MedWell Medical

Referral Bonus!!!

We are looking for an experienced primary care clinic back office Medical Assistant for our Geriatric Primary Care Clinic in Long Beach.

Clinic Primary Care Experience is a must.

Experience in a managed care (HMO) clinic setting is even more of a plus (like for example you worked at Optum Clinic or Healthcare Partners clinic)!

Pay is competitive.

Send resume to [email protected].

Referral Bonus to anyone that refers a successful hire!

🌟Now Hiring: Nurse Practitioners for Mobile Positions in Long Beach and surrounding areas🌟

Join our growing dedicated team in providing quality geriatric care to our Seniors who live in Assisted Livings! We’re looking for passionate and skilled Nurse Practitioners who want to deliver quality care (over quantity care).

Position Highlights:
• Schedule: Visit about 5 patients per day in 1 to 2 Assisted Livings or SNFs (You manage a Panel of about 100 patients). Chart from one of our offices or your home office.
• Compensation: Competitive Rates with Bonuses. Room for growth. New graduates welcome.
• Benefits: Health Insurance Stipend, 401K, Malpractice, Continuing Medical Education (CME) Allowances.
Qualifications: Board certified Nurse Practitioner or Physician Assistant with California license
Location: Long Beach and surrounding areas.
• Training: Seasoned or New graduates welcome. Training provided by highly passionate MDs and NPs.

Apply Today!

Send your CV to: [email protected] or DM me.

Join us in delivering exceptional care and be a part of our compassionate team!

Referral bonus of $1,000 for any referrals that are hired!

🌟Now Hiring: Nurse Practitioners for Mobile Positions in Long Beach and North Orange County🌟

Join our dedicated team in providing quality geriatric care to our Seniors who live in Assisted Livings! We’re looking for passionate and skilled Nurse Practitioners to fill our dynamic mobile roles.

Position Highlights:
• Schedule: Visit about 5 patients per day M-F in Assisted Livings or SNFs. Chart from one of our offices or your home office.
• Compensation: Competitive Rates with Bonuses. Room for growth.
• Benefits: Health Insurance Stipend, 401K, Malpractice, Continuing Medical Education (CME) Allowances
Qualifications:
• Board certified Nurse Practitioner or physician assistant with California license
Location:
• Long Beach, North Orange County and surrounding areas.

Apply Today!

Send your CV to: [email protected] or DM me

Join us in delivering exceptional care and be a part of our compassionate team!

Funny moment at the assisted living today wanted to share to make my friends laugh too.

I was out seeing three new patients today and they were all football fans but not of the same teams.

Patient one was a fan of 49ers
Patient three was a fan of Cowboys
Patient two was a fan of Rams

The Rams fan asked the first and second ones
why are they fans of the Fourty-whiners and Cowgirls 🤦🏻‍♂️ 😂 and they asked him why is he a fan of the Lambs 😂 🤦🏻‍♂️. So I asked them what do you guys call the Raiders fans and they said “Dreamers” because raiders are always dreaming of winning 😂

Diabetic meds Ozempic and Wegovy as weight loss medications. Hear Dr. Michael Tehrani’s quick thoughts on it on the radio. And answers to:

--Can these two drugs change the weight-loss industry?
--Can people just take pills now and lose weight? Is that the best way to do it?
--What are the potential dangers of these two drugs?
--Could these drugs lead to a decrease in the types of bariatric surgeries?

Another diabetes drug can help people lose weight - KNX News On Demand KNX In Depth's Rob Archer and Chris Sedens discuss a diabetes drug that's been found to aid in weight loss. Dr. Michael Tehrani is a southern California-based Geriatric Specialist who treats diabetes patients. He's on the medical board for U.S. News & World Report.

Happy Friday!! Don’t forget to laugh. Laughing releases chemicals that does a body good. 💃🕺🏻

MedWell Medical - Keeping Seniors Medically Well!

Call 📞 us if you test positive for any of these 😂

TGIF! Hope everyone has an awesome Friday and weekend and don’t forget it’s the Grand Prix in Long Beach starting today and this weekend and this year Snoop Dogg is here!

Time for Getting Back to Healthy Routines.l!

https://www.lb908.com/post/getting-back-to-healthy-routines

***WARNING GRAPHIC POST***

I hate to share this post written from a hospital respiratory therapist but we can’t run from reality so better to understand what reality really is so we can make an informed decision. What you will read below is graphic but it is the raw reality. As always with how I practice medicine, the ultimate decision is yours but my job is to educate you on your options, risks and benefits, and make sure you understand them then together we make an informed decision.
--
Get vaccinated. If you choose not to, here’s what to expect if you are hospitalized for a serious case of COVID-19.

Stage 1. You’ve had debilitating symptoms for a few days, but now it is so hard to breathe that you come to the emergency room. Your oxygen saturation level tells us you need help, a supplemental flow of 1 to 4 liters of oxygen per minute. We admit you and start you on antivirals, steroids, anticoagulants or monoclonal antibodies. You’ll spend several days in the hospital feeling run-down, but if we can wean you off the oxygen, you’ll get discharged. You survive.

Stage 2. It becomes harder and harder for you to breathe. “Like drowning,” many patients describe the feeling. The bronchodilator treatments we give you provide little relief. Your oxygen requirements increase significantly, from 4 liters to 15 liters to 40 liters per minute. Little things, like relieving yourself or sitting up in bed, become too difficult for you to do on your own. Your oxygen saturation rapidly declines when you move about. We transfer you to the intensive care unit.

Stage 3. You’re exhausted from hyperventilating to satisfy your body’s demand for air. We put you on noninvasive, “positive pressure” ventilation — a big, bulky face mask that must be Velcro’d tightly around your face so the machine can efficiently push pressure into your lungs to pop them open so you get enough of the oxygen it delivers.

Stage 4. Your breathing becomes even more labored. We can tell you’re severely fatigued. An arterial blood draw confirms that the oxygen content in your blood is critically low. We prepare to intubate you. If you’re able to and if there’s time, we will suggest that you call your loved ones. This might be the last time they’ll hear your voice.

We connect you to a ventilator. You are sedated and paralyzed, fed through a feeding tube, hooked to a Foley catheter and a re**al tube. We turn your limp body regularly, so you don’t develop pressure ulcers — bed sores. We bathe you and keep you clean. We flip you onto your stomach to allow for better oxygenation. We will try experimental therapeutics.

Stage 5. Some patients survive Stage 4. Unfortunately, your oxygen levels and overall condition have not improved after several days on the ventilator. Your COVID-infested lungs need assistance and time to heal, something that an ECMO machine, which bypasses your lungs and oxygenates your blood, can provide. But alas, our community hospital doesn’t have that capability.

If you’re stable enough, you will get transferred to another hospital for that therapy. Otherwise, we’ll continue treating you as best we can. We’re understaffed and overwhelmed, but we’ll always give you the best care we can.

Stage 6. The pressure required to open your lungs is so high that air can leak into your chest cavity, so we insert tubes to clear it out. Your kidneys fail to filter the byproducts from the drugs we continuously give you. Despite diuretics, your entire body swells from fluid retention, and you require dialysis to help with your renal function.
The long hospital stay and your depressed immune system make you susceptible to infections. A chest X-ray shows fluid accumulating in your lung sacs. A blood clot may show up, too. We can’t prevent these complications at this point; we treat them as they present.
If your blood pressure drops critically, we will administer vasopressors to bring it up, but your heart may stop anyway. After several rounds of CPR, we’ll get your pulse and circulation back. But soon, your family will need to make a difficult decision.

Stage 7: After several meetings with the palliative care team, your family decides to withdraw care. We extubate you, turning off the breathing machinery. We set up a final FaceTime call with your loved ones. As we work in your room, we hear crying and loving goodbyes. We cry, too, and we hold your hand until your last natural breath.

I’ve been at this for 17 months now. It doesn’t get easier. These COVID stories rarely end well.
--
My opinion on this post? Sadly much of this is preventable.

Thank you to all the brave men and women who not only fought but ended up making the ultimate sacrifice so we can have the freedom we have today. We don’t know them all but we owe them all. Thank you for giving us the freedom we have had and continue to have everyday ❤️

CDC issues first set of guidelines on how fully vaccinated people can visit safely with others:

March 8, 2021, the Centers for Disease Control and Prevention (CDC) issued its first set of recommendations on activities that people who are fully vaccinated against COVID-19 can safely resume.

The new guidance—which is based on the latest science — includes recommendations for how and when a fully vaccinated individual can visit with other people who are fully vaccinated and with other people who are not vaccinated. This guidance represents a first step toward returning to everyday activities in our communities. CDC will update these recommendations as more people are vaccinated, rates of COVID-19 in the community change, and additional scientific evidence becomes available.

“We know that people want to get vaccinated so they can get back to doing the things they enjoy with the people they love,” said CDC Director Rochelle P. Walensky, MD, MPH. “There are some activities that fully vaccinated people can begin to resume now in their own homes. Everyone – even those who are vaccinated – should continue with all mitigation strategies when in public settings. As the science evolves and more people get vaccinated, we will continue to provide more guidance to help fully vaccinated people safely resume more activities.”

Visit with other fully vaccinated people indoors without wearing masks or staying 6 feet apart.
Visit with unvaccinated people from one other household indoors without wearing masks or staying 6 feet apart if everyone in the other household is at low risk for severe disease.
Refrain from quarantine and testing if they do not have symptoms of COVID-19 after contact with someone who has COVID-19.
A person is considered fully vaccinated two weeks after receiving the last required dose of vaccine. Although vaccinations are accelerating, CDC estimates that just 9.2% of the U.S. population has been fully vaccinated with a COVID-19 vaccine that the FDA has authorized for emergency use.

While the new guidance is a positive step, the vast majority of people need to be fully vaccinated before COVID-19 precautions can be lifted broadly. Until then, it is important that everyone continues to adhere to public health mitigation measures to protect the large number of people who remain unvaccinated.

CDC recommends that fully vaccinated people continue to take these COVID-19 precautions when in public, when visiting with unvaccinated people from multiple other households, and when around unvaccinated people who are at high risk of getting severely ill from COVID-19:

Wear a well-fitted mask.
Stay at least 6 feet from people you do not live with.
Avoid medium- and large-sized in-person gatherings.
Get tested if experiencing COVID-19 symptoms.
Follow guidance issued by individual employers.
Follow CDC and health department travel requirements and recommendations.

COVID vaccination resource for Orange County, especially for Assisted Livings, Board and Care, Community Livings, Seniors, and those vulnerable

Earlier I posted for Long Beach.

Very Important

COVID vaccine update for the city of Long Beach by the Long Beach Mayor on January 7, 2021. It includes who to contact to schedule vaccinations. Especially pertains to Long Beach Nursing Homes, Assisted Livings, Board&Care, Community Livings, Essential Workers, Seniors, People with Co-morbidities. Please read.

A Vaccine update. If you are in Group A (healthcare/medical/paramedic/nursing homes) and have not been vaccinated at your hospital, office, or clinic site we want to get you vaccinated. You can email [email protected] and they will schedule you to get vaccinated. Most of Group A is complete. Also if you live in Long Beach and work elsewhere we will still vaccinate you. We want all Long Beach residents in Group A vaccinated as soon as possible. Also just because Group B starts next week does not mean Group A ends. Group A members can get vaccinated with priority at anytime.
Group B starts on Thursday of next week and includes teachers, educators, grocery workers, emergency management city workers and residents 75 and older. There may be other folks in Group B added later by the state but for now these groups are up next. All of these groups will be contacted by your work site to get the vaccine. We are giving the vaccine to the work sites. Please reach out to them first and remember that this process will take weeks to complete. If you are 75 or older contact your medical provider and they will work to get you vaccinated. And just because Group B starts next week doesn’t mean that your campus or worksite begins vaccinations on that day. Group B will last many weeks and your worksite will set the dates over the next few weeks.
Also, we plan to launch vaccination clinics for Group B for those who can’t get vaccinated at their work site or if someone over 75 does not have a medical provider. More info on that next week. If you are a grocery store, small market, or school site public or private and want your vaccines please email [email protected]. If you are a teacher or grocery worker who lives in Long Beach and works elsewhere, we will get you vaccinated at one of our clinics once they are announced for Group B next week but please first check with your school or work site.
If you have not been listed above it’s because your Group is not up yet. And we don’t have complete guidelines from the state on exact dates or when vaccines will arrive. We are vaccinating as soon as we get shipments and we are rolling out a model program.
We will have more info on Group B next week. Also if we have not provided more info yet it’s because we don’t have more to share. We are working day and night on this operation and moving forward as we get vaccines and guidance from the state.

When and how do I get my vaccine?

Read below from our Mayor Robert Garcia.

These are the most common symptoms of COVID-19. You can have any one of these symptoms alone or a combination of any. If you have any, isolate yourself until you get tested so you don’t unintentionally spread. Isolate means don’t be around people even if you are wearing a mask etc. Masks etc only reduce chance of spread but don’t eliminate chances of spread completely.

CA COVID update: ICU capacity drops to 0% in Southern California as state reports 379 new deaths, shattering record
The newly reported number of deaths is equivalent to a life lost every four minutes in a 24-hour span.

CA COVID update: ICU capacity drops to 0% in Southern California as state reports 379 new deaths, shattering record The ICU capacity in the 11-county Southern California region has dropped to 0% amid a dramatic surge in coronavirus cases, officials said.

COVID Vaccine. What I know about it so far. Explained easily for the layman person.
These are the first results of the vaccine against COVID19.
Pfizer has announced that its vaccines against COVID19 is 90% effective! This is great news because it was thought we will get a vaccine that is 40% or 50% effective, so to get 90% in these early results is truly amazing.
How does it work:
This vaccine is unlike any that has been developed in the past. It is based on a new vaccine technology called mRNA, for messenger RNA. Previously, vaccines were made by using a piece of the virus, or a weakened whole virus, or a dead virus we injected into the body and allowed the body to "attack it" and produce antibodies (fighter cells) against it.
This new vaccine technology puts in a manmade genetic code that resembles COVID19 (or man-made covid lookalike if you may) into the body; which is thought to be a lot safer. So, because there is a lookalike in the body, the body thinks that the virus is there and so it thinks it is being attacked and therefore it mounts an immune response with antibodies.
(I will talk a little here about mRNA since this word is being used in the media so much now. Our DNA is like our blueprint of our body; it says what we are suppose to become. Then mRNA (think of this as a messenger) takes that blueprint to the factory (medically known as ribosome) and tells the factory to build what the blueprint says. And the factory aka ribosome begins building. It builds proteins that is puts onto our cells the way the blueprint says hence the cells create a shape that the DNA wants and those cells develop shapes that ultimately makes us look like what we do. Now imagine, we man-make a mRNA that tells the factory (ribosome) to build a piece of COVID structure onto our cells. We inject that into our muscle and some of the arm muscles take it up and start producing COVID proteins on its cell surface. Once those muscle cells with the COVID protein on them now are produced, our body then says to those cells with that protein “hey you don’t belong here!” and will build antibodies (fighter cells) against it to destroy it. Once those antibodies are made, it will destroy anything with COVID19 protein on it hence COVID19 if it enters our body will quickly be destroyed; because we have previously created antibodies for it. This is immunity.
Once the mRNA gives its instructions, it is destructed). So this is mRNA vaccine.
Now, back to the vaccine. This is the very first vaccine using this kind of technology. This is also the fastest vaccine to have been approved. For comparison, the mumps vaccine was developed very fast and that took 5 years. This is taking less than 1 year from the lab bench to use in humans.
How will it be rolled out?
Most vulnerable people in every country will get it first. Vulnerable are healthcare workers, care home residents and the people who work there, then the over 80s and then progressively younger and younger age groups down to the age of 50. That’s the first phase. Scientists say that should cover 99% of those people who are actually at risk of dying from this disease.
What are the limitations and concerns?
We have not had full details yet from the clinical trials so there are a lot of stuff we still don’t know like how it works in different age groups or how long the effects last for. We also don’t know if it will stop the transmission of the disease. We do know it will reduce the illness if someone does get infected.
Some challenges of this vaccines are you will need 2 doses of this vaccine, three weeks apart. That means you won’t be protected for about 28 days after the first part.
One major challenge with this vaccine is it has to be kept in what’s called Ultra-cold chain; that means it must be stored in freezers at around minus 70-80C. Which means we have to get adequate freezers of this sort.
There is obviously a lot of concern about the speed of development of this vaccine, but the regulators have said they will not cut corners and that safely is paramount.
Pfizer has said will develop 50 million doses in 2020 and then a further 1.3 billion in 2021. That’s clearly not enough for the 7 billion people on the planet but is enough to protect the 65+ and vulnerable (probably about 16-20%).
What are the most common reported side effects of the Pfizer’s COVID19 vaccine? Per the FDA website, The most commonly reported side effects, which typically lasted several days, were pain at the injection site, tiredness, headache, muscle pain, chills, joint pain, and fever.
Does this mean life is going back to normal? Not just yet. We have a lot of people to vaccinate, and before that, we don’t know all the details of this vaccine. However, these are very promising results, rather better than most people expected. So, I think there’s no doubt we’re on the road to normality, we just don’t know how long that road is.

Wearing a mask, PPE, and even adequate PPE does not mean you can no longer spread or get COVID. It only means you REDUCED your chances of spreading it or getting it. My observation by seeing and hearing with my own eyes and talking to my colleagues has been people who have it or think they have it feel comfortable being around others because they think they can’t spread it or others can’t get it because they are wearing a mask and PPE. This misconception is wrong. You can still spread or get it but just at reduced chances. ICU beds today, December 11, is just at a measly 7%. This means longer ER wait times and possible no life saving treatment to some. I’ve advised my family to stay away from my parents and I encourage you to stay away from vulnerable people as well. Most people I see suffering or dying from Covid were not going out but got it from a younger family member who gave it to them. Talking to my colleagues is the same story for them. Please share this post to educate others who don’t know and think wearing a mask makes everyone protected. Our media needs to educate more that masks only reduce and not prevent spread.

COVID and Death rate
verse
COVID and Hospitalization rate

What’s the difference?
Explained in a easy to understand by MedWell CEO, Dr. Michael Tehrani.

I see a lot of hospitalized patients survive COVID if they get oxygen and treatment whereas they would have died if they didn’t.

COVID can temporarily damage the lungs and this reduces the lungs ability to work during that time of damage. The lungs job is to provide oxygen to our body so our body can “breath” and live. During that phase of lung damage where our lungs can’t now supply all the oxygen our body needs, because it got damaged by Covid, then we need to replace that lost ability with supplemental oxygen and medications (oxygen to replenish what the lung can’t do for now and medication to help out lung and body to recover). If we supply this we can live. If we don’t supply this then our body can lack the needed oxygen and potentially die. Where do we get this oxygen and treatment? In the hospital! What if the hospital is full and therefore can’t give it to you or can’t give it to you in time? Then that is when people will die, whereas had the hospital had room and was able to give the oxygen and treatment, then that person would have lived. Right now our hospital ICUs have only 13% capacity which is very low. It will hurt so much to see people die just because they couldn’t get oxygen and treatment. Therefore, the saying that Covid isn’t serious if death rates aren’t rising is false. The saying should be Covid isn’t serious unless hospitalizations isn’t rising. Once hospitals are packed then Covid deaths will rise because people couldn’t access treatment. That’s when death rates will rise rapidly and that’s when it’s too late.

In summary and simply put, the more Covid cases, then the more the hospitalizations, and once hospitals hit capacity then death rates begin to rise and spike. We have to prevent and reduce chances of getting Covid so we reduce chances of needing hospital and that prevents hospitals hitting capacity and thus having room to treat those who need it. So if you want to prevent hospitals from hitting capacity then it all starts by you have to reduce your chances of getting or spreading Covid.

Wishing everyone and their families are safe in the Philippines from Typhoon Vamco. Our prayers are with you 🤲

-MedWell Medical

Veterans Day is very special to us here at MedWell Medical. Many of our patients we serve in our clinics or communities are veterans! We honor them each and every day. So today we say thank you, not only to them but to all the veterans who serve. Thank you for your courage and your sacrifice!

Today is National Grandparent’s Day!

Now you can safely connect with your grandkids with GrandPads, an easy to use tablet for seniors. Get yours today: https://www.grandpad.net

Loneliness is as lethal as smoking 15 Ci******es per day. Further, lonely people are 50% more likely to die prematurely than those with healthy social connections. Join Dr. Tehrani today at 11am to see what you can do about it.

https://register.gotowebinar.com/register/5864714067858054412