什么是富血小板血浆(PRP)以及它如何帮助我的损伤?

富血小板血浆(PRP)不再仅仅适用于职业运动员，现在可以在赌足球最好的网站官网获得，适用于所有级别的职业运动员, college, high school, and recreational! PRP通过使用自己的血细胞来刺激损伤的愈合，为常见损伤提供了非手术治疗的选择.

当你遭受肌肉骨骼损伤时, 受伤会给你的身体产生一个信号，开始愈合反应. 这种反应包括炎症级联反应, 在治疗受伤部位的同时, 会导致受伤部位的疼痛和不适吗. 这种相关的不适可以用非甾体类或甾体类抗炎药物治疗, steroid injections, or ice. However, these treatment options can suppress the body’s normal healing process.

PRP works by injecting a concentrated amount of your own platelets into the injured part of your body. These procedures are always performed in our clinic with image guidance, e.g., 超声引导或透视引导技术，确保治疗药物(PRP)的准确放置.

PRP含有增加浓度的生长因子和炎症介质，有助于刺激身体的自然愈合能力，通过损伤区域的组织修复. PRP可以帮助减轻疼痛和炎症, often reducing the need for other anti-inflammatories or stronger medications like opioids. PRP can be used to treat a variety of chronic and acute injuries including joints, tendons, ligaments, cartilage, and muscles.

PRP治疗常见的损伤类型是什么?

  • 关节骨关节炎，比如膝关节骨关节炎
  • Tendon Injuries, for example tennis elbow, golfer’s elbow, and Achilles’
  • 肌肉拉伤，例如腿筋
  • Ligament injuries, for example ulnar collateral ligament of the elbow
  • Rotator cuff injuries
  • Plantar fasciitis
  • Meniscal tears

How does the process work?

我们鼓励您安排与我们在医疗协会执行PRP的专家之一进行咨询. Your consultation will include a thorough review of your medical record, physical examination, and discussion of treatment options that are tailored to you and your particular injury.

如果你决定接受我们专家的治疗, 该手术将在门诊的基础上在办公室进行. One of our skilled lab technicians will draw your blood as they would in a routine blood test. 然后将血液放入专门的离心机中，将富含血小板的血浆从血液的其余部分分离出来. 然后，你的医生将使用超声或透视技术的图像引导，以确保PRP准确地放置在受伤区域. 注射后，您将收到一个定制的康复计划，并与您的治疗医生进行定期随访.

Our Sports Medicine program is comprised of team members from our orthopedic, 物理医学科和理疗科. 这些提供者及其临床工作人员是训练有素的专家，在广泛的肌肉骨骼和医疗条件. To schedule a PRP consultation, please call Sports Medicine at 563-584-4455.

PRP并不总是包括在保险范围内，是上述伤害的许多治疗方案之一. 我们建议您与您的治疗提供者讨论有关您特定损伤的最新研究.

 

susmarski_adam_2021_300 x 300Adam Susmarski, DO, FACSM
Sports, Spine, & Rehabilitation
Medical Associates Clinic
洛拉斯学院首席队医
首席队医-迪比克战斗圣徒队
医疗主任-洛拉斯学院运动训练项目硕士

 

注册医疗助理(CMA)奖学金计划

注册医疗助理(cma)是专职卫生专业人员，他们履行行政和临床职能，支持医生和医疗从业人员的服务. 他们是医疗助理团队中很有价值的一部分, 根据美国劳工统计局的数据, Certified Medical Assistants are one of the fastest growing careers in the nation.

cma的职责视乎需要而定, size, 以及医务室的居住州, but clinical duties can include collecting and preparing laboratory specimens, 进行基本的实验室测试, sterilizing medical equipment, doing blood draws, taking electrocardiograms, 为病人做x光检查. CMAs are also cross-trained in several administrative duties including patient scheduling, patient registration, performing billing services, 采购和维护物资. Certified Medical Assistants, 如果有医生和州法律的指导, 也可能指导病人用药和特殊饮食, 准备和管理药物, authorize drug refills, 打电话给药房开处方.

爱荷华州东北部社区学院(NICC)有一个优秀的医疗助理课程，这样你就可以在离家近的地方学习和培训这个职位. 这是一个为期11个月的全日制课程, with students taking classes during a fall and spring term followed by a six week, 每周40小时(共240小时)临床实习. 在NICC成功完成课程后, 所有毕业生都有资格参加由美国医疗助理协会(AAMA)提供的国家资格考试，成为一名注册医疗助理(CMA)。. The medical assistant program at NICC has an excellent job placement rate, 2019年92%的毕业生在自己的专业领域找到了工作.

Medical Associates提供CMA奖学金计划，帮助有才华的人获得教育，并在完成学业后加入我们的团队成为CMA. CMA奖学金支付100%的学费(包括书本费) after all federal, state, institutional and private awards are applied. As a scholarship recipient, 你必须参加NICC为期11个月的全日制CMA课程, 毕业时有资格参加认证考试, and successfully pass the certification within 6 months of program completion. 建议尽早参加考试. Upon completion of this, you will be guaranteed a Medical Assistant position at Medical Associates. 奖学金获得者还必须承诺在项目完成后的三年内作为一名全职CMA(每个工资期72-80小时)在赌足球最好的网站官网工作.

CMA scholarship recipients are also be able to work at Medical Associates while attending the program, though you are encouraged to work no more than 20 hours per week to ensure academic success. 如果你目前在赌足球最好的网站官网工作，但在上学期间不能继续你目前的职位, you can apply to open positions that coordinate better with your class schedule.

If you’re looking to enter the medical field and earn a quality wage, 考虑成为注册医疗助理(CMA). With just one year of schooling, you can become qualified for one of the country’s most needed jobs. Plus, 通过赌足球最好的网站官网的CMA奖学金计划, 你的全部学费都可以支付! 请访问NICC的网站了解更多关于他们的CMA课程 by clicking here. To learn more about the Medical Associates CMA scholarship program and application process, 请致电563-584-4225或与我们的人力资源部联系 点击这里访问我们的网站.

 

微创主动脉瓣置换术

In 2019, Medical Associates和MercyOne Dubuque医疗中心成为Dubuque和三州地区第一家成功实施经导管主动脉瓣置换术(TAVR)的提供商。. 对于被诊断为严重主动脉狭窄(AS)的患者来说，这是一种微创和拯救生命的主动脉瓣膜置换术。.

主动脉瓣狭窄是指主动脉瓣上的钙沉积, which causes it to narrow and reduce blood flow to the rest of your body. 这是一种会使心脏衰弱的严重疾病, damages your health, 让你很难去做你想做和需要做的事情. 主动脉狭窄是一种进展性疾病. The only way to treat severe aortic stenosis is with an aortic valve replacement. Although not everyone with this condition will have symptoms, it will get worse over time.

Heart Valves_Slide 7

 

主动脉狭窄的症状包括:

  • Fatigue
  • Shortness of breath
  • Chest pain
  • 短距离行走困难
  • Rapid heartbeat
  • Swollen ankles and feet
  • 不参与你曾经喜欢的活动
  • Feeling dizzy or lightheaded
  • Difficulty sleeping
  • Fainting

TAVR与标准阀门更换有何不同?
Previously, 瓣膜置换术需要通过“胸骨切开术”进行心内直视手术，在这种手术中，胸部被手术分离(打开). The TAVR procedure can be done through very small openings that leave all the chest bones in place.

TAVR手术并非没有风险, 但它为几年前可能还不适合治疗的人提供了有益的治疗选择, while also providing the added bonus of a faster recovery in most cases. A patient’s experience with a TAVR procedure may be comparable to a balloon treatment, 甚至在停机和恢复方面的血管造影, 住院时间较短(平均3-5天).

How does it work?
有点类似于放在动脉里的支架, TAVR方法通过腹股沟的一个小切口，通过导管将一个完全可折叠的替换瓣膜送到瓣膜部位. 一旦新瓣膜扩张, it pushes the old valve out of the way and takes over the job of regulating blood flow.

谁适合做这种瓣膜手术?
In 2015, TAVR获得了FDA的批准，用于有症状的主动脉狭窄患者，他们被认为是标准瓣膜置换术的高风险患者. 目前，所有风险类别的患者都可以使用该手术. 对于主动脉瓣修复选择有限的患者，TAVR是改善生活质量的有效选择.

The core of the TAVR Heart Team at Medical Associates includes cardiologists Rami Eltibi, MD, and R.S. Ramabadran医学博士和心胸外科医生Lance Bezzina医学博士. This team is assisted by anesthesiologists, and experienced nurses and staff.

For more information about the TAVR procedure at Medical Associates, visit our website at www.csypjx.com/TAVR.

 

 

如何在冬季使用加湿器保持健康

Winter brings about several health challenges ranging from flu bugs to winter blues. There are several viruses currently spreading at higher-than-normal rates such as RAV, influenza, and Covid-19. If you’re looking to minimize you or your family’s risk of getting sick this winter, setting up a humidifier might be your best bet for improving indoor air quality. 下面听听我们的专家如何在冬天使用加湿器来改善你的健康，以及在家里安全使用加湿器的小贴士.

干燥的冬季空气会严重损害你的鼻子和肺. 它会使过敏或哮喘等现有疾病恶化. 呼吸干燥的空气会使你的鼻窦干燥. While a less runny nose might sound nice, it’s not ideal for fighting off germs. 鼻腔中适量的粘液有助于锁住细菌，并在它们感染你之前将它们驱逐出体外.

When we do cough, sneeze, or even just talk, the water droplets released stay afloat longer and travel farther in dry air. 研究表明，悬浮在空气中的病毒颗粒在相对湿度较低的空气中可以存活更长时间, 让病毒和细菌更有效地传播.

Humidifiers are devices that release water vapor to increase moisture levels in the air. 家中理想的湿度应该在30%到50%之间. 加湿器有几种不同的类型. 你可能在家里的加热和冷却系统中安装了一个. 如果不是，建议使用冷雾加湿器. 找一个有内置湿度计的, 测量湿度水平的设备, 这样你就能知道自己什么时候达到了理想水平. If you need to purchase a hygrometer separately, any hardware store should carry them.

Cool mist humidifiers are the ideal choice if you have children or pets. 与温暖的雾模型密切接触会引起烧伤. 在孩子的房间里放置一个凉爽的喷雾加湿器(放在孩子够不着的地方)可以帮助软化和稀释让他们鼻子不通气的液体. However, keeping your humidifier clean is essential to keep mold from growing inside. 过敏或免疫系统受损的人在使用加湿器前应咨询他们的初级保健提供者. Try following these three simple steps to ensure your device is in proper working order:

  1. Change the water. 细菌可以在死水中生长. Unplug the machine, empty the tank, dry the inside surfaces, and then add new water each day. 我们建议用“纯净水”或“蒸馏水”装满水箱. Tap water has a higher mineral count which can promote bacteria growth.
  2. Disinfect the tank. 每3-5天清洗一次机器. 在干燥和更换水之前, use a disinfectant to clean the tank and any parts of the machine that water passes through. 然后彻底清洗，以确保这些清洁化学品不会从机器上通过空气传播. 如上所述，干燥并重新填充机器.
  3. Change your filter. 如果你的加湿器有过滤器, 至少要像制造商建议的那样经常更换, or once a month. All homes with humidifiers built into their HVAC systems will have a filter to change.

When kept clean, using a humidifier at home can help improve indoor air quality. 对抗干燥空气有助于改善你的呼吸和呼吸系统，也有助于缓解嘴唇干裂、皮肤和眼睛干燥. 它还可以帮助那些流鼻血和打鼾的人. 稍加细心的保养, you can help relieve a dry cough or nasal congestion and stay healthier this winter.

 

Sources:
http://www.healthychildren.org/
http://www.nih.gov/
http://health.clevelandclinic.org/