Your Patient-Centered Medical Home

Welcome to Your Medical Home

When it comes to health car, you are seeking wellness, recovering from illness or managing a chronic condition. It is a cycle of staying well, getting well, and being well. If you deal with these health situations in a long-term relationship with a trusted doctor, then you’ve found your Patient-Centered Medical Home.
Think about it. Your personal provider and an extended team of health professionals build a relationship in which they know you, your family situation, your medical history and health issues. In turn you come to trust and rely on them for expert, evidence-based health care answers that are suited entirely to you or to your family.

A Medical Home is all about you

Caring about you is the most important job of your patient Centered Medical Home. In this personal model of health care, your primary provider leads the team of health care professionals that collectively take responsibility for your care. They make sure you get the care you need in wellness and illness to heal your body, mind and spirit.

The Medical Home Advantage

There are many benefits to being in a Medical Home:
• Comprehensive care means your medical home helps you address any health issue at any given stage of your life.
• Coordination of care occurs when any combination of services you and your provider decide you need are connected and ordered in a rational way, including the use of resources in your community.
• Continuous care occurs over time and you can expect continuity in accurate, effective and timely communication from any member of your health care team.
• Accessible care allows you to initiate the interaction you need for any health issue with a physician or other team member through your desired method (office visit, phone call, or electronically) and you can expect elimination of barriers to the access of care and instructions on obtaining care during and after hours.
• Proactive care ensures you and your provider will build a care plan to address your health care goals to keep you well, plus be available for you when you get sick.

Who is your Medical Home team?

Your team may include a doctor, nurse practitioner, licensed practice nurse, medical assistant or health educator, as well as other health professionals. These professionals work together to help you get healthy, stay healthy, and get the care and services that are right for you. When needed, your personal doctor arranges for appropriate care with qualified specialists.

We want to learn about you

• We want to get to know you, your family, your life situation, and preferences, and suggest treatments that make sense for you.
• We want to treat you as a full partner in your care.
• We want to communicate effectively with you.
• We want to give you time to ask questions and we want to answer them in a way you understand.
• We want to make sure you know and understand all of your options for care.
• We want to help you decide what care is best for you. Sometimes more care is not better care. We want to ask for feedback about your care experience.

We want to support you in caring for yourself

• We want to make sure you develop a clear idea of how to care for yourself.
• We want to help you set goals for your care and help you meet your goals one step at a time.
• We want to encourage you to fully participate in recommended preventive screenings and services.
• We want to give you information about classes, support groups, or other types of services to help you learn more about your condition and stay healthy.

Here is what you can do

Actively participate in your care You are the most important member of the medical home team.

• Understand that you are a full partner in your own health care
• Learn about your condition and what you can do to stay as healthy as possible
• As best you can, follow the care plan that you and your medical team have agreed is important for your health
Communicate with your Medical Home Team
• Bring a list of questions to each appointment. Also, bring a list of any medicines, vitamins, or remedies you use.
• If you don’t understand something your doctor or other member of your medical home team says, ask them to explain it in a different way.
• If you get care from other health professionals, always tell your medical home team so they can help coordinate for the best care possible.
• Talk openly with your care team about your experience in getting care from the medical home so they can keep making your care better.

Consejo del Doctor Ramon Pimentel (Mamografia)

La importancia de una Mamografia


Es de sobra conocido, por la mayoría de las mujeres, que el cáncer de mama es una patología muy frecuente. En la última década, hemos experimentado un considerable aumento en su incidencia, y también su aparición en edades cada vez más tempranas. No se conoce la causa; por lo tanto, no se puede prevenir. Sin embargo, se barajan factores predisponentes, tales como una alimentación rica en grasas, que favorece el aumento de las hormonas estrogénicas, el uso indebido de hormonas y el estrés continuo al que estamos sometidas en los últimos tiempos.

Pero todo son especulaciones. Ahora bien, al tener la glándula mamaria tan fácil acceso, resulta relativamente sencillo llevar a cabo un diagnóstico precoz, sin duda el arma más eficaz que tenemos en la lucha contra este mal y que va a contribuir a mejorar el pronóstico de la enfermedad, ya que permite plantear una estrategia para combatirlo en varios frentes de manera simultánea. No debemos olvidar que, en la actualidad, contamos con el apoyo de modernas técnicas para localizar los posibles tumores cuando aún están en fases iniciales. O sea, que si se descubre a tiempo, cuando sólo está afectado el tejido mamario, es curable en un elevado porcentaje de casos.

Y para ello, contamos con la mamografía, prueba radiológica que permite conocer el estado de la mama y que debe realizarse de forma sistemática a partir de los 40 años. A partir de esa edad, la periodicidad la marcamos los especialistas en ginecología. En la actualidad, las estadísticas confirman que las mamografías rutinarias y periódicas podrían reducir el índice de mortalidad por cáncer de mama en una tercera parte. Por otra parte, debe tenerse en cuenta que los modernos aparatos no implican el más mínimo riesgo y que la radiación que pueden emitir es despreciable.

Por eso, afortunadamente, un diagnóstico de cáncer de mama no significa una sentencia de enfermedad incurable. Eso es lo primero que tienen que asumir todas las mujeres que estén dispuestas a plantarle cara. Hay que tomárselo como un reto más en la vida. Una lucha como tantas otras que afrontamos en nuestra evolución como individuos. Ahora bien, señoras y señoritas, recuerden que esta enfermedad no duele hasta que está muy avanzada. Y, para beneficiarse de una detección temprana, es necesario llevar a cabo la autoexploración mamaria mensual, acudir a las revisiones periódicas al ginecólogo, sin olvidar la práctica regular y sistemática de la mamografía.