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Allergy Season

  • April 10, 2019

Allergy season is upon us and this year seems worse than many. With the blooming and re-blooming of the worst offenders, like Juniper, many of us wonder if this is ever going to end. The remedies for our allergy symptoms are various and confusing and honestly, there is no right answer. Most over the counter pharmaceuticals seem to be designed to mask and suppress the symptoms so that we can function. Many of the natural and herbal remedies seem to be targeting the underlying causes our allergies by desensitizing our systems.

 

Whether you choose the quick fix of the former or the potential long-term salvation of the latter there are a few important things to remember. No matter what we all need to hydrate to support our immune systems and have the moisture our bodies need to wash out allergens. We need to be vigilant so these chronic allergies don’t turn into something more serious. Many of our patients come in to see us after several days of feeling congested wanting to make sure that they do not have a serious upper respiratory infection. This is exactly what we are here for; as a safety net for you and your families.

 

Come establish care as a new patient at Eldorado Family Health. Come meet us and let us get to know you and your health history so we can be your safety net when you need us. 505-216-7772

 

Insurance 102: Deductibles and Copays

  • April 3, 2019

One of the more confusing aspects of insurance coverage is that of copays and deductibles. Though many patients are used to paying a fee when they see their medical provider it is often unclear why that fee is set at a certain amount and what that fee represents. The fee often seems inconsistent and some patients may feel that the provider has some influence over that fee and is not collecting it properly.

 

The fact is that Copays and Deductibles are two entirely different fees with different structures. In general, a copay is a set fee that insurance mandates you pay for a given medical service. For example, on the back of many of your insurance cards It might say $20 copay for medical visit. This means that if the visit costs $120.00 your insurance might reimburse the provider $100.00 and the patient pays $20. Or your card might say: Patient percentage 20%. So, if the visit cost $100 your copay is $20. Unfortunately, not all insurances publish copays on their cards. Nor do they inform the provider of their copay structure. It therefore falls on you, the patient, to have found that information in the fine print of your paperwork and know it by heart.

 

A deductible, on the other hand, is the amount you agreed to pay for medical services before your insurance kicks in. In general, the less expensive your insurance plan is the higher the deductible you agreed to. So, for example, if you come to see your primary care provider for a check up and have not yet met your $2000 deductible for the year, you are responsible for the full amount of the cost of that visit. You might pay $100 for a primary care visit vs the $20 copay because you have not yet personally spent $2000 for the year on your health care. Once you have met your deductible then your regular copays apply, and your visit may now be only $20.

 

The biggest misconception is that medical providers have anything to do with setting these copays and deductibles. In general, they do not. Unless the provider is taking cash only, he or she must follow the insurance company’s rules. This especially applies to practices that take Medicare like Eldorado Family Health. We are mandated to follow Medicare rules for billing and reimbursement.

The bottom line is that it is imperative that you investigate your insurance coverages carefully. Ask questions and be clear on what your financial responsibilities are so that there are no surprises. We here at Eldorado Family encourage you all to make informed decisions about your health insurance. Use an insurance broker who can explain these things to you, and find out which plans your preferred provide is allowed to take. Here is one website resource for health insurance information: https://www.healthcare.gov/glossary/co-payment/.

Let us be your primary care provider. Call and set up and appointment and establish care at (505-216-7772.

Medical Visit

  • March 13, 2019
Yesterday, Destiny had the best medical experience of her life and we wanted to tell you about it.

She woke with a fever and some pain and couldn’t get in right away to see her regular doctor. She also didn’t want to suffer an urgent care. So she called Eldorado Family Health. The receptionist was sympathetic and got her in to see the practitioner within an hour. She arrived expecting to spend fifteen minutes filling out forms and then waiting an indeterminate amount of time to actually be seen. Instead, the receptionist had all the required forms on an ipad. The process took about three minutes to complete. Then, instead of waiting and waiting and waiting, a nurse came to get her after just a couple of minutes. Conversation was friendly and easy.

The practitioner, Warren Goldenberg, came into the exam room less than a minute after she did. He was thorough, invested, and caring. When the diagnosis was made, Warren used another ipad to send her prescription to Del Norte Pharmacy. She thanked him, walked across the sidewalk, and had her prescription filled in less than five minutes.

Truly remarkable. It’s always been difficult for us to switch practitioners, but this experience made us instant converts.

If you haven’t been inside the beautifully appointed facility or met the people who work there, consider it. Instead of a hassle, this experience was a relief. They even have their own blood lab. We knew we liked the folks in charge, but we had no idea how well they’re keeping promises about a better kind of healthcare.

 

See you soon and all the best,

 

Destiny and Steve

 

Thanksgiving

  • November 27, 2018

We do it every year. We promise ourselves we won’t eat too much. Then comes the turkey, that yummie stuffing, mashed potatoes, sweet potatoes and all those wonderful pies! A few drinks and some homemade rolls with butter. Next thing we know, we’ve done it again. Over eaten on Thanksgiving Day. But there are many ways to enjoy our Thanksgiving without overindulging. First off, consider eating your meal earlier in the day, so there’s more time for your body to digest. Then, make a few wise choices about all those calorie laden recipes. Pick one or two of your favorites and go low cal on the rest. Pull the skin off the turkey. Use low fat ingredients whenever possible. Forgo traditional stuffing and consider a side of wild rice. Instead of cheese and crackers before dinner, consider carrot sticks and sliced bell peppers. Maybe skip the fat-rich gravy altogether. Consider your portion size. Do you really need to try everything? If so, take just a little taste of everything. How many times do our eyes seem a whole lot bigger than our stomachs? Then before moving onto dessert, start a new family tradition of taking a good long walk. This gives your body an opportunity to burn off some of that meal. So this year, why not dedicate yourself to enjoying a beautiful holiday meal but perhaps in a slightly healthier way. Happy Thanksgiving from Eldorado Family Health. Call for appointments at 505-216-7772.

To flu shot or not to flu shot.

  • November 20, 2018

That is the question. As always, there are several sides to the decision.  The current recommendation is for all individuals over the age of 6 months to receive a flu shot annually. Children receiving a flu shot for the first time are recommended to receive a booster dose one month after their first dose to ensure better protection. Many people swear they NEVER get the flu.  Certainly, there may be a minority of people who are naturally resistant to the disease or maybe simply have less exposure. But most of us, children and adults, will experience some degree of flu illness during the winter.  Many of us use the term “flu” so liberally during the year that it often seems we forget what true Influenza really is and how serious a disease it can be. Symptoms of the flu include: sudden onset of body aches, fever, chills, nausea, vomiting and diarrhea and the development of a dry scratchy cough. These symptoms will often last 7 – 14 days.  People with the flu are at risk for bronchitis, pneumonia and ear infections.  What about those folks who insist the flu shot makes them sick? I recently heard a great explanation of this reaction from an infectious disease specialist. The flu vaccine stimulates our immune system. When this happens, some of us can experience flu-like symptoms: fever, body aches, chills. But this reaction typically lasts one to two days at most and is nothing compared to the true disease. People who should definitely consider a flu shot: very young children, the elderly, those with chronic respiratory or cardiovascular illness, anyone who is immune suppressed.  We are currently in the ideal time to receive a flu shot. Generally, the shot takes about 4 weeks to “rev up” the immune system and protection lasts for about 6 months. Typical flu season in New Mexico begins right after the holidays and lately has been lasting well into the spring. To discuss whether the flu vaccine is right for you and for any other health care concerns, call Eldorado Family Health at 505-216-7772.

Daylight Savings

  • November 6, 2018

This past weekend, most of us set our clocks back one hour to reflect the end of Daylight Savings for 2018. The US (except for Arizona) has been observing this annual time adjustment for a century and there have been many debates about the value of continuing this 100-year-old tradition. It’s amazing how much 60 minutes can affect our daily life. Many of us will feel sleepy, less alert, irritable or hungry at variable times during the week or two it may take for our bodies to adjust to the new time. This is due primarily to something called circadian rhythm. Our bodies naturally organize around sleep/wake or light/dark cycles. This cycle impacts important bodily functions, such as hormone release, digestion and temperature regulation. Our mood can also be deeply affected by this rhythm, as any parent of a newborn can attest.  Police officers, firemen and healthcare workers know well the impact of working night shift and the effects it can have on the body. Certainly, some of us are more sensitive than others to these time changes and there are ways to ease our bodies into the new rhythm. Adjusting our bedtime and meal times by 30 minutes, continuing to get fresh air and exercise, although perhaps earlier in the day, can  help to ease us over the hump of time changes. Here at Eldorado Family Health we have time for you. Call now for your appointment at 505-216-7772.

Evidence Based Practice

  • October 31, 2018

More and more these days it seems that we rely on technology to keep us educated and informed about the world.  Our lives are chaotic, busy, and stressful so having information at our fingertips seems essential to help manage our lives.  This phenomenon is very apparent in the world of health care.  We all seek up to date medical information that helps us feel safe and having quick answers to our questions and problems is something the internet seems perfect for.

Here at Eldorado Family Health we appreciate it when patients are involved in their own health care.  In fact, we tell every patient that our relationship with them is a partnership.  Our role is to provide evidenced based, accurate, experienced health information and treatment while making sure we meet our patients’ needs that match a plan of care to our individual patients’ philosophies.  We encourage all of you to be careful about medical information you find on the internet. Always consult with your Primary Care Provider if you are unsure about a medical condition you might be facing.  We are here to answer your medical questions and concerns. Our goal at Eldorado Family Health is to keep your family healthy and out of the urgent care or hospital by identifying minor medical problems before they become major issues in your lives.

Call us for an appointment at 505-216-7772. Have a Fun, Happy, and Healthy Halloween.

Warren Goldenberg, Medical Director

Hearing versus Listening!

  • October 24, 2018

These days, we’re all “hearing” a whole lot of everything: cell phones, computers, printers, music, transportation noise. Has all this “hearing” effected our “listening”? When was the last time you sat in complete silence? Can you find complete silence anywhere close to your home? Noise pollution is at an all time high. (look on-line for maps of noise levels in your town and state).  Is all this noise exposure effecting our “inner” hearing: our ability to listen? Many of us know the difference between hearing and really listening.  If it’s been a while since you listened closely to your loved one, family or friends, with no distractions, try it. Put down the cell phone, turn off the music, power down the computer and simply listen. Even if you’re all alone in a room. Listen. To the muffled noises from outside, your heater cycling, the sound of your own breath, maybe even your pulse. Relaxing isn’t it?  A significant aspect of good health care involves active listening, paying careful attention to a patient’s responses and concerns and listening closely to what the body has to say.

At Eldorado Family Health we’re here to listen, closely, to your healthcare needs and concerns.

Call today for same day or next day appointments at 505-216-7772.

October is here!

  • October 17, 2018

October is here. The days are shorter, the air is cooler and even the chamisa is a little less yellow. Maybe it’s the change in light, maybe it’s our lives getting busier, but adults and children alike can begin to feel more stressed during this time of year. It’s important to help our children take good care of themselves and one way to do that is to role model our own caretaking strategies. Is it time to renew your gym membership? Enroll in a fitness class? Improve your diet? Take a few minutes of quiet time for yourself in the morning or at the end of the day? All these simple but effective strategies help to de-stress, lower blood pressure and energize our mood. And many of them can be done together as a family. Decide to eat dinner a bit earlier and take a family walk during the beautiful autumn dusk. Keep the TV or computer off and talk or play a game. At Eldorado Family Health we’re interested in your health and well-being not just your symptoms. Call us today for a same day or next day appointment at 505-216-7772.

News from Eldorado Family Health Care

  • October 10, 2018
It’s Fall in New Mexico and everything is golden. The aspens, chamisa and wild daisies are everywhere. The golden glow during this time of the year is what many of us love. It can turn a hike into a stunning visual experience. But along with all this gold comes something else: pollen. For many of us, the fall is a time of high allergy reaction (hay fever). Pollen counts in our part of the state generally run moderate to high throughout most of the autumn. Ragweed, chenopods and sagebrush are listed currently as the top three culprits. Dry weather only adds to the problem. Common allergy symptoms include: runny, itchy nose, itchy eyes, sinus pressure, scratchy throat, recurrent dry cough. Simple home management of allergy symptoms is available. Moisture in general will help. Run a humidifier, take a long shower, moisturize your nose and eyes. When doing yard work try to protect your nose and eyes and be sure to wash your hands well after coming back inside. There are numerous over-the-counter and prescription medicines that can help with short-term and longer-term allergy relief. At Eldorado Family Health we’re also available to help. Call us for a same day or next day appointment: 505-216-7772.
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