Third Street Family Health Services - Behavioral, Dental, Medical, OB/GYN, Podiatry, Pediatrics, Suboxone, 44906, 44875

We provide behavioral health, suboxone, dental, OB/GYN, women's care, medical, pediatrics, and podiatry. We have nine locations and all can be found in Mansfield or Shelby, Ohio. Our main location is located at 600 West Third Street, Mansfield, OH 44906.

Frequently Asked Questions




GENERAL

How do I become a patient here?

If the person has never previously been seen at TSFHS, a packet must be picked up and filled out. Once a packet is turned in, you will be registered and given an appointment.

I already left a message on the voicemail. What should I do next

If you have left a message, your call will be returned in the timeframe stated on the message line.

Questions related to sending/receiving copies of health information.

A signed authorization is required and any applicable fees, if any – we use a copy service that will invoice prior to sending the records and expected time frame.

How do I get an E-mail Address?

In order to use the Patient Portal for Third Street you must have an email address. There are many types of email providers out there, many free, with lots of ways to access them; all it requires is an internet-connection. Here we will list the most popular, free providers, just remember which one you choose.

To pick a provider, simple click their name in the list above. This will take you to their signup page. It will ask you for your name, what you would like your email to be, and a password. Some providers will ask for a birth date, previous email addresses, and for a security question in the event you lose your password*. Anytime you want to check your email, just use your web browser to navigate to the websites in the list above. On your next visit, be sure to let your receptionist or provider know you have an email and would like to be signed up for the patient portal. *Please Note: Some email providers require a phone number. This is only for verification purposes and will not be used for any other contact. This protects the email providers from people that would make many fraudulent accounts.

How do I view the PDF forms?

Adobe Reader is a free download and is required to view all PDF forms. It can be downloaded from Adobe’s website, located here. Please take care to un-check the optional offer on that page, before clicking “Install Now”.



FINANCIAL

What does a nominal fee mean?

It is the minimum amount you pay for services if you qualify for sliding fee “A.”

What are your prices?

Prices depend upon the services rendered and where you fall within our sliding fee scale.

I have $____ on me right now. Can I just pay that and still be seen?

No, we require payment prior to services being rendered.

How do I update my financial information?

Provide your proof of income (4 paycheck stubs) to the Patient Care Coordinator.



NO-SHOW - LATENESS

Why do I get penalized for being late?

We need to have procedures if we want to run as close to our schedules as possible. We are only able to stay on schedule if our patients arrive to their appointments on time.

What can I do if I do not agree with this no-show?

You can write a letter to the Patient Care Coordinator (with patient’s name and date of birth) stating the reason you do not agree.

What happens if I miss more than one appointment?

If you miss 3 appointments in a 12 month period, you will be put on stand by status.

How soon after the Reinstatement Class can I schedule my next appointment?

You can schedule an appointment as soon as the class is over. The staff will schedule you with the next available appointment.



SLIDING FEE

What do I have to bring in to update my sliding fee?

Paystubs, Social Security Award letters, pension information, most recent tax forms and schedule C – if self-employed, proof of alimony, etc… for yourself and anyone living in the home.

How long do I have to bring this information back in if I don’t have it with me today?

You have 7 days to return this information.

How often do I need to update my sliding fee to be eligible for a discount?

The sliding fee expires every 12 months.



PRESCRIPTION ASSISTANCE

What information do I need to have with me in order to apply for medication assistance?

You will need to have your most recent tax forms, social security award letters, and pension statements for yourself and anyone in the household.

What if I do not file taxes?

There are still forms that will need to be signed in order for the applications to be processed.

Can I have someone drop my information off for me?

No. Each application has to be signed by the person applying for medication assistance.



BEHAVIORAL HEALTH

What ages do you work with?

Age 7 and up.

Do I need to be a medical patient at TSFHS?

No.

What kind of services do you provide?

Mental health diagnostic assessments and psychotherapy (talk-therapy).

How long do I have to be in counseling?

Length of services is determined by the therapist and the client based upon your needs.

Can I come just one time?

Yes, you can have one session to talk about a concern you have.

How long are the sessions?

There are 3 lengths of appointments: 20-30 minutes, 45-50 minutes, and 75-80 minutes.

Do you do marriage counseling or partner therapy?

Yes, we provide those services.

What is a LISW?

Licensed Independent Social Worker. In order to be licensed at the clinical level, the social worker must have a Master’s Degree in Social Work or Master’s in Social Service Administration, 3000 hours of supervised clinical work, and pass a State of Ohio proficiency test. Independent means the therapist can work independently without supervision and have the option of working in private practice or in an agency setting.

What is a LISW-S?

The S designation allows the LISW to provide clinical supervision to master’s level social workers who want to become LISW’s.



DENTAL

Your Child

When should my child first come to visit the dentist?

A child’s first dental visit should be done between six months after the baby’s first tooth comes into their mouth and their first birthday. It’s great to meet the dentist when your child is not having any dental problems, just like a well-visit with your pediatrician. The dentist can show you how to clean your child’s teeth, review oral care products, discuss diet and fluoride needs, as well as an exam.

When can my child start using regular fluoride toothpaste?

Before the age of 2, a fluoridated toothpaste should just be a light “smear” over a soft baby toothbrush twice daily, especially before bedtime. Young children should place a pea-sized amount of fluoride toothpaste, being supervised by an adult and taught to spit out, rather than swallow the toothpaste. Children 6 years and older can use a fluoridated mouth rinse after brushing.

When should I have my toddler stop using a pacifier?

Ideally a child should be encouraged to stop using a pacifier at twelve months, with the goal being to end all pacifier use by eighteen months. If a child continues using a pacifier, or replaces the pacifier with a thumb sucking habit, damaging effects will be realized, such as poor bone development. An ongoing thumb-sucking habit can prevent the teeth from developing into a natural smile.

What should I be doing to take care of my baby’s new teeth?

All teeth need to be brushed twice daily. That is, once after breakfast, and once before going to bed. Regardless of how independent your child is, they need your participation to ensure that all surfaces of the teeth are being brushed, especially along the gum-line. Most often the back teeth tend to be missed. Additionally, the best way to brush is in tiny rotating motions. Kids will need help brushing at least until the age of eight. Girls tend to get the hang of it before boys, but monitoring their brushing will keep their teeth healthier.

How can my child avoid getting cavities?

The most common cause of childhood cavities is sugary drinks. Examples include: Kool-Aid, pop, juice, energy drinks and sport drinks (Gator-Aid and vitamin water). Additionally, one drink that often gets overlooked, but still has plenty of sugar, is milk. Once a child is no longer being bottle-fed, the only drink they should have between meals is water. Likewise, a child should never be given a bottle to sleep with, unless it just water. Also sippy cups should never be filled with anything but water, as this provides the child with a constant source of sugar (bad for teeth). Limiting sugary snacks and candy between meals is another helpful way to avoid cavities. When in doubt about sugar content, read the label. Finally, if you have cavities, never kiss your child on the lips, or blow on their spoon. This can transfer the bacteria that causes cavities.


Adults

What can I do to keep my teeth healthy?

Floss! Flossing is the single best thing you can do to keep your teeth healthy. By removing the plaque and food from between your teeth, flossing can prevent many cavities.

  • Drink only water between meals. Sugary drinks, such as pop, sweetened tea, Gator-Aid, energy drinks, and sweet coffee bathe your teeth in sugar. Sugar is the fuel that bacteria uses to eat away teeth and that causes cavities.
  • Don’t chew ice or popcorn kernels. Don’t bite your fingernails, as these habits can fracture your teeth
  • Stay away from sticky candy.
  • Brush after breakfast and before bed.

How often should I have dental X-rays?

The recommended amount of time between dental x-rays for the vast majority of people is once per year. It is important to take x-rays once per year in order for the dentist to identify problems such as cavities and gum disease early, when it is able to treat them effectively and efficiently. If a patient waits until issues are visible without x-rays, it is often too late to save the teeth. Many times the only treatment is to have those teeth removed. For someone who has no gum problems and has never had a filling, the time between radiographs (x-rays) may be stretched out to two years.

How often should I get an oral cancer screening?

Whether you have all your teeth, or none at all, it is a good idea to see your dentist every year for an oral exam, along with an oral cancer screening. Just like a tune-up, your dentist wants to ensure your teeth, tissues and underlying bone are all healthy. Should something look suspicious, you may be referred to an oral surgeon for follow-up. Early detection is always best.

Why should I get a “filling”?

Many times a when a tooth has a cavity, the dentist will plan a restoration (filling). While you may not feel a hole in your tooth, the inner layer is becoming soft and infected with caries (a cavity). The tooth can become sensitive to hot foods, cold drinks and sweets. If left untreated, the cavity will grow until it reaches the tooth’s inner layer (pulp), yet still have a hard outer shell. This is why a tooth may break when biting on something as soft as a banana. A filling attempts to stop this process by merely removing the soft, infected part of the tooth, and replacing it with a hard restoration. The earlier the treatment, the better, so as to keep as much natural, uninfected tooth as possible.

I just got a filling, why is my tooth sensitive?

The bigger the cavity, the greater chance for post-operative sensitivity. And while white fillings, or “ composites,” are more esthetic, they do tend to be related more often to sensitivity. That sensitivity to cold drinks can linger for as much as six months. But if it only hurts when biting, the cavity may have been overfilled; a situation that can easily be remedied by a quick visit.

What is a root-canal and why do you get one?

A root-canal is indicated when the tooth may be restorable, but the infection has gone to the nerve (center of the tooth). During the procedure, the dentist removes the nerve tissue, blood vessels and any infection from the center of the tooth (the canal). Once the tooth is cleaned out, the dentist will fill the “canal” with special material that will remain there for the lifetime of the tooth. However, nearly every posterior (back) tooth will need a crown to extend the life of that tooth.

What is a crown?

A crown is a permanent restoration that covers the entire tooth. It is made of either gold, porcelain or metal. A dentist will recommend a crown when a large cavity has left little natural tooth remaining. Root-canal therapy will render a tooth brittle. And if no crown is placed on the tooth, the likelihood of that tooth fracturing is very high. Therefore, the dentist will want to put a crown on the tooth.

What if I think I have a dental emergency?

Our clinic sees emergency patients Monday through Thursday, 8am – 2pm, and Friday from 8am – Noon. We can best identify the problem. However, should you have an emergency at other times, do not hesitate to visit the Emergency Room. Never take somebody else’s antibiotic, or an old, unfinished antibiotic. Never rest aspirin or ibuprofen in the painful area. 600mg ibuprofen every six hours may help with the pain until you visit the dentist. Often times a tooth that keeps you up at night will need a root-canal or, if it is no longer restorable, an extraction (or pulling).

I just had a tooth pulled, why won’t it stop bleeding?

Your dentist instructs you to bite firmly on gauze for up to forty minutes. If it is not firm enough, bleeding will continue. However, some seeping throughout the day is expected. After an extraction, you do not want to smoke, suck on straws or spit with any force for three days. Ibuprofen should help with pain (600mg every 6 hours).



MEDICAL

Why can’t I just change providers?

It is important to maintain patient-provider relationships. In order to provide the highest quality care, it is necessary to make sure you are seen by the same provider. The receptionists do not have the authority to transfer patients to another provider at the patient’s request.

Why do I need an office visit in order to receive antibiotics?

Not all illnesses require antibiotic therapy. In order for our providers to determine if antibiotics are needed it is important for you to be seen and properly assessed.

Why aren’t my medications at the pharmacy yet?

Prescriptions are sent electronically and may take several hours in order to be processed. Please call your pharmacy before going to pick up your medications. This may prevent long wait periods once you arrive at the pharmacy.

Why can’t I call in for medication refills?

If we have not seen you within the last 2 weeks you must schedule an office visit to be seen. If you are taking a routine medication you need to be seen regularly by your provider in order to make sure that you are still receiving the proper treatment.



OB/GYN

How often should I have a Pap test?

The American College of Obstetricians and Gynecologists recommends women should start having Pap tests at 21 years of age. The frequency of the Pap tests depends on your age and health history.

  • Women 30 years old and younger should have a Pap test every 2 years.
  • Women 30 years and older should have a Pap test ever 2 years.
  • After 3 normal Pap test results in a row, a female in the 30 years and older age group may have a Pap test every 3 years if:
  • There is no history of moderate or severe dysplasia.
  • There is no indication of infection with Human Immunodeficiency Virus (HIV).
  • The immune system is not weakened (example: an organ transplant).

When can a woman stop having Pap tests?

There are varying opinions about when a woman can stop having a Pap test. Some experts recommend that a woman between the ages of 65 – 70 can stop having a Pap test after 3 normal test results in a row within the past 10 years. If a woman has certain risk factors she should continue the Pap test. The risk factors include being sexually active, having multiple partners, and/or a previous history of abnormal Pap test results.

Women of any age who have had a hysterectomy with no cervical dysplasia and a surgery performed for benign reasons may discontinue routine pap testing.

When should I have a mammogram?

The American Cancer Society recommends:

  • Starting at age 40, yearly mammograms are recommended and should continue for as long as a woman is in good health.
  • Women in their 20’s and 30’s should have a clinical breast exam (CBE) about every 3 years.
  • Women 40 years of age and older should have a clinical breast exam (CBE) every year.
  • Women should know how their breasts normally look and feel and should report any breast change as soon as possible to their health care provider. Performing a breast self-exam (BSE) is an option for women in their 20’s.
  • Some women, because of their family history, genetic tendencies, or other factors, should be screened with an MRI in addition to their mammograms.
  • Speak with your health care provider about your history and the need for additional tests at an earlier age.

How do I know if my monthly period is “normal?”

This is a question that does not have a simple answer. The initiation of menstruation usually happens between the ages of 12 and 15, but between 9 and 17 is considered normal. Widely accepted standards for distinguishing what are regular and irregular or normal versus abnormal are generally based on what is considered average and not necessarily typical for every woman. Based on these standards, the normal menstruation cycle is every 21-35 days with a menstrual flow lasting 4-6 days, although a flow for as few as 2 days or as many as 8 days is still considered normal. The amount of menstrual flow varies from woman to woman and from month to month. There are many factors that can affect a woman’s cycle including certain health problems, medications, weight, exercise routine, and many other factors. If you think your period is abnormal, you should make an appointment with your health care provider.

How much calcium should I be taking every day?

Bones can become thin and brittle if you do not get enough calcium and this may cause osteoporosis. Most women need 1,000 milligrams (mg) of calcium per day. To get your daily recommended intake of calcium, you need to drink about 3 cups of milk a day. Other dairy foods, such as low-fat milk, yogurt, and cheese, are also high in calcium. If you prefer non-dairy products or you are lactose intolerant, consider these sources of calcium:

  • Dark greens (collard, spinach, turnip greens, and kale).
  • Soybeans and some soy products.
  • Certain canned fish and seafood (sardines, pink salmon with bone, blue crab, and clams).
  • Cereals and juices with added calcium.

It is also important to get enough vitamin D, which helps the body absorb calcium. For this reason, vitamin D often is added to milk. Exposure to sun can also help the body make vitamin D.

How can osteoporosis be prevented?

Exercise can increase bone mass before menopause and slow down bone loss after menopause.

Calcium also slows the rate of bone loss and if the amount of calcium in the bloodstream is too low, it will be taken from the bones to supply the rest of the body. Women aged 51 years and older need 1,200 mg of calcium per day. The National Institutes of Health recommends 1,500 mg of calcium per day for postmenopausal women who do not take hormone therapy and all women older than 65 years.

Good sources of calcium are dairy products, such as milk and yogurt. Other sources are leafy green vegetables, nuts, seafood, and juices that are fortified with calcium. You may need to take calcium supplements. Be aware, however, that your body can only absorb about 500 mg of calcium at one time. If you take more, try to divide it into two doses.

How often should I feel my baby move?

Most mothers begin to feel the baby move at about the 18th week of pregnancy. That does vary slightly from woman to woman. A basic guide for you to follow as to whether your baby is moving enough is ten 10 movements in 2 hours. While all babies move in different amounts and different times, most healthy babies will move frequently in your uterus. A Fetal Kick Count is a simple way to evaluate your baby’s well-being if you’re concerned that your baby isn’t moving enough. The first thing you want to do is pick your baby’s most active time of the day to begin. After you have eaten may be a good time to try. Note the time on the clock when you start to count movements. Note every kick, twist, punch or turn you baby makes. Do not count hiccups. When you have felt 10 movements, note how long it took. It usually takes about 30 minutes to 2 hours. Performing this measurement at the same time each day will help with the accuracy of the test. If your baby seems to start out slow, he or she may be sleeping. Take a short walk, and then drink a large glass of ice water. The cold usually stimulates the baby to move. Then start to count again. Your baby should move at least 10 times in 2 hours. If you aren’t able to feel 10 movements in 2 hours, then call your healthcare provider for advice on what to do next. If it is after business hours, then report to the nearest hospital.

What do I do if I miss a birth control pill?

Birth control pills should be taken at about the same time every day. Missing a pill means taking it after an interval of more than 24 hours or not at all (completely missing a pill). What you need to do if you missed pills depends upon what kind of pill you are taking, how many tablets you missed, and where in your packet you are. If you missed one or two pills in your packet then take the pill you missed right away and then later the same day, you will need to take the scheduled pill for that day. Take the rest of the packet as usual and no additional contraception is needed. If you missed more than 2 pills, please call the office for instructions.

If you are using a progestin-only pill, and you miss taking a pill during the 3 hour window, take it as soon as you remember, even if it means you take 2 pills in 1 day. Use a back-up method or avoid intercourse for the next 48 hours.

Why is it important to seek early pre-natal care?

Prenatal care can help keep you and your baby healthy. Doctors can often spot health problems early when they see mothers regularly. This allows doctors to treat them early. Preliminary treatment can cure many problems and prevent others. Doctors also speak to pregnant women about things they can do to give their unborn babies a healthy start to life. Babies of mothers who do not get prenatal care are 3 times likely to have a low birth weight and 5 times more likely to die than those born to mothers who do get care.

A typical schedule includes visiting your doctor at these periods.

  • Every 4 weeks until 28 weeks gestation.
  • Every 2 weeks starting at 28 weeks gestation.
  • Weekly in the last month of pregnancy.
  • 6 Weeks after delivery of baby.

Frequently Asked Questions



GENERAL

How do I become a patient here?

If the person has never previously been seen at TSFHS, a packet must be picked up and filled out. Once a packet is turned in, you will be registered and given an appointment.

I already left a message on the voicemail. What should I do next

If you have left a message, your call will be returned in the timeframe stated on the message line.

Questions related to sending/receiving copies of health information.

A signed authorization is required and any applicable fees, if any – we use a copy service that will invoice prior to sending the records and expected time frame.

How do I get an E-mail Address?

In order to use the Patient Portal for Third Street you must have an email address. There are many types of email providers out there, many free, with lots of ways to access them; all it requires is an internet-connection. Here we will list the most popular, free providers, just remember which one you choose.

To pick a provider, simple click their name in the list above. This will take you to their signup page. It will ask you for your name, what you would like your email to be, and a password. Some providers will ask for a birth date, previous email addresses, and for a security question in the event you lose your password*. Anytime you want to check your email, just use your web browser to navigate to the websites in the list above. On your next visit, be sure to let your receptionist or provider know you have an email and would like to be signed up for the patient portal. *Please Note: Some email providers require a phone number. This is only for verification purposes and will not be used for any other contact. This protects the email providers from people that would make many fraudulent accounts.

How do I view the PDF forms?

Adobe Reader is a free download and is required to view all PDF forms. It can be downloaded from Adobe’s website, located here. Please take care to un-check the optional offer on that page, before clicking “Install Now”.



FINANCIAL

What does a nominal fee mean?

It is the minimum amount you pay for services if you qualify for sliding fee “A.”

What are your prices?

Prices depend upon the services rendered and where you fall within our sliding fee scale.

I have $____ on me right now. Can I just pay that and still be seen?

No, we require payment prior to services being rendered.

How do I update my financial information?

Provide your proof of income (4 paycheck stubs) to the Patient Care Coordinator.



NO-SHOW - LATENESS

Why do I get penalized for being late?

We need to have procedures if we want to run as close to our schedules as possible. We are only able to stay on schedule if our patients arrive to their appointments on time.

What can I do if I do not agree with this no-show?

You can write a letter to the Patient Care Coordinator (with patient’s name and date of birth) stating the reason you do not agree.

What happens if I miss more than one appointment?

If you miss 3 appointments in a 12 month period, you will be put on stand by status.

How soon after the Reinstatement Class can I schedule my next appointment?

You can schedule an appointment as soon as the class is over. The staff will schedule you with the next available appointment.



SLIDING FEE

What do I have to bring in to update my sliding fee?

Paystubs, Social Security Award letters, pension information, most recent tax forms and schedule C – if self-employed, proof of alimony, etc… for yourself and anyone living in the home.

How long do I have to bring this information back in if I don’t have it with me today?

You have 7 days to return this information.

How often do I need to update my sliding fee to be eligible for a discount?

The sliding fee expires every 12 months.



PRESCRIPTION ASSISTANCE

What information do I need to have with me in order to apply for medication assistance?

You will need to have your most recent tax forms, social security award letters, and pension statements for yourself and anyone in the household.

What if I do not file taxes?

There are still forms that will need to be signed in order for the applications to be processed.

Can I have someone drop my information off for me?

No. Each application has to be signed by the person applying for medication assistance.



BEHAVIORAL HEALTH

What ages do you work with?

Age 7 and up.

Do I need to be a medical patient at TSFHS?

No.

What kind of services do you provide?

Mental health diagnostic assessments and psychotherapy (talk-therapy).

How long do I have to be in counseling?

Length of services is determined by the therapist and the client based upon your needs.

Can I come just one time?

Yes, you can have one session to talk about a concern you have.

How long are the sessions?

There are 3 lengths of appointments: 20-30 minutes, 45-50 minutes, and 75-80 minutes.

Do you do marriage counseling or partner therapy?

Yes, we provide those services.

What is a LISW?

Licensed Independent Social Worker. In order to be licensed at the clinical level, the social worker must have a Master’s Degree in Social Work or Master’s in Social Service Administration, 3000 hours of supervised clinical work, and pass a State of Ohio proficiency test. Independent means the therapist can work independently without supervision and have the option of working in private practice or in an agency setting.

What is a LISW-S?

The S designation allows the LISW to provide clinical supervision to master’s level social workers who want to become LISW’s.



DENTAL

Your Child

When should my child first come to visit the dentist?

A child’s first dental visit should be done between six months after the baby’s first tooth comes into their mouth and their first birthday. It’s great to meet the dentist when your child is not having any dental problems, just like a well-visit with your pediatrician. The dentist can show you how to clean your child’s teeth, review oral care products, discuss diet and fluoride needs, as well as an exam.

When can my child start using regular fluoride toothpaste?

Before the age of 2, a fluoridated toothpaste should just be a light “smear” over a soft baby toothbrush twice daily, especially before bedtime. Young children should place a pea-sized amount of fluoride toothpaste, being supervised by an adult and taught to spit out, rather than swallow the toothpaste. Children 6 years and older can use a fluoridated mouth rinse after brushing.

When should I have my toddler stop using a pacifier?

Ideally a child should be encouraged to stop using a pacifier at twelve months, with the goal being to end all pacifier use by eighteen months. If a child continues using a pacifier, or replaces the pacifier with a thumb sucking habit, damaging effects will be realized, such as poor bone development. An ongoing thumb-sucking habit can prevent the teeth from developing into a natural smile.

What should I be doing to take care of my baby’s new teeth?

All teeth need to be brushed twice daily. That is, once after breakfast, and once before going to bed. Regardless of how independent your child is, they need your participation to ensure that all surfaces of the teeth are being brushed, especially along the gum-line. Most often the back teeth tend to be missed. Additionally, the best way to brush is in tiny rotating motions. Kids will need help brushing at least until the age of eight. Girls tend to get the hang of it before boys, but monitoring their brushing will keep their teeth healthier.

How can my child avoid getting cavities?

The most common cause of childhood cavities is sugary drinks. Examples include: Kool-Aid, pop, juice, energy drinks and sport drinks (Gator-Aid and vitamin water). Additionally, one drink that often gets overlooked, but still has plenty of sugar, is milk. Once a child is no longer being bottle-fed, the only drink they should have between meals is water. Likewise, a child should never be given a bottle to sleep with, unless it just water. Also sippy cups should never be filled with anything but water, as this provides the child with a constant source of sugar (bad for teeth). Limiting sugary snacks and candy between meals is another helpful way to avoid cavities. When in doubt about sugar content, read the label. Finally, if you have cavities, never kiss your child on the lips, or blow on their spoon. This can transfer the bacteria that causes cavities.


Adults

What can I do to keep my teeth healthy?

Floss! Flossing is the single best thing you can do to keep your teeth healthy. By removing the plaque and food from between your teeth, flossing can prevent many cavities.

  • Drink only water between meals. Sugary drinks, such as pop, sweetened tea, Gator-Aid, energy drinks, and sweet coffee bathe your teeth in sugar. Sugar is the fuel that bacteria uses to eat away teeth and that causes cavities.
  • Don’t chew ice or popcorn kernels. Don’t bite your fingernails, as these habits can fracture your teeth
  • Stay away from sticky candy.
  • Brush after breakfast and before bed.

How often should I have dental X-rays?

The recommended amount of time between dental x-rays for the vast majority of people is once per year. It is important to take x-rays once per year in order for the dentist to identify problems such as cavities and gum disease early, when it is able to treat them effectively and efficiently. If a patient waits until issues are visible without x-rays, it is often too late to save the teeth. Many times the only treatment is to have those teeth removed. For someone who has no gum problems and has never had a filling, the time between radiographs (x-rays) may be stretched out to two years.

How often should I get an oral cancer screening?

Whether you have all your teeth, or none at all, it is a good idea to see your dentist every year for an oral exam, along with an oral cancer screening. Just like a tune-up, your dentist wants to ensure your teeth, tissues and underlying bone are all healthy. Should something look suspicious, you may be referred to an oral surgeon for follow-up. Early detection is always best.

Why should I get a “filling”?

Many times a when a tooth has a cavity, the dentist will plan a restoration (filling). While you may not feel a hole in your tooth, the inner layer is becoming soft and infected with caries (a cavity). The tooth can become sensitive to hot foods, cold drinks and sweets. If left untreated, the cavity will grow until it reaches the tooth’s inner layer (pulp), yet still have a hard outer shell. This is why a tooth may break when biting on something as soft as a banana. A filling attempts to stop this process by merely removing the soft, infected part of the tooth, and replacing it with a hard restoration. The earlier the treatment, the better, so as to keep as much natural, uninfected tooth as possible.

I just got a filling, why is my tooth sensitive?

The bigger the cavity, the greater chance for post-operative sensitivity. And while white fillings, or “ composites,” are more esthetic, they do tend to be related more often to sensitivity. That sensitivity to cold drinks can linger for as much as six months. But if it only hurts when biting, the cavity may have been overfilled; a situation that can easily be remedied by a quick visit.

What is a root-canal and why do you get one?

A root-canal is indicated when the tooth may be restorable, but the infection has gone to the nerve (center of the tooth). During the procedure, the dentist removes the nerve tissue, blood vessels and any infection from the center of the tooth (the canal). Once the tooth is cleaned out, the dentist will fill the “canal” with special material that will remain there for the lifetime of the tooth. However, nearly every posterior (back) tooth will need a crown to extend the life of that tooth.

What is a crown?

A crown is a permanent restoration that covers the entire tooth. It is made of either gold, porcelain or metal. A dentist will recommend a crown when a large cavity has left little natural tooth remaining. Root-canal therapy will render a tooth brittle. And if no crown is placed on the tooth, the likelihood of that tooth fracturing is very high. Therefore, the dentist will want to put a crown on the tooth.

What if I think I have a dental emergency?

Our clinic sees emergency patients Monday through Thursday, 8am – 2pm, and Friday from 8am – Noon. We can best identify the problem. However, should you have an emergency at other times, do not hesitate to visit the Emergency Room. Never take somebody else’s antibiotic, or an old, unfinished antibiotic. Never rest aspirin or ibuprofen in the painful area. 600mg ibuprofen every six hours may help with the pain until you visit the dentist. Often times a tooth that keeps you up at night will need a root-canal or, if it is no longer restorable, an extraction (or pulling).

I just had a tooth pulled, why won’t it stop bleeding?

Your dentist instructs you to bite firmly on gauze for up to forty minutes. If it is not firm enough, bleeding will continue. However, some seeping throughout the day is expected. After an extraction, you do not want to smoke, suck on straws or spit with any force for three days. Ibuprofen should help with pain (600mg every 6 hours).



MEDICAL

Why can’t I just change providers?

It is important to maintain patient-provider relationships. In order to provide the highest quality care, it is necessary to make sure you are seen by the same provider. The receptionists do not have the authority to transfer patients to another provider at the patient’s request.

Why do I need an office visit in order to receive antibiotics?

Not all illnesses require antibiotic therapy. In order for our providers to determine if antibiotics are needed it is important for you to be seen and properly assessed.

Why aren’t my medications at the pharmacy yet?

Prescriptions are sent electronically and may take several hours in order to be processed. Please call your pharmacy before going to pick up your medications. This may prevent long wait periods once you arrive at the pharmacy.

Why can’t I call in for medication refills?

If we have not seen you within the last 2 weeks you must schedule an office visit to be seen. If you are taking a routine medication you need to be seen regularly by your provider in order to make sure that you are still receiving the proper treatment.



OB/GYN

How often should I have a Pap test?

The American College of Obstetricians and Gynecologists recommends women should start having Pap tests at 21 years of age. The frequency of the Pap tests depends on your age and health history.

  • Women 30 years old and younger should have a Pap test every 2 years.
  • Women 30 years and older should have a Pap test ever 2 years.
  • After 3 normal Pap test results in a row, a female in the 30 years and older age group may have a Pap test every 3 years if:
  • There is no history of moderate or severe dysplasia.
  • There is no indication of infection with Human Immunodeficiency Virus (HIV).
  • The immune system is not weakened (example: an organ transplant).

When can a woman stop having Pap tests?

There are varying opinions about when a woman can stop having a Pap test. Some experts recommend that a woman between the ages of 65 – 70 can stop having a Pap test after 3 normal test results in a row within the past 10 years. If a woman has certain risk factors she should continue the Pap test. The risk factors include being sexually active, having multiple partners, and/or a previous history of abnormal Pap test results.

Women of any age who have had a hysterectomy with no cervical dysplasia and a surgery performed for benign reasons may discontinue routine pap testing.

When should I have a mammogram?

The American Cancer Society recommends:

  • Starting at age 40, yearly mammograms are recommended and should continue for as long as a woman is in good health.
  • Women in their 20’s and 30’s should have a clinical breast exam (CBE) about every 3 years.
  • Women 40 years of age and older should have a clinical breast exam (CBE) every year.
  • Women should know how their breasts normally look and feel and should report any breast change as soon as possible to their health care provider. Performing a breast self-exam (BSE) is an option for women in their 20’s.
  • Some women, because of their family history, genetic tendencies, or other factors, should be screened with an MRI in addition to their mammograms.
  • Speak with your health care provider about your history and the need for additional tests at an earlier age.

How do I know if my monthly period is “normal?”

This is a question that does not have a simple answer. The initiation of menstruation usually happens between the ages of 12 and 15, but between 9 and 17 is considered normal. Widely accepted standards for distinguishing what are regular and irregular or normal versus abnormal are generally based on what is considered average and not necessarily typical for every woman. Based on these standards, the normal menstruation cycle is every 21-35 days with a menstrual flow lasting 4-6 days, although a flow for as few as 2 days or as many as 8 days is still considered normal. The amount of menstrual flow varies from woman to woman and from month to month. There are many factors that can affect a woman’s cycle including certain health problems, medications, weight, exercise routine, and many other factors. If you think your period is abnormal, you should make an appointment with your health care provider.

How much calcium should I be taking every day?

Bones can become thin and brittle if you do not get enough calcium and this may cause osteoporosis. Most women need 1,000 milligrams (mg) of calcium per day. To get your daily recommended intake of calcium, you need to drink about 3 cups of milk a day. Other dairy foods, such as low-fat milk, yogurt, and cheese, are also high in calcium. If you prefer non-dairy products or you are lactose intolerant, consider these sources of calcium:

  • Dark greens (collard, spinach, turnip greens, and kale).
  • Soybeans and some soy products.
  • Certain canned fish and seafood (sardines, pink salmon with bone, blue crab, and clams).
  • Cereals and juices with added calcium.

It is also important to get enough vitamin D, which helps the body absorb calcium. For this reason, vitamin D often is added to milk. Exposure to sun can also help the body make vitamin D.

How can osteoporosis be prevented?

Exercise can increase bone mass before menopause and slow down bone loss after menopause.

Calcium also slows the rate of bone loss and if the amount of calcium in the bloodstream is too low, it will be taken from the bones to supply the rest of the body. Women aged 51 years and older need 1,200 mg of calcium per day. The National Institutes of Health recommends 1,500 mg of calcium per day for postmenopausal women who do not take hormone therapy and all women older than 65 years.

Good sources of calcium are dairy products, such as milk and yogurt. Other sources are leafy green vegetables, nuts, seafood, and juices that are fortified with calcium. You may need to take calcium supplements. Be aware, however, that your body can only absorb about 500 mg of calcium at one time. If you take more, try to divide it into two doses.

How often should I feel my baby move?

Most mothers begin to feel the baby move at about the 18th week of pregnancy. That does vary slightly from woman to woman. A basic guide for you to follow as to whether your baby is moving enough is ten 10 movements in 2 hours. While all babies move in different amounts and different times, most healthy babies will move frequently in your uterus. A Fetal Kick Count is a simple way to evaluate your baby’s well-being if you’re concerned that your baby isn’t moving enough. The first thing you want to do is pick your baby’s most active time of the day to begin. After you have eaten may be a good time to try. Note the time on the clock when you start to count movements. Note every kick, twist, punch or turn you baby makes. Do not count hiccups. When you have felt 10 movements, note how long it took. It usually takes about 30 minutes to 2 hours. Performing this measurement at the same time each day will help with the accuracy of the test. If your baby seems to start out slow, he or she may be sleeping. Take a short walk, and then drink a large glass of ice water. The cold usually stimulates the baby to move. Then start to count again. Your baby should move at least 10 times in 2 hours. If you aren’t able to feel 10 movements in 2 hours, then call your healthcare provider for advice on what to do next. If it is after business hours, then report to the nearest hospital.

What do I do if I miss a birth control pill?

Birth control pills should be taken at about the same time every day. Missing a pill means taking it after an interval of more than 24 hours or not at all (completely missing a pill). What you need to do if you missed pills depends upon what kind of pill you are taking, how many tablets you missed, and where in your packet you are. If you missed one or two pills in your packet then take the pill you missed right away and then later the same day, you will need to take the scheduled pill for that day. Take the rest of the packet as usual and no additional contraception is needed. If you missed more than 2 pills, please call the office for instructions.

If you are using a progestin-only pill, and you miss taking a pill during the 3 hour window, take it as soon as you remember, even if it means you take 2 pills in 1 day. Use a back-up method or avoid intercourse for the next 48 hours.

Why is it important to seek early pre-natal care?

Prenatal care can help keep you and your baby healthy. Doctors can often spot health problems early when they see mothers regularly. This allows doctors to treat them early. Preliminary treatment can cure many problems and prevent others. Doctors also speak to pregnant women about things they can do to give their unborn babies a healthy start to life. Babies of mothers who do not get prenatal care are 3 times likely to have a low birth weight and 5 times more likely to die than those born to mothers who do get care.

A typical schedule includes visiting your doctor at these periods.

  • Every 4 weeks until 28 weeks gestation.
  • Every 2 weeks starting at 28 weeks gestation.
  • Weekly in the last month of pregnancy.
  • 6 Weeks after delivery of baby.
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