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At Sillect Medical Centers, we want to assist you in managing your health holistically, so we focus on you as a whole person, not just a collection of symptoms and conditions. We take time to get to know you, tailor our care to your needs, and give you the highest level of communication, education and support. Our goal is to form a trusting and lasting relationship with you, our valued patient. Each of our exceptional healthcare providers can assist you to better manage all of your healthcare, including preventive care, acute conditions and chronic illnesses. We have four locations to serve you in Bakersfield, California.
At Sillect Medical Centers, we are dedicated to patient-centered medicine. Our goal is to establish a trusting relationship and assist you in managing your healthcare holistically. For patients that require more complex care due to chronic conditions, having a primary care physician helps to reduce the risk of fragmented care and poor clinical outcomes. Our providers will assist to coordinate care across a diverse array of multiple providers as well as a wide range of community support services.
To first establish a relationship with a provider in our practice, you will first undergo a thorough evaluation and physical exam. After your initial examination, your health information is easily accessible for any one of our providers to see and treat you for an acute or chronic care appointment if necessary. We provide care to children (age 8 and older), adolescents and adults for both acute and chronic health issues.
Acute conditions and issues we treat include, but are not exclusive to:
Chronic conditions and issues we treat include, but are not exclusive to:
Providing care to adolescents can be challenging because teenagers are often struggling to make decisions on their own. They are in the transition between being children and adults and often do not want advice. Our providers work to speak in terms that adolescents can understand about acute or chronic issues as well as education regarding preventive medicine. We provide comprehensive, primary care for adolescents ages 12 to 21. Some 10 and 11 year olds are treated if developmentally mature.
Services available include:
We respect the privacy of your adolescent/teenager, so all discussion of care especially those on topics of STD’s, drug use, and birth control remain confidential. We do know, though, that it is very important to talk honestly about any risks associated with such behaviors.
Medicare and Comprehensive Primary Care are committed to improving your healthcare within our practice and improving the coordination of your care with other healthcare providers. To reach that goal we encourage all our Medicare patients to schedule an Annual Wellness Visit and enroll in our Chronic Care Management Services¬ (CCM) — both covered benefits for Part B recipients! As always, we are dedicating to working with you and thank you for trusting us with your healthcare needs!
Annual Wellness Visits are good for your health, help ensure more of your health needs are met, and are highly encouraged by Medicare for all Part B recipients.
Chronic Care Management Services (CCM) are provided to improve the management of chronic conditions and pays your provider’s office when we provide and document 20 or more minutes of additional care outside of a traditional office visit in a given month. This is good for you because we can do more than ever to help manage your chronic conditions, and hopefully prevent hospital and ER visits. And for the first time, our office can be compensated for providing these premium services. Here are some facts about the Medicare CCM service benefit:
If you have two or more chronic conditions and you are interested in receiving these premium services to help improve your overall health and prevent illness, talk with your provider or one of the clinical staff today.
A diagnostic test is any kind of medical test that our providers order to be performed to aid in the diagnosis or detection of disease. We offer several diagnostic tests that can be done on-site at one of our locations for your convenience.
Our onsite diagnostic tests include:
In order to ensure quality collection of blood specimens, we partner with Foundation Laboratory at each of our locations to assist with the drawing of blood. Your blood specimens will then be analyzed for the specific ordered tests. Some tests share very precise and informative results for a specific condition, where others provide general information that may help to rule out a particular condition or disease. It is important that you understand each test that is being ordered and why. We encourage you to ask such questions while you are visiting your providers:
Ultrasound is a type of imaging that uses high-frequency sound waves to look at organs and structures inside the body. Our providers use it to view the heart, blood vessels, kidneys, liver, and other organs. At CPC we perform ultrasounds with the Abdomen, Pelvic, Aortic, Arterial, Venous, Thyroid, and Carotid to assess for any abnormality. Ultrasound is used to help our providers evaluate symptoms such as:
This is a painless and safe procedure that is done while you lie on the exam table. A transducer probe covered with gel will be moved over your skin in the area that is being assessed.
If you are having difficulty with breathing or other symptoms, your physician may order Pulmonary function tests are a group of tests that measure how well the lungs take in and release air as well as how well they move gases such as oxygen from the atmosphere into the body’s circulation. This test is done with a spirometer, that measures how much air you exhale, and how quickly. Spirometry can evaluate a broad range of lung diseases, so serves as a good baseline test. To prepare for this test it is important to refrain from eating a large meal prior to the test nor smoke for 4-6 hours before the test. Your provider may order this test to help:
This exam/test for women is a screening test for detecting cervical dysplasia, or precancerous changes. Cells scraped from the opening of the cervix are examined under a microscope. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina. Detecting this cancer early in women offers a better chance of a cure. This preventive procedure is generally painless and usually done during a pelvic exam. Your provider will position you on the exam table and insert a device called a speculum into your vagina. This allows for a better view of the cervical area to allow the provider to swab your cervix with a brush or cotton swab to collect cells from the surface. These cells are then sent to the lab for analysis.
An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. An echocardiogram allows doctors to see the heart beating. It also shows the heart valves and other structures. This test may be ordered by your provider to help to diagnosis one of the following:
An electrocardiogram (EKG or ECG) is a test that checks for problems with the electrical activity of your heart. An EKG shows spikes and dips in a line tracing that reflects the heart’s electrical activity. An EKG may be ordered by your provider:
Vascular disease may be present without any of the warning symptoms. A preventative screening test has been found to be a valuable tool to detect the presence of serious vascular disease. These screenings are painless and noninvasive that can find unsuspected conditions such as carotid disease or leg artery blockages, or aortic aneurysms. Symptoms of vascular disease can include: Stroke (numbness, weakness of face, arm, or leg, sudden confusion or trouble speaking, sudden difficulty walking, loss of balance, severe headache) Heart attack (chest pain or pressure, discomfort in one or both arms, back, neck, or shoulder, shortness of breath, cold sweat with nausea or light-headness) Aneurysm (chest pain and back pain) Peripheral Vascular Disease (PAD) (painful cramping in hips, thighs or calves when walking or climbing that stops when activity stops, discoloration of the foot, decrease in temperature of the lower leg or foot) Vascular screening is beneficial for those at increased risk for a given vascular disease.
You may be at an increased risk for Abdominal Aortic Aneurysm if you are:
You may be at an increased risk for Stroke & Carotid Artery Disease if you:
You may be at an increased risk for Peripheral Arterial Disease (PAD) if you:
Whether you need a flu shot, school vaccinations, or other inoculations, we are able to provide you and your family with the necessary immunizations necessary to maintain your health.
Our practice prides itself in providing you and your family members with the influenza vaccine. Influenza is a contagious disease that spreads itself amongst people throughout the United States. It is commonly spread by coughing, sneezing and close contact to individuals of all ages. Statistics have shown, though, that the risk of getting the flu is the highest in children. Symptoms of the flu include:
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.
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