INTERNAL MEDICINE

  • Primary Care.  A primary care physician or primary care provider (PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis.
  • Annual Physical Exams.  For some people, having an annual physical exam is a source of reassurance that they're as healthy as they feel.  Others see it as an alarm system, to catch health problems before they become serious.  Annual exams usually check the following:  your history, vital signs and general appearance, as well as heart, lung, head, neck, abdominal, neurological, dermatological (skin &  nails) and extremities exams.
  • Sports and Camp Physicals.  A sports physical -- also known as a pre-participation physical examination -- is a check-up to assess an individual's health and fitness as it relates to a sport. It is not the same as a regular physical. During the sports physical, the health care provider looks for any diseases or injuries that could make it unsafe to participate in sports. 
  • Adult Immunizations.  Your need for immunizations does not end when you reach adulthood. The specific shots (injections) you need as an adult depend not only on your age, lifestyle, overall health, pregnancy status, and travel plans but also on who you are in close contact with and what vaccines you had as a child. Tetanus and diphtheria shots need to be repeated every 10 years throughout adulthood to keep immunity.  Adult immunizations may include any of the following:  Flu, Tetanus & Diphtheria (Td), or Tetanus, Diphtheria & Pertussis (Tdap), among a few.
  • Preventive Health Care.  Preventive care can help lower your risk of serious and costly diseases later in life.   Here’s how preventive care helps you:  regular screening and tests may provide early detection of some health conditions that have no visible symptoms, birth control, help quitting smoking, obesity counseling, and the like.  Good preventive care can make a big difference in your health and your medical bills. And since your health plan is probably offering it free, don't miss out.
  • Pre-operative Clearance.  An unbending rule of the surgery world is that every patient having any surgery under general anesthesia, from emergency to elective, should have “medical clearance”. Medical clearance is a history and physical plus appropriate laboratory, x-ray, and electrocardiogram testing as a basic means of evaluating suitability for — and the risk of — both the operation itself and the anesthesia. In fact, sometimes, the findings of that medical exam drive the decision regarding the appropriate and safest anesthesia technique. In other words, the patient’s medical status generates many decisions.  We believe the patient’s personal physician is most often the logical and appropriate MD to conduct the medical clearance. He or she already knows the patient’s history — including family history. And, most importantly, has invaluable records. The prior lab, x-ray and cardiogram tests allow comparison with the current recent physical exam to best evaluate the patient’s current medical condition. The personal MD can be objective and impartial in his evaluation and recommendation regarding medical suitability for the procedure.

NEUROLOGY

  • Neurological Care.  A neurologist helps identify the source of problems with a patient's nervous system.  This can be an inability to use the senses correctly. Loss of sight, hearing, smell, taste and the sensation of touch are often linked to neurological disorders.  Neurologists also study many types of disorders. These include neurological diseases such as Alzheimer's disease, Parkinson's disease, epilepsy headaches, myasthenia gavis and multiple sclerosis. Neurologists conduct many tests on patients in order to make a diagnosis and recommend an appropriate treatment. These tests include scans like a magnetic resonance imaging (MRI) or computed axial tomography (CAT scan), and lumbar punctures (spinal taps) to examine the cerebrospinal fluid that coats the brain and spinal cord. Electrical activity is studied with an electroencephalography (EEG) of the brain or an electromyography (EMG) of the muscles.
  • Electroencephalography (EEG).  An electroencephalogram (EEG) is a test that measures and records the electrical activity of your brain. Special sensors (electrodes) are attached to your head and hooked by wires to a computer. The computer records your brain's electrical activity on the screen or on paper as wavy lines. Certain conditions, such as seizures, can be seen by the changes in the normal pattern of the brain's electrical activity.
  • Electromyography (EMG).  An electromyogram (EMG) is a test that is used to record the electrical activity of muscles. When muscles are active, they produce an electrical current. This current is usually proportional to the level of the muscle activity. An EMG is also referred to as a myogram.  EMGs can be used to detect abnormal electrical activity of muscle that can occur in many diseases and conditions, including muscular dystrophy, inflammation of muscles, pinched nerves, peripheral nerve damage (damage to nerves in the arms and legs), amyotrophic lateral sclerosis (ALS), myasthenia gravis, disc herniation, and others.

PULMONARY

  • Sleep Studies.  Sleep Medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.  A sleep study is a recording of several body functions throughout an entire night.  Sensors and electrodes are placed on various parts of the body.  These sensors monitor brain waves, heart rate and rhythm, respiratory rate, oxygen levels, body position and muscle tone in several areas of the body.  When read together, they can give a very precise indication of what is going on during a night of sleep.  Depending on your evaluation, Sleep Studies services may or may not include: Inpatient Sleep Consultation, Polysomnography, CPAP Titration, Split Night, BIPAP Titration, ASV Titration, Oral Appliance Titration, Home Sleep Study, or PAP-NAP (A daytime nap session to desensitize against CPAP). Visit our Sleep Lab website (www.ezsleeplab.com) for more information.
  • Pulmonary Function Testing (PFT).  As the name implies, pulmonary function tests (PFTs) measure how well the lungs are moving air in and out. They also measure how well the lungs are moving oxygen to the blood. These breathing tests use special equipment and are done by trained staff in a hospital or office setting. Most are done by blowing into a tube while you sit in a chair.
  • Allergy Testing.  More than 50 million people in the United States have allergies. Finding out what you are allergic to is an important first step to effective allergy treatment. Today allergy tests are more convenient and accurate than ever before. When combined with a detailed medical history, allergy testing can identify the specific things that trigger your allergic reactions.  Allergy testing can be done as skin tests or as blood tests.

ENDOCRINOLOGY

  • Endocrinology Care.  An endocrinologist is a specialized physician that focuses on the treatment of people who suffer from hormonal imbalances.  Endocrine organs, also called glands, produce hormones; these organs include the pituitary, thyroid, parathyroid, adrenals, ovaries, testes and pancreas.  The conditions treated by an endocrinologist are usually related to under- or over-production of hormones.  Endocrinology diseases often affect other parts of the body.  This is why an endocrinologist in some cases would need to test a specific  hormone level and request studies of other organs such as eyes, heart, lungs, kidneys, liver, bones, skin and nerves.  Multiple therapies are available to supplement or to block a hormone, but sometimes an abnormal gland can be removed by a surgeon.  The overall goal of the endocrinology care is to restore the normal balance of hormones in the human body.
  • Endocrinology Testing - Continuous Glucose Monitoring.  Also called CGM,  this is a new way to monitor glucose (sugar) levels for patients with diabetes.  This test is performed with a tiny sensor typically put under the skin of the abdomen (or back) for about 72 hours.  The device collects readings automatically every 5 minutes.  Along with glucose finger sticks, this device can help detect trends and patterns giving a good picture of the diabetes control.  The data can help your doctor find ways to better manage the condition and provide better insights into how your diet, medication, and daily activities really affect your glucose levels.

Our Services

Arizona Grand Medical Center, PLLC