Tuesday, 18 July 2017

The Significance of specialty Care

Your number one care health practitioner is your first point of entry into healthcare. On every occasion we need ordinary wellness tests or have any health questions or issues, we typically pass visit our number one care medical doctor. However every so often, while you’re clinical circumstance changes, your number one care medical doctor will recommend a specialist. Those experts provide the uniqueness care which you need.

At Gonzaga Medical Group, our sufferers have get admission to a number of specialty care physicians with professional know-how to optimize remedy in unique or complicated publications of care. Our specialty care carriers have sizeable education and schooling insure regions of care to better help our sufferers. We’ve docs focusing on endocrinology, hematology, and oncology, infectious sicknesses, podiatry, rheumatology, wound care, and dermatology. Learn extra about our uniqueness care:

Endocrinology specialist

When you have any troubles along with your glands, your health practitioner will send you to an endocrinologist. Some of those diseases affect other elements of the body – no longer simply glands – and an endocrinologist is educated to deal with these situations.

Our glands release hormones. It also includes the glands in the endocrine machine that create those hormone imbalances. Endocrinologists provide sufferers with treatments with a view to help their bodies go back to their everyday hormone stability.

If you are dwelling with a hypoglycemic sickness, thyroid sickness, pituitary gland disease, bone sickness, calcium metabolism sickness, adrenal gland ailment, or familial endocrine circumstance, our Endocrinology expert Dr. Luis Anaya Hoyos can help.


Hematology-Oncology specialists

Hematology and Oncology offers with the diagnosis, remedy, and prevention of blood ailment (hematology) and cancer (oncology). Hematologists treat conditions in the pink and white blood cells, platelets, lymph nodes, bone marrow, blood vessels, and the spleen. Blood situations can be either benign or malignant. Oncologists assist with the care and remedy of a cancer affected person.
We’re lucky to have two hematology-oncology experts at Gonzaba – Dr. Duran and Dr. Mazo. in case you are living with a blood ailment, like anemia, or most cancers, our hematologist-oncologists can assist.

Infectious illnesses professional

Infectious diseases are issues due to numerous organisms, like bacteria, viruses, fungi, or even parasites. Lots of those organisms live in and on our bodies. Every now and then, the organisms can purpose ailment, but maximum of the time, they're harmless. Relying which organism has inflamed you'll impact the severity of your symptoms.

Professionals will generally treat bacterial infections with antibiotics, viral infections with antiviral agents, and fungal infections with antifungal agents. Infectious illnesses experts have sizable education in all sorts of infections. Our in-residence infectious sicknesses professional is Dr. Alexandra Castro-Pena.

Podiatry specialist

Podiatry is dedicated to the take a look at, diagnosis, and remedy of conditions in the foot, ankle, and other regions of the leg. When you have heel pain, bunions, hammertoes, foot or ankle arthritis, instability, acute accidents, fractures, or chronic troubles, you should see a podiatry professional.

Gonzaba Medical Group even has a Foot Care health facility at our Northwest and Woodlawn Clinics. Sufferers can go to Podiatry expert Dr. Cruz for diabetic foot assessment and care, toenail trims, callus paring, and foot pain assessment. We also provide scientific and surgical offerings for foot and ankle troubles.

Rheumatology specialists

A rheumatologist is a expert in the diagnosis and treatment of rheumatic sicknesses. Those diseases can affect the joints, muscular tissues, and bones which can reason ache, swelling, stiffness, and deformity.

Every person reports joint or muscle pain sometimes, but every so often it may turn out to be extremely painful. You have to make an appointment along with your primary medical doctor to find out if you need to see a rheumatologist. if you are living with arthritis or other rheumatic diseases, we've two rheumatology professionals who can assist, Dr. Ana Ballester-Fiallo and Dr. Aaron Garza.

Wound Care and Dermatology specialist

Did you recognize that a few dermatologists are wound care professionals? Dermatologists don’t simply help those with burns and acne. They address the whole lot this is associated with our skin, even hair loss.

Gonzaba medical institution offers a Wound Care and Dermatology sanatorium that specializes in the session and treatment of wounds and ulcers and different scientific issues. Whether or not you’re dealing with an ulcer, burns, alopecia, or eczema, Dr. Gabriel Botero is our in-house expert who's available to help patients each day.

Go to Gonzaba for all your Healthcare desires

If you are interested in one of the Specialty care services at Gonzaba Medical Group call (210) 921-3800 to schedule an appointment. To shorten sometime within the waiting room, download our patient registration form, fill it out, and produce it with you on your go to. Current patients can without problems request an appointment through our patient Portal.


Gonzaba offers a diffusion of offerings below one roof, so our sufferers won’t have to be looking for new medical doctors with regards to their healthcare. We provide endured take care of each affected person. Visit Gonzaba.com to analyze more approximately our other services.

Headache Treatment

Headaches have happened to almost absolutely everyone at some point. These complications can variety from slight irritations to a debilitating pain crisis that needs immediate treatment. Headaches are researched across the scientific community; however reasons continue to be a mystery. The clinical network has broken headaches into a few without difficulty labeled classes. Primary headaches are with the aid of some distance the maximum not unusual variety, while cluster and secondary complications are a long way rarer. Maximum complications have no life threatening importance, despite the fact that secondary headaches can sign every other hassle at paintings inside the brain.

Most headaches fall into the class of number one complications, and are commonly without problems treated by means of over the counter solutions. Ibuprofen and Aleve are generally effective remedies for troubles related to number one headaches. Greater severe complications, like cluster headaches, demand specialized treatment. Different effective treatments for complications are therapeutic measures which include biofeedback, rub down, and psychotherapy. These are exact methods to save you complications previous to their onset. The general public of complications can be traced to a stress associated motive.

Several hours of physical exertion can really cause a pressure associated headache. The muscle groups within the skull can contract below pressure, causing pain. Treatment in all fairness simple, however prevention is a greater powerful manner of decreasing headache pain. Stopping headache ache typically means finding the reason of the onset in the first place. If emotionally annoying are bringing on the ache, a few sort of strain control need to be undertaken. Hours of bodily labor must be damaged up by using regular breaks to save you the outbreak of pressure related complications.


Frequent headaches that closing for weeks or months may be a signal of a greater extreme condition. Headache treatment in these situations might also revolve around diagnosing a greater critical issue. Complications that arise constantly and at random may additionally signal an extra serious difficulty at paintings. 

This sort of headache, referred to as a secondary headache, can signify internal bleeding, tumor growth, or chemical imbalances. It’s far critical to see a consultant each time issues of this kind present inside the patient. Prompt care can save you the root motive of secondary headaches from turning into a larger issue.

Sunday, 16 July 2017

Treatment for Rhinoplasty

The treatment that is more regularly known as a rhinoplasty is the treatment that offers with the cosmetic side of treating the nose. Its miles quite critical to find a health care professional who is specialized within the region as it's miles very hard to get a person that's on this treatment.
There are two numerous techniques rhinoplasty may be completed: Open and Closed rhinoplasty.

Closed Rhinoplasty –

·         Closed Rhinoplasty is the approach to creating an incision within the nostril in preference to during the cartilage.
·         With the aid of doing this, there will be no manner that scarring can be found as you may locate not any cuts which have been created on the out of doors the nostril.
·         This therefore will imply there are precise restraints to the treatment.
·         It’s dangerous for surgeons to now not be successful to look what's happening all the time.

Open Rhinoplasty –

·         Open rhinoplasty could be very extraordinary to the opposite manner that rhinoplasty is done.
·         This approach calls for the medical professional to make a little cut in the nostrils so the surgeon might also then raise up the skin to peer the tissues as well as the cartilage inside the nose.
·         They may be successful to look what treatment goes to be maximum a success.
·         It will likely be anticipated a touch scar may be made due to having this rhinoplasty operation.
·         The downtime may be some distance longer as the nose may additionally have extra probable swelled up bigger than closed rhinoplasty could.

·         In spite of the truth that the cosmetic surgeons on the whole pick the open technique because it lets in them see what they may be doing extra carefully, there are several upsides to having closed rhinoplasty.

Monday, 3 July 2017

What's the Difference Between PRP and Stem Cell Therapy?

Patients who want scientific assist with pain reduction, tissue recovery, tissue repair or bone regeneration are an increasing number of turning to regenerative medication. The greater researchers explore the extra splendid their consequences seem. News tales point out a various variety of conditions, from more than one scoliosis to strokes that inspire hope for the destiny of regenerative medicinal drug. Right now, the interesting capability for stem cell remedy appears limitless!

Along with the use of stem cells, platelet Rich plasma is becoming a viable and extra cheap treatment option. Platelet Rich plasma therapy has been used for many years in surgical facilities global. Inside the final ten years, medical doctors have all started injecting platelet Rich plasma break free surgical operation to useful resource within the regeneration of tissues.

Scientific specialists have known for years that platelets play a critical role in restoration. Those very tiny blood components assist form a blood clot all through damage. Platelets also contain hundreds of proteins called boom elements, which can be very vital within the restoration of accidents. When you injure a place like a ligament or a muscle, they seep into the wound for the duration of the bleeding that usually occurs. They then installation a blood clot to stop the bleeding and begin to release increase elements to the region to coordinate a repair reaction.

The body’s first response to smooth tissue damage is to supply platelet cells. Platelets initiate restore and entice the crucial assistance of stem cells. PRP remedy’s natural healing manner intensifies the frame’s efforts with the aid of turning in a better attention of platelets. Platelet rich plasma treatment involves a small sample of your blood drawn. This is just like getting a lab test sample. Afterwards, the pattern is located in a centrifuge that spins the blood at high speeds, separating the platelets from the other additives. The focused platelet rich plasma is then injected into and around the factor of harm. This jump-starts and notably strengthens the frame’s herbal recuperation sign.

Due to the fact your very own blood is used, the worries related to locating an identical donor are not relevant to either platelet rich plasma remedies or stem cell therapy. There may be no threat of a transmissible contamination and a totally low hazard of allergic reaction.

Platelet rich plasma treatment is commonly correct for helping damaged tissues that would heal on their personal given sufficient time but want to be speeded up, both for comfort or protection. Whilst platelet rich plasma remedy might also assist recruit a few stem cells to the region, stem mobile injection therapy is a good deal greater advanced. Stem cells are for tissues which might be absolutely past everyday restore, as opposed to helping within the natural healing process.

Platelet Rich plasma treatment is an innovative treatment that relieves ache by selling durable restoration of musculoskeletal conditions.


This swiftly rising method is showing thrilling ability with:

·         Shoulder (rotator cuff tendinitis)
·         Wrist/hand (arthritis, cartilage damage)
·         Elbow (tennis elbow)
·         Hip (arthritis)
·         Knee (jumper’s knee)
·         Ankle/foot (arthritis)
·         Neck (whiplash accidents)
·         lower back (lower lower back pain)
In case you are a candidate for platelet Rich plasma remedy, it's miles a much less invasive option in comparison to surgical treatment and could offer everlasting relief. Platelet rich plasma remedy also offers a lower out-of-pocket cost, lower risk of infection, and shorter recovery period. Platelet Rich plasma remedy is an option for sufferers with mild osteoarthritis or chronic tendonitis. It cannot recruit enough stem cells to thoroughly restore an intense level of damage.

The goal of platelet rich plasma remedy is everlasting ache resolution. Preliminary development may be visible inside a few weeks, step by step growing as the recovery progresses. Research studies and medical practice have proven platelet rich plasma therapy to be very powerful at relieving pain and returning patients to their normal lives. Many famous athletes, like Tiger Woods and Rafael Nodal, have obtained platelet rich plasma remedy for diverse troubles, which include sprained knees and chronic tendon accidents. Those sorts of situations have usually been handled with medications, physical remedy, or even surgical operation. Some athletes have credited platelet rich plasma remedy with their being able to return more quick to competition.

Despite the fact that stem cellular remedies also are used to restore injured tissues, the processes are finished in an exceptional way. Stem cells also are discovered within the human frame but they play a fundamentally distinctive position in the frame’s normal restoration system. Stem cells can be converted into any mobile that the frame desires. The frame utilizes stem cells to substitute damaged and/or injured cells. This technique lets in herbal healing and repair of the injured or damaged cells.
Because the body gets older the amount of herbal reserved stem cells starts to decline. That is why the recuperation system is slower because the frame gets older. Stem cell therapy resolves this shortage by means of injecting supplementary stem cells into the injured/broken region of the frame. This triggers the cell replacement, herbal recuperation, and ache remedy.


both stem cell remedy and platelet rich plasma treatment require skilled clinical specialists in order for them to be appropriately and efficiently implemented to damaged tissue. in case you are in the San Antonio region, bear in mind travelling the Stem cellular Orthopedic Institute of Texas for a session on how regenerative medicine let you.

Monday, 19 June 2017

What is dehydration & what are its causes?

Dehydration occurs when there is too much water lost, failing to intake enough water as it requires or a combination of both. Without getting enough water, your body can’t function suitably. You may face mild, moderate, or severe dehydration depending on how much fluid is missing from your body.

Causes of dehydration

The immediate causes of dehydration include not getting enough water, too much water loss from the body, or sometimes a combination of both.

Many a time it becomes impossible to drink enough water since we are too busy, lack the facilities or strength to drink, or are in an area without access to drinking water (hiking or camping). Other causes of dehydration are:

•    Diarrhea – It is the most common cause of dehydration-related deaths. The large intestine absorbs water from the food matter, and diarrhea stops this function, this leads to dehydration.
•    Vomiting – It also leads to loss of fluids in the body and makes it impossible to restore water by drinking it.
•    Sweating – The process of body cooling brings out a significant amount of water. Hot and humid weather and vigorous physical activity can further lead to the fluid loss in the form of sweat.
•    Diabetes - High blood sugar levels cause urination, i.e. fluid loss.
•    Uncontrolled diabetes causes frequent urination; other causes includes alcohol and medications such as blood pressure medications, diuretics, anti-psychotics, and. Antihistamines.
•    Burns – The water seeps into the damaged skin, and the body fluid is lost.

Sign & Symptoms of dehydration in adults and young children

Mild or moderate symptoms of dehydration include:

        Thirst
        Dry or sticky mouth
        Not peeing very much
        Dark yellow pee
        Dry, cool skin
        Headache
        Muscle cramps

Other severe symptoms of dehydration include:

        Not peeing or having very dark yellow pee
        Very dry skin
        Feeling dizzy
        Rapid heartbeat
        Rapid breathing
        Sunken eyes
        Sleepiness, lack of energy, confusion or irritability
        Fainting

Symptoms of dehydration in babies and young children

        No tears when crying
        Dry mouth and tongue
        Dry diapers for 3 hours
        Sunken eyes, cheeks, soft spot on the top of the skull
        Sleepiness, lack of energy, or irritability


The cause of severe dehydration may require medical emergency and needs to be treated immediately to avoid any serious complications.

Thursday, 15 June 2017

Common Causes of hip pain

Similar to other types of chronic pains, hip pain is a commonly experience problem by women than men. Since, hip pain can have a number of different causes, determining the correct cause is the key to get the best treatment. It isn’t always felt in the hip itself, but may instead be felt in the groin or thigh.

Pain in the hip can be a result of a number of factors. Abnormalities of the bones, nerves, skin, joints, tissues, muscles, and blood vessels of the hip can all lead to hip pain. Sometimes diseases that affect other joints in the body, such as inflammation due to arthritis, trauma or injury, bone fracture, etc. it may also occur due to other painful infections condition of the skin such as shingles.

Having problem with the back or spine may cause hip pain. Depending upon the cause of hip pain, the pain may occur when walking, running or engaging in any other physical activity. The treatment for hip pain completely depends upon underlying its cause.

Some of the commonly occurring causes of hip pain are;

Ø  Arthritis – Osteoarthritis is among the common causes of chronic hip pain that worsen the condition as you age. The condition is characterized by the breakdown of the cartilage that cushions the ends of the bones where they meet to form joints. This may result in pain, stiffness, the loss of movement and the formation of bony overgrowths called spurs. Stiffness may be worse after periods of inactivity.

Ø  Hip Fracture – Hip fracture is a common condition among elderly individuals, especially those suffering from osteoporosis (low bone density). Hip fractures caused due to a sudden, severe hip pain injury then, it may require immediate medical attention. This may lead to further complexities, such as a blood clot. A hip fracture usually requires surgery and a physical therapy to recover.

Ø  Bursitis - Trochanteric bursitis, is another common cause of hip pain that occurs when a liquid-filled sac near the hip joint becomes inflamed. There are a number of factors that may lead to cause trochanteric bursitis, such as hip injury, posture problems, overuse of the joints, or other conditions such as rheumatoid arthritis.

Ø  Hernia – An inguinal hernia appears when tissue, such as part of the intestine, protrudes through a weak part in the abdominal muscles. The resulting swelling can be painful, particularly when you cough, bend over or lift heavy objects. Pregnant women can be at risk to inguinal hernias because of the added force on the wall of their tummy.
It does not improve on its own and can lead to life-threatening complications. Your doctor will recommend you with a surgery to fix an inguinal hernia that's painful & enlarging.

Ø  Meralgia paresthetica – It is a condition marked by tingling, numbness and burning pain in your outer thigh. It is caused due to the firmness of the nerve that supplies sensation to the skin surface. Obesity, tight clothing, and pregnancy are common causes of meralgia paresthetica, it may also occur due to local trauma or a disease, such as diabetes. You can relieve from this condition by, wearing loose cloths.


Ø  Bone cancer - It is a rare condition that begins in a bone. Bone cancer can start in any bone in the body, but it commonly affects the long bones that make up the arms and legs.

Wednesday, 14 June 2017

30 Little Things about Pregnancy, Childbirth and First Time Mom Experience

Pregnancy is undoubtedly the best time of life, which is full of discovery and surprises. For many moms-to-be, the journey includes some common and uncommon symptoms for which you may be unprepared. After all, motherhood is the great joy and privileges. 

In today blog we’ve gathered and disclosed 101 significant and insignificant tips and advice about Pregnancy, Childbirth and First Time Mom Experience.

About Pregnancy

1.    Don’t think too about planning your pregnancy; most couples take a few months to plan their pregnancy.
2.    Pregnancy during summers can be very stressful and especially if you are in your third trimester. Try to keep yourself cool by eating healthy and soothing food.
3.    Drink plenty of fluids, at least eight to 8 - 10 glasses a day avoid consumption of caffeine and artificial coloring drinks.
4.    Take all you recommended medication or supplement as directed by your obstetrician or midwife.
5.    Eat five or six well-balanced meals each day.
6.    Avoid consumption of drinks that contains alcohol.
7.    Don't smoke or allow yourself to be exposed to secondhand smoke.
8.    Doing moderate exercise can be an excellent way for the stress buster. You can also choose to take up pregnancy exercise classes to walk at least 15 to 20 minutes every day.
9.    Walk in cool, shaded areas or indoors can help you prevent from overheating and dehydration.
10.    Get an adequate amount of sleep, i.e. at least 8 – 9 hours a night. In case if you are unable to sleep at night take naps during the day time and you must also see your physician for advice.
11.    Wear comfortable loose fitting clothes
12.    Wear comfortable footwear, to prevent fatigue and swelling of feet, legs, and ankles.
13.    Avoiding traveling as much as possible, it is always advisable to prefer a four-wheeler over a two-wheeler.
14.    Never take any medication without seeking advice from your doctor, this may show some adverse effect on you or the baby.
15.    Educate yourself; this will help you prepare yourself better for delivery.
16.    Avoid doing every task such as Heavy lifting, climbing on step stools or ladders, using harsh chemicals, standing for extended periods of time, etc.
17.    Track your body weight regularly
18.    Say yes to craving; just be careful to limit portions.
19.    It is important to keep a clear mind and check on your emotional stress when you are expecting.
20.    Practice meditation and deep breathing exercises regularly, proper and sufficient oxygen supply is mandatory for enhancing the growth of the baby.

About childbirth

21.    Keep your bags ready well in advance.
22.    Prepare yourself, pay attention in those birthing classes.
23.    Decide which birthing method you want to use and find a supportive labor partner.
24.    Allow the baby come on his or her, own time, unless, of course, your medical circumstances warrants an induction.
25.    Don't labor on an empty stomach, Eat something before you get there.

About first-time-mom

26.    New mom always gets tons of advances, hence it necessary to figure out what works for you.
27.    It is complete alright if you skip a couple of your daily activities. Instead of, stressing yourself over something not so important.
28.    Start making a list of thing and question that you need and get answered by your doctor, so that you don’t forget anything important.
29.    Enjoy your nap time, your sleep is equally important to keep you fit and active for the rest of the day. 

30.    Pay attention to yourself and love your body. 

Sunday, 11 June 2017

Breast Lift with Implants - Procedures and Side Effects

What is a Breast Lift with implants?

This procedure features a breast lift with a breast enlargement in a single operative session. The lift is used for repositioning the breast on the chest, while the implant is used to give, or restore, upper pole fullness of the breast. This method may be carried out for cosmetic purposes, or as part of a reconstructive process.


A breast lift procedure is attained through different patterns and techniques.

The most appropriate method is determined based on:

        The degree of breast sagging
        Breast size and shape
        Skin quality and elasticity as well as the amount of extra skin
        The size and arrangement of your areolas

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.

Step 2 – The incision

There are 3 common incision patterns:

        Around the areola
        Around the areola and vertically down from the areola to the breast crease
        Around the areola, vertically down from the breast crease and horizontally along the breast crease

Step 3 – Reshaping your breasts

        The primary breast tissues are lifted and reshaped to recover breast contour and firmness.
        The nipple and areola are repositioned to a natural and youthful height.
        Enlarged areolas are reduced by excising skin at the perimeter.
        Excess breast skin is detached to correct loss of elasticity.

Step 4 – Closing the incisions

After your breasts are reshaped, and excess skin is separated, the remaining skin is tightened, and the incisions are closed.

Step 5 – See the final output

The results for breast lift surgery are instantly visible.

Complications and risk factors linked with Breast lifting with implants;

        Unfavourable scarring
        Bleeding or hematoma formation
        Infection
        Prolonged healing
        Changes in nipples or breast sensation ( temporary or permanent)
        Skin discoloration & pigmentation changes
        Swelling & bruising
        Damage to - nerves, blood vessels, muscles and lungs (temporary or permanent)
        Breast asymmetry
        Fluid accumulation
        Excessive firmness of the breast
        Undersensitive or oversensitive nipple or areola
        Blood clots
        Slight risk of deep vein thrombosis, cardiac and pulmonary complications
        Unbearable Pain
        Bad reaction to anesthesia

        Need for revisional surgery

Tuesday, 6 June 2017

What is Medicare part B?

Medicare Part B is healthcare insurance. That helps you pay for your doctor visits and medical care you receive as an outpatient. You are an out-patient as you get care in a hospital or consulting room and are not admitted for an inpatient stay. Part B also includes the majority of doctor’s services that you may receive as an in-patient. Other hospital services are covered under Part A.


Let’s find out what is covered under Medicare Part B?

        Doctor's visits (including an annual physical exam)
        Laboratory services including - blood tests, urinalysis, etc.
        Medical health care as an outpatient
        Some preventive care, like flu and pneumonia shots
        Outpatient health check services
        X-rays, MRIs, CT scans, EKGs, and some other diagnostic tests
        Prescription drugs, like chemotherapy drugs
        Durable medical equipment for use at home such as oxygen, wheelchairs, walkers, etc.
        Emergency room services
        Skilled nursing care and health aid services on a part-time or intermittent basis
        Other diagnostic screenings, such as colorectal and prostate cancer screenings and mammograms
        Ambulatory surgery center services

What's not covered under Medicare Part B?

Medicare Part B does not help with the cost of:

        Dental, vision or hearing care but in very rare conditions.
        Care received outside the USA except in very specific situations.
        Custodial care - helping with eating, bathing or dressing.

What doctors or health professionals can you see?

You can see any qualified provider in the US who accepts Medicare assignment and who accepts new patients. You can get medical help in any state or region. Original Medicare Part B offers the same benefits across the US.

Coverage limited with Medicare Part B

Medicare Part B insurance helps pay for any medically necessary care to look after an illness or physical condition.

Part B also covers some precautionary care to help you live a healthier life. There may be limits on coverage for some services.

What is preventive care?

Preventive care includes screenings and tests that assist discover health problems at an early stage so that they can be treated well. Other services, such as flu shots and health education, may help prevent health problems.

Medicare Part B covers these preventive services:

        Bone mass measurement (bone density)
        Alcohol misuse counseling
        Cervical and vaginal cancer screening
        Lung cancer screening
        Diabetes self-management training
        Breast cancer screening (mammogram)
        Cardiovascular disease (behavioral therapy)
        Flu shot
        Tobacco use cessation counseling
        Diabetes screening
        Colorectal cancer screening
        Hepatitis B shot
        Glaucoma test
        Prostate cancer screening
        Depression screening
        Cardiovascular screening
        Obesity screening and counseling
        Pneumococcal shot
        Medical nutrition therapy services
        “Welcome to Medicare” preventive visit
        Yearly “Wellness” visit
        HIV screening
        Hepatitis C screening

        Sexually transmitted infections screening and counseling