What Will You Really Tell Your Doctor?

A woman sits with a healthcare provider in an office. Text reads: What Will You Really Tell Your Doctor? Discover how to work even better with your think healthcare team. Website: thinkhealthcare.org.

When you meet with your family physician, you have a decision to make. Will you tell your doctor what’s really going on with your health? Or will you minimize your symptoms and hope for a quick stamp of medical approval? 

The American Medical Association emphasizes in its Code of Medical Ethics the importance of a physician using “sound medical judgment on patients’ behalf, and to advocate for their patients’ welfare.” Your doctor is both professionally and morally committed to helping safeguard your health. But your physician cannot do this well without your help. 

April 7 is World Health Day, a united effort to raise awareness of better health for people all over the globe. This year’s theme is “Health for All,” with an opportunity to tackle the health challenges for every individual on the planet. This includes the health challenges for those of us in the greater-Omaha area. 

Think Family Medicine physician Margo Anderson-Fowler is dedicated to providing “health for all” as she strengthens communication and trust with her patients. As the think Chief of Medical Executive Committee and Director of Provider Affairs, Dr. Anderson-Fowler is also committed to ensuring that all think healthcare providers are making sound medical judgments and advocating for your personal welfare. Dr. Anderson-Fowler offers helpful insights on how to work even better with your healthcare team. 

Are visits with my Family Medicine doctor that necessary?

I’ve been a Family Practice physician for over 30 years, and while many of my patients are intelligent and well-read, I don’t think they quite understand what goes on behind the scenes with their doctor visits. Patients may know about the importance of skin cancer screenings and getting immunizations and other preventive health checks, but they probably don’t realize what their primary care doctor does to ensure the best possible care. 

As physicians, we know a patient’s family history. We know if you are at higher risk for cancer or other diseases. We also know the genetic side of your health, which we review before you even come in for your appointment. We know your family history and whether you need any health screening earlier than typically recommended. We keep updated on the overall picture of your health. 

What about researching my medical symptoms online? 

Patients often ask me if it’s okay to check online health resources. Dr. Google is important until the online search starts to send patients on a frantic, nerve-wracking goose chase. I like patients to come in with information and having thought about their symptoms. I tell patients that the facts I share with them are not an opinion, the facts are not my personal beliefs. What I share about a patient’s health is backed up by millions of studies, and so I have their best interest at heart.

As a doctor, I don’t walk into a patient exam room with a preconceived answer, and I don’t want my patients to do this as well. We need to have an open and honest discussion about health concerns. I tell my patients to search on reputable websites such as WebMD.com or the American Academy of Family Practice site called Family Doc. But if you research online and start to go down a trail that is all dark and focuses on cancer and other awful diseases that is not good for your mental health, your spiritual health or your physical health. You need to stop online when you start going down that rabbit hole. Instead, know it’s okay to just come in and talk to with me or another think provider about your symptoms and concerns. 

As physicians and healthcare professionals, one of our challenges is to get accurate information out to the general public about what is real concerning screenings, immunizations and other health topics versus what people hear or read about through social media. There can be a huge disconnect with what is medically true and what people perceive is true. 

What if I’m kind of embarrassed to see my doctor?

Feeling hesitant to see your doctor can be something as common as getting weighed when you come in. That can be a big deal and a shame deal for many people. Medically, we need to know a patient’s weight, but that should not stop a person from good health. Money is also a reason patients may put off medical appointments. Some people are on extra-tight budgets or are just not sure what their health insurance will cover, so they postpone seeking medical care. 

People are also very hard on themselves, and they have already chastised themselves a hundred times before I even get in the room. I’m not there to get after my patients about their weight or their smoking or a certain lifestyle habit. I’m there to approach the health concern with each patient and together we come up with a plan of next steps.

I also assure patients that their medical condition is not a personality flaw, it’s a disease state. Many patients fear they will be chastised by their care provider, but most of us do not reach our goals by being chastised. Patients have to be in on the diagnosis and health goals. They have to truly believe that something can be done and that they are part of the solution. 

What helps strengthen my patient-physician relationship?

The relationship that you have with your healthcare provider is super important in your life. Both you and your physician need to trust each other, and we have to be honest with each other. A bit of what we’ve lost in healthcare over the years is the patient-physician relationship. This is something we focus on at think—building a trust between you and your physician. I trust that you will tell me your symptoms, and you trust that I’m going to take those symptoms seriously. You are not bothering me by giving me your symptoms. 

We keep in contact, and when you come in you are not afraid to share the little things. You trust me to decide if those things you share are important or not. There’s been a shift in healthcare so we don’t have as much time as we used to with patients, but I reassure my patients that all their concerns are important. If a patient has several health issues to discuss, I may say, “Let’s address this and this today, and let’s have you back and address this and this.”

Life is all just so hurried now, but anything that is important in our lives, such as mental, physical and spiritual health, takes time to work through. It takes relationship. Again that takes honesty just as much on my side as it does on the patient’s side. When our think patients come in and see the same people each time, they learn to trust again and again that we can be open and honest with each other. 

What makes think an exceptional healthcare choice?

We are always rated one of the top Accountable Care Organizations (ACOs) for preventative healthcare. We get judged on how good we are at addressing your health issues. Is your blood pressure controlled? Have you had your pap? Have you had your mammogram? And at think, almost everything you need medically is in one building. Our goal is that when you come in, you are super healthy. You come in once a year to get your annual physical, and we aim to have everything scheduled and any tests completed the same day. 

When you come to think, our goal is to complete services on site so we improve the cost for you. With our efficient working together as one whole person healthcare team, you take less time off work or from other activities. We have answers for you quickly and want you to live a healthy life. We are always on your side, serving you with truth, honesty and compassionate care today and for years to come.

NEED MEDICAL CARE? CONSIDER THINK YOUR GO-TO FOR BETTER HEALTH

Think Whole Person Healthcare is dedicated to keeping you healthy through preventative care and treatment for a wide range of medical conditions. From the bothersome joint pain to the persistent respiratory illness, our physicians, advanced practice providers and specialists are committed to you and your family’s lifelong health and well-being. 

Our walk-in clinic treats anyone, even those who are not a think patient or do not have a primary care provider currently. To learn more about our comprehensive healthcare services, visit our Services page online and choose your own think medical professionals by visiting our Meet Your Doctor page. 

Life Doesn’t Have to Be a Headache

A woman holds her forehead in pain. Text reads, Life Doesnt Have to Be a Headache. Avert severe headaches before they even begin. An ad for Botox as a headache treatment.

Manage Debilitating Migraines with Botox®

Surprisingly, Botox is an effective, preventive medication for migraines. Botox can help prevent migraines from starting.  

Simply, Botox has been shown to avert those severe headaches even before they begin. In fact, Botox prevents, on average, eight to nine headache days a month. Imagine cutting your migraine days in half — particularly if you are suffering from 15 or more headache days each month. 

Botox: Number One Prescribed Branded Chronic Migraine Treatment 

Sure, Botox is used as a cosmetic injectable that smooths fine lines and wrinkles across your forehead and around your eyes. However, Botox is also an FDA-approved chronic migraine therapy. Since 2010, well over 600,000 people with chronic migraine have relied on more than 4.2 million Botox treatments.   

What You Can Expect

Each treatment takes about 15 minutes and is repeated every three months. You may see results in as little as four weeks, with full results at week 24 (after your second treatment). You will be evaluated at that time to determine if the treatment has been successful in reducing your headaches, and then can proceed to receive additional treatments as recommended by your provider.  

The treatment itself is made up of 31 small, shallow injections into seven muscle groups in the head and neck areas that may be associated with migraines. Most people say that it feels like a pinprick or little pinches but isn’t truly painful. Since the injections aren’t deep, any discomfort is minimal and should be temporary.  

How Botox Works to Manage Your Migraine Pain

When Botox is applied to targeted muscle groups just below your skin, the medication works on the nerve endings that contribute to your migraine pain. From there, the botulinum toxin (a naturally occurring neurotoxin) blocks the release of chemicals that transmit pain signals to your brain. As a result, the pain networks that usually fire up with the onset of a migraine no longer trigger, so you don’t feel the typical migraine symptoms. 

Eligibility for Treatment

If you have 15 or more headache days each month, with migraine pain that lasts four hours or more, you may suffer from chronic migraines. However, even episodic migraines, with 14 or fewer headache days a month, is too much suffering and too many days to allow migraines to interrupt your life. Make sure to speak to your Think Whole Person Healthcare provider to determine your eligibility for third-party coverage.   

Don’t Wait. Be Proactive in Caring for Your Health

Many people have regretted not receiving Botox treatment earlier as it would have saved them from additional pain and lost days. If you regularly miss fun activities or work because of debilitating migraine symptoms, there’s an effective alternative to taking headache and migraine prescription medications each time you feel a migraine coming on. Discover why Botox may be the best proactive solution to managing your migraine pain. 

Learn more about Botox for migraines by scheduling a consultation today. Think Whole Person Healthcare is devoted to treating the whole person while delivering the highest quality at the lowest cost possible. Call 402-506-9000 to book an appointment today or schedule an appointment online. Think Whole Person Healthcare, conveniently located in central Omaha, can provide same-day appointments.   

Proactive UV Safety

A hand holds sunscreen while another arm shows a sun shape drawn with lotion. Text promotes UV safety and reminds that skin and eyes need protection, even on cloudy days.

While summer is naturally the time to soak up extra sun, it is also the season for protecting yourself from harmful ultraviolet (UV) radiation. UV rays are strongest in spring and summer, and at higher elevations, more UV rays reach the ground. 

Even on cloudy days, your skin and eyes are susceptible to UV damage. UV radiation is the leading cause of skin cancer and can affect eyesight including blurry or spotty vision, cataracts, macular degeneration and other forms of vision loss. Overexposure to UV radiation can also weaken the immune system, intensify sunspots and wrinkles and speed up premature aging. 

The American Academy of Dermatology Association (AAD) reports that an estimated 9,500 people in the United States are diagnosed with skin cancer every day. Currently, more than 1 million Americans are living with melanoma, the deadliest kind of skin cancer. To help lower these incident rates, the AAD launches its annual skin cancer awareness program followed in July by UV Awareness Month. 

Who Is at Highest Risk?

Anyone, regardless of age, can face harmful health effects from UV radiation. Risks of sun damage increase for people who:

  • Remain outside in the sun more frequently or use indoor beds or sunlamps.
  • Experience a history of sunburns.
  • Are fair skinned with light hair and eyes.
  • Have a personal or family member history of skin cancer.
  • Live or vacation at high altitudes or tropical/subtropical climates.
  • Are over age 50 or are young children, especially under 6 months old.
  • Take certain oral or topical medications that make the skin sensitive to light. These include antibiotics, birth control pills and benzoyl peroxide products. 
  • Take medications that lower or suppress the immune system. 

Protection From UV Radiation

Overexposure to UV light is preventable. The following are steps you can take to protect your skin and eyes from UV radiation damage. 

• Apply a broad-spectrum, water-resistant sunscreen with a Sun Protection Factor (SPF) of 30 or higher to all exposed skin. Be sure to check the expiration date on the sunscreen. Sunscreen is usually good for two to three years. Reapply sunscreen after swimming or sweating and about every two hours in the sun. Also use a lip balm to protect your lips. Note that sunscreen does not fully block all sun rays. Use sunscreen generously in addition to taking other protection precautions. 

• Limit time spent in direct sun, especially when the sun rays are most intense, usually from 10 a.m. to 4 p.m. Stay in the shade as much as possible. 

• Wear protective clothing outside including long sleeves and a broad-brimmed hat that shades the face, nose, forehead, scalp, neck and ears. Some clothing is designed with UV protection.

• Wear polarized sunglasses that wrap around to protect eyes from every angle and block 99-100% of UV rays. Children need to wear smaller-sized adult protective sunglasses and not toy sunglasses. 

• Do not use tanning beds, sun lamps or welding lamps, which also emit UV radiation.

• Be cautious around the intense sunlight that reflects off water, snow, sand and cement.  

• Check your skin regularly for any changes and see a dermatologist about any parts of your skin that bleed or have changed color or size. During periodic health exams, also ask your doctor for a skin cancer check. 

Using the UV Index

The U.S. National Weather Service and the Environmental Protection Agency (EPA) have developed the UV Index to help pinpoint the strength of UV light in areas of the country, on a scale of 1 to 11. A higher number indicates greater risk of sunburn and skin damage. Many weather forecasts nationwide include the UV Index. To check the UV Index forecast in your location and learn more about the index overall, visit the EPA’s website at www.epa.gov/sunsafety/uv-index-1

LEARN MORE ABOUT UV RADIATION PROTECTION BY SPEAKING WITH YOUR PRIMARY CARE PROVIDER

Think makes it easy to receive both preventative care and treatment for your skin and eyes, especially if affected by sun exposure. From blistered sunburns to cataracts, our wide range of primary care providers and specialists are here for you on sunny and cloudy days and everything in between.  

Our walk-in clinic treats anyone, even those who are not a think patient or do not have a primary care provider currently. To learn more about our wide-ranging healthcare services, visit our Services page online and choose your own think medical professionals by visiting our Meet Your Doctor page. 

Covid Update: 2022

COVID Update

On New Year’s Eve, I was so excited to say “goodbye” to 2021 and welcome 2022 and hoped COVID-19 would become a distant memory. Unfortunately, the pandemic had other plans. Here we are, February of 2022, and the Omicron variant is working its way through our area. Here is our COVID Update for 2022.

Hospitals see a record number of cases, and the Douglas County Health Director implemented a mask mandate. Even though it seems like 2022 may be a repeat of the previous year, there is hope. 

Here’s what we know so far COVID-19 in 2022

  • There is a wide range of symptoms for COVID-19.
  • The variant doesn’t determine the symptoms. 
  • Omicron appears to be milder than Delta
  • Approximately 64.5% of Douglas County residents are vaccinated for COVID-19
  • More than 1 million vaccination doses have been administered in Douglas County.
  • Hospital occupancy rates are still quite high averaging above 84%
  • Most patients admitted to the hospital are unvaccinated.
  • A majority of people who have been vaccinated are becoming eligible for their booster dose
  • Children are now eligible for vaccinations, and almost 120,000 have been vaccinated!
  • Regardless of the variant, they are still the same SARS-CoV-2 virus
  • Testing for COVID-19 is readily available, and in-home kits can be purchased online and at most pharmacies
  • The Federal government has made it possible for everyone to have access to testing—free of charge.

Every day medical researchers and infectious disease experts learn more about the SARS-CoV-2 virus and continue to improve treatment programs for those presenting more severe symptoms, and outcomes are improving for hospitalized patients. Data continues to pour in, showing that the available vaccinations greatly reduce the chance of contracting COVID-19. Vaccinations also help reduce the severity of symptoms if you were to contract COVID.

The Centers for Disease Control continue to publish frequent updates, and the medical community is ready to adjust practices based on their findings. 

What can you do to minimize the risk of getting COVID?

Although there is no sure-fire way to avoid contracting COVID, you can take several steps to help reduce the opportunity to get exposed and infected. 

  • Wear a face mask in public and around others outside of those living with you.
  • Get vaccinated and if you qualify, get your booster shot.
  • Get your flu shot!
  • If you haven’t been to your doctor for your annual physical, this is the time to do so. Having a baseline for your health is important if you do contract COVID in the future. In the meantime, don’t put off seeing your doctor if you need medical assistance. If you are nervous about coming to the clinic, our Virtual Care Connection (telehealth) may be a good option.
  • Continue to wash your hands and avoid the 3 C’s:
    1. Crowded places
    2. Close contact
    3. Confined spaces
  • Wash your hands
  • If you think you were exposed to COVID or experiencing symptoms, get tested!

What if I suspect I may have COVID?

COVID is sometimes hard to diagnose without proper testing. A lot of the symptoms are similar to influenza and the common cold. The CDC published this list of the most common symptoms. If you have COVID, you may experience some or all of these: 

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

If you are experiencing any of these, it’s best to get tested. Symptoms may appear anywhere from 2-14 days after exposure. People are most-contagious about two days before and three days after the onset of symptoms, so getting tested as soon as you suspect is critical so you can isolate or quarantine if you do test positive. Home “self-testing” kits are available at almost every pharmacy and online. You must follow the instructions to get incorrect results if you aren’t swabbing correctly. To be certain you don’t have COVID, we recommend getting tested at your doctor’s office.  

Think Whole Person Healthcare has a walk-in clinic that is open seven days a week: Mon-Fri, 7 am – 8 pm, Sat-Sun, 9 am-5 pm, where you can get tested. We have set up a special area in our lobby for folks who think they have COVID. When you arrive, tell the think staff at the front desk, and they will have someone from thinkQuick come down and administer a test. You don’t have to be a think patient to use our walk-in clinic and, if you don’t have a Primary Care provider, get one! Visit our “Meet your Doctor” page to learn more about the providers at think.

Final thoughts.

When I look back at two years, conditions are getting better, and we continue to move in the right direction, but it will take teamwork from everyone to overcome COVID. We all need to continue to:

  • Be diligent with our hand washing and wearing masks
  • Be kind to others
  • Offer help when we can
  • Get vaccinated and boosted

Travel and Safety Tips from the CDC

Woman wearing a hat, glasses, and a face mask stands in an airport. Text reads: Safe Travels. Travel and safety updates from the CDC. thinkhealthcare.org. Blue circle with think..

Tips on how to travel safely in the world of COVID-19.

As more and more people become vaccinated, it seems that life is able to return to a level of normalcy not seen in quite some time. When venturing back out, consider these helpful tips from the Centers for Disease Control and Prevention (CDC) for how to stay safe and keep those around you safe.

Disclaimer: The article’s content was based on recommendations from the CDC at the time of publishing. It is very possible the guidelines from the CDC have changed.

Daily activities and going out

When looking to venture out, be mindful that not everyone is vaccinated, that the longer you stay in one place, the amount of people who are present and the closer you are together, the higher your chances of catching or spreading COVID-19. To ensure your safety and the safety of those around you in these situations, bring a face mask and use hand sanitizer with at least 60% alcohol.

If you decide to meet a group of friends and someone within the group is not fully vaccinated, an outdoor activity is recommended. We recommend masks whenever the vaccination status of attendees is unclear.

Take a trip, but be safe.

The CDC recommends that until you are fully vaccinated, don’t travel unless necessary. If you are fully vaccinated, however, you can travel safely within the United States and United States territories. Be sure to check with local laws for your planned destination as some locations have specific rules regarding vaccinations, tests and face coverings. International countries may require COVID tests prior to and upon arrival. You may also be required to quarantine while waiting for results. Understand that the US may also require COVID tests upon returning to the states.

Vaccinated travelers

You are required by law to wear a face mask over your nose and mouth while on public transportation and in transportation hubs, in airports, on airplanes, buses and trains.

Unvaccinated travelers

Only travel if it is necessary. Make sure to get tested one to three days before you travel, if you are positive DO NOT travel. Mask requirements are the same as vaccinated travelers. Maintain a social distance of six feet from anyone who is not traveling with you and wash your hands / apply hand sanitizer with at least 60% alcohol on a regular basis.

Once you’ve returned from travel, get tested with a viral test three to five days after returning home. Stay home and self-quarantine for a full seven days.

Life during COVID-19 has been hard, but it looks like now we are starting to see the light at the end of the tunnel. Let’s all continue to do our part to keep everyone safe and healthy.