Urinary Tract Infection Symptoms:

• Burning (dysuria)
• Frequency (having to urinate more often than usual)
• Urgency (stronger than normal urge to urinate)

These symptoms are the hallmarks of a UTI (Urinary tract infection) or a bladder infection.

A UTI is a bacterial infection usually caused by: E. coli, Klebsiella, or Proteus bacteria.

The infection is in the lining and wall of the urethra and bladder.  The infection irritates this lining and may cause blood to ooze from it, appearing in your urine as cloudiness or even redness.

A simple UTI does not cause: fever or vomiting or back pain.

Research studies in adult women have shown that women can accurately identify a UTI, without a urine test, as long as there aren’t complicating conditions, like: pregnancy, cancer, vomiting, vaginal discharge, or fever. 

If your symptoms fit, and you don’t have any of these conditions, a prescribed antibiotic is appropriate.

Getting antibiotic started early prevents the infection from working its way into your kidneys, which is harder to treat, makes you much sicker, and may damage your kidney function.

Which antibiotic?

I will recommend one that:

1. steers clear of your medicine allergies.
2. Is generally effective against the most common bacterial causes
3. Is affordable
4. Has a simple schedule, like twice daily for 7 days

Are you ready to get your prescription?

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#BackPocketDoc

* Extra body weight increases your chances of: heart disease, diabetes, and cancer.
* On top of these scary issues, medication, hospital and doctor costs are higher if you are overweight or obese.
* Good News! Small changes in your weight can dramaticlaly reduce your blood pressure, blood sugar, and cancer risk!
* Wellivery is focused on getting weight changed in a direction for life-long better health!

Make an appointment to start the change!

#backpocketdoc

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* Cigarette smoking is the most powerful risk factor that you can control!
* Quitting isn’t easy and usually takes several tries.
* The benefit for preventing heart attacks and cancer is huge.
* Wellivery will help you get there by prescribing medication that will help control your craving to smoke and withdrawal symptoms.

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Quality chronic disease care depends on self-management by patients.

A large part of my role as a physician is teaching self-management skills.

Crucial to these skills are techniques you will use to assess:

– Your Symptoms, and,

– Your Chronic Disease Status.

We will discuss your self-assessments by phone rather than in-person.

These phone visits and your frequent use of the Wellivery website are designed to keep your chronic disease controlled while avoiding illness exposure and the inconvenience of travel and waiting rooms

I designed Wellivery around the National standards for chronic disease management.

Those standards tell doctors to teach their patients how to assess their everyday symptoms and disease status.

Each disease has a unique set of self-assessment tools.

As part of your Wellivery visits, I’ll teach you how to use these tools.

I will instruct you how to use these tools in conjunction with your Lifestyle Action Plan.

In addition, I use scores from these tools in planning updates to your medications, their dosages, and your Lifestyle Action Plan.

The great thing about having these proven methods of assessing your disease is that we can conduct our entire doctor appointment over the phone.

Yes!

Over the phone!

That means you can get your appointment on a lunch break, walking down the street, or wherever you are.

One place you won’t be is sitting?

A doctor office waiting room – waiting to catch a virus!

Phone appointments: a key convenience of Wellivery!

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare

Quality chronic disease care depends on self-management by patients.

A large part of my role as your physician is teaching you these self-management skills.

Crucial to these skills are techniques you will use to assess:

Your Symptoms

Your Chronic Disease Status

We will discuss your self-assessments by phone rather than in-person.

These phone visits and your frequent use of the Wellivery website are designed to keep your chronic disease controlled while avoiding illness exposure and the inconvenience of travel and waiting rooms

I designed Wellivery around the National standards for chronic disease management.

Those standards tell doctors to teach their patients how to assess their everyday symptoms and disease status.

Each disease has a unique set of self-assessment tools.

As part of your Wellivery visits, I’ll teach you how to use these tools.

I will instruct you how to use these tools in conjunction with your Lifestyle Action Plan.

In addition, I use score from these tools in planning updates to your medications, their dosages, and your Lifestyle Action Plan.

The great thing about having these proven methods of assessing your disease is that we can conduct our entire doctor appointment over the phone.

Yes!

Over the phone!

That means you can get your appointment on a lunch break, walking down the street, or wherever you are.

One place you won’t be is sitting?

A doctor office waiting room – waiting to catch a virus!

Phone appointments: a key convenience of Wellivery!

Now, if you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare

* Gout is a type of arthritis affecting a small number of joints.
* Joint pain, swelling and redness, usually starting at night, are the main symptoms.
* The joints involved are usually in the fingers, toes, wrists, and knees.
* The pain is caused by uric acid crystals forming in the joint.
* This occurs because your body is not removing uric acid from the bloodstream at a normal rate.
* Special Medication can be used to decrease your uric acid blood level.
* These medicines prevent the pain attacks of gout!

Wellivery follows National standards for gout management.

To get started, we’ll send you for two blood tests.

When those results are available, we will select the best medicine for lowering your uric acid blood level.

Modification of your body weight (toward your ideal BMI) and reduction of alcohol intake can also lower your chances of gout attacks.

When we have your dose of medicine ‘dialed in’ to keep your uric acid below 6, we will do follow-up visits every 6 months, by phone!

Phone appointments: a key convenience of Wellivery!

If you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare

*  Chronic disease means any illness that lasts

.. Longer than 1 year

.. Requires Medical Care, and

.. Limits your Activities of Daily Living

*The Big Ones are:

• Heart Disease (coronary artery disease and high blood pressure)

• Type 2 Diabetes, which usually begins during adulthood

• Cancer.

* There are a number of other diseases that meet this definition too:

.. Gout and other types of arthritis

.. Acne and other skin disorders

.. Anxiety, Insomnia, Depression

.. Attention Deficit Disorder

.. Asthma and COPD

.. and many more

*Prevention of these diseases is a Major Focus of Wellivery!

.. Prevention of many diseases IS possible by understanding and adjusting risks

.. If not prevented, the earlier a disease is diagnosed the better!

.. This means following a well-defined screening schedule as you mature!

*Control of these diseases is our top priority once they have been diagnosed.

What is Control?

• It means controlling the progression of your current disease

• It means controlling the symptoms of your disease

• It means controlling your risk of getting other chronic disease

• It means controlling side effects of  your medicines

How do you ‘get’ control?

1. You need a physician-partner to advise, monitor, screen, prescribe, and follow.
2. Your physician partner needs to be accessible and affordable.
3. You need the most modern technology and medications.
4. You need continuous education to learn how to manage your disease.
5. You need continuous feedback on how you are doing.

I designed Wellivery to ‘deliver’ these things that I consider essential in the prevention and control of chronic disease. 

I am ready to assist you in taking control and reaching a new high point in your personal health!

If you want to get an email when I have updated these health topics, just fill in the ‘subscribe’ box to the right.

Until next topic, I wish the best of health to you!

#backpocketdoc

#affordableaccessiblecare