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Osteoporosis in Women

May 13th, 2020

What is osteoporosis and who does it affect?

Osteoporosis causes bone to lose its calcium content and strength, leading to increased risk of fractures, especially in the hips and spine.  Hip fracture requires major surgery, and spine fracture causes height loss, stooping posture and lots of back pain!  Osteoporosis affects mainly women after menopause, but also men, especially those over 50. 

Why are women more prone to getting osteoporosis?

Men reach a higher maximum bone mass than women because of testosterone, which builds bone more than estrogen, so on average women have smaller and thinner bones than men.  Men can and do get osteoporosis, though, especially if they have used prednisone.  The rapid drop in estrogen after menopause puts women at an especially high risk of osteoporosis and then fracture.  

How can one be proactive and prevent osteoporosis?

Women reach their highest bone strength around age 30, so ensuring young people get enough vitamin D and calcium can help reach their best bone strength.  Tobacco use, heavy consumption of alcohol and frequent or long-term use of prednisone or other steroids weaken bone and increase risk of fractures as well.  Older men and women can prevent osteoporosis by getting lots of weight-bearing exercise like walking and continuing to supplement calcium and vitamin D.  

Are there ways to treat or reverse the effects of osteoporosis?

While bone loss cannot usually be completely reversed, bone strength can be increased and risk of fracture lowered by taking one of several prescription osteoporosis medications.  Pills taken once a week or once a month can slow down bone loss.  Injections taken once or twice a year are an option when the pills cause stomach upset.  Daily injections taken for two years are the most effective treatment, and are prescribed for patients who have had fractures despite taking one of the other treatments.  

How can osteoporosis be detected? What can one look for and what steps should you take?

Osteoporosis doesn’t hurt and doesn’t cause any problems unless you break a bone!  Because you can’t feel it, you have to find it with a bone density screening test.  It takes about 5 minutes, is completely painless and not in an enclosed space, and exposes you to less radiation than a chest X-ray.   The bone density test result can be normal, low bone mass (also called osteopenia), or osteoporosis.  Everyone should take calcium and vitamin D, and some with osteopenia and all with osteoporosis should get prescription medicine to strengthen their bones. 






Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

Skin Cancer Awareness

May 8th, 2020

Skin Cancer is the most common cancer in the United States. Fortunately, skin cancer is also one of the most preventable forms of cancer!

What everyday steps can you take to care for your skin?

Cleaning your skin daily with a gentle cleanser, moisturizing with a good moisturizer (I recommend ZO Daily Power Defense or Elta MD AM/PM Therapy, which are both sold at Kattine Aesthetics) and of course, sunscreen!

Why is sunscreen important? What should you look for when choosing a sunscreen?

Sunscreen protects against harmful UV rays that cause skin cancer. You want to apply sunscreen 30 minutes before going out, use a SPF of 30 or higher, and reapply every 2 hours! We usually recommend the mineral based sunscreens.

How can you perform skin cancer checks at home?

Performing a skin check at home is a great idea and should be done on a regular basis. The American Academy of Dermatology has some great resources on their website about how to perform them on yourself and what to look for (www.aad.org).

You want to look for the “ABCs”

A-      Asymmetrical lesions

B-      Lesions with irregular Borders

C-      Color (dark, irregular, red, white, blue, etc)

D-      Diameter (lesions larger than a pencil eraser)

E-      Evolving lesions

What differences are there between skin cancer types?

Skin cancers are divided into two categories – Melanoma and Non Melanoma. Non melanoma skin cancers are often successfully treated with surgical intervention. Melanoma skin cancers may require both medical and surgical intervention along with closer monitoring.

Why is an annual skin cancer screening important?

Annual screenings are important to check for any worrisome lesions. Especially for people with a long history of sun damage or a family history of skin cancer!

May is Skin Cancer Awareness Month! Schedule your annual skin cancer screening with MMC Dermatology today by calling 615-867-8220 or visiting mmclinic.com/dermatology.






By MMC Dermatology Provider Hope Brown Owen, FNP-BC

Hope is a board certified Nurse Practitioner, who received both her undergraduate and graduate degree from Belmont University. Prior to earning her Master's degree, Hope worked as a RN in dermatology. Hope joined MMC in February of 2016, and specializes in medical dermatology. In her free time she enjoys working out, reading, and spending time with family.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

During this difficult time, more people are experiencing anxiety than usual. It is important to know the symptoms so that you can learn to better cope with it and get the help you need, if necessary. 

Symptoms of Anxiety:

1.      Feeling nervous or on edge

2.      Not being able to stop the worrying, worry about different things

3.      Trouble relaxing

4.      Restlessness, easily annoyed or irritable

5.      Afraid something awful may happen

Coping Strategies:

1.      Develop a support system: Select close family or friends to be your support system. Interact with them regularly via phone call, FaceTime, Zoom, etc. Maintain social interactions despite physical distancing.

2.      Establish a regular sleep routine. Stick with it despite being at home. Consistency is key.

3.      Eat healthy foods. Establish a regular exercise routine/free online classes. Get outside and enjoy the sunshine. 

4.      Pick a new hobby or project that interests you. There are many free online courses being offered.

5.      Turn off the news, social media and relax. Stretch and meditate. Get your updates twice daily from reputable sources. 

6.      Be kind to yourself and others.

Remember that your healthcare provider at MMC is still here for you and would be happy to see you or discuss your symptoms over a telehealth visit if needed.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

By Devon Cox, MMC Weight Loss and Wellness Nutrition Counselor

Regular physical activity is important for staying healthy.  Moderate-intensity physical activity is associated with better immune function and can help reduce feelings of stress and anxiety. 

Indoor Activities

  • Put some music on and walk briskly around the house or up and down the stairs for 10-15 minutes, 2-3 times per day
  • Dance to your favorite music
  • Jump rope/mock jump rope if you don’t have a rope
  • Do an exercise video (there are several free ones online)
  • Use home cardio machines if you have one
  • Download a strength workout app to your smart phone
  • Perform yoga - deep breathing and mindfulness can also reduce anxiety
  • Find ways to do simple muscle strengthening exercises around your house such as: using food cans or water jugs for weights
  • Squats or sit-to-stands from a sturdy chair
  • Push-ups against a wall, the kitchen counter or the floor
  • Lunges or single leg step-ups on stairs

Outdoor Activities (if allowed by your government)

  • Walk or jog around your neighborhood (stay 6 feet away from others)
  • Be active in a local park - spending time in nature may enhance immune function
  • Go for a bicycle ride
  • Do gardening and lawn work
  • Play active games with your family

Don’t sit all day! For example: If watching TV,get up periodically and do a lap around your home or an active chore. For example: throw some clothes in the laundry, do the dishes or take out the garbage.  Also, maybe don’t skip commercials;use that time to add some exercise.  For example: squats for 1st commercial, wall push-ups for 2nd,and quick march in place for 3rd is a good full body exercise routine.  Feel more productive &healthier after just one show!

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: WLW

By Devon Cox, MMC Weight Loss and Wellness Nutrition Counselor

Being healthy is arguably more important than ever. Since we are all at home more during these uncertain times the urge to distract ourselves with food is great.  With changed routines and greater accessibility to “snack” foods comes a greater likelihood to make poor choices in regards to food. Below are some suggestions to help you “stay on track”while staying safe at home.

1.)    Notice and redirect. Notice that you are eating because you are bored/stressed and redirect your behavior in to a positive activity. For example, go for a walk, read a book, learn a new language, play a game with your family, drink some water, or just trade in the chips and dip for a healthy alternative like veggies and hummus.

2.)    Eat foods that are nutrient dense to help you feel full. Foods like candy, chips, and other“bad stuff” does not give us a full feeling. Instead try opting for lean proteins, fruits, veggies, and nuts.

3.)    Fall in love with cooking healthy. Often times I hear “I don’t have time to cook.” Now, would be the perfect time to try out a new healthy recipe.

4.)    Plan for success. Make a daily meal plan or menu to help you stay on track. Sometimes just writing down a plan helps with sticking to a plan.

5.)    Manage your environment. If candy is not easily accessible then it is less likely to be eaten. Limit what gets brought into the home or place it on the higher shelf in the pantry.

6.)    Stay hydrated.Dehydration can negatively affect mood & energy level. Half your body weight in ounces is the recommended amount of water you should be drinking daily.

7.)    Don’t eat in front of the television. Being distracted while eating tends to lead to overeating.

8.)    Exercise!

9.)    Get an accountability partner to help you stay on track. Find a friend to chat with about health goals, or as always, we are here to help at MMC Weight Loss and Wellness.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: WLW

UPDATED April 8, 2020

As of April 8th Governor Bill Lee has extended the initial executive order that applies to surgical procedures being performed in the state. MMC’s SurgiCenter will continue to follow this order and will only be performing a select number of urgent surgical procedures until April 30th. Patients are encouraged to contact their physician for any questions regarding upcoming procedures.


UPDATED April 6, 2020

MMC Now Offering Telehealth Visits During COVID-19 Crisis

Murfreesboro Medical Clinic (MMC) is now offering telehealth visits to patients during this time of crisis. MMC’s top priority is the health and safety of its patients, visitors and staff. Patients who have upcoming appointments or who need to be seen by their primary or specialty care provider are encouraged to contact their provider’s office to see if their visit is appropriate for a telehealth visit. 

During a telehealth visit, the patient and provider communicate via video chat. Telehealth visits allow patients to receive effective, quality care without leaving home by using a smartphone, tablet or computer with a webcam. These visits are private and confidential and are now covered by insurance (will be billed as a regular visit). 

MMC Family Medicine Physician, Dr. Zane Cooke, shares why telehealth visits have been a priority for MMC in the midst of the COVID-19 outbreak. “Telehealth is a unique opportunity to meet patients where they are and deliver care to their home.” Dr. Cooke continues to say, “It allows the physician to reach more patients and avoid unnecessary exposure to the illness, which ultimately gives patients increased peace of mind.”

Not every type of appointment will be appropriate for a telehealth visit. Any patient who would like to inquire about a telehealth visit is encouraged to contact their provider’s office via the MMC and Me Patient Portal or call the department directly.

Patients with questions about telehealth visits at MMC are encouraged to visit www.mmclinic.com/telehealth.


UPDATED March 26, 2020

MMC Will Offer Limited, Drive-Through Testing Starting Thursday, March 26th

Starting Thursday, March 26, 2020 Murfreesboro Medical Clinic will provide on-site, drive-through, testing for COVID-19. Drive-through testing will be located in the south parking lot at MMC’s main location on 1272 Garrison Drive and will be open Monday – Friday, 9:00am – 3:00pm.

In our community,there has been confusion around the difference between screening and testing.

  • Screening is a questionnaire to evaluate symptoms and risk of exposure.
  • Testing is the actual swab used to collect the sample, which is then sent off to a laboratory.

PLEASE NOTE,NOT EVERYONE WILL BE TESTED.

Until testing kits become readily available, MMC will only be testing those who have been screened and referred by the Rutherford County Health Department or local physicians.

In order to be tested on-site at MMC, patients must follow the instructions below.

  • Patients MUST be screened by the following and have a referral to be tested:

o  To be screened by the Rutherford County Health Department please call, (615) 898-7880.

o  At this time only a handful of local provider offices will be able to refer patients to MMC for testing. This is subject to change.

  • Once patients have been screened and referred for testing, they will receive a text message with registration information that must be completed in order to be tested.

General Public who have not been screened and do not have a referral will not be allowed to enter the drive-through line.

The public will only need to be screened and/or possibly tested if they are symptomatic and exposed to a person known to have tested positive COVID-19.

Screening questions include:

  1. Fever
  2. New Dry Cough
  3. Shortness of breath
  4. Exposure to a person known to have tested positive for COVID-19, not speculated, only confirmed to be positive
  5. Has returned from international travel or a cruise within the last 2 weeks

Once patients are tested, they are to immediately head home and self-isolate until notified of their test results. MMC will be calling with test results as they are received.The current turnaround time is 5-7 days. This is subject to change dependent upon volume.

“My team has been working tirelessly over the past two and a half weeks to assemble a coalition of partners to provide this needed service for our community,” says Dr. Nicholas Coté, Family Medicine Physician and MMC Board President.“Rutherford County is my home, where my family and friends live, it is very personal and important to me to ensure that my organization is taking all measures possible to ensure the health and welfare of my community.”

MMC’s Drive-through testing would not be possible without a coalition of partners who are supporting this effort. 

Rutherford County Health Department 

Tennessee Department of Health

Murfreesboro City Police

Quest Laboratory

Genetworx Laboratory

The testing site will be accessible off of Carl Adams Drive from Kennedy Drive.There will be no access to Carl Adams Drive from Garrison Drive.


UPDATED March 25, 2020

What you need to know about COVID-19 (Novel Coronavirus)

In our community, there have been many questions regarding COVID-19 screening verses testing. Accordingly, Murfreesboro Medical Clinic and Ascension Saint Thomas Rutherford Hospital, in conjunction with the Rutherford County Health Department, wanted to provide you with the following information and guidelines. 

Screening and testing are different

Screening is defined as answering a series of questions about active symptoms, travel history and possible exposure to a person known to have tested positive for COVID-19 (Novel Coronavirus).  There could also be a brief physical exam involved.

After screening, patients will only be recommended for testing if they meet the criteria recommended by the Center for Disease Control (CDC) and Tennessee Department of Health.  

The main symptoms of COVID-19 are a fever, dry cough and shortness of breath. COVID-19 symptoms are very similar to influenza (the flu) or the common cold. This is why it is required for a medical professional to determine if testing for COVID-19 is necessary. Additionally, it may be necessary for the patient to be tested for the flu or strep throat.

Testing is defined as the actual swab to the patient’s nose. The sample will be collected by a medical professional in full PPE (personal protective equipment – mask, gown, protective eye wear, face shield, etc.).This is for the safety of the medical professional and other patients. Once patients are tested they will be required to go home andself-isolate until notified of their test result, negative or positive, which could take 5-7 days. 

Results are delivered to the medical provider that collected the sample. The laboratory and the medical provider will contact you with your results and instructions.  Do not call for results, both Negative and Positive test results will be called to you by the medical provider that collected the sample. 

Those who don’t meet testing criteria and those who are tested are encouraged to stay home and continue to follow the recommended CDC preventions such as covering coughs and sneezes in your sleeve;not sharing household items such as glasses, dishes and bed linens; cleaning frequently-touched surfaces, like doorknobs and counters; and vigorously washing hands with soap and water frequently. People in these categories should also monitor their symptoms and call their healthcare provider if symptoms worsen or seek emergency care if symptoms become life threatening. 

What if I don’t have symptoms but want to be tested?

When you call your primary care physician or the Rutherford County Health Department, you will first be evaluated to determine whether an in-person assessment is needed and if testing should be done.  Most people do not need a test, particularly those with no symptoms.  If you start to develop symptoms, please call the screening number below at that time. Remember to call before you go!

Additionally, if an immediate family member of yours or someone with whom you have close personal contact on a regular basis is diagnosed with COVID-19, you should remain in self-isolation up to 14 days as there is the possibility that you may contract and transmit the virus. 

Is there a treatment?

In the event you test positive for COVID-19, there are no treatments currently available to treat or prevent COVID-19, but several are under investigation. The best thing that you can do is (similar to treatments for the flu) is remain isolated while also addressing the underlying symptoms.  If you have heard of treatments through social media, friends, family or unaccredited online sources, please ignore and do not take any medication that is not prescribed to you by a licensed, medical professional.

Where Do I Get Answers for My Questions?

People who have concerns about their health should first call their regular health care providers. For Rutherford County residents who have questions, please call your local health department Monday –Friday 8:00 a.m.-4:30 p.m. at 615-898-7880.  Also, the state hotline number is available daily seven days a week from 10:00 a.m. – 10:00 p.m. at 833-556-2476 or 877-857-2945.

What Can the Public Do at this Time?

Follow public health guidance:  Social distancing, stay home if you are sick, and practice good hand and cough/sneeze hygiene.

Patients Privacy Rights and Communicable Disease

Because of patient privacy rights that we are required to protect, we won’t be able to discuss where cases are or where they worked. However, all close contacts during the infectious period of each positive case will be directly contacted by the health department.   Please know that if you have come into close contact with a case the health department will be in touch with you and they will protect your privacy as well.  


UPDATED March 24, 2020

In compliance with Executive Order 18, signed by Governor Bill Lee on Monday, March 23rd, Murfreesboro Medical Clinic’s SurgiCenter will only be performing a select number of surgical procedures until April 13th. This executive order prohibits elective surgeries in an effort to preserve PPE (Personal Protective Equipment).For those select cases that will be performed, MMC’s SurgiCenter is dedicated to providing quality and compassionate care to all patients. Patients are encouraged to contact their physician for any questions regarding upcoming procedures.


UPDATED March 22, 2020

See below changes to MMC Pediatrics department starting Monday, March 23rd. These changes are being put in place to reduce the risk of exposure to COVID-19 to patients, parents, staff and doctors. 

  1. All well-child visits(check-ups), will be in the morning. All currently scheduled afternoon well-child visits will be rescheduled. Staff will be calling parents to reschedule.
  2. All sick visits will be scheduled in the afternoon. MMC Pediatrics is asking all parents to respect this policy. This will help to ensure that our providers are able to take care of both well and sick patients.
  3. Only 2 MMC pediatricians will be rounding at St. Thomas Rutherford Hospital nursery each week. It is likely that you will not see your child’s pediatrician at the hospital but patients will be able to schedule follow up appointments with their pediatrician. 
  4. It is encouraged to only have one parent/visitor per child at any visit. All nonessential visitors are encouraged to wait outside of the building or at home.
  5. When entering the clinic, staff and providers may be seen wearing a mask. This is out of an abundance of caution and in an effort to protect our patients and staff.

These changes will be in effect until further notice. Please understand this is a fluid situation and our team of physicians and administration is working tirelessly to protect our patients,staff, doctors and community.

Your Child’s Health is Our Mission.


UPDATED March 20, 2020 

As mentioned in the statement released yesterday, MMC is currently screening all patients and visitors as they arrive for any appointment by asking a short questionnaire and evaluating symptoms. From there, it will be determined if COVID-19 testing is warranted. Resources for testing are extremely limited. As a result, we are only testing those who meet the criteria recommended by the CDC.  

Additionally, MMC’s Internal &Family Medicine and Pediatrics Departments are separating sick and well patients into separate waiting areas to reduce the potential spread of COVID-19. MMC’s departments are taking measures to offer more telehealth visits and are modifying the amount of time spent in the waiting areas when possible. Patients should contact their provider (via MMC & Me Online Patient Portal or call) to discuss potential telehealth visits. 

MMC will not be testing for any potential COVID-19 cases over this weekend (3/21 & 3/22). MMC’s Internal and Family Medicine Walk-In Clinic located at 1272 Garrison Drive will be CLOSED Saturday, March 21, 2020. For acute illnesses, please visit one of the MMC Now Family Walk-In Clinics. For a full list of services, hours and locations, visit mmcnow.com.  


UPDATED March 19, 2020

Murfreesboro Medical Clinic is dedicated to the well-being of our well and sick patients. We are working tirelessly to stay current with updates from the Tennessee Department of Health and CDC guidelines regarding COVID-19 (Novel Coronavirus). Currently, we are continuing appointments as normal, however, we are working to reduce the spread of COVID-19 by taking the following steps:

  • Currently, we are not routinely testing potential cases of COVID-19. As of today, we are asking all patients and visitors a short questionnaire and evaluating symptoms. From there we will evaluate if COVID-19 testing is necessary. Resources for testing are extremely limited. As a result we are only testing those who meet the criteria recommended by the CDC. Our hope is that in the coming weeks we will be able to provide more broad-based testing to our patients and community.
  • If patients or visitors are symptomatic when they arrive at the clinic for any appointment, lab work or imaging, they will be issued and required to wear a mask at all times. When entering our clinic, staff may be seen wearing a mask. This is a measure put in place to protect our patients and staff.
  • We ask that patients refrain from bringing any nonessential visitors to our clinic. This is for the safety of our patients and staff.
  • Patients who are in a higher risk category age 70 and up, or immunocompromised (weakened immune system) and have previously scheduled appointments or procedures are encouraged to contact their provider (via MMC & Me Online PatientPortal or call) to discuss potential alternative options.
  • MMC is working to rapidly implement telemedicine capabilities. As of today, we have limited capacity to conduct some types of appointments through telemedicine (videoconferencing). Please contact your provider to see if they are able to conduct video visits. This will hopefully be more widespread in the coming days. Note, this will be considered an official visit with your provider.

 

Other Information/Links                                       

 

    Tips to keep illness from spreading

  • Practice proper hand washing 
  • Cover your cough or sneeze into your elbow or a tissue. Then wash hands.
  • Don’t touch your eyes, nose or mouth with unwashed hands.
  • Stay away from people who are sick.
  • Stay home if you are sick and contact your primary care provider for further instructions.
  • Clean and disinfect objects and surfaces regularly.
  • Practice Social Distancing 
  • Leave home only for essential reasons. Thereby limiting your exposure to others and their exposure to you.



UPDATED March 10, 2020

In compliance with CDC recommendations for minimizing possible exposure to COVID-19 (Novel Coronavirus) Murfreesboro Medical Clinic asks patients to review the following:

 

If you have been in close contact with a person known to have COVID-19 (novel Coronavirus)

OR

If you are experiencing fever, cough AND shortness of breath AND have recently traveled to CHINA, ITALY, IRAN, SOUTH KOREA or JAPAN,


PLEASE DO NOT ENTER ANY MMC LOCATIONS.


Instead,

CALL the Tennessee Department of Health at 877-857-2945,

CALL your primary care provider for guidance, or

GO directly to your local hospital’s Emergency Department only if you are experiencing a medical emergency.

*Based on CDC (Centers for Disease Control) guidance dated March 5, 2020.

 

Much like most clinics in the country, Murfreesboro Medical Clinic, does not currently have the means to test, treat, or isolate potential cases of COVID-19(novel coronavirus).

We will continue to update as guidance is released from the CDC and Tennessee Department of Health.

 


Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

UPDATED May 7, 2020

Please see below for the most updated changes to MMC Pediatrics as of May 7, 2020. These changes have been put in place to reduce the risk of exposure to COVID-19 to patients, parents, staff and doctors.

  1. ONLY well-child visits (check-ups), will be scheduled in the morning.
  2. All visit types (both sick and well-child) will be available in the afternoon. We will continue to have separate well and sick patient waiting rooms.
  3. Only 2 MMC pediatricians will be rounding at St. Thomas Rutherford Hospital nursery each week. It is likely that you will not see your child’s pediatrician at the hospital but patients will be able to schedule follow up appointments with their pediatrician.
  4. It is encouraged to only have one parent/visitor per child at any visit. All nonessential visitors are encouraged to wait outside of the building or at home.
  5. When entering the clinic, staff and providers will be seen wearing a mask. We respectfully request all adults and children over the age of 2 to wear face coverings, as recommended by the CDC, https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-faq.html
  6. We will check temperatures for all patients, caregivers and visitors that arrive for an appointment. This measure is put in place to protect patients, especially infants and children, being seen for well-child visits. 

These changes will be in effect until further notice. Please understand this is a fluid situation and our team of physicians and administration is working tirelessly to protect our patients, staff, doctors and community.


UPDATED May 1, 2020

In addition to the changes made on March 23 (see below post), MMC Pediatrics will now be checking temperatures for all patients, caregivers and visitors that arrive for an appointment. This measure is put in place to protect patients, especially infants and children, being seen for well-child visits.

In addition to regular, thorough cleanings, our staff will be taking extra precautions by cleaning frequently touched surfaces more often throughout the day.

Lastly, we encourage all adults and children over the age of 2 to wear face coverings,as recommended by the CDC, https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-faq.html


Thank you for your cooperation.


UPDATED April 6, 2020

Having a sick child isn't convenient. Telehealth visits are.

You can now see your child's pediatrician for minor medical and behavioral health care using live video visits on your favorite device.

HOW IT WORKS

1. Call to schedule an appointment.

2. Download the Zoom app or visit zoom.us.

3. Create an account and log in.

4. Click "Join a meeting" and enter the personal meeting ID previously provided to you.

To learn more about telehealth visits, see www.mmclinic.com/telehealth


Call (615) 867-8020 to see if your child’s upcoming appointment qualifies for a telehealth visit!

Benefits of MMC Telehealth

UPDATED March 22, 2020

See below changes to MMC Pediatrics department starting Monday, March 23rd. These changes are being put in place to reduce the risk of exposure to COVID-19 to patients, parents, staff and doctors. 

  1. All well-child visits(check-ups), will be in the morning. All currently scheduled afternoon well-child visits will be rescheduled. Staff will be calling parents to reschedule.
  2. All sick visits will be scheduled in the afternoon. MMC Pediatrics is asking all parents to respect this policy. This will help to ensure that our providers are able to take care of both well and sick patients.
  3. Only 2 MMC pediatricians will be rounding at St. Thomas Rutherford Hospital nursery each week. It is likely that you will not see your child’s pediatrician at the hospital but patients will be able to schedule follow up appointments with their pediatrician. 
  4. It is encouraged to only have one parent/visitor per child at any visit. All nonessential visitors are encouraged to wait outside of the building or at home.
  5. When entering the clinic, staff and providers may be seen wearing a mask. This is out of an abundance of caution and in an effort to protect our patients and staff.

These changes will be in effect until further notice. Please understand this is a fluid situation and our team of physicians and administration is working tirelessly to protect our patients,staff, doctors and community.

Your Child’s Health is Our Mission.

Posted by Murfreesboro Medical Clinic | Topic: News

Murfreesboro Medical Clinic & SurgiCenter is proud to announce the addition of Lauren Christman, D.O., to its OBGYN Department.

Lauren Christman is a board-certified Obstetrician and Gynecologist. She is skilled in many areas including Robotic Surgery, General & High Risk Obstetrics & Gynecology,Abnormal Cervical Cytology, Minimally Invasive Surgery, Contraception &Preventative Care, Infertility, Menopause Management, Pelvic Health, and Endometriosis Management. Dr. Christman graduated Magna cum Laude from Saint Louis University before receiving her medical degree from Des Moines University. She went on to complete her residency training in obstetrics and gynecology through the University of Kansas at Wesley Medical Center.

Dr. Christman is excited to join MMC’s OBGYN Department and to provide care for the patients of Murfreesboro Medical Clinic.

When not working, Dr. Christman’s interests include traveling and touring historical sites.  She also enjoys attending concerts, shows, and Nashville Predators games.  Most importantly, Dr. Christman loves spending time with her family, especially her nieces and nephew.

For more information about Dr. Lauren Christman or to make an appointment, visit mmclinic.com or call 615-867-8030.

Posted by Murfreesboro Medical Clinic | Topic: New Physicians  | Category: News

Ginger is a spicy, pungent herb that’s used for cooking and, sometimes, in healing. One medicinal use of ginger, supported by both scientific studies and tradition, is for the treatment of sore throat and voice problems.   Ginger may help sore throats in several ways. For example, it may provide some pain relief as an anti-inflammatory. It also boosts immunity to help fight infections that cause sore throat.

Ginger contains bioactive compounds. Bioactive compounds are phytonutrients found in certain foods that have beneficial effects on your health. The most notable bioactive compounds in ginger are gingerols and shogaols.

Studies show these compounds have anti-inflammatory properties that may help manage or reduce your risk for many conditions, including sore throat.  Ginger is also believed to have antimicrobial properties that may help fight infections (bacterial or viral), including those that cause sore throat.

Ginger has antioxidant properties. Antioxidants may provide protective and healing benefits against disease. In one study, fresh ginger was found to provide more antioxidative benefits than dried ginger

The anti-inflammatory effects of ginger can help soothe a sore throat by relieving inflammation. Research suggests that ginger may do this by blocking pro-inflammatory proteins in the body. These proteins cause inflammatory pain and itchiness

Lastly, Ginger has antimicrobial properties. It may help inhibit pathogens that cause sore throats, and may be an alternative to antibiotics for treating some bacterial infections.

So how can I use Ginger in my daily life?

Raw Ginger Root

Raw ginger root can be found in the produce section at some grocery stores. It looks like a pale brown root, and can be purchased in various sizes.  To use, start by removing the exterior, bark-like surface. You can do this by gently rubbing a spoon along the surface of the root.  Then,slice off a 1-inch (2.5 cm) piece of fresh raw ginger root, and chew on it.It’s okay to swallow the root as it turns to pulp, or you can spit it out if the pulp irritates you.  Chew on a piece of ginger root two to three times per day for relief.  This is the most intense way to take ginger due to the herb’s spicy heat. It may not be for everyone.

Ginger Candy, Chew, or Lozenge

A less intense way to consume ginger is to suck on a ginger lozenge. You can purchase these from your local grocery store or pharmacy.They’re also available online from Amazon. Common brand names are Ginn Ginns. 

Ginger Tea

Sipping hot ginger tea is a popular and effective sore throat home remedy. The warm liquid may be soothing to an inflamed throat, and the tea is an easy way to consume ginger and allow it to come into contact with your throat.  Ginger tea is easy to make.  A common recipe is available by Dr. Celmer.  You can also purchase prepackaged ginger tea bags.

Ginger Powder or Seasoning

You can use powdered ginger to season your meals. Powdered ginger is available from the spice section at many grocery stores.

A Common Ginger Tea Recipe

The ingredients were chosen for their medicinal properties.  Generally, the tea is made with a base of Ginger, water, honey, and lemon. Cinnamon and pepper can be added if tolerated.

Ginger is a natural anti-inflammatory and it also improves the absorption of nutrients.

Lemon is a rich source of Vitamin C, it helps flush toxins out of your body, it has powerful natural antibiotic properties, it’s good for your liver and skin, it helps reduce pain and inflammation in joints.

Cinnamon has been thought to help with blood sugar control,it has natural antimicrobial properties, it is rich in manganese, iron, calcium and fiber, it’s a powerful antioxidant.

Honey is antibacterial and anti-fungal, it’s probiotic, it’s good for you skin, and it helps with sore throats and coughs.

Cayenne Pepper is a good source of essential minerals and vitamins C and A, it’s beneficial to the circulatory system.


Ingredients

1 large fresh ginger root (peeled and cut into 1-inch chunks(enough to have 8 to 10 1-inch chunks))

5 cups water

Juice from 1 fresh lemon

Honey

Cinnamon

Cayenne pepper (powder)


Instructions

In a saucepan, simmer the ginger chunks in the water,for a minimum of 20 minutes, but the longer the better. We like to let ours simmer for 30-45 minutes.

Divide the tea between 2 large mugs, or 4 smaller mugs,making sure not to serve the chunks of ginger!

Now it’s time to dress the tea. This part is very individual-taste dependent! We like our tea very strong, so here’s what we add to our tea! For each mug add:

Juice from 1/2 lemon

1/2 tsp honey

1/4 tsp cinnamon

Generous dash of cayenne pepper






Dr. Andrew Celmer is a board certified Otolaryngologist who has a special emphasis on voice and swallowing disorders and care of the professional voice. Dr. Celmer graduated magna cum laude from Butler University before attending Indiana University School of Medicine to obtain his medical degree. He completed his internship and Residency at the University of Kansas Medical Center, finishing up with his Fellowship at Los Angeles Medical Center at the University of California.


Posted by Murfreesboro Medical Clinic | Topic: News  | Category: ENT

 

If you’ve recently noticed problems with your hearing, a buildupof excess ear wax may be to blame. But before you grab a cotton swab, it’simportant to understand how to safely clean your ears.

Many people choose to use cotton swabs for routine care of theirears.  Although common, this is actually not the most ideal way to keepyour ears clean/manage ear wax.  The use of cotton swabs not only cancause ear wax (medically known as cerumen) to become packed in the ear canal,but can also lead to irritation/inflammation of the ear canals and evenincrease the likelihood of ear canal infection.  Additionally, accidentsoften occur while people are using cotton swabs that can result in damage tothe ear canal or eardrum.  Cotton swabsshould only be used for cleaning the outside portion of the ear and shouldnever be used within the ear canal.

Having some cerumen in the ears is normal and cerumen actually hassome protective effect on the ear canals. Cerumen lubricates the ear canals,preventing drying, and has an antimicrobial effect.  However, cerumen canbe a problem when excess buildup occurs as this can interfere with hearing.

For buildup, commercially prepared ear wax cleaning kits areavailable at most pharmacies.  These kits usually include a bottle ofcarbamide peroxide and a small bulb syringe. Typically, instructions for use will involve placing a small amount ofcarbamide peroxide into the ear and allowing some time for it to dissolve thecerumen while the affected ear is being held upwards.  After this timeframe, the bulb syringe is then used to irrigate the dissolved cerumen from theear using warm water.

To prevent on ongoing buildup of cerumen in the ears, a few dropsof mineral oil can also be placed alternately into the ear canals and allowedto remain in the ear canal for approximately 10 min.  This can be held inplace either by gravity with keeping treated ear upwards for this time or byuse of a cotton ball placed at the opening of the ear canal. Afterwards, wipingaway any excess/draining oil should prevent this from dripping onto clothing.

If significant cerumen buildup is noted, evaluation by anotolaryngologist is recommended for manual removal.  At your appointment,your ENT provider will typically use a binocular microscope and a combinationof suction and instruments to clear away the excess wax.  It should alsobe noted that this is the preferred method for cerumen removal if a known holein the eardrum exists, as the other above-mentioned techniques are notrecommended if eardrum perforation is present.

If you are still experiencing hearing problems after your earcanals are free of excess cerumen, it may be time for your ENT to conductfurther testing. To learn more about our Otolaryngology Specialists, visit https://mmclinic.com/15/ear-nose-throat-murfreesboro-tennessee

Posted by Murfreesboro Medical Clinic | Topic: ENT  | Category: Audiology

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