LMG “In the Know” Winter 2016 Employee Edition Welcome to the 2016 Winter Issue of the LMG Newsletter! Loudoun Medical Group wishes you a safe, happy and healthy holiday season. 2017 promises to be a great year for LMG! Inside this issue: LMG Education Center Schedule All classes are complimentary unless otherwise noted 6 Transformational Steps To A New Year 3 December 20, 2016 From the Doctor’s Desk 4 2017 ICD-10-CM 6:00PM Coding Updates LMG Human Resources 6 January 2, 2017 LMG Care Coordination Team 7 Ideal Protein Workshop 5:30PM Family Health History and Your Child 8 January 10, 2017 In Memoriam 8 The Essential 12:00PM LMG Specialist Spotlight 9 Leadership Toolkit LMG Physician Spotlight 9 January 12, 2017 LMG Around the World 10 2017 CPT Coding Update 6:00PM LMG Charitable Foundation 12 January 20, 2017 AHA BLS CPR 9:00AM $100 LMG Giving Back 13 January 24, 2017 5 Healthy Eating Tips for the Holidays 15 2017 CPT Coding Update 6:00PM EMR News Corner 16 January 29, 2017 Coding Update 17 MA Certification Exam 9:00AM $100 LMG IT 18 January 30, 2017 LMG 2 Multi - Specialty Center 20 Ideal Protein Workshop 5:30PM 6 transformational steps to a new year Featuring Dr. Tareq Abedin | LMG - Ashburn Sterling Internal Medicine and Pediatrics Use it or lose it! Spend time reading books about things with which you are unfamiliar. Or learn a new 3. language. Stroke patients that know two languages recover sooner; people with advanced degrees have fewer occurrences of Alzheimer’s. You have a beautiful mind - use it to explore the world. It is important to build up your muscles and cardiovascular ability with regular exercise. It is equally important for your mind to get a work out as well. Don't just accept the headlines or Facebook memes; read deeper, explore the other side of the argument, don't be passive, and seek knowledge. Be all in! Be the best! Spend a few hours a week learning how to be better in your career. Read more books, go to a 4. trade show. For most of us, it's not about the Exercise!! money, it's the pride in a job well done. We get our self-esteem from family, friends, spirituality and career. So go the extra Structure equals function. There is nowhere in mile, be a little better, work a little harder, be more nature where structure does not determine how productive. I'm not saying work longer hours. I'm suggesting 1. well something functions. A poorly built home that you consider working smarter. The satisfaction in a job always falls apart; your body is much the same. You can't done well is its own reward. expect your body to function well into your seventh decade if you don't take care of it for the six previous decades. Choose one exercise activity. Start today to make yourself Shut down! stronger. If you walk, walk faster. If you run, spend a day a We have a flight or fight reflex wired into week lifting weights. In nature we are always growing or us. It's appropriate when we are being decaying, so make sure that you are building on your exercise physically threatened. Unfortunately, too many capacity and strength, as it is a very important component of 5. people stay in this fight or flight mode all day long, which can well-being. lead to adrenal exhaustion. Learn to drop your shoulders, take a deep breath and learn to meditate a little. Take five minutes and imagine a situation that you really dislike, then, while Eat food! keeping the uncomfortable thought in mind, study your body's reaction. Train yourself to breathe, relax the muscles, learn the Just because you can chew it does not make it emotions that are present and relax. Then, when the situation food. Many countries in the world do not allow occurs in real life, your first response won't be to knot up every some items available in our grocery stores to 2. muscle. be sold as food. For instance, in most places in the world, from South America to Europe, the only permitted ingredients in a chocolate bar are sugar, cocoa, and milk (and by the nature of their laws it is already organic). Put simply, the volume of Care! additive, pesticides, colorings, and artificial flavors overwhelm The practice of empathy rewires your your natural immune system and confuse your hormones. brain. Communities where the level of empathy If you are tired of feeling exhausted, start eating whole foods. 6. is high (even in the absence of exercise and the Eat mostly vegetables, and an appropriate amount of proteins presence of high fat diets) have almost no coronary artery and fruits. Whole foods require your mouth to chew and your disease. Be empathetic of those around you. It will benefit intestines (which are muscles) to contract; otherwise, these your health as much to those for whom you choose to display muscles decay. Your body will be very grateful. this kindness. The advice I gave my daughter as she left for college was simple: don't forget why you are there, and don't forget who you are. Otherwise, what's the point? 3 From From thethe Doctor’s DeskDesk Featuring Dr. Cameron Phipps | LMG - Catoctin Foot and Ankle Center Heel Pain Explained Dr. Cameron Phipps, a podiatrist at Catoctin Foot and Ankle Center, joined Loudoun Medical Group in November of this year. Below, the doctor shares information on heel pain; what causes it and what can be done to treat it. Heel Pain is such a common occurrence. I see patients I will begin with a brief anatomical explanation of the in my office several times per day with heel pain. The plantar fascia and then review how it becomes presentation is the same. The patient states it hurts damaged, and finally discuss treatment options. first thing in the morning when getting out of bed. Or the patient has pain after they have been sitting down What is the plantar fascia? for a while and try to get up. Patients with more The plantar fascia is a thick ligament aponeurosis advanced cases will describe a constant feeling of pain which supports the arch on plantar foot. It runs from or even pain that is very severe at the end of the day. the tuberosity of the calcaneus towards the heads of Many times the patient is suffering from a condition called plantar fasciitis, an aggravating and sometimes debilitating condition where the plantar fascia becomes damaged and inflamed. Contrary to what some might think, the plantar fascia can be easily damaged. The bad news is that those who suffer from the condition are more susceptible to flare ups and recurrences. The good news is the condition is treatable and patients who manage it effectively can go long periods without experiencing significant pain and discomfort. Personally, I have suffered with this but have successfully treated it and have not had a flare up in years. 4 each of the five metatarsal bones. The Achilles way of life. Plantar fasciitis, if caught early enough, tendon attaches to the back of the heel and slips of it can usually be treated fairly quickly. However, like run around the back of the heel and connect with the many things, patients usually are only seen after plantar fascia essentially creating a pulley system. multiple failed attempts on their own to eradicate the Often times, from constant tension at the insertion, discomfort. Most of the time with simple the heel will develop a spur. Contrary to popular “R.I.C.E.” (Rest, Ice, Compression, Elevation), belief the spur is actually not what is causing the some anti-inflammatories, and some basic stretches pain. In fact, the vast majority of people have heel that target the Achilles tendon, as well as patience spurs, due to constant tension at the sight of the and compliance from the patient, the problem will Achilles tendon insertion and many do not resolve. It is noteworthy that stretching will need to experience pain. be a lifelong endeavor on the patient’s part if they do not want to experience frequent flare-ups. I make What causes plantar fasciitis? sure to discuss this with the patient before I The short answer is anything can cause fasciitis. discharge them. Sometimes the patient follows up There are the obvious causes; direct trauma to the and tells me that they are not any better after the bottom of the foot such as with a fall or motor initial treatment. After a thorough examination, the vehicle accident. But the truth is that plantar patient can be treated with steroid injections, fasciitis can come about from everyday walking, offloading boots, shock wave therapy, and physical accidently missing a step or curb, new shoes, change therapy which often works well. The last resort is in activity, etc. The presentation of symptoms is injections of platelet rich plasma and/or surgery, usually the same. The patient will relate new or depending on whether or not all conservative options increased activity, new shoes, or in some cases the have failed and the patient has had to alter their patient has had no notable changes to their daily lifestyle due to the discomfort. It is important to routine. They describe the pain as sharp and reassure the patient that it will subside but it may localized to the plantar and medial heel. They take some time. usually describe more discomfort when first getting Plantar fasciitis can be a debilitating condition if left out of bed in the morning or after sitting for a period untreated.