Our primary mission is to provide the highest level of care to our patients in a courteous and professional environment. We hope to respond to our patients’ needs with warmth, respect, and understanding. We have a dedicated team of providers who are committed to the care of every member of the family. We promise to provide a staff of knowledgeable, supportive, and caring personnel who are committed to excellence.
A physical examination, medical examination, or clinical examination is the process by which a medical professional investigates the body of a patient for signs of disease. It generally follows taking of the medical history—an account of the symptoms as experienced by the patient. Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan. This data then becomes part of the medical record.
Obesity is one of the greatest public health challenges worldwide. It is not only a medical but also a philosophical, ecological, economic, sociocultural, and psychological problem. The primary goal of weight management in primary care is to reduce the morbidity and mortality of overweight or obese patients and to improve psychological well-being and social function. To achieve this reduction in morbidity or mortality, the risks inducing these have to be decreased. In general, obesity interventions are used for patients with an increased risk of morbidity or mortality. Many medical complications associated with obesity can be improved by intentional weight loss. The treatment should be tailored to the patient's individual needs and risk profile.
Cigarette smoking harms nearly every organ of the body, causes many diseases, and reduces the health of smokers in general. Quitting smoking lowers your risk for smoking-related diseases and can add years to your life. Primary care providers who offer counseling and arrange follow-up sessions for patients can help increase the chances of smoking cessation after lung screenings, according to research from the National Lung Screening Trial (NLSN). Our providers take a keen interest in promoting smoking cessation and guide their patients with current smoking status ways to quit smoking.
Women have unique health issues. These unique issues include pregnancy, menopause, and conditions of the female organs. Also, some of the health issues that affect both men and women can affect women differently. Our providers are qualified to care for these unique health issues that affect women.
There is so much to know about the woman’s body. And as your body changes with time, you are bound to have questions you never thought of before. You can come here to explore a range of women’s health issues.
Get help with decisions and common concerns on topics such as:
A pap smear is a diagnostic test for cervical screening that can detect potentially pre-cancerous and cancerous processes in the endocervical canal. This test is performed by opening the vaginal canal with a speculum during a physical exam, and collecting cells from the outer opening of the cervix of the uterus and the endocervix with a swab. The cells are examined under a microscope to look for any abnormalities. It is very important for each women to have a pap smear annually as part of their women’s routine visit.
What Causes an Abnormal Pap Smear
Abnormal cell changes in the cervix and endocervical canal can be caused by certain types of human papillomavirus (HPV), other types of bacterial or yeast infections, smoking, an impaired immune system, or menopause. These cell changes may go away on their own or can be successfully treated.
But, certain types of HPV have been linked to cervical cancer. It has been reported that with regular screenings and appropriate follow up care, death from cervical cancer can be reduced by 80%.
Premenstrual syndrome (PMS) refers to a varied collection of physical and emotional symptoms during part of a woman’s menstrual cycle. There are more than 200 reported symptoms of PMS including stress, anxiety, difficulty in falling asleep (insomnia), headache, fatigue, mood swings, increased emotional sensitivity, changes in libido, bloating, lower back pain, abdominal cramps, constipation/diarrhea, swelling or tenderness in the breasts, cyclic acne, joint or muscle pain, and food cravings.
The American College of Obstetricians and Gynecologists estimates that at least 85 percent of menstruating women have at least one PMS symptom as part of their monthly cycle. Most of these women have fairly mild symptoms that do not need treatment. Others (about 3 to 8 percent) have a more severe form of PMS, called premenstrual dysphoric disorder (PMDD).
The causes of PMS are not clear, but changes in hormones during the menstrual cycle seem to be an important cause. Some other possible causes include:
The menstrual cycle has a definite impact on the development of migraine headaches for some women. Approximately 50% of women have reported migraines associated with their menstrual cycle. A woman’s body has many biological changes that produce a widespread effect on their body. Some women are more sensitive to the fluctuations within the menstrual cycle. Studies suggest that migraine can be triggered by a drop in estrogen levels, such as those which naturally occur in the time just before your period. Often the migraine will occur anywhere between two days just prior to menstrual period onset through the first three days of menstruation.
There are no tests available to confirm the diagnosis, so the only accurate way to tell if you have menstrual migraine is to keep a diary for at least three months recording both your migraine attacks and the days you menstruate.
This will also help you to identify non-hormonal triggers that you can try to avoid during the most vulnerable times of your menstrual cycle.
Minor surgery in primary care has long been held to be cost-effective and popular with patients. Minor surgery procedures in primary care include the following:
These procedures can be carried out:
Informed consent requires full information on the proposed treatment, alternatives and possible complications including, for example, a measured opinion about the cosmetic result. Standardized information sheets can be useful.
The following techniques form the basis of minor surgery provision under additional services:
Planning to travel abroad? We know it can be overwhelming, but we’re here to help you with your travel vaccinations and offer travel health advice. We offer pre-travel counseling and immunizations.
While vaccination is the primary focus of the travel medicine department, your provider can also provide advice on consuming potable water and food. Travel consultations are based on the recommendations of the CDC.
Below are a list of common travel vaccinations and immunizations. Please note that this list is not conclusive. Please visit the CDC's Travel Health page for complete information.
For more info, please visit the CDC website https://wwwnc.cdc.gov/travel
Anxiety and depression are psychiatric disorders frequently seen in family practice. It is advisable that primary care providers should evaluate the patients to look for any signs or symptoms of anxiety and/or depression. Catching these conditions and treat early on with medications and/or counseling can help improve the quality of life of the patients. Depression/anxiety if not treated can lead to far more serious health issues and can even result in death due to suicide. Our providers evaluate their patients using the NCBI recommended screening tool PHQ9 (health questionnaire) for criteria-based diagnosis of depressive disorders and measure the level of severity.
4813 Coffee Road, Suite 200, Bakersfield, CA 93308
Phone: (661) 664-0252
Fax: (661) 664-2717