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Blood Pressure 102: Hypertension

  • May 23, 2019
Most of us are familiar with the term Hypertension or High Blood Pressure and it is a term that is often used to emphasize the stress of a situation. You may hear someone say something like, “Don’t do that! You’re getting my blood pressure up! Or, Boy that was crazy! My blood pressure probably went through the roof!” We often laugh at stressful situations but are these statements just a play on words about our health or is there some truth to them?

There are gold standard measurements for blood pressure readings; guidelines that we use to determine whether someone actually has hypertension. In general, a blood pressure reading of 120/80 is considered a normal pressure. Readings from 120/80 to 140/90 can be considered pre-hypertensive; 140/90 to 160/90 and higher can be considered hypertensive and these readings can be broken down further into Stage 1 and Stage 2. It is important to understand that these numbers by themselves do not necessarily indicate a problem.

First, a blood pressure constantly changes and is a fluid piece of information. It can be affected by stress, diet, and emotional state. When we encounter a patient having high readings during their office visit we usually recommend that they take readings at home for one to two weeks in the morning before any of the daily stresses have set in and again in the afternoon so we can compare the readings. Second, it is important to understand that there is much more that goes into a diagnosis and a treatment plan for hypertension than just a number. This is why annual visits with your Primary Care Provider are so important. By obtaining a thorough history from our patients and understanding their lifestyles we can identify the probable cause of elevated blood pressures and tailor a treatment regimen. This can but does not always have to involve medication. Finally, it is important to understand that measuring blood pressures is one of many tools in our primary care bag to help prevent heart disease, stroke, and many other problems.

We encourage you to come talk to us today about maintaining your health with annual preventative screenings. Call Eldorado Family Health anytime to make an appointment at 505-216-7772.

Blood Pressure 101: The Basics

  • May 16, 2019
Almost every time you enter a medical professional’s office you are asked to sit in a chair and have your vital signs taken. These measurements usually include your temperature, oxygen saturation, pulse, and blood pressure. Sometimes the provider will discuss this information with you in the course of the visit. Often times however, the subject of blood pressure doesn’t come up as the purpose of the visit distracts us from that information. For a primary care clinic like Eldorado Family Health, these measurements are a crucial first step that provides us with valuable information about your health status so we can offer preventative care and keep you healthy.

 

Blood pressure is explained with two numbers. Let’s say your blood pressure is “140 over 90. The first (top) number is the pressure inside your arteries when your heart is contracting. This is called the Systolic Pressure. The second (bottom) number is the pressure inside your arteries when your heart is relaxed, referred to as the Diastolic Pressure. If the blood pressure is elevated, we can use the information to help us diagnose problems such as hypertension (high blood pressure), level of pain, or the amount of stress a patient is under.

 

High blood pressures do not usually cause symptoms or provide you with warning signs and can, therefore, be very dangerous. When the pressure gets too high, you are at risk for a heart attack, a stroke, and kidney disease.

 

There is of course much more to determining a diagnosis than just looking at one blood pressure reading but as we get to know you and record multiple readings we can use the information to assist with health care decisions.

 

In the following weeks we will go a bit more in depth into this topic. In the meantime, you can click on this link: https://www.eldoradofamilyhealth.com/wp-content/uploads/2019/05/Blood-Pressure-Information-Hand-Out.pdf and be directed to our Blood Pressure information sheet from Eldorado Family Health.

 

Please feel free to call 505-216-7772 or come by to schedule a new patient appointment and wellness check so we can protect your heart health.

Dear Eldorado Community,

  • April 26, 2019
We always strive to provide informative material in this weekly forum that can be of benefit to our neighbors and patients from a health car perspective. However, it has come to our attention that many of you are unaware of who, what, and where we are. Several patients have confused us with Eldorado Family Practice and Dr. Becker’s office which is across the street from us in the Agora shopping center. We are two separate practices.

It is important to understand that Eldorado Family Health (EFH) is a new Primary Care medical practice, and a proud member of the La Tienda Business complex located in the La Tienda Shopping Center-Building B. We are next to Building A that houses True Value Hardware, Santa Fe Brewing Company, and several other great local businesses. We are just across the breeze way from the also relatively new Del Norte Pharmacy.

Eldorado Family Health provides Primary Care Medical services which means that we are interested in seeing patients over the long term and keeping them healthy and/or managing their chronic health care issues in order to enhance their quality of life. We will see new patients for acute issues because we understand that it is frightening when a health concern suddenly appears but in doing so we hope that you will come back and let us be your primary care provider. Our intention is to be your Health Care Home. We accept Medicare and most major insurances have accepted us. We always want to encourage you to call your insurance company to make sure we are part of your network. Please stop by to meet our Office Manager, Jennifer Coburn to sign up for services or ask questions. For more information you can also visit our website at EldoradoFamilyHealth.com or call us at 505-216-7772.

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.

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.

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