Patient Education

Here you will find important and useful information to help you become a more informed patient about the medical care you receive. We believe every patient benefits from knowing beforehand what to expect and being actively involved in their own care.

The Adverse Childhood Experiences (ACE) Study is one of the largest investigations ever conducted on the links between childhood maltreatment and later-life health and well-being. As a collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego, Health Maintenance Organization (HMO) members undergoing a comprehensive physical examination provided detailed information about their childhood experience of abuse, neglect, and family dysfunction. Over 17,000 members chose to participate. To date, over 30 scientific articles have been published and over 100 conference and workshop presentations have been made.

by Dr. Ramaz Mitaishvili

Eye inflammation


Early inflammation due to Acanthamoeba keratitis.
(Photo courtesy of Dan B. Jones, M.D.)

Acanthamoeba is a microscopic, free-living ameba that is relatively common in the environment. This ameba has been isolated from water (including natural and treated water in pools or hot tubs), soil, air (in association with cooling towers, heating, ventilation and air conditioner [HVAC] systems), sewage systems, and drinking water systems (shower heads, taps). Most people will be exposed to Acanthamoeba during their lifetime and will not get sick. However, Acanthamoeba is capable of causing several infections in humans.

Interim Document
What abrin is

    * Abrin is a natural poison that is found in the seeds of a plant called the rosary pea or jequirity pea. These seeds are red with a black spot covering one end.
    * Abrin is similar to ricin, a toxin that is also found in the seeds of a plant (the castor bean plant). However, abrin is much more poisonous than ricin.
    * Abrin can be made in the form of a powder, a mist, or a pellet, or it can be dissolved in water.
    * Powdered abrin is yellowish-white in color.
    * Abrin is a stable substance, meaning that it can last for a long time in the environment despite extreme conditions such as very hot or very cold temperatures.

Colds are a fact of life for many children but they don't have to be. Savvy parents are using natural remedies to avoid colds and flu or shorten the duration of the irritating illnesses. Children under six have an average of seven colds a year while older children tend to have four or five. They can catch a cold anytime but most colds occur between October and February. If a child's temperature goes above 102?F, the child is likely suffering from the flu and not a cold. You can break this cycle by building your child's immune system with diet, herbs and vitamins. Then they will be less likely to fall victim to the viruses that cause colds and flu. Here's how you can sidestep sneezes and curtail coughs this summer.

Julie Metos, MPH, RD, CDE
The American Egg Board calls it incredible, but for children with an egg allergy, the egg is simply inedible.
One of the most common food allergies in infants and young children, egg allergy can pose many challenges for parents. Because eggs are used in many of the foods kids eat - and in many cases they're "hidden" ingredients - an egg allergy is hard to diagnose. Ultimately, it's up to parents to monitor what their children eat and to consult with the doctor when they have concerns about a possible allergic reaction.

By Dr. Ramaz Mitaishvili
Fever is nothing to fool around with in young children. If your child feels warm
or seems under the weather, you probably should take his or her temperature.
Sounds simple enough, but if you're new to it, you probably have a few
questions. What kind of thermometer should you use? Should you take a baby's
temperature the same way you take the temperature of a five-year-old? Here
are the answers.

By Dr. Ramaz Mitaishvili
- are a result of stress put on bones or muscles.
- Most common are injuries to soft tissue - muscles, tendons, and ligaments.
Dislocation
- occurs when two bones are jolted apart at a joint and is often accompanied by a ligament tear in the joint. The pain is caused by the severe stretching of soft tissues.
- are most common in the shoulder joint. Acromioclavicular joint (AC) separation occurs when the ligaments that support the collarbone are torn.
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