Internal Medicine

Well Woman Exams

It is recommended that a comprehensive Well Woman Exam be performed for adult women on a routine basis. At Enliven Medical Clinic, this visit is educational with preventive measures. It includes a pelvic exam, breast exam and pap test for cervical cancer screening based on guidelines.  Methods of contraception are discussed and offered as needed.

At Enliven Medical Clinic, we maintain a sensitive and caring approach during this visit.  Before every patient’s clinical exam, their concerns are addressed, and questions are answered in detail by the physician in a relaxed and private setting.  This is followed by a very understanding and comprehensive history taking which includes a complete summary of the woman’s medical, surgical, social, and family history.

Specific questions are asked in order to obtain accurate information. As an example, some patients may not include miscarriages or abortions when asked about past pregnancies. Or some patients will equate undergoing a pelvic examination with having a Pap test, and erroneously state that this test was recently performed. Other patients may make inaccurate assumptions about whether their ovaries or cervix were removed with a hysterectomy. This is where a proper education by the physician is helpful.

The process of history taking focuses on patient complaints and concerns as well. The most common gynecologic concerns relate to vaginal discharge, abnormal bleeding, pelvic pain, urinary problems, sexual dysfunction, and infertility. When a woman identifies one of these issues, detailed questioning can guide further evaluation and diagnosis. If more specific treatment or evaluation is required, Enliven Medical Clinic is connected with excellent specialists in the area with the same dedication and commitment.

Primary Care

Quality health care for individuals includes two fundamental elements: appropriate treatment for current illness and appropriate preventive care to lessen future health decline. Even when you are not sick it is important to visit your doctor regularly to maintain optimal health.

At Enliven Medical Clinic, we address preventive measures before an issue can develop into a serious area of concern. Regular annual check-ups for wellness are necessary, and to monitor chronic conditions such as cardiovascular disease and diabetes, a more regular schedule may be needed.
 

Did you know that you should start regular cardiovascular risk assessments as early as 20 years old?  Blood pressure screening is also recommended for all adults and is measured at every visit.

The major risk factors for heart disease that are modifiable include:

• Diet
• Smoking
• Hypertension
• High blood cholesterol levels
• Obesity
• Physical activity
• Diabetes mellitus
   

Did you know that uncontrolled diabetes can damage multiple vital organs and systems in your body?  This can be prevented by proactive health maintenance.

By starting preventive measures at a young age, you can avoid chronic diseases altogether or minimize the severity.  Screening includes physical examination, blood tests and imaging such as x-rays and CT scans, as indicated. Blood tests can be performed to screen for cancers, diabetes, sexually transmitted disease, and early indicators of heart disease.

At Enliven Medical Clinic we are here to care for you when you are not feeling well with a team of compassionate, well-trained physician and staff. Same-day sick visits are available when needed. Basic diagnostic tests can be performed in office, or for your convenience samples may be collected for further testing.  Appropriate instructions are given, and treatments prescribed to get you feeling better and back to your full potential as soon as possible.

Geriatric Care

The profile of aging in the United States has changed dramatically over the last century. Definitions of health and wellbeing in late life have changed with increase in life expectancy. Heart disease, cancer, and stroke have become the leading concern among older adults.

Decline in function and loss of independence are not an inevitable consequence of aging. Given the high prevalence and impact of chronic health problems among older patients, Enliven Medical Clinic utilizes evidence-based interventions to address these problems to maximize both the quantity and quality of life for older adults.

SHORT-TERM ISSUES

Focus on immediate needs to maintain or restore current health status; may be the sole focus for patients at the end of life.

• Symptom management
• Care coordination
• Personal safety
• Evaluate the living situation

MID-RANGE ISSUES

Address needs over the subsequent one to five years.

• Preventive care
• Disease management
• Psychological issues
• Coping strategie

LONG-TERM ISSUES

For older adults who are currently healthy and high-functioning.

• Plans to be implemented to maintain the highest quality lifestyle
  We consider each individual patient’s health status, preferences, and priorities in management of the issues discussed above.

 

Comprehensive Screening

Our best plan of action against so many illnesses.

MALIGNANCIES/ CANCERS
A number of measures can be taken to prevent cancer, including but not limited to:

• Avoidance of tobacco
• Being physically active
• Maintaining a healthy weight
• Eating a diet rich in fruits, vegetables, and whole grains, and low in saturated/trans fat
• Limiting alcohol consumption
• Protecting against sexually transmitted infections
• Avoiding excess sun
• Getting regular screening at your Primary Care Physician office

At Enliven Medical Clinic, each patient’s health, social and family history are evaluated to be sure the appropriate screenings are performed and repeated at suitable intervals for cancers such as:

• Blood cancer (i.e. Leukemia, Lymphoma)
• Breast cancer
• Colorectal cancer
• Cervical cancer
• Lung cancer
• Prostate cancer
• Skin cancer (i.e. BCC, SCC, and melanomas)

Take a step in right direction and call today to schedule an appointment at Enliven Medical Clinic.