Medical Services

We think it is important to provide you with the most advanced, extensive, timely, and compassionate care possible. That is why we continue to keep abreast of medical advances; to provide you with a full range of family practice and obstetrical services. The following summarizes our most frequently provided services and is not meant to be an exhaustive list of the full scope of our services. It is meant to provide you with a sample of the range of services available. If you have questions about a particular service please speak with your health care provider for assistance and to receive a more thorough explaination or call us at (785) 462-6184.

Major Medical Service Areas:

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Adolescent Health:

Health Maintenance:

Many of the causes of morbidity and mortality in adolescence are preventable health conditions and are related to behavioral, environmental, and social causes.  Our goal is to reinforce positive health habits and discourage negative health habits.  Lifetime habits may form during adolescence so it is important to implement health promotion and preventive services.  We encourage you to overcome the misconception that adolescents are “generally healthy” and seek regular preventive and health promotion visits.  These visits can help prevent or detect obesity, hypertension, smoking, substance abuse, unsafe sexual practices and pregnancy, improper nutrition, depression, and other health problems.  These visits can help to maintain proper immunization status.  The prevention of health problems in adolescence can directly influence the health experienced in adulthood.

Cervical Cancer Prevention:

Cervical cancer should be screened for as part of an annual wellness visit.  The PAP test (smear) is used to screen for precancerous cell changes.  Cellular changes on the cervix may become cervical cancer if they are not treated appropriately. The Pap test is recommended for all women.  The human papillomavirus (HPV) test looks for the virus that can cause these cell changes.

Two vaccines (Cervarix and Gardasil) are available for use in preventing HPV and HPV related diseases.  Both vaccines are available for females, only Gardasil is available for males.  Gardasil has been shown to protect against genital warts and against cancers of the anus, vagina, and vulva.  The vaccines are indicated for girls as young as age 9 but are typically recommended for 11 to 12 year old girls and girls age 13 to 26 who have not previously been immunized. Gardasil is recommended for all teen boys and men through age 21.  These vaccines offer the greatest benefit if all three (3) doses are administered prior to any type of sexual activity.  http://www.gardasil.com/

Birth Control:

Birth Control can be an effective strategy to prevent unintended pregnancy, reduce menstraul cramp pain, and help regulate menstraul cycles.  Several methods exist and differ by their prevention method.  Methods include: intrauterine contraception, hormonal, or barrier.  Intrauterine contraception is accomplished by the insertion of an intrauterine device or system.  Hormonal contraception can include: implant, injection, oral contraceptives, patch, or vaginal contraceptive ring.  Barrier methods include: male or female condom, diaphragms, or spermicides.

Sports Physicals:

The preparticipation physical exam is required for participation in school sports programs and ensures that it is safe for you to participate.  A form is usually provided by your school for use by the medical provider during this exam and then returned to the school.  The exam consists of two (2) parts and includes a medical history and physical exam.  The medical history includes questions related to medication use, health problems, past injuries or hospitalizations, surgeries, allergies, and general and family health conditions.  The physical exam will include height, weight, vital signs, vision, physical assessment, and check your overall appearance.

Sports Medicine:

Sports Medicine deals with physical fitness and the prevention and treatment of injuries related to sports and fitness.  We can help athletes, individuals, and teams with the medical, nutritional, and psychosocial aspects of sports and fitness.  Our program is designed to promote lifelong fitness and the prevention of illness and injury.  The majority of sports related injuries are non-surgical and thus our treatment seeks to maximize function and minimize time away from the sport or activity you enjoy.      

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Aesthetic & Cosmetic Medicine:

Family Center for Health Care offers aesthetic and cosmetic medicine services that you would typically expect from only plastic surgeons.  Dr. Darren Matchell meets with patients one-on-one to determine their cosmetic goals and answer their questions.  He can then recommend the treatment that will be the most effective and have the best outcome for each individual.  Dr. Matchell offers several non-surgical methods to help you regain your natural and youthful looking beauty.  Since these services are non-surgical they offer you the ability to judge the results for yourself and discuss potential treatment modifications with Dr. Matchell.

Botox:

Are you concerned about deepening frown lines between your eyes?  Have you noticed wrinkles appearing on your forehead or between or at the corners of your eyes?  If so Botox® may be right for you.  Botox® works by relaxing the muscles beneath the treatment area.  Botox® offers patients the ability to achieve an improved appearance without the pain and recovery required by surgical cosmetic procedures.  The benefits of the treatment will develop over the next 1-3 weeks and wrinkles will soften and become smoother, sometimes completely disappearing. Botox® is derived from botulinum-A toxin, the diluted form used in injections has been approved by the FDA as a safe and effective treatment for wrinkles and facial lines.  Botox® can also be used in the treatment of headaches, limb spasticity, cervical dystonia, strabismus, blepharospasm, and urinary incontinence.  www.botoxcosmetic.com/home.aspx

Restylane:

Have you begun to see wrinkles on your face or around your lips?  Have your lips begun to lose their plumpness and volume?  Restylane® may be the solution.  Restylane® is a dermal filler used to restore the volume and fullness for moderate to severe facial wrinkles and folds.  The benefit from this treatment is immediate and is achieved in a safe and gentle manner.  Restylane® is a non-animal based hyaluronic acid that exists naturally in the human body.  Over time your body will break Restylane® down.  Each treatment will last 6 to 12 months depending on your individual body chemistry.  Restylane® can be used on facial wrinkles and folds around the eyes, nose, and mouth.  Lip augmentation and acne blemish correction can be performed with Restylane®.  www.restylaneusa.com/

Radiesse:

Radiesse® offers patients another treatment choice when looking to soften and smooth their facial wrinkles.  Radiesse® offers the benefit of a dermal filler combined with the ability to promote your body’s own ability to produce collagen.  This ability to promote your own collagen production can lead to extended benefits and increase your satisfaction.  Each treatment may last a year or more.  The effect is however not permanent.  Radiesse® Volumizing Filler is an injectable implant composed of synthetically produced smooth calcium hydroxylapatite microspheres.  www.radiesse.com/

Chemical Peels:

The chemical peel procedure involves the application of a chemical solution to the skin. This solution removes the outer layers of skin to expose new layers beneath.  The chemical solution may contain a variety of contents and concentrations to achieve the desired results.

PCA Products:

PCA SKIN® Clinical Care Products and PCA® MEN products are scientifically formulated using technically advanced, all-natural ingredients to nourish, hydrate, and rejuvenate your skin. Whether due to acne, rosacea, sun damage, or aging skin; daily use of PCA® MEN or PCA SKIN® Clinical Care Products will dramatically improve skin health and help provide the glowing, radiant complexion you desire.  There are a variety of cleansers, toners, moisturizers, treatment, and control products available.  PCA home care products are free of color additives, synthetic fragrances, harsh alcohols, comedogenic oils and other known sensitizers and are designed to deliver results without irritation. 

Naval Piercing:

 Men and women can seek body piercing as a method of self-expression and cosmetic improvement. FCHC offers naval piercing to its patients. You are asked to bring a 14 or 18 gauge barbell (preferably curved) made of surgical implant stainless steel, Titanium, 14K or 18K gold, platinum, or niobium. Most people receiving body piercings have no problems. The piercing procedure does require sterile technique and our medical providers have education and experience performing procedures while maintaining sterility. Failure to maintain sterile technique can cause disease transmission that includes: Hepatitis B, Hepatitis C, tuberculosis, syphilis, and HIV. Common complications include: infection, scarring, metallic allergies, and the piercing catching on clothing.

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Chronic Disease Management:

Chronic conditions require that your medical provider ensures that you understand, agree with, and participate in the management of your health issue.  Elements of successful management include: regular monitoring, coordination of care between multiple medical providers and settings, medication management, evidence based care, and improving patient self-management.  It requires that we give you the knowledge, skills, tools, and confidence to actively participate in your care.  As your medical home we want you to be an active participant in your own health and well-being.  We are able to coordinate all aspects of your preventive, acute and chronic needs using current evidence based medicine and appropriate technology. 

As your medical home we want to help you reach your health goals.  Our partnership will allow us to effectively manage any chronic health condition you have whether it is diabetes, heart disease, COPD, asthma, depression, anxiety, osteoporosis, or another chronic medical condition.  Our use of technology allows us to make sure that all appropriate tests, shots, and examinations take place on time.  It can also help us trend our progress and determine if changes are needed in our plan. 

As a way to develop your skills and benefit our team it is recommended that you participate in CMCI’s educational offerings that include Kansans Optimizing Health Program: Living with Chronic Health Issues and Journey for Control-Diabetes Classes.  These classes can increase your knowledge and allow you to understand and participate in the management of your health issue more fully.  Click here to view class schedules.

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Geriatrics:

Welcome to Medicare:

This initial preventative physical exam is for new enrollees in Medicare and is a one-time comprehensive preventive visit benefit per Medicare Part B.  You are eligible to receive this exam during the first 12 months you are enrolled in Medicare Part B.  The exam offers many screening, wellness, prevention, and immunization benefits to you designed to promote and maintain your health.  The screening program allows us to screen for heart disease, diabetes, glaucoma, osteoporosis, certain cancers, nutrition deficits, and other health problems.  Please talk to us and we can help you understand the benefits you are eligible to receive.  If you have secondary insurance, a coinsurance or copayment may still apply.  You can learn more at: http://www.medicare.gov/default.aspx

Annual Wellness Exam:

You are eligible to receive an annual wellness exam once every 12 months as part of your Medicare Part B benefits.  This yearly visit is used to develop or update a personalized prevention plan based on your current health and risk factors.  It must have been 12 months since you had your “Welcome to Medicare” visit.  You don’t need to have a “Welcome to Medicare” visit before your yearly “wellness” visit.  All people with Medicare are eligible to receive this benefit. 

You pay nothing to receive this benefit if your doctor or health care provider participates in the Medicare program. If you receive additional tests or services during the same visit and these are not covered under these preventive benefits, you may have to pay coinsurance, and the Part B deductible may apply.

Nursing Home Program:

The nursing home program allows you to receive health care services from us at the living complex of your choice.  We provide you with convenient and regular health care visits from our medical providers.  These visits are designed to monitor and maintain your overall health.  We are in regular contact with the nursing staff to help you through any acute problems as they may occur and are able to provide after hours care to patients who experience health care problems at times outside of normal office hours.  All of this eliminates requiring you to travel from your living complex to visit your health care provider.  We offer this service to the residents of Prairie Senior Living Complex, Deseret Health & Rehab at Colby, and Fairview Estates Retirement Community.    

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Immunizations:

Family Center for Health Care believes immunizations are important for everybody’s overall health and wellness.  That is why we have staff especially dedicated to ensuring immunizations are properly scheduled and administered.  We are committed to you and your family’s wellness; vaccines are just one step in keeping yourself disease free.  Answers to any of your vaccine related questions can be obtained by speaking with your health care provider or by visiting: http://www.vaccineinformation.org/ Be Wise Immunize.

Immunization Schedule:

Why Immunize: http://www.cdc.gov/vaccines/vac-gen/why.htm

For the current immunization schedule in English: http://www.cdc.gov/vaccines/recs/schedules/

For the current immunization schedule in Espanol: http://www.vaccineinformation.org/

For school requirements for each state visit: http://www.cdc.gov/vaccines/vac-gen/laws/default.htm

Vaccines for Children Program:

The Vaccines for Children (VFC) Program offers vaccines at no cost for eligible children through VFC-enrolled doctors. Children through 18 years of age who meet at least one of the following criteria are eligible to receive VFC vaccine: Medicaid eligible, uninsured, American Indian or Alaska Native, or underinsured.  Find out if your child qualifies by speaking with us today. Vaccinating on time means healthier children, families, and communities.

Adult Vaccination:

The need for vaccinations does not end once you enter adulthood.  The immunization process continues throughout life in order maintain good health and prevent disease.  Talk to your health care provider about what immunizations you should receive in order to maintain a proper immunization status.  For adult immunization information visit: http://www.vaccineinformation.org/

Flu:

Anyone can get the influenza (flu) virus.  Most people are ill with influenza for only a few days but in some people it can cause serious illness, hospitalization, and death.  There is an average of 36,000 deaths each year in the United States; most of these occur in the young and the elderly.  There are two methods used to immunize people currently: an injectable form and a nasally administered form.  We follow current CDC immunization guidelines in determining which form to recommend and administer to you.  In addition to receiving your flu shot using these strategies can help you reduce your risk of getting the flu: wash your hands or use alcohol based hand cleansers often, avoid contact with people who are ill, avoid touching your eyes, nose, or mouth, cover your mouth and nose when coughing, and stay home if you develop flu-like symptoms.  Additional information can be found at: http://www.cdc.gov/flu/protect/keyfacts.htm

Pneumococcal (Pneumonia):

Pneumococcal disease is an infection anyone can get.  In fact, pneumococcal infections cause more deaths each year than all other vaccine-preventable diseases combined.  Most often infection occurs in the lungs, blood, or brain. These infections which were once easily treatable with antibiotics have become complicated by antibiotic resistance.  This makes vaccination even more important.

The Pneumovax vaccine provides you with valuable protection.  Commonly called the “pneumonia shot,” it does not keep someone from getting pneumonia or a chest cold.  However, it does prevent pneumococcal disease from causing a secondary infection or a more serious life threatening illness.

Tetanus & Pertussis:

Tetanus (lockjaw) is a serious disease that causes painful tightening of the muscles, usually all over the body.  It can lead to "locking" of the jaw so the victim cannot open his mouth or swallow. Tetanus leads to death in about 1 in 10 cases.  Several vaccines are used to prevent tetanus among children, adolescents, and adults including DTaP, Tdap, DT, and Td.

Whooping cough, known medically as pertussis, is a highly contagious respiratory tract infection.  Although it initially resembles an ordinary cold, whooping cough may eventually turn more serious, particularly in infants.  Whooping cough is most contagious before the coughing starts. The best way to prevent it is through vaccinations.  The childhood vaccine is called DTaP.  The whooping cough booster vaccine for adolescents and adults is called Tdap.  Both protect against whooping cough, tetanus, and diphtheria.

Travel:

When traveling to remote locations across the globe there are health concerns and diseases that are not present or have been eradicated from the continental United States.  Safe travel may require that you receive additional immunizations to protect you.  The time to administer these immunizations can require several months.  You should contact us as soon as you consider traveling to these locations to schedule a visit and begin the vaccination process.    

For more information about the immunization recommendations for your specific destination visit: http://wwwnc.cdc.gov/travel/destinations/list.htm

To find a yellow fever administration clinic visit: wwwnc.cdc.gov/travel/yellow-fever-vaccination-clinics/search.htm

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Men's Health:

Men's Preventative Health:

It is important for all people to establish a schedule of regular visits with their medical provider.  These visits can help reduce your risk for health problems, sometimes preventing their development.  These visits can help prevent the two leading causes of death for men of all ages; heart disease and cancer.  Early detection can occur when the chance for cure or effective treatment are increased.  This can help you lead a longer and healthier life.  A schedule of exams, tests, and shots can be developed.  These visits may include screening for and checking the following: cholesterol, blood pressure, blood sugar, prostate cancer, colorectal cancer, and skin cancer.  It can also allow for updating your immunizations.  We also would recommend you see us if you become sick, have pain, a change in your health, or problems with your medications. 

As part of a healthy life style we recommend a balanced diet that leads to a healthy weight; a diet composed of plenty of fruits, vegetables, and whole grains.  You should limit foods and drinks high in calories, sugar, salt, fat, and alcohol.  Physical activity that increases your heart rate and breathing for at least 2.5 hours a week can reduce your weight and blood pressure.  It can also reduce your risk for diabetes, heart disease, stroke, arthritis, some cancers, osteoporosis, depression, and anxiety.  You should avoid or quit smoking.  We recommend 7-9 hours of sleep per night.  You can also benefit from effective stress management and from having a positive outlook on life.

Prostate Health:

The majority of men will have health problems related to their prostate during their lives.  Three problems are regularly encountered, these include: benign prostatic hyperplasia (BPH or enlarged prostate), prostatitis, and prostate cancer.  These conditions can cause symptoms that include: frequent urination, difficulty urinating, weak stream, and incomplete emptying of the bladder.  Prostate Cancer is the most common cause of cancer in men.  Early detection of prostate cancer can lead to its cure.  All of these conditions can lead to inconvenience and pain.  Regular exams can lead to early detection, treatment, and most often a cure.

Colonoscopy:

Colonoscopy is a study used to visualize the colon (large intestine) and detect inflamed tissues, ulcers, and abnormal growths.  Its indications can include when patients report changes in bowel habits, abdominal pain, bleeding from the anus, or weight loss.  It is an outpatient procedure and can be performed with the aid of sedative and pain medications.  It enables the physician to remove abnormal growths and to perform a tissue biopsy.   

Vasectomy:

Vasectomy is a safe and and effective form of male contraception.  The procedure works by preventing sperm from exiting the testes.  When considering a vasectomy one should consider that it is a permanent form of birth control.  The procedure is a simple outpatient procedure and patients often require only a short recovery period. 

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Obstetrics:  Visit our Obstetrics pages. 

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Occupational Medicine:

Employment Physicals:

We offer your business the ability to receive physical examinations of potential or current employees.  This process can ensure that your work force is comprised of individuals that are physically capable and can perform their job in a medically safe manner.  This reduces the risk to your business by ensuring that you have a productive and safe workforce.     

Physical Capacity Profile (PCP):

As part of our pre-employment services we offer the PCP.  This test is conducted to determine the strength and range of motion of the various muscles and joints used in performing various tasks.  It can provide you with information about the ability of a potential employee to safely perform the job for which they are being considered.  It can also be used as a baseline in case a work related accident occurs. 

Worker's Compensation:

We offer you the ability to receive medical care for your employees if a work related injury or accident occurs.   

DOT Physicals:

We perform full DOT physicals.  We can schedule these with the individual or can contract with your business to perform these ensuring that your operations are not interrupted.

Drug Testing:

We have the capability of performing drug screens to ensure the safe and efficient operations of your workforce.  We can help you include this as part of your hiring, safety monitoring, or post-accident investigation processes.

Flu Shot:

Unscheduled absences due to illness can drastically affect the operations of any business.  It is for this reason we offer your business our flu shot service.  Your business can contract with us and our nurse will come to your location and provide immunizations to your employees thus ensuring reduced disruption to your operations during the flu season.  The flu season can occur between September and March each year. We can bill your business directly thus allowing you to provide this beneficial service to your employees at your work site.

Health Promotion:

We can work with your business to perform health screenings at your worksite.  This valuable employee benefit will improve the health of your workforce and can reduce absenteeism and your insurance costs.  Your employees may be eligible for discounts through your companies insurance.  Contact us today to discuss any of our occupational services.

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Osteopathic Manipulative Treatment:

Osteopathic Manipulative Therapy (OMT) provides hands-on care and is used to assess, diagnose, treat, and prevent illness and injury.  This method is safe and can be used on patients of all ages.  OMT can be used for problems involving bones, muscles, tendons, tissues, or the spine.  The manipulation will move structures toward or away from the problem area to provide relief.  OMTs have been most effective in treating neck and back pain but have also shown to be helpful for: low back pain, ankle injuries, asthma, fibromyalgia, elbow tendonitis, neck pain, COPD, surgical recovery, menstrual pain, depression, and irritable bowel syndrome.  The goal of therapy is to reduce the pain and as a result the reliance on other medical or surgical treatments.   

OMT is a method that can be used to address both musculoskeletal and non-musculoskeletal health problems.  It can be used as an alternative therapy along with more traditional medical and surgical treatment options.  OMT is not advisable if you have: fractures or dislocations, bone cancer, bone or joint infections, damaged ligaments, rheumatoid arthritis, osteoporosis, recent joint surgery, or are on anticoagulant therapy (blood thinners).

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Pediatrics:

ADD/ADHD:

Attention Deficit Hyperactivity Disorder is characterized by a person having difficulty with the following: attention, hyperactivity or impulsivity, or both.  The person typically displays problems with inattention, hyperactivity, and impulsivity.  These behaviors are displayed in several different environments (home, work, school, and public) for the diagnosis to exclude situation specific problems.

Medical care for the treatment of Attention Deficit Hyperactivity Disorder includes both behavioral and pharmaceutical interventions.  Behavioral interventions can include: behavior modification, peer support groups, individual and family counseling, and coaching.  Anyone who interacts with the person can provide important assistance and feedback on the treatment’s progress.  Pharmaceutical intervention can be accomplished with medications from several classes of medications that may be used alone or in combination with medications from other classes.  The goal of treatment is to improve the person’s attention, hyperactivity and impulsivity, or both.

Allergies:

Allergies occur when we are exposed to an allergen.  The allergen causes an immune response to occur which causes inflammation and in severe cases anaphylaxis.  Exposure can occur through ingestion, skin contact, inhalation, or injection.  Allergens can be classified by the source of the allergen: environmental-indoor or outdoor, food, medication, latex, skin, and insect.    

Environmental allergy symptoms typically include: sneezing, nasal congestion, nasal stuffiness; rhinorrhea (runny nose); cough; itching of the nose, eyes, and throat; sinus pressure; headache; epistaxis (bloody nose).  Food allergies can cause symptoms similar to environmental allergies but can also cause swelling of the mouth, lips, throat; nausea, vomiting, diarrhea, coughing, and dyspnea (difficulty breathing).         

The source of environmental allergens can have indoor or outdoor sources.  Outdoor sources include tree pollen, grasses, and weeds.  There is typically a seasonal cycle that the sufferer’s symptoms follow.  Indoor allergy sources include: dust mites, molds, cockroaches, cats, dogs, and other furry animal debris.  Food allergies are due to a reaction to a food protein.  Common food allergies include: eggs, milk, peanuts, soy, fish, shellfish, tree nuts, and wheat.  Peanuts, tree nuts, and shellfish cause the most significant reactions. 

Treatment strategies include: avoidance, medications, and immunotherapy.  Avoidance is the most effective strategy and is accomplished by allergen identification and avoidance.  Medications used to treat allergies can include the use of antihistamines, corticosteroids, decongestants, and antileukotrienes.  Immunotherapy requires sensitivity testing and then a specific sensitization regime (allergy shots) to minimize allergen response.  Allergies can be disruptive to work and life; our goal is to minimize this disruption and the discomfort allergies cause.

Asthma:

Asthma is the most common chronic disease encountered in childhood.  The disease is characterized by airway inflammation, excessive mucus production, and hyperresponsive airways.  Symptoms of asthma include: chest tightness, non-productive cough, and wheezing.  Treatment can include: short or long acting bronchodilators, inhaled or systemic corticosteroids, and leukotriene modifiers.  The goal of therapy is to reduce the frequency of asthma exacerbations, the severity of exacerbations, and allow a healthy or near healthy lifestyle.

Ear Infections:

After Upper Respiratory Infections (URI), Otitis Media (OM, ear infection) is the most common childhood illness.  Signs and symptoms typically include: otalgia (ear pain), otorrhea (ear drainage), fever, irritability, recent onset anorexia, vomiting, and diarrhea.  The diagnosis is confirmed by otoscopic examination allowing visualization of the tympanic membrane (TM, ear drum).  The presence of tympanic membrane opacity, bulging, erythema (redness), or effusion can lead to a definitive diagnosis.  Treatment may include close observation, antibiotics, and pain control (Tylenol or ibuprofen).

School Physicals:

The preparticipation physical exam is required for participation in school sports programs and ensures that it is safe for you to participate.  A form is usually provided by your school for use by the medical provider during this exam and then returned to the school.  The exam consists of two (2) parts and includes a medical history and physical exam.  The medical history includes questions related to medication use, health problems, past injuries or hospitalizations, surgeries, allergies, and general and family health conditions.  The physical exam will include height, weight, vital signs, vision, physical assessment, and check your overall appearance.

Health Wave:

Health Wave is a managed care program that covers some Medicaid beneficiaries and all State Children’s Health Insurance Program (SCHIP) beneficiaries through two managed care organizations (MCO): Children's Mercy Family Partners and UniCare Health Plan of Kansas, Inc.  Health Wave covers children younger than 19 years old, pregnant women, adult parents and caregivers for children younger than 19 years old, seniors, and those with disabilities; all of whom must meet eligibility requirements.  Eligibility is determined by age, income, and residency status.  Health Wave is composed of two programs: Health Wave 19 and Health Wave 21.  Health Wave 19 has lower income eligibility requirements and Health Wave 21 may require a premium if income is above 150% of the federal poverty level.  Information can be found at the following website: http://www.kdheks.gov/hcf/healthwave/eligibility_guidelines.html

To apply for Health Wave you can get an application by:

Calling the Health Wave Clearinghouse at 1-800-792-4884.

Any SRS office or SRS access point, see http://srskansas.org/locations.htm for local offices or access points.

Family medical applications can be downloaded in 10 different languages from http://www.kansashealthwave.org

Well Child Check/Kan Be Healthy:

Treating our pediatric patients is something enjoyed by all the medical providers at FCHC.  Your child's visits are scheduled beginning one week after birth and continue on a regular basis through to adolescence to ensure that your child enjoys a healthy life, receives appropriate immunizations as recommended by the CDC, and receives appropriate medical treatment for any health problems encountered.  A typical well child visit schedule may consist of visits at the following ages: birth, 1, 2, 4, 6, 9, 12, 15, 18, 24, and 30 months, then each year from age 3 through 20.  Our medical providers are able to provide your child with physicals as may be required by schools, day cares, and camps. 

Our medical providers participate in Medicaid's Kan Be Healthy program.  Information about the Kan Be Healthy program can by found here.

Weight Loss:

Obesity is a major health crisis in the United States and in the rest of the industrialized world.  It has been shown to be associated with other health problems that can significantly increase the risk of illness and death.  These conditions include: Type 2 diabetes, hypertension, high cholesterol, coronary artery disease, stroke, thrombophlebitis, gastroesophageal reflux disease, gall bladder disease, sleep apnea, osteoarthritis, and some cancers. 

A normal body fat concentration for men is in the range of 15-20% and for women 25-30%.  Obesity is defined for men as a body fat concentration greater than 25% and for women greater than 35%.  The Body Mass Index (BMI) can also be used to determine whether someone is overweight or obese.  The index is highly correlated with body fat percentage based on height and weight measurements.  A BMI in the range of 25-29.9 signifies someone overweight, 30-39.9 obese, and greater than 40 signifies morbid obesity.  Muscular people may have a BMI that inaccurately measures their body fat concentration.

Our Weight Loss program utilizes several tools to assist you in reducing your weight and body fat concentration.  These include nutritional counseling, exercise, medical condition management, and medically supervised weight loss.  Nutritional counseling allows you to determine what your caloric intake should be based on your metabolism and exercise level.  This counseling can provide recommendations as you progress through your weight loss program.  Our dietician can advise you how to structure your meals effectively while eating nutritious and safe meals.  The Rehabilitation department provides a fitness area that will allow you to exercise while receiving recommendations from the rehabilitation staff.  This will allow you to exercise in an effective and safe manner.  Medical management and supervision allows your progress to be measured and quantified, thereby providing feedback to you on your progress and ensuring that your health is improved through your weight loss while health problems are monitored and treated during the program.

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Women's Health:

Annual Exams:

It is important for all people to establish a schedule of regular visits with their medical provider.  These visits can help reduce your risk for health problems, sometimes preventing their development.  These visits can help prevent the two leading causes of death for women of all ages; heart disease and cancer.  Early detection can occur when the chance for cure or effective treatment are increased.  This can help you lead a longer and healthier life.  A schedule of exams, tests, and shots can be developed.  These visits may include screening for and checking the following: cholesterol, blood pressure, blood sugar, cervical or uterine cancer, colorectal cancer, and skin cancer.  It can also allow for updating your immunizations.  We also would recommend you see us if you become sick, have pain, a change in your health, or problems with your medications. 

As part of a healthy life style we recommend a balanced diet that leads to a healthy weight; a diet composed of plenty of fruits, vegetables, and whole grains.  You should limit foods and drinks high in calories, sugar, salt, fat, and alcohol.  Physical activity that increases your heart rate and breathing for at least 2.5 hours a week can reduce your weight and blood pressure.  It can also reduce your risk for diabetes, heart disease, stroke, arthritis, some cancers, osteoporosis, depression, and anxiety.  You should avoid or quit smoking.  We recommend 7-9 hours of sleep per night.  You can also benefit from effective stress management and from having a positive outlook on life.

Two cancer screenings should be performed during your annual wellness visit: breast and cervical cancer screenings.  Breast cancer can be screened for using a simple breast exam.  Mammograms may also be used to aid in the detection of breast cancer.  Cervical cancer can be screened for using the PAP test (smear) and is used to screen for precancerous cell changes.  Cellular changes on the cervix may become cervical cancer if they are not treated appropriately. The Pap test is recommended for all women.  The human papillomavirus (HPV) test looks for the virus that can cause these cell changes.

Sexually Transmitted Diseases:

To ensure your health we recommend at a minimum annual testing for sexually transmitted diseases. Certain diseases can have no symptoms and can cause significant health problems and affect your fertility. This screening can be performed as part of your annual exam.

Mammograms:

Along with a clinical breast exam performed by your medical provider mammography is used to screen and detect breast cancer.  A process is followed which begins with determining the presenting symptoms, the taking of a clinical history follows, and then imaging studies and biopsy are considered.  Many early breast cancers cause no symptoms and are either not detected or larger ones are discovered as a lump during self-breast exams.  The risk of developing breast cancer is largely determined by your medical and familial history.  Breast cancer patients have benefited from increased detection and decreased mortality over the last several decades.  An exam can help you determine your breast cancer risk and the appropriate frequency of screenings.

Bone Densitometry (DEXA):

Osteoporosis can be linked to various causes.  Overall there is a loss of bone mass and a deterioration of bone tissue.  This leads to fragile bones.  Often the disease is not detected until after a bone fracture occurs.  Women need to increase the frequency with which they and their medical providers discuss osteoporosis.  Several treatments are available but it remains a preventable disease.  The hallmark of osteoporosis is reduced bone mass caused by an imbalance between bone formation and bone resorption.  Bone densitometry can detect this imbalance by measuring bone mineral density and bone loss, thus determining fracture risk.      

Hormone Replacement Therapy:

In the years preceding and following menopause the levels of estrogen and progesterone circulating in a woman’s body can decrease due to decreased production by the ovaries.  The effects of menopause can have physical and mental effects.  Hormone therapy can be used to manage the symptoms of menopause.  It can be prescribed in forms that include gels, creams, oral medications, patches, and implants.  There are also several preparations and dosing regimens that can be utilized.  Concerns have arisen and there are contraindications to hormone therapy so therapy should be discussed with your medical provider.   

Birth Control:

Birth Control can be an effective strategy to prevent unintended pregnancy.  Several methods exist and differ by their prevention method.  Methods include: intrauterine contraception, hormonal, or barrier.  Intrauterine contraception is accomplished by the insertion of an intrauterine device or system.  Hormonal contraception can include: implant, injection, oral contraceptives, patch, or vaginal contraceptive ring.  Barrier methods include: male or female condom, diaphragms, or spermicides.

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Other Services:

Dermatology:

Abnormal skin growths can indicate the presence of a disease of the skin or can simply impair your cosmetic appearance.  Proper evaluation can determine whether skin revision (removal) and/or skin biopsy should be performed.  The skin biopsy will allow us to microscopically examine and diagnose any cutaneous (skin) conditions.

Earwax Removal:

Cerumen (earwax) is beneficial because it protects the ear drum from damage by dust particles or other small objects.  When earwax does not dry up and fall out as normal then it can decrease hearing, cause pain or a full feeling, dizziness, or ringing in the ear among other effects.  Over the counter methods to remove earwax can be effective but when they are not then we can employ several methods to remove it.  These include: removal by curette (plastic spoon), warm water or saline irrigation, and prescription ear drops.  We recommend against the use of cotton tipped applicator or Q-tip for cleaning of the ear due to it likely pushing wax deeper into the ear or causing damage.  If you wear hearing aids or ear plugs you are at particular risk for cerumen impaction (excessive earwax build up).

Electrocardiograms (EKG):

The EKG has become one of the most highly used diagnostic tests in medicine.  The test has diagnostic value in a wide range of cardiac pathologies including: palpitations, syncope, cardiomyopathy, ischemia, injury, and infarction.  It can also be used to determine the effects and side effects of pharmacotherapy.

Fracture Care:

A fracture occurs when the force applied to a bone exceeds the bones strength.  Non-operative treatment of fractures involves ensuring proper anatomical alignment is maintained and prevent further injury from occurring to nerves, vessels, or tissues and pain control through the use of analgesics.  Maintaining alignment is usually accomplished through splinting or casting of the fracture.  The goal of therapy is to ensure that maximum possible function exists when the fracture is healed. 

Laceration Repair:

Lacerations occur when the skin is disrupted due to the application of a force that causes friction, shearing, compression, or traction.  Proper evaluation and repair can prevent infection, loss of function, and poor cosmetic outcomes.  Proper evaluation can also detect and treat any underlying injuries that are incidental to the laceration.  Your immunization status should also be determined and updated if necessary.

Hearing and Vision Screenings:

A vision screening exam can be used to detect the presence of a vision problem or a potential vision problem.  The exam will determine if there are any preexisting health problems or familial health problems that are more likely to predispose you to vision problems.  The exam will include an evaluation of your eyes, visual acuity testing, and visual field testing.  The results will be discussed with you and a plan will be developed with you that includes either: observation, further evaluation, or referral to another medical professional.

Hearing problems can be caused by either sound transmission or nerve problems.  Hearing loss is more prevalent than some more traditional health problems.  Our hearing screening exams can help determine if and what type of hearing problem exists and then determine the best method of managing the hearing impairment. 

IV Therapy:

Intravenous therapy requires the insertion of an IV cannula into a vein, typically in either upper extremity.  Primary sites include the hand and forearm.  This allows the infusion of IV fluids, medications, radiological contrast, blood products, chemotherapy, and nutritional preparations.  

Pulmonary Function Tests:

PFTs can be used to detect pulmonary disease, evaluate pulmonary complaints, establish baseline lung function, measure respiratory impairment or disease progression, or monitor the effectiveness of medical therapy.  Other uses include: preoperative risk assessment and occupational surveillance.  The test measures the performance of the lungs, chest wall, and respiratory muscles by measuring the amount of forcefully exhaled air.

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Contact Us:
Family Center for Health Care
310 East College Drive
Colby, KS 67701
(785) 462-6184
(800) 453-6751
fax: (785) 460-1490
fchc@nwkshealthcare.com