- Emergency CarePlease note: If you are having signs or symptoms of a medical emergency, call 911 immediately. Do not waste valuable time trying to email a physician or staff member. Time is critical in emergency situations. Either call 911 or go to your nearest emergency room.
- ElectrocardiogramWhether or not you've felt symptoms, your doctor has probably heard your heart make a sound called a murmur. A murmur is usually present when you have a heart valve problem. To find out what kind of valve problem you have, your doctor may have ordered various tests, including an echocardiogram, an electrocardiogram, a chest x-ray, or cardiac catheterization. You may have taken medications to help treat your valve problem Now your doctor is recommending heart valve surgery. During this surgery, problem heart valves can be either repaired or replaced.
- ImmunizationsSchools. CCA may disclose proof of immunization to a school where State or other law requires the school to have such information prior to admitting the student, if CCA obtains an agreement, which may be oral, from a parent, guardian or other person acting in
- Kidney StonesExtracorporeal shock-wave lithotripsy (lith-OT'rip-see) (E.S.W.L.) is a noninvasive treatment that uses hydraulic shocks to dissolve kidney stones. This procedure may be done safely in most pacemaker patients, with some reprogramming of the pacing. You'll need careful follow-up after the procedure and for several months to be sure the unit is working properly. ESWL should be avoided in patients with certain kinds of pacemakers implanted in the abdomen. Discuss your specific case with your doctor before and after the treatment.
- Mental HealthState of Michigan has laws that may limit our rights to use and disclose your PHI beyond what we are allowed to do under the Privacy Rule. The categories of PHI that are subject to these more restrictive laws include substance abuse, communicable diseases, sexually transmitted disease and/or reproductive health information, HIV/AIDS-related information and mental health information, and we are allowed to disclose these types of information only (1) under certain limited circumstances and/or (2) to specific recipients. If your written consent is required under these more restrictive laws or if a use or disclosure of PHI in these categories is prohibited or materially limited by other laws that apply to us, it is our intent to meet the requirements of the more stringent law.
- UltrasoundA painless, non-invasive test, which uses sound waves, or "ultrasound," to produce a visual image of the heart. The test reveals any structural problems in the heart and shows how efficiently the heart and valves are working, the direction in which the bl
- MRIMagnetic resonance imaging (M.R.I.) is a noninvasive diagnostic tool that uses a powerful magnet to produce images of internal organs and functions. Metal objects are attracted to the magnet and are normally not allowed near MRI machines. The magnet can interrupt the pacing and inhibit the output of pacemakers. If MRI must be done, the pacemaker output in some models can be reprogrammed. Discuss with your doctor the possible risks and benefits before you undergo MRI scanning.
- X-Rays
- LesionsIn clinical practice IVUS is most often used as an adjunct to balloon angioplasty to detect dissection, stent underdeployment, stent thrombosis and to predict restenosis risk. It is also used as an accessory to diagnostic angiography to evaluate lesions of uncertain severity (especially in the left main coronary artery) and to detect disease which is not visible on an angiogram (as in the case of transplant coronary artery disease 2). The technique is similar to balloon angioplasty: a 6 to 8 French access sheath and guiding catheter are used through which a conventional angioplasty guidewire is passed to the distal part of the artery under scrutiny. Intravascular ultrasound catheters are available in either over-the-wire or monorail configurations and following administration of intracoronary nitroglycerin (100 to 200 mg) the catheter is advanced distal to the area of interest. The image that appears on the monitor screen is annotated and optimized for gain, zoom and compress settings and attempts made to eliminate any artifact. A slow pullback, either manual or automatic (0.5 to 1 mm/second), with verbal commentary is then performed from the distal vessel back into the guiding catheter. If necessary, the pullback may be repeated several times, or particular areas of interest interrogated in greater detail. At the end of an IVUS procedure, an angiographic run of the coronary artery is recorded to check for disruption due to intravascular instrumentation.