Family Medicine & Physicals

Primary Care

West Palm Beach & Palm Beach Gardens

At Hope Health & Wellness we focus on delivering the highest quality medical care for our patients. We believe that open and honest communication, patient education, and a strong commitment to excellent health are the foundation for a successful patient-physician relationship. Hope Health and Wellness provides care for the whole family, from chiropractic care for infants to elderly and everything in between. We are experienced care providers and our physicians and staff are committed to listening to you and answering your questions. We invite you to share your healh-related concerns with one of our care providers. If you are a current patient, we thank you for choosing Hope Health & Wellness Family Medicine as your primary healthcare provider. If you are a new patient seeking to establish a patient-physician relationship, we welcome the opportunity to serve you.

Our providers are skilled in the care of infants to seniors. It is our goal to ensure your family’s complete health and well-being through exceptional healthcare providing comprehensive preventative exams, health education for all ages, and close monitoring of chronic medical problems. Our knowledge of the family as a whole provides our patients with an extraordinary level of care and allows us to effectively serve as advocates for our patients’ overall health and well-being. By developing long-term relationships with our patients, we can effectively create a strong foundation of good health.

Physicals

Annual Wellness Exams
School & Sport Physicals
Work Physicals
DOT Physicals – We complete all your paperwork and submit to the state as a courtesy.

Medical Lab Tests

*Male / Female Wellness Blood Work
Pap Smears
HPV Testing
*Menopause Treatment
Family Planning
Ultrasounds
Labs
*Bioidentical Hormone Replacement Therapy
*Testosterone Replacement
EKG’s
*Genetic Testing
Smoking Cessation
*Weight Loss
Occupational Medicine
Work related injuries

Vaccines

Influenza
Pneumovax
Tetanus
Meningitis
Gardasil
Zostavax

Physicals

Sports Physicals

With no appointment needed, sports physicals at Hope Health & Wellness couldn’t be easier. Whether your child is getting ready for sports, school, or camp, a physical is the first step in making sure they’re healthy and ready for any activity

Why Get a Sports Physical?

With more than 46 million kids participating in sports each year, making sure your athlete is okay to play is the first step in getting ready for the big game.

Did you know that 62 percent of all organized sports-related injuries happen during practices rather than games? Football, basketball, and soccer were found to be the top three sports where most injuries occur.

Sports physicals are largely required by athletic leagues and schools − and for good reason. They raise awareness of any issues that may interfere with your child’s ability to participate in a sport.

Your healthcare provider can identify areas that may be prone to injury and suggest tips and exercises to avoid future problems.

What a Sports Physical Includes

Physicians will check your athlete’s vital signs, Musculoskeletal joints, and flexibility. They’ll also check your athlete’s vision and do a short fitness assessment to diagnose and recommend any possible limitations on physical activity.

It’s not necessary for you to bring a vaccination record with you to receive a physical at Hope Health and Wellness.

  • Vitals check

We’ll check your child’s pulse and blood pressure to ensure proper vitals. We’ll also document his or her weight and height, since growth spurts and weight changes can place added stress on joints, muscles, and bones.

  • Eye exam

An eye exam checks for proper vision and evaluates whether your child needs prescription lenses or if his or her current prescription needs to be adjusted.

  • Fitness assessment

Next we’ll examine your child’s heart, lungs, abdomen, ears, nose, and throat. We’ll check his or her cardiovascular system and recommending any limitations on physical activity.

  • Joints and flexibility check

By testing your child’s strength, flexibility, posture, and joints, we can identify any areas that may be prone to injury as well as suggest potential exercises and tips to help build a healthier body.

  • Medical history review

A medical history is just as important as a medical examination. Knowing about any past illnesses, surgeries, or conditions, such as asthma or chest pains, will help diagnose problems and prevent complications in the future.

School Physicals

Hope Health and Wellness can handle your school physical needs. We accept walk-in physicals. Our highly trained staff can complete your child’s exam and any forms you need for the coming school year. We can also administer many of the vaccines and required immunizations.

For children heading back to school, a proper check up is important to evaluate any issues your growing child may be dealing with. For example, a back to school physical can touch on whether a child’s vision is developing properly and address any other physical development issues that are important to a growing child.

WHAT TO EXPECT

Back to school physical exams will vary based on the child’s age, but typically the provider will:

  • Record your child’s height, weight, blood pressure, pulse, and BMI
  • Check your child’s heart, lungs, lymph nodes, abdomen, skin, eyes, ears, nose, and throat
  • Evaluate your child’s vision, joints, muscles, and spine
  • Discuss the medical history of your child and your family

WHAT TO BRING

You should bring your child’s immunization records and a list of any medications your child takes, including prescription medications and over-the-counter medicines.

Pre- Employment Physicals

More and more companies are now requiring pre-employment exams from potential employees. Some of these exams have to do with the nature of the job. For example, workers might be examined to confirm they are physically fit and can perform jobs that are physically demanding.

These exams not only protect the employee from work injuries, but also protect the company against work-related lawsuits for injuries that could have been prevented had the employee been in good physical condition in the first place.

Pre-employment physical exams can only be legally requested after a job has been offered. This ensures that no discrimination issues will arise.

Basic Checkup

Pre-employment physical exams at our office starts with a measurement of your vital signs.

To start, a nurse will record your weight, blood pressure, pulse and temperature.

You will then answer a number of questions regarding any medications or supplements you might be taking. Some drugs and nutritional supplements can cause drowsiness, nausea and other potentially dangerous side effects. If you’re going to be operating machinery or performing a dangerous job, not being completely awake and aware can be a job hazard.

If you are hired for a high-stress job, the company might also want to know how you handle pressure. For this, your provider might ask questions regarding depression symptoms, changes in mood and behavior, and how you deal with stress. People who turn to smoking or other habits to mitigate stress might not be a good fit for certain jobs, so your provider will look into this as well.

Alcohol and Drug Tests

Alcohol and drug tests have become standard in many companies, and you might be asked to undergo one in order to get a job. Drug/alcohol tests are especially important in high-risk jobs, where employees are handling dangerous or heavy equipment and being intoxicated can result not only in personal harm but also in harm to others and to property.

Alcohol and drug tests can be performed in a number of ways. Breathalyzers, blood tests, urine tests, hair testing and even mouth swaps are all options. The chosen method depends on what the employer is looking for and how fast the results are needed.

Physical Examination

The doctor will check your reflexes, range of motion (and joint health), heart health and respiratory function, hearing issues and pupil dilation. All of these basic checks can help give your provider a more accurate picture of your health status.

The provider will also note any discomfort, pain or swelling you might be experiencing and ask you questions to see if you know what caused it and when it started.

When submitting to a pre-employment exam, keep in mind that the tests performed might change based on:

  • Your sex
  • Your age
  • Any previous conditions or accidents/injuries you report during the interview
  • Current health conditions or illnesses you’re dealing with

The Results

Once the examination has been completed, the provider will issue a report showing your current health status. He might add recommendations for vaccinations, further blood tests or prescriptions, although this is not always required.

Our primary goal is to comply with your employer’s request so you can start your job as soon as possible. However, we also want to make sure you are aware of any medical conditions or issues you might be dealing with, so you stay safe and work on getting back to optimal health.

DOT Medical Exam and Commercial Motor Vehicle Certification

WHAT ARE DOT PHYSICALS?

Federal law requires drivers of commercial motor vehicles (CMVs) to receive regular physical examinations. The official name for these exams is “Department of Transportation Medical Examinations,” but it’s often shortened to “DOT physicals.” DOT physicals are designed to detect physical, mental, and emotional issues that can impact a CMV driver’s ability to safely spend long hours on the road. Because there are so many regulations for commercial drivers, the Federal Motor Carrier Safety Administration (FMCSA) only allows certified medical examiners (CMEs) to perform DOT exams. Every Concentra medical center has at least one CME on staff. Find your closest medical center now.

WHAT DRIVERS SHOULD EXPECT FOR THE EXAM

A DOT exam will include an evaluation of an employee’s vision, hearing, blood pressure/pulse rate, and overall physical ability. It will also test for illegal drugs. If drivers take any medications, they’ll need to bring a complete list to the exam, including the doses and doctors’ information. Any drivers that require corrective vision or hearing need to bring their eyeglasses, contacts, or hearing aids. If your drivers suffer from any other medical condition, they may be required to bring additional information. Drivers do not need to abstain from eating before their dot physical exam.

Results will be reported electronically (additional fee) to the NRCME when the exam is completed and certified drivers will receive a copy of the Medical Examiner’s Certificate.

The DOT examination will include a health history review, a thorough physical exam captured in an online version of the Medical Examination Report, and a urine test for Commercial Driver Fitness Determination.

A Department of Transportation (DOT) physical examination must be conducted by a licensed “medical examiner” listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry.  The term includes, but is not limited to, doctors of medicine (MD), doctors of osteopathy (DO), physician assistants (PA), advanced practice nurses (APN), and doctors of chiropractic (DC).

A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner’s certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.

Recordkeeping

If the medical examiner finds that the person he/she examined is physically qualified to drive a commercial motor vehicle (CMV), the medical examiner will furnish one copy of the results to the person who was examined and complete a Medical Examiner’s Certificate.

Comprehensive Blood Analysis

Take Charge of Your Health with Low-Cost Blood Testing

Hope Health & Wellness uses a lab that is in-network to most all insurance plans as they are affiliated with Hospitals and other government health related entities.  This benefits our patients because they can get the necessary tests performed for little to no cost.

If your blood test result reveals an imbalance of free testosterone and/or estradiol, you, are in a position to initiate immediate corrective action. Not only can restoring youthful hormone balance save your life, but men (and women) often experience an enhancement in their quality of life after their hormones are adjusted to optimal ranges.

A complete description of the Male and Female Blood Test Panels can be found on this site. As you’ll readily see, these panels contain many important tests (like homocysteine, C-reactive protein, and DHEA, IGF1, pregnenolone, cortisol) that mainstream doctors seldom check for.

Critical Importance of Blood Testing

Today’s conventional physicians prescribe blood tests to check glucose, cholesterol, and triglycerides, but rarely check their male patients’ free testosterone and estradiol levels.

When looking at the horrifically high mortality rates associated with imbalances of these critical hormones, it becomes strikingly apparent that a number of heart attacks, strokes, bone fractures, and other degenerative diseases are easily preventable.

 

How does my genetic makeup affect how medications may work for me?

Have you ever wondered why some medications work for some people and not for others?  Ever wonder why some people have serious side effects to some medications while others do not?  This is based on one’s unique genetic profile and some medicines might not work at all for you. Your genes can affect how quickly your body breaks down (metabolizes) medicine and gets medicine into your bloodstream.

When a medication does not work well with your genes, you may not get the relief you need and you may have unwanted side effects. By gathering information about your genetic profile, you and your healthcare provider can make better informed decisions regarding your treatment. Medicines that align well with your genes may work better and with fewer side effects.

Are genomics and genetics the same thing?

No, though it is a common mistake to use genetics and genomics interchangeably. Genetics is the study of a single gene and its role in how conditions are passed from one generation to the next. Genomics is the study of all parts of an organism’s genes.

 

What is pharmacogenomics?

Pharmacogenomics uses information about a person’s genetic makeup, or genome, to choose the medication and dosage that are likely to work best for that person.

The field of pharmacogenomics has revolutionized how medications are prescribed and taken. Until recently, drugs have been developed in a “one size fits all” kind of approach. Pharmacogenomic tests evaluate a person’s DNA to determine how they may metabolize or respond to medications. This type of testing helps guide healthcare providers in choosing medications and dosing.  While it cannot confirm which medications or doses will work for a patient, it can point out which medications to avoid.

There are two types of genes studied in pharmacogenomics:

  • Pharmacodynamic: these genes make proteins that affect how a medication works and what it does to the body
  • Pharmacokinetic: these genes make proteins that affect the movement of the medication through the body (i.e., enzymes in the liver that break down the medications)

Pelvic Floor Rehabilitation

Now There is HOPE with Incontinence and Erectile Dysfunction

Bladder leakage is not your fault… and you shouldn’t have to suffer any more.  Pelvic Floor rehabilitation using Extracorporeal Magnetic Innervation (high powered magnetic frequency) is FDA approved for treatment of Urinary Incontinence and helps with Erectile Dysfunction by stimulating and rehabilitating the nervous system that supports and innervates the muscles of the pelvic floor.

✓ No Drugs… No Surgery… No Invasive Probes

✓ No more bouncing around to numerous doctors with no answers… AND…..

✓ No more Humiliation!

Recuperation can be as simple as sitting in a chair, fully clothed. The pelvic floor controls your urinary, bowel & sexual functions yet these muscles are your most neglected.

This breakthrough technology builds strength and endurance back into the pelvic floor muscles. Think of it like this: the pelvic floor is the conductor of our urinary orchestra. Our urinary function is complex but needs to be in harmony.

The therapy works by creating a pulsed magnetic field which easily penetrates bone and soft tissues, simultaneously reaching all nerves and muscles controlling urinary function.

Struggling to hold on? Worried that you may not make it to the toilet in time?

Incontinence affects men and women of all ages for various reasons but one of the most common issues is weakened pelvic floor muscles.  Whether it be due to child birth, weight lifting or just part of the aging process, help is available.  Yes, we should all be doing our pelvic floor exercises but how do you do them when you can’t feel them in the first place?  This is the problem faced by both men and women.

What is the Magnetic Pelvic Floor Chair?

The Magnetic Pelvic Floor Chair is a highly advanced piece of equipment that uses Extracorporeal Magnetic Innervation or magnetic fields to contract the muscles of the pelvic floor using a magnetic frequency that is much stronger than any TENS machine or other electrical muscle stimulation device.  The Pelvic Floor Chair is FDA approved for the treatment of stress, urge or mixed incontinence.  The magnetic chair exercises all of the muscles in the pelvic floor region to rebuild strength and endurance to restore bladder and bowel control.  The magnetic chair is capable of doing upwards of 200 pelvic floor exercises per minute at 20 times greater the intensity than the patient can do themself!

What is treatment like?

Treatment is painless. The power/frequency levels are able to be adjusted to ensure comfort at all times.  The patient sits fully clothed on the magnetic chair for 22 minutes in total. Once the treatment cycle begins the pelvic floor muscles start contracting and strengthening.  A cycle on the magnetic chair consists of a 10 minute cycle, a 2 minute break and then another 10 minute cycle.  Treatment appointments are scheduled every 30 minutes.  Many patients read a book, play on their phone or bring some headphones and listen to music during the treatment.

Will Insurance Cover This Treatment?

Insurance may cover some of the services associated with this treatment.  Our Insurance team will gladly verify your insurance to determine how much of the services will be covered.

How long is the treatment plan?

A course on the Magnetic Chair usually involves 16 treatments (sometimes up to 20-24) and goes for 8 weeks with 2 treatments per week.  A minimum of one day gap between treatments is required – ie. treatments can be done on a Monday and then Wednesday, or Tuesday and Thursday.  At the end of the 16 treatments most patients are experiencing at least 50% improvement in their condition.

Is the magnetic chair suitable for everyone?

Most people are suitable for the Magnetic Chair however there are some medical conditions where the Magnetic Chair is not the recommended treatment option and you will be advised on this following an initial consult.  The Magnetic Chair is not suitable for people who are pregnant, have a cardiac pacemaker or sensory deprivation (unable to feel sensation specifically in the buttocks region).  Magnetic Chair treatment can continue without any concern during your menstrual cycle as well.  Young children are welcomed to sit in the room with their parent as The Magnetic Chair is set up in a private room and the children can play on the floor.

What results will I get from doing a course on the Magnetic Chair?

Most patients report excellent results from a course on the Magnetic Chair however everyone is different and this can vary depending on the level of muscle tone to begin with. Many find that once completing a course on the Magnetic Chair they can then go on to correctly perform pelvic floor muscle strengthening exercises themselves as the treatment has given them a much needed boost to their muscle strength and they can actually feel that they are doing it correctly.  Some patients choose to try the Magnetic Chair to avoid surgery for severe incontinence issues and the results from these patients may be only fair to average.

Erectile Dysfunction

A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.  At Hope Health & Wellness, we have a revolutionary treatment protocol that may help Erectile Dysfunction. Click HERE for more info.

Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time.

Since the discovery that the drug sildenafil, or Viagra, affect penile erections, most people have become aware that ED is a treatable medical condition.

  • Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.
  • Causes are usually medical but can also be psychological.
  • Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.
  • Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED.

The following list summarizes many of the most common physical or organic causes of ED:

 

 

  • Parkinson’s Disease
  • Multiple Sclerosis
  • Hormonal disorders including thyroid conditions and testosterone deficiency
  • Structural or anatomical disorder of the penis, such as Peyronie disease
  • Smoking, alcoholism, and substance abuse, including cocaine use
  • Treatments for prostate disease
  • Surgical complications
  • Injuries in the pelvic area or spinal cord
  • Radiation therapy to the pelvic region

Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection.

Numerous prescription medications can also cause ED, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications:

  • Drugs to control high blood pressure
  • Heart medications such as digoxin
  • Some diuretics
  • Drugs that act on the central nervous system, including some sleeping pills and amphetamines
  • Anxiety treatments
  • Antidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants
  • Opioid painkillers
  • Some cancer drugs, including chemotherapeutic agents
  • Prostate treatment drugs
  • Anticholinergics
  • Hormone drugs
  • Peptic ulcer medication cimetidine

Exercises

There are exercises a man can carry out to reduce the effects of ED.

The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with Kegel exercises. These are often associated with women looking to strengthen their pelvic area during pregnancy, but they can be effective for men looking to regain full function of the penis.

Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of Kegel exercises.

One Kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the exercises. However, they should become easier over time.

You should be able to notice an improvement after 6 weeks.

Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Instead, bring the muscles together in a squeezing motion.

Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ED in men who have circulation issues.

Our Physicians at Hope Health and Wellness will prescribe you with Chantix (varenicline), a smoking cessation medication to help you quit smoking for good. It is used together with behavior modification and counseling support to help you stop smoking. Important information

  • Chantix may cause changes in your thoughts or behavior.
    • Stop using this medicine and call your doctor at once if you have: any mood or behavior changes, confusion, anxiety, panic attacks, hallucinations, extreme fear, or if you feel impulsive, agitated, aggressive, restless, hostile, depressed, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.
  • Do not drink large amounts alcohol.
    • Varenicline can increase the effects of alcohol or change the way you react to it.
Important Information About Chantix
  • Chantix may cause changes in your thoughts or behavior.
  • Stop using this medicine and call your doctor at once if you have: any mood or behavior changes, confusion, anxiety, panic attacks, hallucinations, extreme fear, or if you feel impulsive, agitated, aggressive, restless, hostile, depressed, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.
  • Do not drink large amounts of alcohol.
  • Varenicline can increase the effects of alcohol or change the way you react to it.

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