My own car or an ambulance?

Sure, for minor cuts and bruises that require a trip to urgent care, the former may be appropriate.

But for things like heart attack symptoms, stroke symptoms or serious wounds, Kurt Bloomstrand, MD, says the choice is clear: call the ambulance.

Dr. Bloomstrand is an Emergency Department physician at OSF HealthCare and medical director for East Central Illinois EMS (emergency medical services). He and his colleagues have seen an alarming trend lately of people with suspected heart attack coming to the Emergency Department on their own.

“Ambulances and pre-hospital providers are equipped and trained to deal with these emergencies. We can deal with these emergencies at your home or wherever you called 9-1-1 at,” Dr. Bloomstrand says. “We’re bringing the equipment from the ED to you so we can get that treatment started even sooner and bring you life-saving treatment and medication immediately.”

For example, pre-hospital providers on site or in the back of the ambulance can perform an electrocardiogram (ECG or EKG for short), which takes a snapshot of how your heart is working. If problems are found, these providers can call ahead to the hospital and have the person bypass the ED and go directly to the cardiac catheterization laboratory. That’s a time-saving and life-saving step.

On the alternative: “If you drive yourself, there’s no way to monitor you. There’s no way to treat you if something happens,” Dr. Bloomstrand says.

Other possible pitfalls: you may pass out at the wheel from your initial medical event, causing a crash that endangers you, other drivers and pedestrians. If someone is driving you, they will likely be anxious and not drive carefully. That, too, could mean a wreck.

Private vehicles are legally not allowed to speed and go through stoplights and stop signs. An ambulance can safely, saving time.

And it may seem trivial, but if you are driving to the hospital with a serious wound, you will likely make a bloody mess all over your vehicle.

Dr. Bloomstrand has also heard plenty of misconceptions about taking an ambulance.

People who live in a rural area may think, “By the time the ambulance gets to me, I may be worse off, and I could have already been at the hospital if I took myself.”

Dr. Bloomstrand counters that although it might take time for the ambulance to arrive, this time is often faster than the time it would take to get treatment by driving to the Emergency Department.

Others may believe they can’t afford an ambulance. Dr. Bloomstrand says most major health insurance providers cover the care.

Some may think, “I’m not sick enough for an ambulance.”

“It’s your emergency. We’re there 24/7 to help and assist in your emergency,” Dr. Bloomstrand says. “If you feel like you’re having an emergency, you need to call 9-1-1. We can come and evaluate you. Please don’t feel like you’re burdening the ambulance system.”

Others may just fear an ambulance in general. They’re nervous about having a needle in their arm while in a fast-moving vehicle. Dr. Bloomstrand counters by reminding you that paramedics and emergency medical technicians (EMTs) are highly skilled and trained. They have been around the block – literally.

“We deal with this day in and day out. We’re trained and equipped to handle these emergencies,” Dr. Bloomstrand says.

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B-roll

Medica affiliate WellFirst Health – provided by SSM Health Plan currently offers Medicare Advantage and individual plans on and off the Exchange in Illinois in two counties in the St. Louis area. Pending regulatory approval, WellFirst Health – provided by SSM Health Plan will revise its name to Medica Central Health Plan (Medica).

Also pending regulatory approval, Medicare Advantage plans from Medica will be available for selection during Medicare’s Annual Enrollment Period, October 15 through December 7, 2023. Medicare-eligible residents in DeWitt, Marshall, McLean, Peoria, Stark, Tazewell, and Woodford counties can enroll in the plans.

“OSF HealthCare is known for delivering exceptional patient-centered care,” said Ralph Velazquez, MD, Chief Medical Officer, OSF HealthCare. “The collaboration between OSF and Medica stems from a shared desire to improve the health and well-being of our local communities. Our partnership will combine localized care with a member-focused, community-based health plan, reflecting our mission and commitment to the communities we’ve been called to serve.”

Medica collaborates with organizations such as OSF HealthCare across its service areas to provide member access to high-quality, affordable health care through comprehensive networks of physicians, hospitals, outpatient settings, and innovative virtual care services.

“We are excited to offer Medicare Advantage plans in the Peoria-Bloomington area and serve new members,” said Dave Docherty, Market Leader for Medica in Illinois “We’re committed to fulfilling our mission of being the trusted health plan of choice and thrilled with the opportunity to collaborate with OSF HealthCare.”

OSF HealthCare has 150+ locations, including 15 hospitals, 49 urgent care locations and nearly 2,000 physicians, specialists and advanced care providers. For more information, visit osfhealthcare.org. Medica serves communities across 12 states by providing health care coverage and related services in the employer, individual, Medicaid and Medicare markets. For information, visit medica.com.

About Medica

Medica Holding Company (www.medica.com) is headquartered in Minnesota. The company and its subsidiaries serve communities by providing health care coverage and related services in the employer, individual, Medicaid and Medicare markets. Such communities include those located in Minnesota, Arizona, Illinois, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota, Wisconsin and Wyoming. Medica’s vision is to be trusted in the community for our unwavering commitment to high quality, affordable health care.

About OSF HealthCare

OSF HealthCare is an integrated health system owned and operated by The Sisters of the Third Order of St. Francis, headquartered in Peoria, Illinois. OSF HealthCare has 15 hospitals – 10 acute care, five critical access - with 2,084 licensed beds throughout Illinois and Michigan. OSF employs nearly 24,000 Mission Partners throughout 150+ locations; has two colleges of nursing; operates OSF Home Care Services, an extensive network of home health and hospice services; owns Pointcore, Inc., comprised of health care-related businesses; OSF HealthCare Foundation, the philanthropic arm for the organization; and OSF Ventures, which provides investment capital for promising health care innovation startups. In 2020, OSF OnCall was established, a digital health operating unit, including a hospital-at-home, which delivers care and services when, where and how patients prefer to receive them. OSF HealthCare has been recognized by Fortune as one of the most innovative companies in the country. More at osfhealthcare.org.

Recent reports from the United States Centers for Disease Control and Prevention (CDC) are again raising awareness of hepatitis C.

A 2022 report found “too few people diagnosed with hepatitis C are being treated, despite availability of medications capable of curing this viral infection.” Specifically, the agency estimates fewer than one in three people with health insurance are getting direct-acting antiviral treatment for the infection within a year of diagnosis. A June 2023 study published by the CDC also examined gaps in access to treatment, building on the 2022 findings.

The statistics resonate with Marcie Lindstrom, a gastroenterology advanced practice provider at OSF HealthCare.

“If we go back 10 or 15 years, hepatitis C treatment was really difficult,” Lindstrom notes as a possible reason for the hesitancy. “Treatment lasted a year or a year and a half. It required an injection. People really felt bad during treatment.”

Conversely: “Treatment today is so easy. It’s completed in as little as eight weeks. It’s a pill. No more injections,” Lindstrom says.

The basics

Lindstrom says hepatitis – whether A, B, C, D or E – describes inflammation of the liver. She says hepatitis C is a blood-borne virus, and doctors over the years have settled on some common ways it spreads:

• A blood transfusion prior to 1992. Prior to that time, screening blood donors for diseases was not reliable.
• A tattoo or piercing at a place that’s not regulated
• Men who have unprotected sexual relations with men
• People who use illegal drugs, either through a needle injection or snorting through the nose

“Often people are at parties and sharing a straw or dollar bill to ingest. There are a lot of blood capillaries inside the nose. Those can break open,” and blood can spread, Lindstrom says.

Lindstrom calls hepatitis C a silent ailment due to a lack of symptoms.

“Many people can have hepatitis C for decades before they become aware of it,” she says.

Even worse, when a person does have symptoms, they may be vague and tough to distinguish from everyday problems. Fatigue and body aches are common complaints.

Often, Lindstrom says a provider discovers hepatitis C after a person comes in for some routine bloodwork. The bloodwork may come back showing elevated liver enzymes, and a test specifically for hepatitis – also a simple blood test – would then be done.

But if you have any hepatitis C risk factors, you should talk to your health care provider about when you need to be screened. A provider may recommend a screening once a year. And generally, federal guidelines say all adults should be screened for hepatitis C once in their life, and all pregnant women should be tested during each pregnancy. Ask your provider about it when you’re younger rather than older, Lindstrom pleads.

Why it’s important

Untreated hepatitis C can lead to liver scarring known as cirrhosis. That means fewer cells doing their daily functions, which, in turn, can lead to liver failure, liver cancer and even death.

“That’s why treatment is important. We don’t want people to progress to getting cirrhosis,” Lindstrom says. “If they take their eight to 12 weeks of treatment and don’t have a lot of scarring, we have a high success rate in clearing the virus – 98 to 100%.”

Learn more

Read more about gastroenterology care on the OSF HealthCare website.

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From Elon Musk to TikTokers, ongoing social media chatter claims drugs like Ozempic, Mounjaro and Wegovy are the magic way to weight loss.

There’s good news, says Aminat Ogun, MD, a family medicine physician at OSF HealthCare in Champaign, Illinois. Those drugs can help you lose weight when prescribed by a doctor under specific circumstances and paired with diet and exercise.

The more important bad news? There’s no magic, one-size-fits-all drug that will by itself cause you to shed pounds. And if someone on social media is claiming so, they’re wrong.

Dr. Ogun says Ozempic, Mounjaro and Wegovy are from the same family of medicine. They are usually prescribed to people with Type 2 diabetes.

“It increases the insulin in the body, which helps bring glucose into the cells,” Dr. Ogun explains.

The medications also slow food leaving your stomach and suppress appetite.

Once the drugs became more well known, Dr. Ogun says people found, not surprisingly, that weight loss was a side effect and began prescribing them for that purpose under specific circumstances. She says the patient should have a body mass index (BMI) greater than 30 or a BMI greater than 27 with a chronic condition like diabetes, hypertension or hyperlipidemia.

But even if you meet those guidelines, Dr. Ogun says you should talk with your doctor about whether a weight loss drug is right for you or whether simply changing habits can get the results you want.

For one, Ozempic, Mounjaro and Wegovy are expensive and may not be covered by insurance.

Also, the U.S. Food and Drug Administration reports a shortage of Ozempic and Wegovy. So Dr. Ogun says doctors may be less likely to prescribe the drugs for weight loss when diabetics may have a more critical need.

And like any other medication, there is a list of side effects.

“Abdominal pain, nausea, vomiting, diarrhea and constipation are possible,” Dr. Ogun says. “There are also hypersensitivity side effects like angioedema and an anaphylaxis reaction. It’s also been known to cause kidney injury or pancreatitis.”

Lately, the term “Ozempic face” has been trending on social media, describing a hollowed-out appearance due to quick weight loss.

One last piece of advice you’ll hear doctors give over and over: don’t rely on social media for health tips. If you find a tip that might benefit you, talk to your doctor before starting any treatment.

“The good thing about social media is that it allows a lot of people to receive a variety of information all at once,” Dr. Ogun says. “The downside: is it a credible source?”

Find a primary care provider on the OSF HealthCare website.

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