.
by Guest | Apr 24, 2024 | Being Well, Featured, Uncategorized, Why I'm In
“WHY I’M IN …” An interview with Emery Edwards, AmeriCorps, VISTA
What drew you/your organization to partner with Tillamook County Wellness?
I’ll be honest, I started working with TCW because it was something required of my position as an AmeriCorps VISTA volunteer. I came to Tillamook, though, because I was in search of something more fulfilling, authentic, and close to nature than what I had built in Seattle. Since the first day I learned about TCW I was inspired by the community-driven initiatives to make Tillamook a better place to work, live, and be. I will continue my work with TCW because I am inspired by the passion exhibited by its members towards the never-ending work of improving this county. I have found that TCW embodies what I was searching for when I moved to Tillamook- it is authentic, innovative, fulfilling, and emphasizes genuine relationships and community action.
What, if any, changes have you seen come about as a result of this work?
I can see how TCW brings organizations and people together for initiatives to improve the county. Being behind the scenes and involved in several committees I have the unique opportunity to see so much of what TCW is doing! The collaborative nature of the committees creates buy-in throughout organizations in the county and provides a platform for the exchange of ideas all towards the betterment of our community. I specifically see how a lot of what TCW does is directly informed by data collected about the greatest needs of the county, specifically for vulnerable populations. I see access to care and access to physical activity being increased for all of Tillamook County, but particularly emphasized for historically underserved populations. This is critical work that is not being done everywhere and I’m so happy that TCW is taking that initiative.
What have you learned from being involved in this work?
Gosh, I have learned so much about what it means to bring about community action. This community has so many wonderful members who are passionate about improving the livelihoods of all county residents which has restored some of my faith in humanity. I learn so much from my work with TCW almost every day, but I think the biggest thing I’ve learned is that community action like TCW is even possible!
What are your hopes for this work as it relates to you/your organization?
I hope that this work can continue to grow and expand to include more representatives of the community. I really hope to see more community members, retirees, and other people looking to use their time, energy, and skills to better their community through TCW. I hope that this will cultivate a sense of ownership for Tillamook County residents. In my experience, if you yourself work on something you feel a sense of ownership over it. And that’s really important for this program’s sustainability. The more people come together wanting to improve their community through TCW the more positive impact we’ll be able to make
What are your hopes for this work as it relates to changing community health in Tillamook County.
Moving to Tillamook County has changed my life, and I know it can change so many others. I really hope that this work will improve access to a happy and healthy life for all. It’s really hard to not have any healthy habits, nutritional knowledge, or a healthy relationship with your body. I believe that TCW is providing access to healthy choices we can make for ourselves. This is essential work to improving community health because when you feel like you’re on your own with your health, it’s really isolating and it can feel like you have to reinvent the wheel. TCW is changing Tillamook County for the better, and my biggest hope is that we continue to receive support from the community we serve.
Is there anything else you’d like to share?
I would just like to add that moving to Tillamook County has changed my life for the better! I’ve been able to build a wonderful community of authentic, caring, amazing people who truly care about this community. Tillamook County has its flaws but it is such a special place to me and I am so grateful to have had the opportunity to serve here. I am so looking forward to seeing what amazing things we can accomplish with community action! And, a special thank-you to Michelle Jenck, the Tillamook County Wellness Coordinator. Without her, so much of this work would not be possible!
by Guest | Apr 18, 2024 | Being Well, Featured, Uncategorized, Work Well
What is your first memory of being stressed or upset? What was it about? Is it something that would upset you now, all these years later? Maybe, or maybe not. For me, it’s the time my brother knocked over my Lincoln Log house because he wanted one of the pieces I was using (though he would probably tell you a different story).
We all face challenges—even kids. Dare I say, especially kids, as they are still developing the understanding and skills to navigate their world and interactions with others. We as humans are not born with executive function, or the complex ability to think about future consequences, regulate our emotions and impulses, or organize tasks. These are all things that we learn from the environment around us. Most people would probably recognize early interactions and relationships as things that help form a child’s executive function. And they would be correct! The “serve and return” back-and-forth exchange of communication with caregivers is a necessary component in a child’s ability to feel secure in the world and to know how to operate within it. Their executive function allows them to process new anxieties, building resilience. When a child is resilient, the inevitable challenges of life aren’t quite as hard to manage.
So, you’re raising a child. You’re doing all the right things: the bedtime stories, the tummy time, the peek-a-boo. Your child is on the superhighway to mastering executive function! What else could possibly be done? Well, have you checked for lead in your home?
Like, the lead pipe from the board game Clue? The lead that infiltrated the water supply in Flint, Michigan in 2014? Yeah, that lead. You probably already know that lead is bad, but do you know why? Lead is a common and exceptionally potent neurotoxin that accumulates in bones and soft tissue. It damages the brain and central nervous system. In high enough doses, it can cause coma, convulsions, or death. Even in non-fatal cases of lead poisoning, children can be left with permanent brain damage: reduced IQ, reduced attention span, and increased antisocial behavior. In other words, lead can interfere with a child’s development of executive function.
There is no “safe” level of lead exposure, and young children are particularly vulnerable. As a child plays and crawls on the floor, any lead dust or particles on the ground get on their hands. And, as is a child’s nature, those hands go in their mouth. That easily, the dust of the lead paint on the walls is now in the child’s system. This is compounded by the fact that children’s bodies are far less efficient than adult bodies at filtering out lead.
The good news is that lead poisoning is preventable. You can easily find out if an item has lead in it with a home lead testing kit ordered online. Be aware of common sources of lead in the home. Lead-glazed ceramics, water pipes, imported spices and cosmetics, and children’s toys are all common places lead has been found. About 24% of homes and buildings built before 1978 have lead paint. (Note: DO NOT try to sand or scrape off lead paint! This will release more lead dust into the air and can be extremely harmful. If you have lead paint and want to make your home safer, paint over the existing paint and be mindful to clean up any chipping or flaking.) Some jobs and hobbies can also come with lead exposure. Demolition work, manufacturing, renovation, welding, casting or soldering (fishing weights, bullets, stained glass) can all leave lead dust on clothing that is later tracked into the home. To avoid this, leave shoes and work clothes outdoors, wash them, and take a shower before going about your home life. Creating a physically safe environment for your child, one that is absent of lead and other dangers, gives them the capacity to focus on developing as resilient young humans.
Whew! Lead averted. Now that that’s out of the way, we can go back to focusing on the bedtime stories and peek-a-boo…almost.
Lead isn’t the only household toxin. Other common sources of accidental poisonings in children are household cleaning products, personal care/cosmetic products, and analgesics (pain relievers). About 35,000 children go to the emergency room every year after getting into medications and vitamins left within their reach. Those gummy vitamins sure do look like candy, right? Imagine how tempting such a treat is to small hands. Protect your children from accidental poisoning; keep medications, vitamins, and cleaning products up, away, and out of reach. When possible, keep them locked. Never refer to medicine as “candy” to get your child to take it, and teach them to never eat something that wasn’t given to them by a trusted adult, even if it looks like candy.
Parents and caregivers: I know the list of everything you do for your kids is always growing, and it just grew a little more. Your hard work is recognized. All those veggies they don’t want to eat, the emotional guidance, late nights, and disputes over Lincoln Logs can be exhausting unlike anything else. But remember this: the environment you are creating, the support you provide, and your watchful eye are sculpting your child’s executive function, their whole health. And you’re doing an amazing job.
Written by: Sarah Ermer, MPH, CHES; Tillamook Family Counseling Center
Sources:
Centers for Disease Control and Prevention. (2021, October 29). Childhood Lead Poisoning
Prevention: Populations at Higher Risk. Retrieved from
www.cdc.gov/nceh/lead/prevention/populations.htm?CDC_AA_refVal=https%3A%2F%2F
www.cdc.gov%2Fnceh%2Flead%2Ftips.htm
Centers for Disease Control and Prevention. (2023, February 24). Early Brain Development.
Retrieved from www.cdc.gov/ncbddd/childdevelopment/early-brain-development.html
Centers for Disease Control and Prevention. (2022, May 17). Lead in Foods, Cosmetics,and Medicines. Retrieved from www.cdc.gov/nceh/lead/prevention/sources/foods-
cosmetics-medicines.htm
Centers for Disease Control and Prevention. (2022, February 2). Lead in Jobs, Hobbies, or
Other Activities. Retrieved from www.cdc.gov/nceh/lead/prevention/sources/jobs-
hobbies-activities.htm
World Health Organization. (2023, August 11). Lead poisoning. World Health
Organization.https://www.who.int/news-room/fact-sheets/detail/lead-poisoning-and-
health
by Guest | Apr 11, 2024 | Being Well, Featured, Move Well, Uncategorized
We love our pets. We also love our beautiful coastal gardens. Sadly, sometimes, the most stunning things in our gardens can be toxic to our beloved pets. So, how do we protect our pets and still maintain a gorgeous landscape. Depending on your pets’ needs and habits, we can eliminate many of the toxic plants they may come in contact with. Here are a few common plants to avoid.
First to consider is Narcissus (Daffodils). These pretty seasonal flowers brighten up an early spring garden. Many see them as a sign that wet stormy coastal weather is ending and warmer, drier days are upon us. However, even in small amounts, the flowers can cause symptoms of diarrhea and vomiting.
Many of us love rhubarb pie and the rhubarb plant grows well in coastal climates. The stalks produce malic acid which is beneficial for people with acne, fibromyalgia, dry skin, and fatigue. The leaves are a different story. Even in small amounts the leaves can be lethal. They can cause gastrointestinal distress, breathing problems, and internal bleeding.
The flowers from Digitalis (foxglove) contain cardiac glycosides used in modern medicine. Accidental ingestion can be fatal. Dizziness vomiting, irregular heartbeat, delirium, hallucinations, and death can occur if accidentally ingested.
Hemlock is another plant highly toxic to pets. The entire plant, especially the roots, are poisonous. They can be found growing wild along stream banks and ditches. Symptoms vary after ingestion, ranging from nausea, vomiting, and salivation to convulsions, coma and ultimately death.
Finally, Hedra (English Ivy) is a common culprit of poisoning. These evergreen woody vines are extremely invasive and can easily climb up trees, fences, and buildings. The berries of these plants look like blueberries but that is where the similarity ends. If eaten, they can cause burning in the mouth and throat and gastrointestinal distress.
Before discussing pet-safe plants there is one additional plant of concern. Locally, Creeping Buttercups grow prolifically. They are opportunistic and will grow anyway they can take root. Gone unaddressed they will completely take over a garden. It is important to take note of these especially because often they grow in lawns. Many domestic animals eat grass to aid in digestion. The fresh sap of this plant is highly irritating to skin and mucous membranes. If ingested it can cause gastrointestinal irritation, colic, diarrhea, nephritis and in severe cases, paralysis of the central nervous system. The best way to prevent the spread of these is to dig and pull them up by the roots before they go to seed.
Even though there are a number of plants of concern, not to worry, there are many plants and flowers that add beauty to a garden and maintain a safe environment for your pet. Consider planting a pet friendly lawn. You can purchase seeds from a variety of places that sell lawn seed advertised as pet safe and pet friendly. Careful research will help you decide which seed is right for your pet and the area where you live.
Also, there are many herbs that your pet might enjoy snacking on while they improve your landscape. Try planting herbs like sage, rosemary, thyme, dill, fennel or basil. They smell terrific, are a nice addition to dips and sauces, and your pets will also appreciate them.
Many annuals are colorful and safe for your pets. Among them are petunias, fuchsias, sunflowers, camellia, snapdragons, and nasturtiums. All these plants come in a variety of shades, shapes and colors. Because of our mild coastal temperatures, they often winter over, and we can enjoy them over again the next year.
There are also a variety of perennials that are equally gorgeous and pet friendly. They include dahlias, hollyhock, and black eyes susans. These will add the brilliance that makes every garden pop with color year after year.
There is much to consider when designing a pet friendly landscape. It is best to do thorough research before planting. There are a wide variety of choices to meet your and your pet’s needs. If you need help determining what is safe and unsafe for your garden, please feel free to contact your local OSU extension office at 503-842-3433 or contact us through our web site at https://extension.oregonstate.edu/tillamook
You can also contact the Tillamook County Master Gardeners Association for help. Reach them through the OSU extension office, their website at https://tillamookmastergardeners.com/ or find them on Facebook. There are many resources available to assist you in creating a beautiful and safe garden for you and your pet.
Written by: Alice St. Clare, OSU Master Gardener
