Not everyone heals the same way. Wound disruption or delayed wound healing often occurs in patients with diabetes, who take blood thinners, have other systemic disorders or are on steroid therapy. Some areas of the breast skin or nipple region may not heal normally or may take a long time to heal in such cases. Areas of skin or nipple tissue may die and may require frequent dressing changes or further surgery to remove non-healed or dead tissue. Individuals who have decreased blood supply to breast tissue from past surgery or who have undergone radiation therapy may be at increased risk for wound healing and poor surgical outcome. Smokers have a greater risk of skin loss and wound healing complications.

12-Step Facilitation Therapy

Twelve-step facilitation therapy is an active engagement strategy designed to increase the likelihood of a substance abuser choosing to become actively involved in 12-step self help groups and promote abstinence. One aspect of facilitation therapy is acceptance: realizing that drug addiction is a chronic illness over which one has no control; that life is unmanageable because of drugs, that willpower alone is insufficient to overcome the problem and that abstinence is the only alternative. Another aspect of facilitation therapy is surrender, which involves giving oneself over to a higher power, accepting the fellowship and support structure of other recovering addicted individuals and following the recovery activities laid out by the 12-step program. The final ingredient in a facilitation therapy is active involvement in 12-step meetings and related activities. While studies support the efficacy of 12-step programs in treating alcohol dependence, the research pertaining to other drugs a person abuses is more preliminary but promising for helping drug abusers sustain recovery.

Executive Physical

Executive Physical offers busy executives an efficient, cost-effective way to manage their health and reduce medical absences. Thousands of executives from companies throughout the world participate in the Executive Health Programs. For corporate executives who understand the benefits of watching their health, many of the nation's top medical institutions offer "executive health care programs" tailored to their time-pressed needs. The comprehensive physical exams and lengthy physician consultations are conducted with an efficiency and attentiveness worthy of their high-powered clientele. IPA includes a comprehensive medical history review and physical exam by an internal medicine specialist and referrals to sub-specialists, as necessary. It includes a full range of preventive screening tests, a cardiovascular (heart) fitness evaluation. Tailoring the evaluation to the personal health needs and is strictly confidential. You may need to stay for more days if the initial health review identifies issues requiring follow-up. The program blends IPA well-known diagnostic expertise with the latest in preventive medicine. Many a previously undiscovered condition following an executive health exam has been successfully treated. IPA executive health doctors have extensive experience in evaluating health risk factors in healthy people and in people experiencing symptoms of illness or injury. They have access to all of the resources of the Mayo Clinic and can coordinate the care, if you have multiple health concerns.

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Overloaded Physicians

All of the professionals in our healthcare system struggle under the crushing weight of cost control measures imposed by insurers and medical institutions, which force doctors to minimize the time they spend assessing, treating, and discussing options with patients and their families. Protecting a family in an overtaxed healthcare system requires expertise. The statistics on medical errors, while often quoted, are still disturbing. In the United States, over 70,000 people die every year because of preventable medical errors that occur in hospitals. That means these avoidable mistakes kill more people than breast cancer or traffic accidents, making medical errors the eighth leading cause of death in the country. The report found that these errors were not the result of individual recklessness on the part of caregivers, but basic flaws in the organization of the American healthcare system. The treatment of over 50% of patients with diabetes, hypertension, tobacco addiction, hyperlipidemia, congestive heart failure, asthma, depression, and other chronic illness is inadequate. Due to cost constraints and resource limitations, doctors are not able to spend adequate time with their patients and do not necessarily have access to information on all available forms of treatment. In addition, when patients see more than one doctor, their care, medical records, and medications are rarely effectively coordinated. The burden of managing treatment most often falls on the shoulders of the patient and family who are already overwhelmed by having to deal with a serious illness. The average office visit is 10 minutes and physicians may be seeing as many as 40 patients a day. In addition, there are long waits for rushed appointments, the confusion about what types of care are available and best suit the needs, and the stress of navigating the U.S. healthcare system. When dealing with a serious medical situation, it is only natural to be overwhelmed. People tend to be confused about their options and too distracted or upset to ask the important questions. IPA Health provides private health management services.