Download the PDF - Intermountain Healthcare
Download the PDF - Intermountain Healthcare
Download the PDF - Intermountain Healthcare
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
COMPLIMENTARY COPY<br />
UTAH’S TRUSTED SOURCE FOR HEALTHY LIVING<br />
Women’s Health Risks p.10<br />
Prevention is<br />
<strong>the</strong> Best Medicine p.18<br />
InstaCare or<br />
Emergency Room p.21<br />
Brand Name or<br />
Generic Drugs? p.26
• Focused, flexible, hands-on training<br />
• High school students attend tuition-free<br />
• AAS Degree Pathway with USU<br />
Performance<br />
SPortS training<br />
• Acceleration Performance Training<br />
• AR Xross Training<br />
• Nike Strobe Training included<br />
435.716.2890<br />
ARLogan@imail.org<br />
loganregional.org/athleticrepublic<br />
Mention this<br />
ad for 10% off<br />
any program<br />
Hospital AP ad.indd 1<br />
8/2/11 3:33 PM<br />
2 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 3
UTAH’S TRUSTED SOURCE FOR HEALTHY LIVING<br />
IN THIS EDITION<br />
Welcome to <strong>the</strong> premier edition of <strong>the</strong> Healing for Life magazine for<br />
<strong>the</strong> Cache Valley region!<br />
This magazine includes medically accurate and thought-provoking<br />
articles on a range of healthcare topics and will help us to inform<br />
you, our community, about important healthcare topics as well as<br />
introduce to you our outstanding physicians and exceptional services<br />
offered through <strong>the</strong> <strong>Intermountain</strong> Medical Group. This magazine<br />
highlights technologies, innovations, and medical insights that allow<br />
our doctors to care for <strong>the</strong>ir patients with exceptional care. I’m very<br />
proud to be part of this community of healthcare professionals and<br />
to participate in <strong>the</strong> commitment of <strong>Intermountain</strong> Medical Group,<br />
offering <strong>the</strong> highest quality healthcare by selecting <strong>the</strong> best healthcare<br />
providers possible and simultaneously assuring you of our commitment<br />
to “Healing for Life.”<br />
In Utah, <strong>the</strong> <strong>Intermountain</strong> Medical Group has more than 800 doctors<br />
and clinicians representing more than 35 medical specialties. In<br />
<strong>the</strong> Cache Valley region, we offer a wide range of services, including<br />
specialized care, family medicine (including children’s and women’s<br />
services), urgent care through InstaCare, and WorkMed occupational<br />
medicine. We have experts on staff handling <strong>the</strong> business side of<br />
our doctor’s practices, allowing our physicians <strong>the</strong> time to devote<br />
<strong>the</strong>mselves 100 percent to you, providing <strong>the</strong> most respectful and<br />
compassionate patient care possible.<br />
Please enjoy this complimentary copy of Healing for Life. Feel free to<br />
take a copy of <strong>the</strong> magazine home or to a friend.<br />
As always. Here’s to your health!<br />
Bartley<br />
Bartley M. Weiss, M.D. F.A.C.S.<br />
06 | Colds, Flu, and Antibiotics: Infections Come<br />
in Two Categories: Viruses and Bacteria<br />
08 | Safe Medications During Pregnancy<br />
10 | Women’s Health Risks by Age<br />
14 | Do You Have Cataracts?<br />
16 | Skin Cancer and Mohs Surgery<br />
18 | Prevention is <strong>the</strong> Best Medicine<br />
20 | Household Safety for Parents<br />
21 | InstaCare or Emergency Room<br />
24 | Low Back Pain: Common and Curable<br />
26 | Brand or Generic: Why your pharmacists<br />
should be your best friend?<br />
28 | Fevers: What Do I Really Need to Know?<br />
Vice President, <strong>Intermountain</strong> <strong>Healthcare</strong> and<br />
Chief Executive Officer, <strong>Intermountain</strong> Medical Group<br />
Linda Leckman, MD<br />
___________________________________________________<br />
Cache Valley Region Medical Director<br />
Bartley M. Weiss, M.D. F.A.C.S.<br />
___________________________________________________<br />
Cache Valley Region Operation Director<br />
Jana Huffman<br />
___________________________________________________<br />
Managing Editors<br />
Debbie Ostrander<br />
Sally Stocker<br />
___________________________________________________<br />
Publishing Company<br />
Adrenaline Graphics and Publishing, LLC.<br />
___________________________________________________<br />
Information and Advertising<br />
For information, please call 801.628.3160 or 801.544.9171.<br />
___________________________________________________<br />
Copyright and Disclaimer<br />
Copyright 2011 by Adrenaline Graphics and Publishing, LLC. All rights reserved. Printed in<br />
<strong>the</strong> USA. Reproduction of this magazine, in whole, or in part, is prohibited unless authorized<br />
by <strong>Intermountain</strong> Medical Group, <strong>the</strong> publisher, or its advertisers. The advertising space provided<br />
in Healing for Life® magazine is purchased and paid for by <strong>the</strong> advertiser. None of <strong>the</strong><br />
products or services is necessarily endorsed by <strong>Intermountain</strong> Medical Group or Adrenaline<br />
Graphics.<br />
The information contained in <strong>the</strong> magazine is intended to provide broad understanding and<br />
knowledge of healthcare topics. This information should not be considered complete and<br />
should not be used in place of a visit, call, consultation, or advice from your physician or o<strong>the</strong>r<br />
healthcare provider. We recommend you consult your physician or healthcare professional<br />
before beginning or altering your personal exercise, diet, or supplementation program.<br />
Four Great Reasons...<br />
To Choose Budge Clinic Pediatrics<br />
1. Caring, experienced team of pediatricians covering all your children’s<br />
healthcare needs, from newborns to adolescents.<br />
2. Convenient appointment times, including evenings and weekends.<br />
3. No appointment needed for routine immunizations.<br />
4. Access to child psychologist Clint E. Field, PhD, with a referral from<br />
a Budge Clinic Pediatric physician.<br />
Nordell T. Brown, M.D. • Derrel W. Clarke, M.D. • Clint E. Field, PhD<br />
Sheryl Roper, P.N.P. • Tyson S. Horkley, M.D. • Prafulla D. Garg, M.D.<br />
J. Dennis Odell, M.D. • Stephen D. Schneider, M.D. • Michael K. Visick, M.D.<br />
435.792.1940 • 1350 North 500 East, Logan, Utah 84341<br />
budgeclinic.org<br />
4 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 5
Most of <strong>the</strong> time <strong>the</strong> immune system will take<br />
care of what is ailing you with time, rest, and patience.<br />
Colds, Flu, and Antibiotics<br />
Infections come in two categories: viruses and bacteria.<br />
Getting sick is <strong>the</strong> worst; any busy<br />
person or parent wants nothing<br />
more than for those miserable<br />
symptoms to be gone and gone<br />
fast. Naturally, many people<br />
quickly start to wonder if an antibiotic would help.<br />
Infections come in two large categories: viruses and<br />
bacteria.<br />
Viruses. In general terms <strong>the</strong>re are no reliable<br />
medications available to treat viral infections, especially<br />
common viral upper respiratory infections,<br />
like colds, and flu or influenza. For <strong>the</strong>se illnesses<br />
it is best to provide supportive care and wait for<br />
<strong>the</strong> body to take care of <strong>the</strong> infection on its own.<br />
Fortunately, <strong>the</strong> immune system is well prepared<br />
By Nordell T. Brown, MD<br />
for <strong>the</strong>se illnesses and, given a little time, will take<br />
care of things quite nicely.<br />
Taking an antibiotic for viral infections is ineffective<br />
and can lead to more health care expenses<br />
and side effects. Some antiviral medications are<br />
available and can help treat influenza, but only if<br />
<strong>the</strong>y are started within <strong>the</strong> first 48 hours. The best<br />
treatment for flu is prevention; a yearly flu shot is<br />
<strong>the</strong> best defense against flu.<br />
Managing <strong>the</strong> symptoms. In most cases,<br />
viral illnesses last no more than seven to ten days<br />
and, listening to <strong>the</strong> advice of Mom and Grandma,<br />
most feel better with rest and fluids. Manage your<br />
fever with fever reducers when necessary.<br />
It is important to seek<br />
medical help if a fever lasts<br />
more than three to five days<br />
or if <strong>the</strong> symptoms<br />
continue to worsen.<br />
Bacterial Infections. Antibiotics can help one<br />
feel better faster and in some cases avoid potentially<br />
severe complications when <strong>the</strong> cause of <strong>the</strong> illness<br />
is a bacterial infection. Some of <strong>the</strong> more common<br />
bacterial infections are ear infections, strep throat,<br />
and sinus infections. These are illnesses that respond<br />
well to antibiotics.<br />
When to seek immediate medical<br />
attention. O<strong>the</strong>r bacterial infections can become<br />
quite severe if not attended to promptly and treated<br />
appropriately. Visit your doctor if you experience<br />
worsening or a rebound of symptoms that seemed<br />
to have been starting to resolve. For example, ear<br />
pain or trouble hearing that begins five to seven<br />
days after <strong>the</strong> onset of a cold, or a fever that just<br />
won’t go away after three to five days.<br />
Severe infections such as pneumonia can hit hard<br />
and fast and are characterized by high fever and<br />
more severe cough. Ano<strong>the</strong>r alarming symptom is<br />
fever, headache, and stiff neck. One should seek<br />
immediate attention for <strong>the</strong>se symptoms.<br />
Most of <strong>the</strong> time <strong>the</strong> immune system will take care<br />
of what is ailing you with time, rest, and patience.<br />
Stay alert to “alarm” symptoms and seek help when<br />
necessary.<br />
Nordell T. Brown, M.D.<br />
Pediatrics<br />
Budge Clinic<br />
435.792.1940<br />
Watch for <strong>the</strong> following<br />
ALARM<br />
Symptoms<br />
Persistent fever lasting more<br />
than three to five days<br />
Ear pain or trouble hearing<br />
that begins five to seven days<br />
after <strong>the</strong> onset of a cold<br />
Worsening or rebound of<br />
symptoms that seemed to<br />
have started to resolve<br />
6 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 7
Safe Medications<br />
During Pregnancy<br />
While many of <strong>the</strong>se drugs have been shown by <strong>the</strong> FDA<br />
to be safe, you should always check with your doctor.<br />
Your situation and possible complications may be different.<br />
Safe<br />
Medications<br />
during pregnancy<br />
There is nothing more precious than bringing a new life into this<br />
world. At <strong>Intermountain</strong> we are dedicated to making sure that <strong>the</strong><br />
mo<strong>the</strong>r and child have <strong>the</strong> best, and most healthy, experience possible.<br />
One of <strong>the</strong> most often asked questions from mo<strong>the</strong>rs-to-be is<br />
what medications can be taken during pregnancy.<br />
With <strong>the</strong> mo<strong>the</strong>r and child in mind, <strong>Intermountain</strong> doctors have<br />
compiled a list of medications that are safe to take during pregnancy.<br />
It is our hope that this list will help to alleviate any anxiety a mo<strong>the</strong>r<br />
is having about taking medication to get her feeling better!<br />
Cold and Flu symptoms:<br />
Any Tylenol Products<br />
(acetaminophen)<br />
Sudafed (pseudoephedrine)<br />
Robitussin (guaifenesin)<br />
Cough Drops<br />
Mucinex (guaifenesin)<br />
Indigestion / Heartburn:<br />
Tums (Calcium Carbonate)<br />
Zantac (ranitidine)<br />
Pepcid (Famotidine)<br />
Prilosec (Omeprazole)<br />
Mylanta<br />
Gas X (Simethicone)<br />
Nasuea / Vomiting:<br />
Vitamin B6 50mg: three times a day<br />
Unisom: three times a day (whole<br />
tablet at night, ½ tablet during <strong>the</strong> day)<br />
Ginger 1 mg<br />
Ginger Ale<br />
Peppermint<br />
Dramamine (dimenhydrinate)<br />
Insomnia:<br />
Unisom (doxylamine succinate)<br />
Tylenol PM (Acetaminophen)<br />
Dramamine (dimenhydrinate)<br />
Benadryl (diphenhydramine)<br />
Constipation:<br />
Colace (docusate)<br />
Miralax (polyethylene glycol)<br />
Citrucel<br />
Fiber supplement of any kind<br />
Milk of Magnesia<br />
Seasonal Allergies:<br />
Benadryl (diphenhydramine)<br />
Claritin (loratadine)<br />
Zyrtec (cetirizine)<br />
Aches and Pains /<br />
Headaches:<br />
Tylenol (Acetaminophen)<br />
Excedrin tension headache<br />
(aspirin free)<br />
For medication questions please consult:<br />
www.sharecare.com<br />
www.health.utah.gov/prl (pregnancy risk line website)<br />
1-800-822-2229 (pregnancy medication hotline)<br />
<strong>Intermountain</strong> Budge Clinic<br />
Obstetrics and Gynecology<br />
Monday - Friday 9:00 a.m. - 5:00 p.m.<br />
435-716-1920<br />
8 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 9
How can I decrease my risk of illness or death?<br />
This question is often <strong>the</strong> reason for preventive or wellness visits<br />
to <strong>the</strong> doctor. To answer this question, it helps to understand what<br />
<strong>the</strong> leading causes of death are for women of different age groups.<br />
Women’s Health<br />
RISKS<br />
by<br />
Age<br />
By Tandy G. Olsen, MD<br />
The teenage years<br />
The teenage years are characterized by experimentation<br />
and learning one’s limits. Girls and<br />
young women are testing boundaries and learning<br />
about relationships with o<strong>the</strong>r people. As<br />
such, it is not surprising that <strong>the</strong> leading causes<br />
of death in teenage girls are unintentional injuries<br />
and accidents. Two o<strong>the</strong>r leading causes of<br />
death are suicide and assault.<br />
20 - 39 Years<br />
As a woman matures, <strong>the</strong> risks of accidents or<br />
injuries begin to decrease and are replaced by<br />
<strong>the</strong> risk of cancer. Diabetes and cardiovascular<br />
diseases appear in <strong>the</strong> leading causes of death as<br />
well. Risks of death from HIV infection and<br />
liver diseases also appear in <strong>the</strong> top 10.<br />
40 - 64 years<br />
Surprisingly, <strong>the</strong> leading causes of death do not<br />
change much in this age group. Malignancy remains<br />
<strong>the</strong> number one cause of death. The risks<br />
of diabetes, stroke, and heart diseases increase<br />
and <strong>the</strong> risk of accidents decreases, but <strong>the</strong> leading<br />
categories are essentially <strong>the</strong> same.<br />
prevention<br />
While some of <strong>the</strong> diseases listed on <strong>the</strong> left are difficult or<br />
impossible to prevent, <strong>the</strong>re are things that can be done to<br />
decrease a person’s risk.<br />
Young women should know to act responsibly, to wear seat<br />
belts and drive carefully, and to be careful in <strong>the</strong>ir relationships<br />
with o<strong>the</strong>rs. Their families and friends need to watch<br />
for signs of depression or self-injury and to discuss concerns<br />
with <strong>the</strong>se girls.<br />
Diseases such as type 2 diabetes, cardiovascular disease, and<br />
hypertension are often closely related to obesity and lifestyle.<br />
Proper diet and exercise can largely prevent <strong>the</strong>se diseases,<br />
particularly if <strong>the</strong>se habits are formed as children and practiced<br />
throughout life.<br />
Many cancers cannot be prevented, but one’s risk of death<br />
from cancer can be decreased. Sunscreen decreases <strong>the</strong> risk<br />
of skin cancer. Early detection of precancerous conditions<br />
or early cancers are possible through screening examinations<br />
done at wellness visits with your physician.<br />
If you have concerns about any of <strong>the</strong>se conditions, please<br />
address your concerns with your personal physician.<br />
65 years and older<br />
The leading causes of death in women in this<br />
age group are heart disease, cancer, and stroke.<br />
O<strong>the</strong>r causes, such as infections and Alzheimers<br />
disease, also appear on <strong>the</strong> list.<br />
Tandy G. Olsen, M.D.<br />
Obstetrics and Gynecology<br />
Budge Clinic OB-Gyn<br />
435.716.1920<br />
10 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 11
Diane’s Wig Shop<br />
Serving Utah since 1980<br />
1090 e. 30th Street, Ogden<br />
(Inside Debra Lynn’s Post<br />
Mastectomy Specialists)<br />
801.388.4944<br />
by appointment only<br />
W Specializing in women’s wigs<br />
and hair pieces<br />
W Quality wig care products<br />
W Washing and Styling<br />
W and More!<br />
fi<br />
Free<br />
Home Care Kit<br />
with wig purchase<br />
Free Consultation in Private Fitting room<br />
<strong>Download</strong> a FREE<br />
QR Reader App<br />
for Your<br />
Smartphone<br />
Mention this ad for Buy<br />
One Get one Free Swimsuit<br />
A New Beginning at<br />
Debra Lynn’s<br />
Post Mastectomy Specialties<br />
ALIVE BECAUSE<br />
SOMEONE SAID YES!<br />
Please stop by to see our selection of mastectomy products.<br />
We have been fitting women for 15 years and will gladly make<br />
home appointments for your convenience.<br />
We bill most insurance companies.<br />
Open Monday thru Friday 10 am to 4 pm After hours by appointment<br />
1090 East 30th Street, Ogden | (801) 393-2885<br />
12 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 13
A cataract is <strong>the</strong> clouding, or opacification,<br />
of <strong>the</strong> native lens inside <strong>the</strong> eye.<br />
Normal Healthy Eye<br />
BROWN CATARACT<br />
-OR-<br />
NUCLEAR SCLEROTIC CATARACT<br />
WHITE CATARACT<br />
Do You Have<br />
Normal<br />
vision<br />
<strong>the</strong> same<br />
picture as<br />
viewed by<br />
a person<br />
with<br />
cataracts<br />
cataracts?<br />
by Christian D. Nilson, M.D.<br />
A cataract is <strong>the</strong> clouding, or opacification, of <strong>the</strong> native lens inside<br />
<strong>the</strong> eye. When we are younger, <strong>the</strong> lens is virtually clear and flexible.<br />
The clearness allows light to pass into <strong>the</strong> eye and be focused into a<br />
sharp image on <strong>the</strong> retina. The flexibility of <strong>the</strong> lens allows <strong>the</strong> eye<br />
to see at distance and up close. As we age, <strong>the</strong> lens gets less flexible<br />
and gradually more and more cloudy. The decrease in flexibility of<br />
<strong>the</strong> lens causes an inability to see up close and brings on <strong>the</strong> need for<br />
reading glasses or bifocals. The clouding of <strong>the</strong> lens causes scattering<br />
of light and <strong>the</strong> inability of <strong>the</strong> eye to focus light correctly on <strong>the</strong><br />
retina which leads to blurry vision.<br />
There are many symptoms of cataracts. The most common is a gradual,<br />
painless blurring of <strong>the</strong> vision. Many people notice increased<br />
glare and halos with night driving. One can also get more glare from<br />
<strong>the</strong> sun especially at dawn or dusk. O<strong>the</strong>rs notice an increased need<br />
for lighting, especially when reading. Many don’t notice it until after<br />
<strong>the</strong> cataract has been removed, but <strong>the</strong> clouding of <strong>the</strong> lens can also<br />
cause colors to dim or fade.<br />
The most common cause of a cataract is age. Diabetes and certain<br />
medications can hasten cataract development. O<strong>the</strong>r potential<br />
causes include eye injuries, eye surgery, and exposure to sunlight.<br />
Genetics can play a role as well.<br />
Unfortunately, <strong>the</strong>re are no proven medications, supplements,<br />
dietary changes, and/or exercises that can prevent or treat<br />
cataracts. Good ultraviolet light blocking sunglasses may slow<br />
<strong>the</strong> progression of <strong>the</strong> disease. However, <strong>the</strong> only way to effectively<br />
treat a cataract is to remove it surgically.<br />
Cataract surgery is one of <strong>the</strong> most common procedures performed<br />
in <strong>the</strong> United States. The technology keeps advancing, and<br />
modern cataract surgery is safer and more effective than it has ever<br />
been. In surgery, we remove <strong>the</strong> native lens that has turned cloudy<br />
and replace it with an artificial intraocular lens (IOL). There<br />
are many lens options available. There are lenses that can correct<br />
your distance vision only; with <strong>the</strong>se lenses, after surgery you will<br />
still need to wear glasses for reading. If you need correction for<br />
astigmatism, <strong>the</strong>re are lens implants called Toric lenses that correct<br />
astigmatism as well. Nowadays, <strong>the</strong>re are Multifocal lenses that<br />
can correct distance vision and up close reading vision without <strong>the</strong><br />
need for glasses. Your eye surgeon can evaluate you and help you<br />
decide which lens is right for you.<br />
Your ophthalmologist can help you understand your eye care<br />
needs. You can <strong>the</strong>n choose <strong>the</strong> best option to help you rediscover<br />
your world with clearer vision.<br />
Christian D. Nilson, M.D.<br />
Ophthalmologist<br />
Nor<strong>the</strong>rn Utah Eye Center<br />
435.752.2020<br />
www.Nor<strong>the</strong>rnUtahEyeCenter.com<br />
Symptoms of<br />
Cataract<br />
• Cloudy or blurry vision.<br />
• Colors seem faded.<br />
• Increased glare or halos from <strong>the</strong><br />
sun, lamps, or headlights.<br />
• Poor night vision.<br />
• Double vision or multiple images<br />
in one eye.<br />
• Frequent prescription changes in<br />
your eyeglasses or contact lenses.<br />
These symptoms can also be a sign<br />
of o<strong>the</strong>r eye problems. Call your eye<br />
physician for a complete eye exam.<br />
14 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 15
Skin Cancer and Mohs Surgery<br />
By Nathan W. Hanson, MD<br />
Skin cancer is more common than most think<br />
and it is increasing each year. More than 3.5<br />
million cases of skin cancer in 2 million individuals<br />
are diagnosed yearly. Over <strong>the</strong> past<br />
31 years, more cases of skin cancer have been diagnosed<br />
than all o<strong>the</strong>r types of cancer combined. In fact, one in<br />
five Americans will be diagnosed at some point in life with<br />
some form of skin cancer.<br />
Increased ultraviolet light exposure, from both natural<br />
and artificial sources (tanning beds), along with increased<br />
awareness and diagnosis, has contributed to <strong>the</strong> rising<br />
incidence of skin cancer. Here in <strong>the</strong> <strong>Intermountain</strong> West,<br />
we are particularly susceptible to skin cancer because of<br />
our love of <strong>the</strong> outdoors, <strong>the</strong> sunny environment, and our<br />
high altitude living.<br />
Skin cancer comes in multiple varieties and not all<br />
skin cancer is melanoma. Melanoma is <strong>the</strong> third most<br />
common form of skin cancer but accounts for nearly 75<br />
percent of all skin-cancer deaths. More common and rarely<br />
life threatening forms of skin cancer include basal cell<br />
carcinoma and squamous cell carcinoma. Both basal cell<br />
and squamous cell carcinoma can be treated with Mohs<br />
micrographic surgery.<br />
Mohs micrographic surgery is a technique developed<br />
by Dr. Frederic Mohs in Wisconsin in <strong>the</strong> 1940s and has<br />
been continuously refined over <strong>the</strong> last 70 years. Mohs<br />
surgery allows nearly 100 percent microscopic visualization<br />
of <strong>the</strong> skin cancer margins, making possible very high cure<br />
rates (98-99 perecent) for new skin cancers while leaving<br />
smaller wound sizes when compared to standard excision<br />
techniques. In o<strong>the</strong>r words, this procedure allows your<br />
dermatologist to both analyze and efficiently remove skin<br />
cancers. The surgery is performed under local anes<strong>the</strong>sia<br />
and offers patients <strong>the</strong> confidence that <strong>the</strong>ir cancer has<br />
been effectively treated.<br />
Treatment of skin cancer is vitally important and<br />
<strong>the</strong> earlier that treatment takes place, <strong>the</strong> better.<br />
Skin cancer, when caught early and treated appropriately,<br />
is very often curable. While <strong>the</strong>re are alternatives to surgical<br />
procedures for some forms of skin cancer if caught early<br />
enough, most methods of treatment include some form of<br />
surgery.<br />
If Mohs surgery is deemed appropriate you should seek<br />
care from a Mohs surgeon who is a member of <strong>the</strong> American<br />
College of Mohs Surgery. A Mohs surgeon receives extensive<br />
training in a fellowship program that goes beyond<br />
normal dermatology residency.<br />
To make an appointment with a dermatologist near you<br />
visit intermountainmedicalgroup.org.<br />
Nathan W. Hanson, MD<br />
Mohs Surgeon<br />
Budge Clinic<br />
435.792.1770<br />
Factors that can contribute to your risk of skin cancer<br />
© 2011 American Cancer Society, Inc.<br />
• Previously treated for skin cancer<br />
• Family history of skin cancer, especially<br />
melanoma<br />
• Lots of moles, irregular moles, or large<br />
moles<br />
• Freckles that burn before tanning<br />
• Fair skin, blue or green eyes, or blond,<br />
red, or light brown hair<br />
• Spend a lot of time outdoors<br />
• Live or vacation at high altitudes<br />
(UV radiation increases as <strong>the</strong><br />
level goes up)<br />
• Live or vacation in tropical or subtropical<br />
climates<br />
• Work indoors all week and <strong>the</strong>n get<br />
intense sun exposure on weekends<br />
• Take medicines that lower your<br />
immunity<br />
• Have certain autoimmune diseases,<br />
such as systemic lupus ery<strong>the</strong>matosus<br />
(SLE, or “lupus”)<br />
• Have had an organ transplant<br />
• Take oral contraceptives (birth control<br />
pills)<br />
Ask your doctor, nurse, or pharmacist about <strong>the</strong><br />
risk of any medicines you may be taking that<br />
could increase your sensitivity to sunlight.<br />
16 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 17
It’s time to start being proactive about your health<br />
and to get your and your family’s yearly check-ups.<br />
In recent decades <strong>the</strong> focus of medicine has<br />
shifted from acute care, or treatment of an<br />
illness, to prevention. Often, we take our health for<br />
granted and delay routine exams and screenings because<br />
we don’t feel sick. It is a well-known fact that early detection<br />
saves lives. If you don’t already have a primary care<br />
provider — consider establishing a relationship with a<br />
doctor you trust and are comfortable with.<br />
You are unique and your situation in life is personal and<br />
known best by you. You and your doctor can <strong>the</strong>n work<br />
toge<strong>the</strong>r to develop a personalized health care plan that fits<br />
your needs. It’s time to start being proactive about your<br />
health and to get your and your family’s yearly check-ups.<br />
Prevention<br />
is <strong>the</strong> best medicine<br />
By Brad M. Goates, MD<br />
In medicine, <strong>the</strong> saying “an ounce of prevention is worth a pound of cure”<br />
holds true and can save you money and your life. According to <strong>the</strong> World<br />
Health Organization, chronic illness is projected to be <strong>the</strong> leading cause of<br />
disability by 2020 and if not successfully prevented or managed <strong>the</strong>se illnesses<br />
will become <strong>the</strong> most expensive problems faced by our healthcare systems.<br />
As a family physician I feel it is my job to sift through<br />
<strong>the</strong> news and research and <strong>the</strong> ever-changing world of<br />
medicine to provide you with <strong>the</strong> latest and most up-todate<br />
recommendations. What I like to do during a yearly<br />
check-up is work with you to develop a personal preventative<br />
service plan that will incorporate your individual situation<br />
and preferences. This plan will include goals for diet,<br />
exercise, weight, cholesterol, and blood pressure.<br />
Besides working toge<strong>the</strong>r to make a plan, we will discuss<br />
cancer screening (if you are over 50, a colonoscopy is in<br />
order), vaccinations (whooping cough and shingles are<br />
becoming particularly important), and <strong>the</strong> appropriate age<br />
to begin a daily aspirin regimen (most over age 55).<br />
As a family physician, I am here to assist you with acute<br />
problems and provide preventative care to help you stay<br />
healthy. Let’s recommit ourselves to wellness and schedule<br />
our annual checkups.<br />
Brad M. Goates, M.D.<br />
Family Medicine<br />
Logan Clinic<br />
435.713.2800<br />
helpful tips for a<br />
successful check-up:<br />
• Make an annual appointment for yourself<br />
and your family members.<br />
• Ask a friend or family member to come<br />
with you to your appointment - this may<br />
help to alleviate any anxiety you may<br />
have.<br />
• Prior to your visit, write down questions<br />
you may have for your healthcare<br />
provider.<br />
• Bring a list of medications you are currently<br />
taking.<br />
• Schedule any preventative tests that your<br />
doctor recommends.<br />
• Remember to follow-up on your test<br />
results.<br />
18 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 19
Household safety for parents<br />
Preventing accidents and injuries with kids around <strong>the</strong> home<br />
Your home should be a haven where your family can live, play, and explore safely.<br />
Here are some tips to help keep your children safe:<br />
• Don’t rely on window screens to keep kids from<br />
falling out of windows.<br />
• Move chairs, beds, and o<strong>the</strong>r furniture away from<br />
windows to prevent children from climbing onto sills.<br />
• Keep stairways clear of toys, shoes, loose carpeting,<br />
etc.<br />
• Don’t leave loose rugs on <strong>the</strong> floor. Put specially<br />
designed pads, available at most stores selling floor<br />
coverings, under rugs to hold <strong>the</strong>m securely to <strong>the</strong><br />
floor’s surface.<br />
• Attach protective padding or o<strong>the</strong>r specially designed<br />
covers to furniture and countertops with<br />
sharp edges.<br />
• Apply nonskid strips to <strong>the</strong> bottoms of bathtubs.<br />
• With young children in <strong>the</strong> home, never leave a<br />
bathtub, bucket, or o<strong>the</strong>r container filled with any<br />
amount of water or o<strong>the</strong>r liquid unattended, including<br />
<strong>the</strong> toilet. Keep bathroom doors closed at all<br />
times and consider using a doorknob cover.<br />
• Make sure all pieces of furniture a child might climb<br />
on are sturdy and won’t tip over.<br />
• Clean up any spills around <strong>the</strong> home immediately.<br />
• Remove tablecloths when not in use, and keep<br />
cords or o<strong>the</strong>r dangling objects out of reach.<br />
• Never leave a baby or toddler unattended in <strong>the</strong><br />
bath. Drowning can happen very quickly in less than<br />
one inch of water.<br />
• Keep <strong>the</strong> following numbers near <strong>the</strong> phone (for<br />
yourself and caregivers): toll-free poison-control<br />
number: 1-800-222-1222, doctor’s number,<br />
parents’ work and cell phone numbers, neighbor’s<br />
or nearby relative’s number (if you need someone<br />
to watch o<strong>the</strong>r children in an emergency).<br />
• Make a first-aid kit and keep emergency<br />
instructions inside.<br />
• Install smoke and carbon monoxide detectors.<br />
Source: Primary Children’s Medical Center and KidsHealth at<br />
primarychildrens.org.<br />
InstaCare<br />
When you need<br />
<strong>the</strong> best urgent or emergency care in <strong>the</strong> valley,<br />
<strong>Intermountain</strong> <strong>Healthcare</strong> has you covered with<br />
Logan InstaCare and Logan Regional Hospital Emergency Room<br />
Whe<strong>the</strong>r your child develops a fever on<br />
Sunday afternoon or your husband sprains<br />
his ankle Thursday evening, unplanned<br />
medical needs can arise anytime. Logan<br />
Instacare providers are ready when you or a<br />
loved one needs medical attention and your<br />
primary care provider is not available. Open<br />
8 a.m. to 8 p.m. seven days a week, including<br />
most holidays, InstaCare offers walk-in<br />
services for urgent injuries and illnesses, but<br />
not for life-threatening conditions.<br />
InstaCare physicians have access to state-of<strong>the</strong>-art<br />
digital X-ray equipment and lab services<br />
to diagnose medical conditions. We<br />
strive for short wait times, as well as rapid<br />
diagnosis and treatment, while providing<br />
quality care.<br />
In <strong>the</strong> case of a medical emergency, Logan<br />
Regional Hospital Emergency Room should<br />
be <strong>the</strong> facility of choice. When unsure if a<br />
condition is a life-threatening emergency, go<br />
to <strong>the</strong> ER as a matter of caution.<br />
or<br />
<strong>the</strong><br />
Emergency<br />
Room<br />
Logan Regional Hospital is <strong>the</strong> valley’s most advanced<br />
trauma center with <strong>the</strong> best emergency care capabilities<br />
and resources. Trauma centers vary in <strong>the</strong>ir certification<br />
levels and abilities as designated by <strong>the</strong> Utah Bureau of<br />
Emergency Medical Services. Logan Regional Hospital<br />
has <strong>the</strong> physician specialists, technology, diagnostic<br />
capabilities, and full-service hospital resources to provide<br />
complete care for most trauma patients. Trauma victims<br />
with exceptionally severe injuries are stabilized and<br />
transported to a major medical center such as McKay-<br />
Dee Hospital or <strong>Intermountain</strong> Medical Center.<br />
Logan Regional Hospital’s Emergency Room physicians<br />
are all board-certified, emergency-medicine specialists<br />
who live here in our community. The ER nurses and<br />
support staff are specially trained in trauma and critical<br />
care. They are exceptionally skilled in emergency care.<br />
As an emergency medicine physician, I appreciate <strong>the</strong><br />
fact that Logan Regional is a full-service hospital with<br />
<strong>the</strong> valley’s most advanced technology, resources, and<br />
services to care for our patients. I also appreciate <strong>the</strong><br />
commitment to keeping wait times as short as possible<br />
and to providing high quality, compassionate care to<br />
each patient.<br />
Douglas N. Esplin, M.D.<br />
Urgent Care<br />
Logan InstaCare<br />
435.713.2710<br />
Ryan J. Stolworthy, M.D.<br />
Emergency Medicine<br />
Logan Regional Hospital<br />
435.716.1000<br />
20 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 21
22 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 23<br />
<strong>Intermountain</strong>MedicalGroup.org 23<br />
22 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org
At age 20<br />
50 percent of <strong>the</strong><br />
population reports to<br />
have experienced<br />
low back pain<br />
At age 60<br />
80 percent of <strong>the</strong><br />
population reports to<br />
have experienced<br />
low back pain<br />
Non-Surgical Treatment Options<br />
Offered by Physicians Specializing in Physical Medicine<br />
Physicians specializing in Physical Medicine and Rehabilitation are nerve, muscle, and bone<br />
experts. They treat a wide range of problems from sore shoulders to spinal cord injuries. Their<br />
goal is to decrease pain and enhance performance without surgery. <strong>Intermountain</strong> Medical<br />
Group of Cache Valley offers <strong>the</strong> services of two such specialists:<br />
By Jacob R. Egbert, DO<br />
Jacob R. Egbert, D.O.<br />
South Cache Valley Clinic<br />
Cameron G. Peterson, M.D.<br />
Canyon View Orthopedics<br />
Who gets low back pain?<br />
Nearly everyone will experience low back pain at some<br />
point in <strong>the</strong>ir life. In fact studies show that by <strong>the</strong> age<br />
of 20, 50 percent of <strong>the</strong> population has experienced<br />
low back pain. By <strong>the</strong> age of 60 that number rises to 80<br />
percent. Low back pain is second only to <strong>the</strong> common<br />
cold as <strong>the</strong> most common reason people visit <strong>the</strong>ir doctor.<br />
Because of <strong>the</strong>se visits, lost wages, and o<strong>the</strong>r associated<br />
costs, <strong>the</strong> economic impact of low back pain is immense.<br />
What causes low back pain?<br />
There are a number of causes of low back pain. The<br />
structures in <strong>the</strong> low back that have nerve supply can be<br />
irritated by inflamed or damaged tissues. Usually this<br />
happens after some activity where bending or twisting<br />
was involved. Commonly involved structures include<br />
<strong>the</strong> vertebrae (back bones), intervertebral discs (cushions<br />
between <strong>the</strong> vertebrae), spinal nerves, muscles, and joints<br />
of <strong>the</strong> spine.<br />
Will <strong>the</strong> pain ever go away?<br />
Low back pain is usually self limited. The majority of low<br />
back pain will resolve on its own without intervention.<br />
But <strong>the</strong>re are a number of cases where <strong>the</strong> pain persists.<br />
Among <strong>the</strong> cases where a doctor visit is warranted, most<br />
of those will resolve with time and specific <strong>the</strong>rapies.<br />
What can be done to help?<br />
Your doctor will be able to help you find an option that<br />
is right for you. You may simply need a core streng<strong>the</strong>ning<br />
program or anti-inflammatory medication.<br />
Depending on your medical history and physical exam<br />
findings your doctor may want to get an X-ray or MRI.<br />
Once a diagnosis is made, a treatment plan will be<br />
designed to best relieve your pain and help you regain<br />
your activity level. Conservative treatments are always<br />
preferred before more invasive procedures such as surgery.<br />
If you have persistent low back pain or progressing<br />
symptoms contact your doctor for an evaluation.<br />
Dr. Egbert earned his undergraduate degree from Idaho<br />
State University in Pocatello and attended medical<br />
school at Kansas City University of Medicine and<br />
Biosciences in Missouri. He completed an internship in<br />
Internal Medicine at <strong>the</strong> University of Missouri, Kansas<br />
City, and a residency in Physical Medicine and Rehabilitation<br />
at <strong>the</strong> University of Missouri, Columbia.<br />
Dr. Egbert enjoys Olympic lifting, running, gymnastics,<br />
sports, mountain biking, rock climbing, whitewater<br />
kayaking, and teaching. He and his wife, Aimee, are <strong>the</strong><br />
parents of four children.<br />
Jacob R. Egbert, D.O.<br />
Physical Medicine<br />
South Cache Valley Clinic<br />
435.755.3355<br />
Dr. Peterson earned his bachelor’s degree in exercise and sport<br />
science from <strong>the</strong> University of Utah and attended <strong>the</strong> Ross<br />
University School of Medicine in Portsmouth, Dominica. He<br />
completed an internship in Internal medicine and a residency<br />
in Physical Medicine and Rehabilitation at <strong>the</strong> University of<br />
Utah. Dr. Peterson’s professional interests include musculoskeletal<br />
medicine, non-operative back pain management, as well as<br />
pediatric rehabilitation and spasticity management.<br />
Dr. Peterson enjoys back-country skiing, avalanche safety,<br />
wilderness medicine, mountaineering, adventure racing,<br />
mountain biking, trail running, and river rafting. He and his<br />
wife, Jackie, are <strong>the</strong> parents of four sons.<br />
Cameron G. Peterson, M.D.<br />
Physical Medicine<br />
Canyon View Orthopedics<br />
435.716.2800<br />
24 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 25
According to <strong>the</strong> FDA, “a generic drug is identical, or bioequivalent,<br />
to a brand-name drug in dosage form, safety, strength, route of administration,<br />
quality, performance characteristics, and intended use.”<br />
Brand or Generic?<br />
Why your Pharmacist should be your best friend<br />
By Billie McCracken, PharmD<br />
When deciding between a brand-name and a generic<br />
alternative medication many people believe that <strong>the</strong><br />
brand-named drug is better quality and more efficacious.<br />
However, most will concede to purchasing a generic drug<br />
due to <strong>the</strong> high cost of brand-name medications.<br />
What is not always explained to <strong>the</strong> patient is<br />
that generic medications are almost always just<br />
as good as <strong>the</strong>ir brand name counterpart. In fact,<br />
it is estimated that 50 percent of<br />
generic medication production is<br />
produced by brand-name companies.<br />
Why are medication costs so high?<br />
The costs of brand name medications<br />
are high due to <strong>the</strong> expense of<br />
years of research and development and<br />
bringing a medication to market. All<br />
brand name medications are given a<br />
patent for a period of time which allows<br />
<strong>the</strong> drug manufacturers to recoup <strong>the</strong>ir<br />
costs and also be able to fund future<br />
research for o<strong>the</strong>r medications. Almost<br />
70 percent of all prescriptions dispensed<br />
are generic, yet <strong>the</strong>se account for only<br />
16 percent of <strong>the</strong> money spent on medications<br />
in <strong>the</strong> US. On average, a brand name<br />
drug costs $85 more than its generic equivalent.<br />
Almost70 percent<br />
of all prescriptions dispensed<br />
are generic, yet <strong>the</strong>se account for<br />
only<br />
16 percent<br />
Simple money-saving tips<br />
could save you hundreds of dollars every year.<br />
Ask if <strong>the</strong>re is a generic alternative available<br />
when your co-pay is higher than expected<br />
or higher than you can afford.<br />
If you pay cash or have insurance, have <strong>the</strong><br />
pharmacy bill you for a higher quantity of<br />
pills. The more you receive <strong>the</strong> cheaper it<br />
is (you need to have your doctor write <strong>the</strong><br />
prescription for <strong>the</strong> higher quantity to be<br />
able to have it dispensed at that amount).<br />
of <strong>the</strong> money spent<br />
on medications in <strong>the</strong> US.<br />
Get to know your pharmacist! Your pharmacist can help save<br />
you money when a generic version of your prescription is not available,<br />
a comparable generic alternative that works in a similar way<br />
may be on <strong>the</strong> market. Pharmacists have <strong>the</strong><br />
authority to switch a brand name medication<br />
to its generic equivalent when<br />
available but are not able to switch<br />
to a generic alternative without<br />
permission from your doctor.<br />
Always ask! Due to time constraints<br />
and workloads placed<br />
on pharmacy personnel, many<br />
pharmacists do not call <strong>the</strong> doctor<br />
to switch to ano<strong>the</strong>r agent<br />
unless asked. You can also ask if<br />
<strong>the</strong>re are more affordable generic<br />
versions of your prescription<br />
that will work just as well as<br />
what your doctor has prescribed.<br />
Billie McCracken, PharmD<br />
Pharmacist<br />
Logan Clinic Pharmacy<br />
Budge Clinic Pharmacy<br />
435.713.2770<br />
When a generic alternative is not available<br />
and you have to get a brand name medication,<br />
check <strong>the</strong> manufacturer’s website.<br />
They often offer savings cards that can give<br />
you a significant discount.<br />
Have your pharmacist check to see if <strong>the</strong><br />
cash price is cheaper than what your insurance<br />
wants you to pay. Surprising as it may<br />
seem, it happens.<br />
26 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 27
Fevers<br />
Fever is <strong>the</strong> body’s natural way of fighting infection. Normal body<br />
temperature ranges from 97° to 100°F (36.1° to 37.5°C). A fever is a<br />
temperature of more than 100.4°F (38.0°C).<br />
The most common cause of fever in children is a minor infection<br />
like a cold. It could be, however, a more serious infection. How high<br />
<strong>the</strong> fever goes does not indicate how bad <strong>the</strong> infection is.<br />
Different types of <strong>the</strong>rmometers operate on different parts of <strong>the</strong><br />
body. If you suspect your child has a fever, take a temperature. This<br />
can be done by placing a <strong>the</strong>rmometer under your child’s tongue,<br />
under <strong>the</strong> arm in <strong>the</strong> armpit area, in your child’s ear, or in <strong>the</strong><br />
rectum.<br />
If you choose <strong>the</strong> rectal method, be sure to use a <strong>the</strong>rmometer designed<br />
for <strong>the</strong> rectum. When using a digital <strong>the</strong>rmometer, carefully<br />
read and follow <strong>the</strong> instructions found on <strong>the</strong> package insert before<br />
use. Never insert <strong>the</strong> <strong>the</strong>rmometer tip far<strong>the</strong>r than ½ inch, or as<br />
instructed. The tip of this <strong>the</strong>rmometer is more round than <strong>the</strong> oral<br />
or armpit <strong>the</strong>rmometers. Also, a rectal temperature is usually one<br />
degree higher than an oral or armpit temperature.<br />
Do not use fever strips because <strong>the</strong>y are not accurate.<br />
What do I really need to know?<br />
If your child’s temperature<br />
is higher than <strong>the</strong> normal<br />
range (97°–100°F), ask yourself<br />
<strong>the</strong> following questions:<br />
• How ill does my child seem?<br />
• Is my child fussy?<br />
• Is my child sleepy or does<br />
my child have no energy?<br />
If <strong>the</strong> answer is yes to any of <strong>the</strong>se, try to reduce <strong>the</strong> fever<br />
with <strong>the</strong> methods listed on <strong>the</strong> following page.<br />
Note: If your child is less than two-months-old, you should<br />
always call a doctor if you think your child has a fever.<br />
Bringing <strong>the</strong> fever down<br />
If <strong>the</strong> temperature is above 100.4°F, a variety of methods can be used to reduce<br />
<strong>the</strong> fever. The goal is to help heat leave <strong>the</strong> child’s body without causing <strong>the</strong><br />
child to shiver or have goose bumps. Shivering actually causes <strong>the</strong> temperature<br />
to go up. A fever can be brought down in <strong>the</strong> following ways:<br />
1. Dress your child in thin pajamas, shorts, underwear, or diapers.<br />
It is normal to want to bundle <strong>the</strong> child, but bundling will<br />
increase <strong>the</strong> temperature.<br />
2. Cover your child with only a sheet or leave him uncovered. Do<br />
not cover with blankets until <strong>the</strong> temperature returns to normal.<br />
3. Make sure <strong>the</strong> room gets lots of moving air. Small fans may be<br />
used to keep air moving.<br />
4. Give your child lots of fluids. Fluids are needed to help get rid of<br />
infection and replace <strong>the</strong> fluids that are lost through <strong>the</strong> skin<br />
during a fever.<br />
Medicines<br />
• Because fever helps <strong>the</strong> body fight infection, it is helpful to<br />
give medicine only after <strong>the</strong> fever is above 101°F (38.4°C).<br />
• Do not give your child aspirin. Studies have linked aspirin<br />
with brain, liver, kidney damage, and Reye’s syndrome.<br />
• The best way to bring down a fever is to give acetaminophen<br />
(a-seat-a-MEN-o-fen). Common brand names for acetaminophen<br />
are Tylenol®, Tempra®, Liquiprin®, and Panadol®. These<br />
drugs reduce fever and relieve pain. Antibiotics do not reduce<br />
fever or relieve pain.<br />
• Acetaminophen comes in drops, syrup, and chewable tablets.<br />
The dose (amount given) is based on your child’s weight.<br />
Most bottles will have a chart with <strong>the</strong> correct dose by weight<br />
on it. It is important to know that drops are usually stronger<br />
than syrup so you do not have to use as much.<br />
• Be sure to read <strong>the</strong> directions carefully. Acetaminophen may<br />
be given every four hours, but only give <strong>the</strong> amount that is<br />
recommended on <strong>the</strong> bottle.<br />
Mercury glass <strong>the</strong>rmometers<br />
Call your doctor if...<br />
• You have a newborn baby under 90 days old<br />
who develops a fever, call immediately!<br />
• Your child is having difficulty breathing.<br />
• Your child has a fever above 104°F (40°C) or fever<br />
that will not go down after you give acetaminophen.<br />
• Your child vomits (throws up) frequently<br />
or with unusual force.<br />
• Your child has a seizure (see complications below).<br />
• Your child has a stiff neck.<br />
• Your child looks ill, cries constantly, seems to be<br />
in pain, is unresponsive, or overly sleepy,<br />
whe<strong>the</strong>r <strong>the</strong>re is a temperature or not.<br />
• Your child has difficulty taking fluids<br />
or <strong>the</strong>re are fewer wet diapers.<br />
• A low fever (under 101°F) continuing<br />
more than 48 hours, even if<br />
your child seems well.<br />
Complications of Fevers<br />
Rapid temperature changes can cause seizures (convulsions). Your<br />
child may appear unconscious and his arms and legs may jerk. This<br />
may last from a few seconds to several minutes.<br />
Place <strong>the</strong> child on his side or on his stomach with his head turned<br />
to one side. Remove anything (such as a pacifier, or bottle) that<br />
may be in his mouth. Do not place your fingers or anything else in<br />
his mouth! Be sure to remove any objects that are around him so he<br />
does not hit <strong>the</strong>m during <strong>the</strong> seizure. Call your doctor immediately<br />
after <strong>the</strong> seizure. It is normal for your child to be sleepy after <strong>the</strong><br />
seizure. If <strong>the</strong> seizure has not stopped after 10 minutes, call <strong>the</strong><br />
paramedics.<br />
Primary Children’s Medical Center will not distribute nor provide information about using mercury glass <strong>the</strong>rmometers. Mercury<br />
(sometimes called quicksilver) is a dangerous material. Mercury-glass <strong>the</strong>rmometers are not available in stores; digital <strong>the</strong>rmometers have<br />
replaced <strong>the</strong>m. If a mercury-glass <strong>the</strong>rmometer ever breaks, do not touch <strong>the</strong> mercury— it is very poisonous. Use gloves and clean it up<br />
with something that can be thrown away.<br />
Do not simply throw mercury-containing or mercury-glass <strong>the</strong>rmometers away in <strong>the</strong> trash, because <strong>the</strong> mercury is considered “hazardous<br />
waste.” You can call your local Household Hazardous Waste hotline or Health Department for instructions on how to dispose of any<br />
mercury <strong>the</strong>rmometers you may have.<br />
Source: <strong>Intermountain</strong> <strong>Healthcare</strong> Primary Children’s Medical Center, 2007; https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408205<br />
28 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 29
Save LiveS!<br />
Spay and Neuter Your Pets<br />
Cost should never stand in <strong>the</strong> way,<br />
and No More Homeless Pets in Utah offers low-cost programs<br />
to help you help your pets and <strong>the</strong> community.<br />
Free Spay & Neuter for<br />
low income families<br />
Reduced cost Spay & Neuter<br />
Special pricing on Pitbulls and<br />
Community Cats<br />
Spaying and neutering your pets helps to reduce euthanasia statewide,<br />
and has many behavior and health benefits for your pets as well.<br />
Visit our website for details on our programs and let us help you.<br />
utahpets.org<br />
30 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 31
32 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org<br />
<strong>Intermountain</strong>MedicalGroup.org 33
Finding quality<br />
home care doesn’t<br />
have to be diffi cult.<br />
<strong>Intermountain</strong> Medical<br />
Group of cache valley<br />
full service ad logan.indd 1<br />
HOSPICE<br />
HOME HEALTH<br />
INFUSION THERAPY &<br />
SPECIALTY PHARMACY<br />
HOME MEDICAL EQUIPMENT<br />
We make home care easy.<br />
CACHE VALLEY<br />
Home Health & Hospice<br />
(435) 716-5477<br />
Home Medical Equipment<br />
(435) 716-5396<br />
8/24/2011 4:15:45 PM<br />
understands healing<br />
isn’t always about giving you more time.<br />
Sometimes it’s about helping make <strong>the</strong><br />
most out of <strong>the</strong> time you have left.<br />
Hospice can help.<br />
• Pain & Symptom Management<br />
• End-of-life planning<br />
• Nursing & Aide Services<br />
• Social Work & Spiritual Support<br />
• Caregiver Respite<br />
• Bereavement Services<br />
<strong>Intermountain</strong> Homecare is a full service home care<br />
provider offering: Hospice, Home Health,<br />
Home Medical Equipment, and<br />
Home Infusion Therapy.<br />
For more information, call<br />
435-716-5477.<br />
Allergy<br />
1350 N. 500 E., Logan<br />
Keyser, Jeffrey S., M.D.<br />
435.792.1950<br />
Audiologist<br />
1350 N. 500 E., Logan<br />
Cobabe, Andrew, AuD<br />
435.792.1950<br />
Cardiology<br />
1300 N. 500 E., Suite 320, Logan<br />
Otrusinik, Rudolf, M.D.<br />
Saul, William L., M.D.<br />
435.755.8200<br />
Dermatology<br />
1350 N. 500 E., Logan<br />
Hanson, Nathan W., M.D.<br />
435.792.1770<br />
Dietitian<br />
1350 N. 500 E., Logan<br />
Shepherd, Patrick, R.D.<br />
435.792.1710<br />
EnT/Otolaryngology<br />
1350 N. 500 E., Logan<br />
Keyser, Jeffrey S., M.D.<br />
Stahl, Kathleen M., FNP<br />
435.792-1950<br />
Family Medicine<br />
*Includes Obstetrics<br />
502 S. Main, Smithfield<br />
Avery, D. Barton, M.D.*<br />
Harris, Gary L., M.D.*<br />
435.563.3222<br />
190 S. Hwy. 165, Providence<br />
Broadhurst, Jeremy W., D.O.*<br />
Call, Nathan H., M.D.<br />
Firth, R. Mark, M.D.*<br />
435.755.3300<br />
412 N. 200 E., Logan<br />
Carlson, Brian W., M.D.*<br />
Clark, Thomas H., M.D.*<br />
Goates, Brad M., M.D.<br />
Hyldahl, Douglas R., M.D.<br />
435.713.2800<br />
Gastroenterology<br />
1300 N. 500 E., Ste. 340, Logan<br />
Garg, Vikram, M.D.<br />
435.716.5900<br />
Internal Medicine<br />
1350 N. 500 E., Logan<br />
Faux, David S., M.D.<br />
435.792.1806<br />
Francis, Michael R., D.O.<br />
435.792.1780<br />
Internal Medicine (Cont.)<br />
Huffman, J. Mark, M.D.<br />
435.792.1810<br />
Nash, Robert M., M.D.<br />
435.792.1805<br />
Stones, Michael J., M.D.<br />
435.792.1807<br />
Strong, Jeffrey S., M.D.<br />
435.792.1808<br />
Szpunar, Agnes M., M.D.<br />
435.792.1804<br />
Neurology<br />
1350 N. 500 E., Logan<br />
Williams, Michael H., M.D.<br />
435.792.1809<br />
Obstetrics/Gynecology<br />
500 E. 1400 N., Logan<br />
Benedict, James P., M.D.<br />
Craig, Kristin F., M.D.<br />
Horsley, E. Brett, D.O.<br />
McCulloch, Kimberly D., M.D.<br />
Olsen, Tandy G., M.D.<br />
Anderson, Jennifer, N.P.<br />
Flansburg, Deborah, CNM<br />
Murillo, Ena, N.P.<br />
Thompson, Angie, N.P.<br />
435.716.1920<br />
Orthopedics<br />
1300 N. 500 E., Ste. 130, Logan<br />
Higginbotham, Thomas O., M.D.<br />
Hooley, Eric W., M.D. (neck & back)<br />
King, Bryan C., M.D.<br />
Murray, David P., M.D.<br />
Hunt, Scott, P.A.<br />
Patterson, Julie, P.A.<br />
Stowers, Benjamin, P.A.<br />
435.716.2800<br />
Pediatrics<br />
1350 N. 500 E., Logan<br />
Brown, Nordell T., M.D.<br />
Clarke, Derrel W., M.D.<br />
Garg, Prafulla D., M.D.<br />
Horkley, Tyson S., M.D.<br />
O’Dell, J. Dennis, M.D.<br />
Schneider, Stephen D., M.D.<br />
Visick, Michael K., M.D.<br />
Roper, Sheryl, PNP<br />
Field, Clint E., PhD<br />
435.792.1940<br />
pHARMACIES<br />
412 N. 200 E., Logan<br />
435.713.2770<br />
1350 N. 500 E., Logan<br />
435.792.1521<br />
Physical Medicine<br />
1300 N. 500 E., Ste. 130, Logan<br />
Peterson, Cameron G., M.D.<br />
435.716.2800<br />
190 S. Hwy. 165, Providence<br />
Egbert, Jacob R., D.O.<br />
435.755.3355<br />
Plastic Surgery<br />
1350 N. 500 E., Logan<br />
Isom, Casey N., M.D.<br />
435.792.1760<br />
Podiatry<br />
1300 N. 500 E., Ste. 130, Logan<br />
Pedersen, Curtis C., DPM<br />
435.716.2800<br />
Rheumatology<br />
1350 N. 500 E., Logan<br />
Walker, Corey W., M.D.<br />
435.792.1518<br />
sports medicine<br />
1300 N. 500 E., Ste. 130, Logan<br />
Lyons, Trek D., M.D.<br />
435.716.2800<br />
Surgery<br />
1350 N. 500 E., Logan<br />
Anderson, Allan D., M.D.<br />
Harker, David L., M.D.<br />
Weiss, Bartley M., M.D.<br />
435.792.1950<br />
Urology<br />
1350 N. 500 E., Logan<br />
Callister, Michael S., M.D.<br />
Hunsaker, Teryl, P.A.<br />
Pitcher, Brent P.A.<br />
435.792.1950<br />
WORKMED<br />
412 N. 200 E., Logan<br />
435.713.2850<br />
Wound Care<br />
1300 N. 500 E., Ste. 130, Logan<br />
Anderson, Allan D., M.D.<br />
Harker, David L., M.D.<br />
Pedersen, Curtis C., DPM<br />
Weiss, Bartley M., M.D.<br />
435.716.2850<br />
Urgent Care<br />
<strong>Intermountain</strong> InstaCare<br />
8 am-8 pm, seven days a week<br />
412 N. 200 E., Logan<br />
435.713.2710<br />
hospice ad logan.indd 1<br />
8/24/2011 4:17:50 PM<br />
34 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 35
Fast, Convenient, Quality <strong>Healthcare</strong><br />
Open 8 a.m. to 8 p.m., seven days a week<br />
Centrally located at 412 North 200 East, Logan<br />
X-ray • Lab • Pharmacy onsite<br />
No appointment necessary • Most insurance plans accepted<br />
Logan InstaCare can treat you or a loved one when you need to see a physician quickly.<br />
Our expanded hours and weekends give you more opportunities to receive convenient,<br />
quality medical care from highly skilled physicians and healthcare providers.<br />
435-713-2710 • instacareutah.org