My experience with Occupational Therapy

“I developed Carpal Tunnel Syndrome, which caused numbness and discomfort in my hands. Dr. Lori Thompson, my primary care provider, referred me to Chad Royer, the occupational therapist and certified hand therapist at Premier Healthcare. We were hoping initially that therapy could help avoid surgery. The occupational therapy, along with non-steroidals, was part of a comprehensive treatment plan.

First, Chad evaluated me and did testing to determine how significant my carpal tunnel was, how much sensation I had lost and how much it was limiting my strength and mobility. His findings were much worse than I expected. He recommended exercises that are used to help create more space for the nerve and increase circulation to it. After the testing, we had a frank conversation about the amount of damage my nerves showed. He recommended that I make an appointment with Dr. Hoyer, an orthopedic surgeon specializing in hand surgery. I wound up having an EMG (Electromyogram), performed by Dr. Beck, that demonstrated I had severe changes in nerve impulse conduction due to carpal tunnel syndrome in both of my hands.

After Dr. Hoyer performed carpal tunnel surgery on my right hand, I had a follow-up visit with Chad Royer where he removed my dressing, did sensory testing again, and prescribed an exercise regimen to keep me from losing strength and mobility during the healing process. The exercises helped insure that the tendons did not scar together as I healed, decreasing my mobility. The sensory testing showed that in less than a week of my surgery, I had already clearly improved. Chad also gave me instructions on taking care of the wound and techniques to decrease scarring.

Now, 4 months later, I am back to doing my household chores, playing volleyball and baking bread pain free!”

Shared by Bloomington, IN, resident and Premier Healthcare patient, Ann.

National Family Health History Day

Today is National Family Health History Day, which just so happens to fall on Thanksgiving! Just as you are spending time getting to know your loved ones and sharing a meal together, you should also take some time to learn about your family’s health history and what sort of genetic predispositions you may share.

Knowing your family’s health history can help you learn about any genetic health risks you or your loved ones may have and what are the best ways to prevent these. To learn more visit: http://www.hhs.gov/familyhistory/index.html

Premier Healthcare has a certified Indiana Navigator to help make sure you are covered for Open Enrollment!

What is a Navigator?

Indiana Navigators are individuals certified to help consumers complete insurance affordability program applications for health coverage under Medicaid and the Marketplace.

 

Who can use the services of an Indiana Navigator?

Any individual or a family applying for enrollment in a health insurance affordability program may use the services of a certified Indiana Navigator.

 

What should I expect from an Indiana Navigator?

Navigators are to serve as impartial, knowledgeable resources for consumers enrolling in health insurance affordability programs. While helping consumers complete applications for health coverage, Navigators are expected to provide fair, impartial, and accurate information to consumers.

  • We will be providing assistance with helping individuals or patients fill out Indiana Application for Health Coverage.
    • Application process will take AT LEAST 1 hour to complete, therefore meeting with a Navigator generally requires and appointment to be made in advance.
    • Once completed, applicants will then see all the plans which they are eligible for.
    • We cannot provide specific plan details for the consumer without going through the application process. ( This will show all co-pays, deductibles, etc. that go along with that plan)
  • Specific plan questions must be directed to the plan (i.e. Anthem, Medicaid, etc.)- we are not knowledgeable on the specificity of each plan
  • Navigators will be doing outreach services within the community to make individuals/patients aware of this service that will be available to them.

 

Open Enrollment Dates:    November 15, 2014-Open Enrollment Begins

December 15, 2014-Last day to enroll for coverage that begins January 1, 2015

  •               December 31, 2014-Coverage for 2014 Marketplace Plans ends
  •               January 1, 2015-Coverage begins for 2015 Marketplace Plans
  •               February 15, 2015-Open Enrollment Ends

Special Enrollment Period and Criteria:

To qualify for a Special Enrollment Period, you must have a qualifying life event.

Examples of qualifying life events include:

  • Marriage or divorce
  • Having a baby, adopting a child, or placing a child for adoption or foster care
  • Moving your residence, gaining citizenship, leaving incarceration
  • Losing other health coverage due to losing job-based coverage, the end of an individual policy plan year in 2014, COBRA expiration, aging off a parent’s plan, losing eligibility for Medicaid or CHIP, and similar circumstances.
  • Important: Voluntarily ending coverage doesn’t qualify you for a Special Enrollment Period. Neither does losing coverage that doesn’t qualify as minimum essential coverage.
  • For people already enrolled in Marketplace coverage: Having a change in income or household status that affects eligibility for premium tax credits or cost-sharing reductions

 

Information needed for an appointment:

**You must have an email account set-up in order to apply online**

Demographic Information: (Name, DOB, SS#, Marital Status, Address, Etc.)

Health coverage Information

Additional Information

Household Income Information: (Tax filing information, Current employment, Other Income, Deductions, Etc.)

 

 

Contact Information:

Danacia Wiechers-Certified Indiana Navigator

812-355-2762

dwiechers@premierhealthcare.org

Location: 550 S. Landmark Ave l Bloomington, IN 47403

*Appointments also available at our East Side Location and Linton Location*

 

 

Link to Indiana Department of Insurance to verify Certification:

 

http://www.in.gov/healthcarereform/2468.htm

 

www.healthcare.gov

 

 

*Once plan options are available, we can include what Insurance Plans are available*

We know its time for our annual flu shot, but when is it time for another Pneumonia shot?

“I know I need my annual flu shot, but is it time for another pneumonia shot?” This question is very common from patients this time of year and we all need to be aware that pneumococcal vaccine recommendations for patients 65 and older have recently changed.

In August, the Advisory Council on Immunization Practices recommended and last month the Centers for Disease Control and Prevention (CDC) published these new guidelines, thus making them official. The widely used Pneumovax 23 (PPSV23) vaccine is now being used in conjunction with a newer pneumococcal conjugate vaccine (PCV13). The new PCV13 covers 13 subtypes of Streptococcus pneumonia as compared to the PPSV23 which covers 23. However the PCV13 has been shown to have as good or better immune response (i.e. protection) than the PPSV23. Obviously using just the new PCV13 would leave one without protection to some strains of Streptococcus pneumonia (i.e. pneumococcus). Therefore, the recommendation is that patients 65 or older should receive both of these vaccines in series, separated by a period of 6-12 months. Studies have shown that the best response comes from giving the PCV13 first and then following with the PPSV23.

Confused yet? The ACIP offers the following scenarios as a guideline:

  1. If you are of age 65 or greater and have had no pneumococcal vaccinations in past
    1. It is recommended that you receive PCV13 then PPSV23 6-12 months later
  1. If you are of age 65 or greater and have received PPSV23 at age 65 or more
    1. It is recommended that PCV13 is given to you at least 1 year after the PPSV23
  1. If you are of age 65 or greater and received PPSV23 before age 65
    1. It is recommended that you receive PCV13 (at least 1 year after original PPSV23 given)
    2. And one further PPSV23 given 5 years after initial PPSV23 and 6-12 months after PCV13

If a patient has received a PCV13 prior to age 65 it should not be repeated, it is a once in a lifetime vaccine. The PCV13 and PPSV23 should not be given together and recommended minimal interval is 6 months. It is acceptable to give the PCV13 with the annual flu shot. Side effects from the PCV13 are similar to the PPSV23 and include pain, redness, and swelling at the injection site, temporary limitation of movement of the affected arm, headache, chills, and generalized muscle pain.

If you have questions please ask your provider at your next visit.

This article was written by Dr. Wesley Ratliff, MD, of Premier Healthcare, LLC on 10/28/2014

For details see MMWR September 19,2014/63(37); 822-825

Premier’s Bloomington Endoscopy Center hosts Congressman Todd Young

Tuesday, September 2nd, Administrator Teleatha Mortimer and the rest of the Bloomington Endoscopy Center (BEC) welcomed Congressman Todd Young on an educational visit on the benefits and cost savings of Ambulatory Surgery Centers like the BEC. This visit was coordinated during the ASCA’s (Ambulatory Surgery Center Association) Capitol Fly-In Event that Teleatha Mortimer, Indiana Federation of Ambulatory Surgery Centers Board member, attended in June of this year.

During this Capitol Fly-In Event, the BEC met with Senators Joe Donnelly and Dan Coats as well as Representatives Todd Young, Larry Bucshon and Jackie Walorski. They were asked to support legislation that will ensure the viability of ASCs in the community, increase access to colorectal screenings, and allow our centers to effectively implement electronic health record usage.

Congressman Todd Young’s visit on Tuesday was a follow up facility tour to learn more about how ambulatory surgery centers deliver cost effective and efficient healthcare.

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Weight-Loss Wednesday! Ideal Protein Testimonial: Dr. David Blemker

1. Before starting the Ideal Protein program, what was your overall reason for starting it? (For yourself, your family, to feel better, etc.)

I needed to lose weight and to be frank I was somewhat skeptical about the diet. I felt that I needed to personally experience the diet before I could promote it to my patients.

 

2. At the beginning of the Ideal Protein program, what were your goals? (Weight loss; lose inches, better labs, etc.)

Weight loss and my triglycerides were extremely high. (wanted to lose weight and lower triglycerides)

 

3. What was the biggest struggle for you at the beginning of the Program?

I had to plan ahead especially when I was on call that night, to follow the diet well.

 

4. How far have you come towards reaching your goals? Or have you reached them? (Give us the total of your loss so far and the number of weeks it took)

I lost 23lbs in 8 weeks. My BP medicine dropped from 20mg Byscolic daily to 5mg daily. My triglycerides dropped from 1090 to 139. My pant waist size dropped from 38 in to 34 in.

 

5. If you could give some advice or encouragement to future dieters, what would you say to them?

Stick with it, you will see the results.

 

To Find Out More About Ideal Protein Sign Up For One of Our Free Workshops!

Call Today: 812.331.3404

There will be a workshop on every 2nd and 4th Tuesday of every month from 5:45 to 6:30 pm at the Premier Healthcare, Landmark Medical Center at 550 S. Landmark Ave, Bloomington, IN, 47403.

The workshops will be in the Café on the 2nd floor of the building.

Ideal Protein Tri-fold Brochure (with workshop dates)Ideal Protein Tri-fold Brochure (with workshop dates)2

Weight-Loss Wednesday! Ideal Protein Testimonial: Darlene Tabla

Ideal Protein Tri-fold Brochure (with workshop dates)21. Before starting the Ideal Protein program, what was your overall reason for starting it? (For yourself, your family, to feel better, etc.)

I wanted to join the Ideal Protein program for myself and to feel better. Because of my weight loss I am off of two blood pressure meds!! Also my cholesterol medicine has been cut in half and I hope to be off completely in October.

2. At the beginning of the Ideal Protein program, what were your goals? (Weight loss; lose inches, better labs, etc.)

My goal at the beginning was to lose weight; I never thought that I would lose as many inches as I did. It’s amazing!!

3. What was the biggest struggle for you at the beginning of the Program?

The first week was the hardest for me. I loved my bread and pasta, but after the first week my cravings went away.

4. How far have you come towards reaching your goals? Or have you reached them? (Give us the total of your loss so far and the number of weeks it took)

I have reached my goal which was 28 pounds, but I lost 6 more lbs. by watching sugars and carbs. Sugar is the bad guy!!

5. If you could give some advice or encouragement to future dieters, what would you say to them?

I would say to hang in there; the first week is the hardest. After that week it is much easier. It is the only plan that really worked for me; I have been on every weight loss plan there is and this plan by far is the only plan where you truly lose fat not muscle. It’s the best!

Before Ideal Protein:                      After Ideal Protein:

DMT-pre-1 DMT-7-2014

To Find Out More About Ideal Protein Sign Up For One of Our Free Workshops!

Call Today: 812.331.3404

There will be a workshop on every 2nd and 4th Tuesday of every month from 5:45 to 6:30 pm at the Premier Healthcare, Landmark Medical Center at 550 S. Landmark Ave, Bloomington, IN, 47403.

The workshops will be in the Café on the 2nd floor of the building.

Ideal Protein Tri-fold Brochure (with workshop dates)Ideal Protein Tri-fold Brochure (with workshop dates)2