At Southwest Internal Medicine, we try to manage your health holistically and focus on you as a whole person, not just your symptoms and conditions. We take time to get to know your medical issues, tailor our care to your needs, and give you the highest level of care possible through communication, education and support. Dr. Somsin-Salvo can assist you to better manage all of your healthcare, including preventive care, acute conditions and chronic illnesses. Dr. Somsin and our staff are experienced and well trained to provide you with the care you deserve. Our comprehensive, coordinated care is available for patients of all ages.
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.
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:
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.
All our providers are well-trained, experienced, and motivated in providing excellent care for acute conditions like cough, cold, flu, sore throat, cuts & rashes, broken bones, sprains & strains, headaches, urinary tract & upper respiratory infections, ear & eye infections, etc. Your doctor will consider any chronic condition management you may be on while creating a treatment plan for your acute condition. Medication reconciliation is done at each visit to make sure you get the most effective and best-suited treatment for your condition and symptoms.
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.
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.
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.
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.
Post-Hospital Discharge follow-up visit presents a critical opportunity for the primary care provider to address the conditions that precipitated the hospitalization and to prepare the patient and family caregiver for self-care activities. This visit includes a variety of services from reviewing the complete documentation from the hospital records to creating a plan for the patient and the caregiver to follow-through with the Discharge Instructions. Following checklist explains the typical workflow for these kinds of visits:
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
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:
As per CDC, heart disease is the leading cause of death for people of most ethnicities in the United States, including African Americans, Hispanics, and whites. For American Indians or Alaska Natives and Asians or Pacific Islanders, heart disease is second only to cancer. Based on your signs or symptoms, your doctor may recommend diagnostic testing to calculate any cardiac risk you may be at and create a plan based on the results. The following diagnostic tests may be used to calculate the cardiac risk:
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:
A stress test, also called an exercise stress test, shows how your heart works during physical activity. Because exercise makes your heart pump harder and faster, an exercise stress test can reveal problems with blood flow within your heart.
A stress test usually involves walking on a treadmill or riding a stationary bike your heart rhythm, blood pressure and breathing are monitored. Or you'll receive a drug that mimics the effects of exercise.
Your doctor may recommend a stress test if you have signs or symptoms of coronary artery disease or an irregular heart rhythm (arrhythmia). The test may also guide treatment decisions, measure the effectiveness of treatment or determine the severity if you've already been diagnosed with a heart condition.
Why it's done
Your doctor may recommend a stress test to:
Your doctor may use a stress test to help determine the timing of cardiac surgery, such as valve replacement. In some people with heart failure, stress test results may help the doctor determine whether you need a heart transplant or other advanced therapies.
Your doctor may recommend a test with imaging, such as a nuclear stress test or echocardiographic stress test, if an exercise stress test doesn't pinpoint the cause of your symptoms.
6001 Truxtun Ave, Bldg D, #400, Bakersfield CA, 93309
Phone: (661) 861-7937