Urine drug testing is one action an employer can take to determine if employees or job applicants are using drugs. It can identify evidence of recent use of alcohol, prescription drugs and illicit drugs. The medical professionals at Doctors Immediate Care can administer these tests for you. Please call our offices to make an appointment.
Why Urine drug test?
There are a number of different bodily specimens that can be chemically tested to detect evidence of recent drug use. Although some state laws dictate which types of tests can be used, a number of options are technologically feasible. Urine is the most commonly used specimen when testing for illicit drugs.
The results of a urine test show the presence or absence of drug metabolites in a person’s urine. Metabolites are drug residues that remain in the body for some time after the effects of a drug have worn off. It’s important to note that a positive urine test does not necessarily mean a person was under the influence of drugs at the time of the test. Rather, it detects and measures use of a particular drug within the previous few days and has become the defacto evidence of current use.
Because alcohol passes rapidly through the system, urine tests must be conducted very quickly after alcohol consumption to ensure any degree of accuracy. For this reason, urine tests are generally not helpful in detecting alcohol use as opposed to illicit and prescription drug use, which is more easily traced in urine.
Are you experiencing the symptoms of diabetes, or have you been diagnosis and in need of a doctor’s care? The physicians at Doctors Immediate Care can help. Call your local office to make an appointment.
What is the goal of treatment?
The major goal in treating diabetes is to minimize any elevation of blood sugar (glucose) without causing abnormally low levels of blood sugar. Type 1 diabetes is treated with insulin, exercise, and a diabetic diet. Type 2 diabetes is treated first with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, treatment with insulin is considered.
Adherence to a diabetic diet is an important aspect of controlling elevated blood sugar in patients with diabetes. The American Diabetes Association (ADA) has provided guidelines for a diabetic diet. The ADA diet is a balanced, nutritious diet that is low in fat, cholesterol, and simple sugars. The total daily calories are evenly divided into three meals. In the past two years, the ADA has lifted the absolute ban on simple sugars. Small amounts of simple sugars are allowed when consumed with a complex meal.
Weight reduction and exercise are important treatments for diabetes. Weight reduction and exercise increase the body’s sensitivity to insulin, thus helping to control blood sugar elevations.
Popular medications for type 2 diabetes are designed to:
•Increase the sensitivity (response) of cells to insulin,
•Increase the insulin output by the pancreas,
•Decrease the amount of glucose released from the liver,
•Decrease the absorption of carbohydrates from the intestine,
•Slow emptying of the stomach to delay the presentation of carbohydrates for digestion and absorption in the small intestine.
The Popular Therapy for type 2 diabetes, consideration should be given to:
•The magnitude of change in blood sugar control that each medication will provide
•Other coexisting medical conditions (high blood pressure, cholesterol, etc.)
•Adverse effects of the therapy
•Contraindications to therapy
•Issues that may affect compliance (timing of medication, frequency of dosing); and
•Cost to the patient and the healthcare system.
It’s important to remember that if a drug can provide more than one benefit such as lowering blood sugar and have a beneficial effect on cholesterol it should be preferred. It’s also important to bear in mind that the cost of drug therapy is relatively small compared to the cost of managing the long-term complications associated with poorly controlled diabetes.
Varying combinations of medications also are used to correct abnormally elevated levels of blood glucose in diabetes. As the list of medications continues to expand, treatment options for type 2 diabetes can be better tailored to meet an individual needs. Not every patient with type 2 diabetes will benefit from every drug, and not every drug is suitable for each patient. Patients with type 2 diabetes should work closely with their physicians to achieve goals that provides the greatest benefits while minimizing risks.
Patients with diabetes should never forget the importance of diet and exercise. The control of diabetes starts with a healthy lifestyle regardless of what medications are being used.
Poor health can significantly affect your life. Improve your life by creating good health habits. Call your local office to schedule an appointment with one of our doctors for evaluation and testing.
What To Understand About Arthritis and How To Deal With It
Arthritis affects the people of all ages. The common symptoms of arthritis include joint pain, swelling and stiffness that may vary over time. Arthritis makes life painful, causing trouble in physical activities and get worse with age leading to disabilities.
Regardless of age or sex arthritis can cripple anyone. Although, nearly 53 million adults and 300,000 children have fallen victim to arthritis in America, most people are little aware about this disease and the type of arthritis they suffer.
Osteoarthritis or degenerate arthritis:
It is one of the most common forms of arthritis affecting millions across the world. When the protective cartilage on the ends of your bones wears away, it rubs against one another and commonly causes pain in the joints of knees, hands, hips and spine. There is no any common cure for Osteoarthritis. You can control its effect only by:
- Maintaining a healthy weight
- Regular physical activity balancing rest
- Avoiding excessive and repetitive movements.
- Using other therapies and treatment.
When human immune systems mistakenly attack the joints and body tissues it is called rheumatoid or inflammatory arthritis. Besides attacking the joints it can affect other organs and parts of the body like eyes, skin, lungs and blood vessels. The symptoms get worse over time with the progress of the disease.
Infectious or septic Arthritis:
It is often caused by the infection of bacteria or viruses into your joints. Joints may become infected with germs or viruses travel through the bloodstream or directly through any injuries. Prompt treatment is necessary to clear the joint infection and prevent the spreading of infection.
The Human body produces uric acid and sometimes its amount increases more than the required. The extra amount of uric acid remains within the body because the body can’t discharge it quickly enough. It creates some needle like crystals in the joint, causing sudden episodic joint paint. It’s also called Gout attack. Controlling the uric acid level in your blood is the only way to get rid of Gout.
Is there any possible prevention?
Research is still underway to find a solution of Arthritis. Right now, it is a kind of disease where true prevention seems to be impossible. However, one can reduce the effect of arthritis and can slow down its progress by taking some caution.
- Maintain a healthy weight with regular physical activity.
- Eat healthy food, eat less, and do more aerobic exercise.
- Water exercises are best for arthritis sufferers.
- Quit smoking and drinking alcohol specially those who suffers Gout.
- Avoiding excessive and repetitive movements .
- Strengthening the muscles around the join for added support.
- Use some therapies and medication to help reduce pain and inflammation.
- Don’t delay to see a doctor if you have joint symptoms.
These are the things that can be done to preserve joint function and regain pleasure in life with no more pain. Arthritis is the no 1 reason causing disability among many people across the world. It might seem simple or its symptoms may not be severe for you during the initial period. But at any point of time it shouldn’t be ignored and it’s a good idea to visit your doctor as early as possible.
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What You Need to Know About
The importance of immunizations and also the need for improving national immunization coverage levels and encourages all people to protect their health by being vaccinated against infectious diseases.
- 1 child dies every 20 seconds from vaccine-preventable diseases.
- 1 in 5 child deaths are caused by pneumonia.
- Every year, 1.7 million children die from preventable diseases like rubella, mumps, tetanus, etc, because of no access to life-saving vaccines.
- 380,000 deaths per year caused by haemophilus influenzae type b (Hib), which can cause meningitis and pneumonia.
- Vaccines boost the body’s own immune defense system by creating an immunity that protects the individual from infection.
- Vaccines contain a little bit of a disease germ that is weak or dead, introduced into the body to make antibodies to fight the source of the same kind that are responsible for the disease.
According to the Centers for Disease Control and Prevention, Immunizations are one of the top 10 public health accomplishments of the 20th century.
Immunizations protect the people from Vaccine-preventable diseases, including hepatitis B, measles, Influenza, Tetanus-diphtheria-acellular pertussis, Pneumococcal, chickenpox, Human papillomavirus (HPV), etc.,. The main goal of NIAM is to increase awareness about immunizations.
Immunizations continue to change and new vaccines are released each year, required for everyone irrespective of the age or occupation, needed throughout life in order to stay healthy. One need to assess the benefits and risks involved while considering immunization. It is advisable to consult the doctor.
Who Needs Vaccines?
Generally vaccines are recommended for infants, children, seniors, people with disabilities, pregnant woman, people suffering from health concerns, etc,.
Types of Vaccines
- Diphtheria, tetanus, pertussis, polio, haemophilus influenza type B. These diseases can kill or disable large numbers of children.
- Hepatitis B. Hepatitis B is a virus that affects the liver.
- Human Papillomavirus – HPV
- Measles, mumps, rubella and varicella (chickenpox)
- Meningococcal disease
- Pneumococcal disease
How to get Vaccine?
There are two types of vaccine: 1. Flu shot 2. Nasal Spray
Flu shot is made with inactivated or killed flu virus that is injected into the body of person who is suffering from flu. Some of the common side effects one can experience include headache, soreness, and fever. Generally this process of injecting is approved for healthy persons older than 6 months, Asthma Patients, Diabetic Patients and Chronic lung disease Patients
Nasal Spray is made with weakened live flu virus and given with a mist sprayed in noise and generally approved for all healthy people between the ages of 2 and 49, but not for pregnant women.
When to Vaccinate?
One gets the flu shot or spray shortly after its available each year. Early Immunization is recommended for most effective results. Being not vaccinated increases the chance of spreading the disease to others in family and neighbors.
Where to Get Vaccine?
The physicians at Doctors Immediate Care have a tremendous experience of delivering quick and efficient Professional Health Care at a reasonable price can make sure you’ve had all the vaccinations you need.
You can also directly walk-in into our clinics with out any appointment.
If you believe you have a sexually transmitted disease, (STD) it’s important to be tested and get proper treatment right away. The board certified physicians at Doctors Immediate Care can help. Call your local office to make an appointment today.
The STD Lab Panel contains the following tests:
- Chlamydia Test
- Gonorrhea Test
- HIV-1 Antibodies Test
- Syphilis Test
- Herpes Simplex Virus (HSV) Type I
- Herpes Simplex Virus (HSV) Type II
- Hepatitis B Surface Antigen
- Hepatitis B Core Antibodies Total
- Hepatitis C Antibody
Insured Patients – Some or all of included services may be covered by your insurance plan. Please check with your insurance provider before scheduling an appointment. As a courtesy, we will file a claim on your behalf to insurance companies we are in-network with.
Gonorrhea and Chlamydia
These STDs often co-exist in the same infected individual and can be passed simultaneously to a sexual partner. Since treatment for each of these conditions may differ, it’s an excellent medical practice to test for both if either one is suspected. Furthermore, these serious STDs may not cause any symptoms at first. Later, if they are not treated, they can cause pain and serious health problems, such as arthritis and infertility.
Syphilis is a serious bacterial infection. It’s usually passed from one person to another by sexual contact. If it’s not treated, syphilis can lead to permanent brain, nerve, and tissue damage.
Genital herpes is a common STD caused by a virus. The virus is called the herpes simplex virus or HSV. It causes painful blisters that break open and form sores in the genital area.
HIV-1 Infection and AIDS
HIV is the abbreviation used for the human immunodeficiency virus. HIV is the virus that causes AIDS (acquired immunodeficiency syndrome), a life-threatening disease.
Hepatitis B is a viral infection of the liver. The liver becomes inflamed and tender. It may also become swollen. Areas of liver tissue may be destroyed by the inflammation. Hepatitis B is a serious, sometimes severe and even fatal type of hepatitis. In addition to being a sexually transmitted disease (STD), Hepatitis B is a blood-borne pathogen and exposure to the blood of an infected person may result in infection.
Hepatitis C is a viral infection of the liver. The liver becomes inflamed. Hepatitis C is caused by the hepatitis C virus. The virus is spread mainly through contact with infected blood. Sometimes it’s spread through sexual contact.
7 Questions When Choosing an Urgent Care
It’s time to go to Urgent Care when your regular doctor is not available. Urgent care centers treat those injuries which are serious enough but do not fall under the purview of an emergency department. In the article below, we try to answer questions related to Immediate Care.
With over 7,000 urgent care centers across the U.S., it goes without saying that the urgent care market is booming. And it’s easy to see the appeal. As health care costs continue to rise, urgent care facilities provide an attractive alternative to the high price tags and long waits at emergency rooms.
In our Northern Colorado stomping grounds, the exponentially rising population is only adding fuel to the already roaring urgent care industry – spurring the development of more urgent care and related facilities that range from hospital-affiliated and independent urgent care centers to retail clinics and freestanding ERs.
(Fun fact: the Front Range now has 50 freestanding ER departments, the third largest number of these facilities in the nation.)
With this overwhelming proliferation of options in our area, it can be difficult and downright confusing for patients to know where to go for fast, convenient, and affordable urgent care services. More info here… Now you know the questions which you should ask.
The next question to answer is: “Under which circumstances should you visit Urgent Care?” Let’s look at the same in detail below.
Reasons To Visit Urgent Care
Working to feel your best every day is just one thing you’ll want to do. The key to making this possible is by addressing certain medical conditions as these arise. It’s ideal to visit an urgent care in your area if you have a health emergency so you can get immediate attention. Being aware of some common reasons to do so may be helpful.
Suddenly not being able to hear as well as you once did may create a great deal of anxiety for you. This could be due to many factors, but it’s possible you may need to have the wax removed from your ear canal.
Seeing a professional to get this done is one of the things an urgent care provider can do, and you may leave hearing and feeling a lot better once you do so. Read more here…
Choosing to go to an Urgent Care facility instead of the Emergency Room has its perks. However, you have to be careful in assessing whether your illness or injury really requires Urgent Care attention or if it is life-threatening.
Here are some things that people who visit Urgent Care clinics enjoy:
Shorter wait times
Wait times at most urgent care clinics average between 10-35 minutes, with many having less than a 15- to 20-minute wait time. This is significant. According to Pro Publica, the average length of time that people in the US spend in the emergency department—from when they get to the ER to discharge/admissions—is 2 hours and 15 minutes. Many urgent care locations also offer online check-in and calling ahead, much like making an appointment with a primary care physician the day of. Where once people would bear through a flu to avoid long wait times, meaning staying sicker longer and missing more work, the convenience of urgent cares have made this unnecessary.
There is a significant difference between costs for outpatient care at urgent cares vs. emergency departments at hospitals. In fact, ER hospital visits are 4x more expensive than most urgent care treatments for non-life threatening illnesses. See full article here…
Knowing about Urgent Care clinics and the benefits of going there instead of the Emergency Room can make a lot of difference when it comes to expenses and the waiting time that you have to allocate in order to get treated. However, it is important to stress that lowering possible costs should not be at the expense of the person’s health. Remember: assess the situation wisely!
What types of travel vaccines are there?Travel vaccines are divided into three categories: routine, recommended, and required. Requirements for each country are different. Plus, there are different schedules for adults and children. The physicians at Doctors Immediate Care can advise you as to which ones you should have. It’s important to remember that most vaccines take time to become effective in your body and some vaccines must be given in a series over a period of days or sometimes weeks. A traveler who is not vaccinated is at risk for infection. You may need additional vaccines if you are travelling outside the United States. The Centers for Disease Control and Prevention (CDC) provides information to assist travelers and their healthcare providers in deciding which vaccines, medications, and other measures are necessary to prevent illness and injury during international travel.Visit CDC’s website at www.cdc.gov/travel or call 800-CDC-INFO (800-232-4636).
What is nausea?
Nausea is an unpleasant sensation of discomfort or unease in the stomach (queasy stomach), accompanied by an urge to vomit. Nausea often precedes vomiting.
If you are already feeling nauseated, these tips may help you avoid vomiting:
1. Sit down or lie in a propped-up position. Physical activity will make you feel worse.
2. Drink a small amount of a sweet beverage such as ginger ale or Gatorade. …
3. Have a popsicle or a similar sweetened ice treat.
Since acute or chronic stress, fear, and anxiety can cause the body to function abnormally, they can cause a number of stomach and intestinal distresses including nausea, vomiting, bloating, diarrhea, “lump in the stomach,” constipation, Irritable Bowel Syndrome, and general stomach malaise, to name a few.
Causes of dizziness. Common causes of dizziness include a migraine, medications, and alcohol. It can also be caused by a problem in the inner ear, where balance is regulated. The most common cause of vertigo and vertigo-related dizziness is benign positional vertigo (BPV).
Common causes of nausea are described below:
– Heartburn or gastroesophageal reflux disease (GERD)
– Infection or virus
– Motion sickness and seasickness
An alcohol screening test helps determine if you abuse alcohol or have an alcohol use disorder. Our team of medical professionals uses varied testing to make a determination. Please call our offices to make an appointment for your alcohol screening.
The CAGE Test
One of the oldest and most popular screening tools for alcohol abuse is the CAGE test, which is a short, four-question test that diagnoses alcohol problems over a lifetime.
- C – Have you ever felt you should cut down on your drinking?
- A- Have people annoyed you by criticizing your drinking?
- G – Have you ever felt bad or guilty about your drinking?
- E – Eye-opener: Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?
The T-ACE Test
The T-ACE test has four questions, including three from the CAGE test, but has proven more accurate in diagnosing alcohol problems in both men and women.
- T – Does it take more than three drinks to make you feel high?
- A – Have you ever been annoyed by people’s criticism of your drinking?
- C – Are you trying to cut down on drinking?
- E – Have you ever used alcohol as an eye opener in the morning?
One of the most accurate tests is the Alcohol Use Disorders Identification Test (AUDIT). It’s accurate up to 94 percent of the time and across ethnic and gender groups.
The RAPS Test
The Rapid Alcohol Problems Screen (RAPS) asks questions similar to the CAGE test, but from a different perspective. The results are accurate across gender and ethnic groups.
The MAST Test
The Michigan Alcohol Screening Test (MAST) effectively diagnoses adults and adolescents. It has 22 yes or no questions.
The FAST Test
The FAST test is a four-question quiz designed specifically for patients in urgent care or emergency room situations.
Paddington Alcohol Test
The Paddington Alcohol Test (PAT) is for patients getting treatment for falls and accidents in the emergency room. This three-questions test is easy to score.