JNC7 vs JNC8 New Blood Pressure Guidelines

What Should My Blood Pressure Target Be? Published online in the AHA’s Hypertension journal, the new 2017 guideline covers detection, prevention, management and treatment of high blood pressure (HBP). Specifically, it calls for HBP to be treated with lifestyle changes and with medication as needed beginning at 130/80 mmHg rather than the previous commonly accepted threshold of 140/90 mmHg. The authors said they anticipate the new guideline will primarily affect younger adults — with the prevalence of HBP expected to triple among men younger than 45 and to double among women younger than 45. Even so, they noted that there should only be a small increase in the number of U.S. adults who will require antihypertensive medication.  After reviewing the data, I plan to embrace the guideline with enthusiasm.  As far as I can tell, thoughtful, measured interventions the benefits far outweigh the risk.  Even in the frail elderly with bp >110/70 numerous studies (HYVET and SPRINT) have shown lower mortality when a bp < 120/80 is achieved.  More on this later. According to the AHA, the new threshold will lead to 46 percent of the U.S. adult population being categorized as having hypertension. Using the previous threshold, that figure was 32 percent of American adults.  Similar to previous years, 30% of adults don’t know they have hypertension and about 40% are not at their goal.  In fact, an estimated 12.6% have BP> 160/100. Is Hypertension with age a normal process? Hypertension does increase with age.  According to many patients and doctors in the early 1970s, this was considered normal.  But it is certainly not healthy.  A study from...

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Kaiser HMO Exchange Plan

Starting on January 1, 2018 the providers at Family Practice Center will be accepting the Kaiser HMO Exchange Plan. With the exit of the BCBS exchange products from the metro Atlanta area, we are committed to providing excellent care to the Kaiser patients. Below are samples of the ID cards that will be accepted at Family Practice Center.   We look forward to welcoming you to the Family Practice Center family. Please call our office today to make an appointment. Start your 2018 year off right with a dedication to better health! Welcome...

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Exercise is Key

Exercise is Key

If there was a medication you could take that improved energy, sleep, libido, and confidence level all while reducing your risk for diabetes, heart attack, stroke and osteoporosis would you take it?  Great news, there is just such a treatment out there: Exercise! In line with guidelines from the American College of Sports Medicine and the American College of Cardiology, the providers at Family Practice Center strongly encourage our patients to stay healthy by getting at least 150 minutes of exercise every week.  Exercise is absolutely one of the key components to a consistent approach to healthy living. Check out this great article and video to get more info and insight onto the power of regular exercise.  At Family Practice Center, we’re happy to talk to about starting an exercise program or even about how to change your routine up a little. Now, go get sweaty!   Video: How much exercise do I really need?  ...

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Breast Cancer Awareness

Most of us know that October was breast cancer awareness month. Worldwide breast cancer is the leading type of cancer in women. It is more common in developed countries and the survival rate are also higher in developed countries due to cancer detection. Outcomes for breast cancer are variable depending on exact type of cancer as well as the extend of the disease. The earlier the detection and subsequent treatment the less extensive the disease and the higher the survival rate. There are a number of screening test that have been employed to detect breast cancer. The most commonly recommended screening test is a mammogram. Mammography is basically x-rays taken of the breast.  It is suggested to be done yearly starting at age 40. However, there are also a number of other screening tests including self breast exams, ultrasound, magnetic resonance imaging (MRI), and genetic testing that are used to find breast cancers. So, this month in an effort to “save the tatas”  we are encouraging all women 40 years of age and older to get...

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Emory Physician Preceptors

Emory Physician Preceptors

All 3 physicians at Family Practice Center are currently or have been adjunct professors of Medicine at Emory Medical School. We are honored to be asked to be teachers of Family Medicine at the top medical school in the Southeast. Our ongoing affiliation with the medical school community allows us to remain current with the latest in healthcare research and diagnostic testing to ensure our patients get the best care possible. We are proud to train the next generation of Medical Doctors in the best practices at Family Practice...

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Occasional Anxiety

Occasional anxiety is a normal part of life. Life is stressful for many of us and experiencing symptoms of worry, irritability, and fatigue related to this anxiety is common. However, people with anxiety disorder often have intensive, excessive, and persistent worry and fear about everyday situations. Anxiety disorder may involve repeated episodes of intense anxiety, fear, and terror that reach peak after a few minutes (panic attacks). These episodes of panic and anxiety interfere with daily activities and are difficult to control. They are out of proportion to the actual danger and can last a long time. Anxiety disorders include generalized anxiety disorder, social anxiety (social phobias), and separation anxiety disorder. Sometimes anxiety results in a medical condition that may need treatment. These symptoms can be treated very effectively with non-habit-forming medications that are inexpensive and well tolerated. Symptoms may also be helped with psychotherapy. Whatever form of anxiety you have, we can assist in the evaluation and treatment. By James H. Wheeler,...

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Could someone you know have ADD?

Could someone you know have ADD? Maybe they’re impulsive, inattentive or disorganized. People with inattention may procrastinate, may not complete tasks like homework or chores, or may frequently move from one uncompleted activity to another. They might have a hard time paying attention to details and tend to make careless mistakes. They may have difficulty staying on topic while talking and listening to others and have difficulty following social rules. They may also be forgetful about daily activities (for example: forgetting appointments, neglecting to pack a lunch, etc.) Inattentiveness and impulsivity are key behaviors in ADD. It is normal to have some inattention during focused activity, but in ADD it is more severe, occurs more often, and interferes with or reduces quality of social function and job activities. While there is no cure for ADD, current treatments available at Family Practice Center can reduce symptoms and improve functioning. The medications are safe when used as directed by providers.  We are able to direct treatment and monitor therapy. Contact us if you or someone you know could benefit by an assessment and evaluation for...

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Exercise as Medication

If there was a medication you could take that improved energy, sleep, libido, and confidence level all while reducing your risk for diabetes, heart attack, stroke and osteoporosis would you take it?  Great news, there is just such a treatment out there: Exercise! In line with guidelines from the American College of Sports Medicine and the American College of Cardiology, the providers at Family Practice Center strongly encourage our patients to stay healthy by getting at least 150 minutes of exercise every week.  Exercise is absolutely one of the key components to a consistent approach to healthy living. Check out this great article and video to get more info and insight onto the power of regular exercise.  At Family Practice Center, we’re happy to talk to about starting an exercise program or even about how to change your routine up a little. Now, go get sweaty! http://edition.cnn.com/2017/03/29/health/how-much-exercise-metzl/index.html https://www.youtube.com/watch?v=aUaInS6HIGo  ...

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Sunburns

Sunburns

A painful and bothersome side effect of summers spent at beaches, lakes, and parks can be sunburn. Unfortunately, hours spent outside can result in red, painful skin. It is also possible to develop swelling and blisters

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