Primary or Urgent Care – The Differences

When looking at primary and urgent care there are many differences between the two. Primary care is basically the day-to-day healthcare that is given by their physician. Urgent care is the type of medical care someone seeks when they have an illness or injury that is not serious enough to warrant going to the emergency room, they have no primary care physician, or it is after the hours that their primary care physician is open.

Primary care

• Primary care generally refers to a physician’s office and they have set hours and do not work on the weekends.
• Most physicians’ offices have set appointments and if a person needs to be seen they may have to wait until an open appointment is available or they may be squeezed in to an already busy schedule and have a long wait until they can be seen.
• Generally a physician’s office has a set payment schedule for visits, procedures done, etc and that is what they charge the insurance company.
• With many insurance plans there is a co-pay that the patient has to pay when leaving the office and that is generally a set co-pay
• Primary care physicians are not only general family care doctors but can also include specialist physicians like dermatologists, gynecologists, and neurologists.
• Here you have an appointment so when you arrive you will generally be called back when it is your appointment time.

Urgent care

• One of the biggest differences between the two is that urgent care has later hours and often is open on weekends. They are generally not open twenty-four hours a day.
• If a person becomes ill or injured their primary care physician generally cannot see them that day or else they tell them to come in but they will have to wait to be seen. With urgent care you can walk in and be seen immediately without an appointment. Unless the facility is extremely busy the wait time to be seen is not that long.

• The main drawback with this type of medical facility that they will usually charge more for their services.
• Even if the patient has insurance the co-pay that they have to pay may be double what they normally pay because the facility offers a specialized service.
• In urgent care medical facilities the physician working there are considered general family doctors and do not specialize in any particular area. They only deal with the basic illnesses and injuries.
• Although you can walk in and be seen you may still have to wait some because people are seen on a first-come, first-seen basis. They may also take the more serious injuries and illnesses first.

Once Bitten: What To Do When An Animal Bites You

Most people identify themselves as animal lovers. In fact, according to the Insurance Information Institute, 60.2% of American households have a dog and over 47% have a cat. Not to mention reptiles, birds, and other large mammals! Although animals play a large part in our lives, different triggers can cause an animal to attack.

In 2017, the city of San Antonio, Texas has seen an influx of roaming dogs which has become problematic for the United States Postal Service (USPS). In a news segment on KENS5, it was reported that San Antonio ranks #11 in the nation for dog attacks on postal workers. The CDC also tells us that men and children are more likely to be attacked by dogs.

Prevention is key: Animals will generally give warning signs before attacking. Growling, hissing, arched back, and lowered ears are just a few of the signals that animals give us when they feel threatened.

For dogs: Do not approach an unknown dog, do not make eye contact, and back away slowly.

For cats: Walk away when they start showing aggression (i.e. raised hair, arched back, thrashing tail, etc.). Give the animal a chance to calm down before attempting to interact with it.

Wild animals: Keep calm, make yourself appear larger than you are, and back away slowly. Never run from a wild animal; this may trigger their instinct to chase.

Get to safety: Put as much distance between the victim and the animal as you can. Use your body, clothing, or items like a purse or backpack to keep the animal from attacking vulnerable areas like the neck and face.

Assess the situation: Depending on the animal and the chances of it being vaccinated, you may or may not need medical assistance. If the wounds are not too deep, the animal has been vaccinated in the last 364 days, and you are up-to-date on your tetanus shots, you can safely cleanse the area with soap and water, use an antibiotic ointment on the injury, and bandage it up. Seek medical attention if the injury becomes red, painful, or swollen.

Know when to get help: Seek medical attention immediately if the victim has deep wounds with excessive bleeding, becomes feverish, or is attacked by an animal that has not been vaccinated in the last year. Many animals carry harmful diseases that can cause infection and, in some cases, even death.

When someone is attacked by any animal, timing is crucial. Save yourself precious time by familiarizing yourself with the locations of local hospitals like the Physicians Premier San Antonio ER where help can be found 24 hours a day.

Be sure to check out our Physicians Premier Blog for other tips and information on health and wellness.

Tools for Surgery: Powered Surgical Instruments

Powered surgical instruments have a very unique role in the operation room. They reduce the time of surgical procedures by providing functionality and consistent performance in the same. Proper care and handling of powered surgical instruments minimizes the risk of injury of patients.

The term “powered surgical instruments’ provides the description for instruments powered by an external source. These power equipment used in surgery includes a wide variety that utilizes different power sources. Thus, on the basis of external source, they are segmented into electrical, pneumatic or battery operated, compressed medical gasses, etc. Various examples of power equipment are reamers, drills, screwdrivers, and saws used by orthopedics and certain neurosurgeons. Craniotomies, drills, and perforators are used by neurosurgeons. Dermatomes are used by plastic and general surgeons for skin grafts, and sternal saws are used by thoracic surgeons to cut the sternum.

What are the benefits of powered surgical instruments?

· Ergonomics & Health: They are uniquely designed to improve ergonomic issues for surgeons, by providing a doctor with better accessibility during procedures. They have powered handpiece that reduces the number of repetitive motions or overuse injuries.

· Speed and Efficiency: The application of these instruments offers a potential timesaving for each screw implant. During deformity procedures, it is very beneficial.

· Accuracy: These instruments provide accuracy during pedicle preparation and screw delivery that reduce off-axis motion associated with these instruments.

These instruments are helping surgeons in many ways, but they also have certain disadvantages, like lack of trained professionals and insufficient quality checks of these instruments. These are factors hindering the growth of this market.

A report by a market research firm estimates double-digit growth rate for Global Powered Surgical Instruments Market estimated to become a market worth of USD XX million in 2022.

International organizations, including the World Health Organization (WHO), have highlighted surgery as an important component of the global health development. Currently, surgical procedures are evolving rapidly, within a highly technical healthcare environment. The global powered market is witnessing transformative and innovate advancements, especially in terms of design, compactness, and performance. Low- and middle-income countries have been expanding their economies and enhancing their basic public health amenities.

Hurdles for Powered Surgical Instruments Market: Breaches in equipment sterilization and high-level disinfection processes can result in outbreaks of HIV, hepatitis B and C, as well as the transmission of bacterial infecting agents. In many instances, the problem is long-standing, and the true scope of the problem is not known until there is an outbreak or the CDC is called in, because the contamination is out of control. Facilities that undergo an outbreak or shut-down also have repercussions from bad publicity, loss of business, and damage to the organization’s reputation.

Way Ahead: These powered surgical instruments are showing lucrative growth in the developing countries, such as India, China which has encouraged the demand for these surgical procedures to improve aesthetic appeal. Hence, the powered surgical instrument market is penetrating in the developing countries.