Mental Illness

In many ways, it is easier to deal with physical than mental illness. In our society, most of us have been taught from a variety of institutions and individuals that mental illness is more of a weakness than a disease. Yet, medical evidence strongly tells us that a disease of the brain should be viewed and treated with the same approach as physical ailments.

And like physical disease is quite often genetic, so is mental illness. If you have 1 parent who is schizophrenic, then your chance of developing schizophrenia is 1 in 4. If both parents are schizophrenic, then your chance is 1 in 2. Similar statistics are true for depression, bipolar illness, colon cancer, heart disease, and a myriad of other illnesses.

It is heartbreaking when a patient has an illness of any type and because of what they have been taught about illness is incorrect, they do not seek medical help or seek help which has no evidence that it does any good.

Two of the most common mental illnesses are depression and bipolar illness(manic-depressive illness). Quite often, the patient has little or no insight that they are experiencing serious mental illness. Those around them may notice a problem, but are unfamiliar with this type of illness, and therefore are unable to direct their family member or friend to seek appropriate help.

Depression is characterized by sadness, hopelessness, lack of interest, change in diet and sleep habits, and in more severe cases, of suicidal thoughts.

Mania is characterized by pressured speech and thoughts, excessive energy and sleeplessness, making poor decisions, and often having little or no insight that anything is wrong.

There are medicines which are very effective in treating both of these conditions. I know of a patient who was advised to see a psychologist for manic-depressive illness. The psychologist said I’ll be happy to see you for counseling, but what you need now is medications to bring this disease under control. I’m sure that his honesty was much appreciated.

At Emergicare, we have sympathetic and knowledgable providers to assess and treat uncomplicated clinical depression. generalized anxiety, and insomnia. Patients with more complicated illness would be referred to a psychiatrist.

If you or someone dear to you may be suffering from mental illness, get professional help. You will make their life and the lives of those around them better.

Free Preventative Care and Expanded Care with New Health Care Law

Do you have children up to the age of 26. If so, they can be covered under the new law. The price is the same, regardless of whether you have 1 or multiple children.

Many people who have insurance are not aware of this and other benefits such as free physicals, comprehensive blood tests,  immunizations, and age appropriate tests such as colonoscopy, stress EKG, mammography, Pap Test, and a large variety of other tests.

We consult with you and make arrangements for you to have life saving preventative exams, in addition to what we can do for you at Emergicare.

If you have no insurance, we make preventative care affordable and refer you to the places to get tests affordably.

Patient Appreciation Coupons from Emergicare

During the month of September, you can have a sports or school physical for $50 instead of our usual prices of $60 or $65. If more than 1 family member gets a physical, take an additional $10 off.
If you have insurance, your physicals are usually free. We will bill your insurance for you.

Dealing with Seaonal Allergies

This year has been a tough one for allergy sufferers. It has both earlier and more severe than most. Pollen allergies cause runny nose, itch eyes, wheezing, swollen skin and rashes, cough, and insomnia.
The first step for sufferers is to stay inside whenever able. Airconditioning filters out the pollens, especially when the filters are changed regularly.
There are many ways which you can treat your allergies to pollens. To start with, over the counter medicines such as antihistamines are effective and cheap. 2 classes are used. 1st is the non-sedating loratidine(claritin). It is taken in the morning at 10 mg for adults and 5mg for children less than 8 years. At night, diphenhydramine(benadryl) can be used at a doseage of 25 to 75mg for adults and 6 to 12.5 mg for children over 2 years. It causes drowsiness within the hour and usually is out of your system by morning. It is the ingredient in most over the counter sleep aids. Children and adults can be very sensitive to the dosage, so start low and go up. It can cause jitteriness when the dose is too high, thus many parents say they it causes their children to not be able to sleep. This is probably related to an oversensitivity to the medicine.
If these measures do not provide adequate relief, a visit to your health care provider may be needed. At Emergicare, we treat many patients with severe allergies. Since they have often tried the above measures, we have many other effective treatments. For serious cases, our patients often are given an intramuscular combination of cortisone, long and quick acting in a single shot. This nearly always successfully treats all the symptoms within a day and lasts through the allergy season(several months or even for the full year). Although it rarely happens, it can cause the adrenal gland which produces cortisone to shrink up and not function properly. This seldom causes symptoms and we have never seen a case of this which caused life threatening problems. If you have wheezing from the pollens, nebulizer with a short acting and longer acting bronchodilator is safe and can give significant relief and can be used 4 to 6 times daily. Other prescriptions such as oral and nasal cortisone inhalers and singulair provide only moderate relief and are very expensive if you don’t have a prescription card.
Of course, allergy testing and shots for the specific allergens are effective over the long term, but this is expensive for the uninsured and underinsured and requires frequent visits to the doctor.
If you have questions about the treatment for allergies, google “Treatment Allergies” or come for a consult to your doctor.