Fuel with Fiber!

All of us have been told to add fiber in our diet. This is because there are so many health benefits and most Americans only get about half of the recommended fiber per day. Lets breakdown the details of fiber and why it is an essential part of our diet.

What is Fiber?

· It is a type of carbohydrate. Don’t panic! Most carbs are broken down into sugars, which we associate with diabetes and being bad for our health. Fiber cannot be broken down into sugar and instead has a positive effect on our body!

Some Benefits of Fiber:

· Reduces the risk of heart disease and diabetes.

· Lowers cholesterol.

· Helps prevent constipation.

· Aids with weight loss.

How much do we need?

· Approximately 25-35 grams/day.

A nutrition label explaining Fiber.

What are good sources of fiber?

• Whole grains, fruits and vegetables, beans, legumes, nuts, and seeds.

Tips to increase Fiber in your diet:

• Skip fruit juices and eat whole fruits instead!
• Substitute white rice, bread, flour, and pasta for whole grain alternatives.
• Add fiber slowly into your diet and it’s very important to increase water intake as you increase fiber.
• Still need help getting fiber in your diet? There are over the counter fiber supplements that come in variety of forms.

Fiber can be an easy addition to your diet to help meet your healthcare goals this 2021!

Melanie Shockley, DNP

Patient-Driven Affordable Healthcare

Pink Isn’t the Only Color

Cervical Cancer Awareness is this month.

Direct Medical Care’s newest nurse practitioner, Jessica Whiteman, addresses what you need to know:

Patient-Driven Affordable Healthcare

COVID-19 Preparation

When the pandemic hit in early spring, I commented that you should assume you will get the coronavirus. It is not a matter of if you get the virus, but when you will get it. If you happen to not get it, count yourself lucky.

So what have you been doing the last six months to prepare? I am not talking about wearing a mask. I am not talking about staying six feet apart. I am talking about what have you done to better your health to better prepare your body to fight the coronavirus?

What should you have been doing these past six months to prepare?

• Eating Healthy
• Achieving/Maintaining a Healthy Weight
• Getting Good Sleep
• Exercising
• Managing Stress
• Managing Medical Issues
• Building your Immune System–zinc, vitamin C, vitamin D, elderberry

If you have not engaged in your health there is no better time to start–not just for the coronavirus but for life.

Ann Riggs, DO

Patient-Driven Affordable Healthcare

My Epiphany as a Doctor: Navigating Today’s Healthcare for My Own Family–Part 2

When the Doctor’s Family Needs Medical Care

My husband Craig had been complaining about his right shoulder hurting the summer of 2017.  To be the spouse of a doctor can be challenging because getting my attention medically can be tough at home.

We had tried conservative care with ice and ibuprofen for months.  We tried cold laser therapy. We even tried steroid injections with minimal relief.  He had significantly modified his activities due to the pain. 

The final straw:  he could no longer play catch with his daughters.

We got an MRI of his shoulder scheduled.  Our cash pricing through our Midwest Direct Primary Care Alliance was $240.00 cash at a local free-standing imaging clinic.

The MRI revealed no full thickness tear of the rotator cuff but there was a partial tear with joint effusion and chronic tendinosis and tendinopathy.

I consulted an orthopedic specialist online through Rubicon MD who recommended surgical evaluation over continued conservative care.

An online referral was started with the Surgery Center of Oklahoma.

In January 2018 Craig was set-up for a surgical consult late Thursday afternoon with anticipated surgery the following Friday morning in Oklahoma City.  We braved the typical January weather from KC to OKC.

After reviewing Craig’s case, the anesthesiologists/owners of the Surgery Center of Oklahoma hand-picked Dr. Couppens as the surgeon.  This former US Olympic team doctor met with Craig and modified the surgical plans with him given the magnitude of adhesive capsulitis(aka frozen shoulder) that had developed.
The next morning we arrived bright and early for surgery.  While Craig was being attended to I got to enjoy the company of Dr. Keith Smith and Dr. Steven Lantier the masterminds behind the Surgery Center of Oklahoma and the pioneers in the movement for price transparency.

The surgery was deemed a success and we drove home later that day.  The road to recovery included lots of rehabilitation over the next several months and we are now happy to report Craig is once again playing catch with his daughters.

 

Ann Riggs, DO

Patient-Driven Affordable Healthcare

 

 

My Epiphany as a Doctor: Navigating Today’s Healthcare for My Own Family–Part 1

Giving up Traditional Health Insurance

I had blogged about them and had seriously considered them–cost sharing plans.

I resisted giving up my traditional health insurance because of the beauty of the triple tax savings with the Health Savings Account(HSA) that I married to my high deductible plan.  I saw such value in that piece that I lost out on the bigger picture–saving money without sacrificing care.

What changed?

I paid for my daughter’s surgery out of pocket in 2016 when the cost for the negotiated insurance pricing was higher than actually just paying cash.

I saved almost $1200 by paying cash.  Click to see the details in my previous blog.

AND

My traditional high deductible healthcare insurance plan I carried in 2016 was increasing from $820.00 per month to $2100.00 per month. 

The plan was not only going up by $1280.00 per month but it offered less coverage and had a higher deductible. 

The decision to move to the cost sharing plan was easy at this point.  We chose to go with Liberty HealthShare

Our cost became $450.00 per month for our family of four and our out-of-pocket portion or unshared amount(deductible) became $1500.00 annually.

Ann Riggs, DO

Patient-Driven Affordable Healthcare

 

Setting the Stage for my Next Blog Series…

My Epiphany as a Doctor: Navigating Today’s Healthcare for My Own Family…coming soon!

 

 

 

Ann Riggs, DO

Patient-Driven Affordable Healthcare

Specialists at Your Service

We Do Know a Little Bit about a Lot…

As family practitioners we are expected to know a wide range of topics and health conditions.   And while we pride ourselves on knowing as much as we can about all things medical, it is impossible for us to know all the intricacies of specialty medicine.   We realize that a physician or colleague that focuses on one area of medicine has insight in that area that we might not have.

 

 

A Team of Specialists

Never fear at Direct Medical Care we have a team of hundreds of specialists available to us for consultation.

 

 

Rubicon MD

Over the past year we have been utilizing an online service called Rubicon MD.  It is an online eConsult platform that gives us access to hundreds of specialists and subspecialists in medicine.   What often takes three to six months to get consultation we can get in less than 24 hours.   Not to mention the cost to see that specialist after that long wait is estimated to exceed $200.

Quality Care that is Timely

Last night I was reminded what an incredible offering it really is for our patients:

I had an interesting case that had me puzzled and decided to ask the specialist via Rubicon MD for some input and guidance.   I put together the clinical history and data at 6PM and had a response by 9PM.   The patient’s case was reviewed and reassurance that we were managing things correctly with added precautions on what to do moving forward.

Better care for patients that is affordable and timely is another added bonus at Direct Medical Care.

 

Ann Riggs, DO

Patient-Driven Affordable Healthcare

 

 

Welcome Dr. Parker to the Team!

On the eve of Dr. Parker’s first day in the clinic at Direct Medical Care I thought it only appropriate to share a little more information on her. Check out her bio:

Dr. Parker was born and raised in the Kansas City area.  She is one of six children of Dr. and Mrs. C. Phillip Pattison who reside in Weston, Missouri. After spending her freshman year of high school at Shawnee Mission Northwest she moved with her family to Rolla, Missouri where she graduated from Rolla High School in 2001. She returned to Kansas City later that year to attend the University of Missouri-Kansas City, School of Medicine. Upon graduation, she was chosen as the recipient of the Society of Academic Emergency Medicine Award. Dr. Parker spent one year at the University of Indiana Emergency Medicine Program in Indianapolis. After a year of Emergency Medicine training she chose to return to her passion for primary care medicine. She completed a residency in Family Medicine, followed by a Fellowship in Geriatric Medicine at St. Vincent Hospital. During her time in Indianapolis, Dr. Parker married her husband, Dr. Matthew Parker, and had three sons. Dr. Parker and her family returned to the Kansas City area in 2013 and they reside in Weston, Missouri.  She was employed as a Family Medicine physician at the Cerner Corporation through August 2017. During her time at Cerner she was the recipient of multiple patient service excellence awards. Dr. Parker chose to pursue a new path in medicine by joining Dr. Ann Riggs, Beckie Moore, and staff in her Direct Medical Care clinic in January 2018.  Dr. Parker is thrilled to be providing affordable, comprehensive, and most importantly, compassionate care for her patients. 

Welcome to Dr. Parker and her family to Direct Medical Care and our community!

 

Ann Riggs, DO and Staff

Patient-Driven Affordable Healthcare

Cold? Flu? What to Do??

Cold? Flu?

What to Do??

This is the time of year that patients come in with many questions about the cold and flu. Should I get the flu shot? What happens if I get the flu? What do I do for the common cold? Though there are many things you can do to avoid catching these nasty viruses this winter, there is one remedy in particular that everyone should know about. Black elderberry has a long history of use in colds, and several studies in humans have shown that black elderberries not only reduce the severity, but also the duration of influenza. As a matter of fact, when the H1N1 flu was going around, the National Institute of Health screened a wide range of natural products to see if they had antiviral activity, and black elderberry ranked very high. Black elderberry has both antiviral and antibacterial properties, having effectiveness against influenza A, influenza B, and several gram positive and negative bacteria. Elderberry can be safe and effective for many of the common respiratory complaints people have during the cold and flu season. It’s safe for children, and safe for adults as well, making elderberry an essential member of your medicine chest this winter. I personally get my elderberry from www.mindfullymadeforyou.com to support local small business!

 

Beckie Moore, APRN

Integrative Medicine Fellow

Patient-Driven Affordable Healthcare

Baby Boomers Beware

The Scare

The recent commercial promoting screening for hepatitis C in the Baby Boomers has scared many of my patients and their friends. Scare tactics usually work for a desired action, but is this really necessary?  I would argue it is not.

Hepatitis C Commercial

The Facts

Hepatitis C is a virus that is transmitted by blood exposure.  It is estimated that almost 3.2 million people in the United States have the virus.

The hepatitis C virus can cause liver damage, can cause cancer, and can cause death because of the liver damage or cancer.  You can also have the virus and never develop symptoms.

Risks for acquiring hepatitis C:

tattoos, blood transfusions, organ recipients, accidental needle sticks, IV drug use, and sexual intercourse

 

 

 

My Thoughts

Pharmaceutical companies that have a vested interest in the drugs used to treat hepatitis C have a lot to profit with increased diagnosis.  With increased screening, we get increased diagnosis which leads to increased usage of medications which leads to huge monetary gains for the pharmaceutical companies.  While we do not include hepatitis testing in our routine labs we do recommend annual evaluation of liver enzymes which indirectly looks for the presence of hepatitis C.

And while I have certainly lost patients from a variety of disease processes, I have never had a patient die from hepatitis C…don’t be scared regarding this issue, talk to your doctor.

 

Ann Riggs, DO

 

Patient-Driven Affordable Healthcare