Wednesday, August 21, 2019


August 30th is Opioid Misuse Prevention Day

Opioids are powerful pain medications that can be effective in managing pain however can also lead to overuse, addiction, overdoses and death
North Carolina has been especially hit by the opioid crisis.

  • 5 people die daily from overdoses
  • More people die of opioid overdose than from car crashes
  • 2,000 North Carolinians died from opioid overdose in 2017 - a 32% increase from the previous year.
  • Overdoses have actually doubled over the previous 10 years.
  • Nationwide 100 people die daily from opioid overdose.

How can you help?
  • Dispose of unused prescription medication through Operation Medicine Drop. Click on the following link to find a location:
  • Lock up your controlled substances.
  • Talk to your kids about the risks of opioids.
  • Talk to you health care provider about alternative medications and any concerns you have regarding your medications.
  • Get involved in community efforts to help raise awareness by visiting
  • Seek help for yourself if there is a concern about addiction by seeing your health care provider and locating community resources at

Wednesday, August 14, 2019

WELLNESS WEDNESDAY: Salmon - Heart Healthy

RECIPE                   Grilled Salmon with Avocado Salsa

This recipe is packed full of flavor but also heart-healthy and rich in good fats. Salmon is a great source of Omega-3 fatty acids that have been shown to decrease inflammation, increase good cholesterol, and lower triglycerides.  Avocados are rich in monounsaturated fat which helps to lower cholesterol levels. They are also high in fiber and have more potassium than a banana.

2 lbs salmon, cut into 4 filets
1 T olive oil
1 tsp salt
1 tsp cumin
1tsp paprika
1 tsp onion powder
½ tsp chili powder
1 tsp black pepper
1 avocado
½ small red onion, diced
Juice from 2 limes
1-2 T finely chopped cilantro 
Mix the salt, chili powder, cumin, onion powder and black pepper together, rub the salmon fillets with olive oil and then this seasoning mix.
Refrigerate for 30 minutes.
Combine the avocado, red onion, cilantro, lime juice and salt to taste in a bowl. Chill until ready to use.
Grill (or broil) the salmon for about 5 minutes
Top with avocado salsa

Wednesday, August 7, 2019

WEDNESDAY WELLNESS: Immunization Awareness

August is National Immunization
Awareness Month

We all need shots (vaccines) to help protect us from serious diseases. This protection is called immunization. You have the power to protect yourself and your family from dangerous vaccine-preventable diseases such as measles, pneumonia, influenza, and tetanus. Vaccines are safe and effective and work with your body’s natural defenses to develop immunity to disease. Getting vaccinated at the recommended time is the best way to prevent serious diseases.

Everyone age 6 months and older needs to get a flu vaccine every year. Other types of shots work best at specific ages or life stages.

Visit the CDC website below to help determine what vaccines are recommended for your child.
Click the link below to determine what vaccines you may need as an adult.

Talk to a provider at Patient Centered Care to make sure everyone in your family has received the shots they need to stay safe and healthy! 

Wilmington Office 910-799-6262
Bolivia Office        910-253-7990

Wednesday, May 15, 2019

Depression/Stop Smoking/Advance Directive: Did you Know Patient Centered Care can help?

The Patient Centered Care Team is committed to improving your health by fully identifying and striving to satisfy your healthcare needs.

An advance directive is a form that you fill out to describe the kinds of medical care you want to have if something happens to you and you can't speak for yourself. It tells your family and the medical community including your primary care provider, what to do if you're badly hurt or have a serious illness that keeps you from saying what you want.
There are two main types of advance directives:
  • living will tells your family and your doctor what kinds of treatment you want to receive as you near the end of your life and if you can no longer speak for yourself. A living will is also called a treatment directive.
  • A medical power of attorney lets you name a person to make treatment decisions for you when you can't speak for yourself. This person is called a health care agent or health care proxy.
These involve tough choices to make, but you don't have to make them alone. Take your time. Share your questions or concerns with your Nurse Practitioner at Patient Centered Care. Set an appointment to discuss your plan (your family or a friend are welcome to attend).

Smoking cessation (also known as quitting smoking) is the process of discontinuing tobacco smokingTobacco smoke contains nicotine, which is addictive and can cause dependence. Nicotine withdrawal makes the process of quitting often difficult.

After just 12 hours without a cigarette, the body cleanses itself of the excess carbon monoxide from the cigarettesThe carbon monoxide level returns to normal, increasing the body's oxygen levels. Just 1 day after quitting smokingthe risk of heart attack begins to decrease.

Stopping smoking will
(1)  Lower your risk for lung cancer and many other types of cancer
(2)  Reduce your  risk for heart diseasestroke, and peripheral vascular disease (narrowing of the blood vessels outside your heart). 
(3) Reduce heart disease risk within 1 to 2 years of quitting.

If you would like help to stop nicotine, contact Patient Centered care to arrange a consultation with a nurse practitioner to develop a plan.  The following websites may help you with your decision:

Many people think of depression as being sad, but it really is a complex medical condition different with each person.  People with depression experience many symptoms, including:
  • little interest or pleasure in doing things
  • feeling down or hopeless
  • trouble falling asleep, staying asleep or sleeping too much
  • feeling tired or having little energy
  • having a poor appetite, over eating or having weight change
  • difficult concentrating or making decisions
  • feeling bad about themselves, like they are a failure, or feeling guilty
If you or someone in your family may be experiencing these symptoms, reach out to the office for an appointment with a nurse practitioner.  Is it time to talk about your symptoms?

Patient Centered Care, PLLC  910-799-6262 (phone) 

Monday, April 2, 2018


Child abuse and neglect are significant public health problems in the United States.

Each day more than five children die as a result of abuse or neglect. On average, a child abuse report is made every 10 seconds for a total of approximately 3.3 million child abuse reports annually. 

Child abuse and neglect includes all types of abuse or neglect of a child under the age of 18 by a parent, caregiver, or another person in a custodial role that results in harm, potential for harm, or threat of harm to a child.

There are four common types of abuse and neglect.

Physical abuse is the use of physical force, such as hitting, kicking, shaking, burning, or other shows of force against a child.
Sexual abuse involves inducing or coercing a child to engage in sexual acts. It includes behaviors such as fondling, penetration, and exposing a child to other sexual activities.
Emotional abuse refers to behaviors that harm a child’s self-worth or emotional well-being. Examples include name calling, shaming, rejection, withholding love, and threatening.
Neglect is the failure to meet a child’s basic physical and emotional needs. These needs include housing, food, clothing, education, and access to medical care

Guide to preventing child abuse
  • ·         Never discipline your child when your anger is out of control.
  • ·         Participate in your child’s activities and get to know your child’s friends.
  • ·         Never leave your child unattended, especially in the car.
  • ·         Teach your child to use their voice to allow them to prevent abuse in their own life.
  • ·     Ask questions; for example, when your child tells you he or she doesn’t want to be with someone, this could be a red flag.
  • ·         Listen to them and believe what they say.
  • ·         Be aware of changes in your child’s behavior or attitude and inquire into it.
  • ·         Teach your child what to do if you and your child become separated while away from home.
  • ·         Teach your child the correct names of his/her private body parts.
  • ·         Be alert for any talk that reveals premature sexual understanding.
  • ·         Pay attention when someone shows greater than normal interest in your child.
  • ·    Make certain your child’s school or day care center will release him/her only to you or someone you officially designate.

Unexplained injuries aren't the only signs of abuse. Depression, fear of a certain adult, difficulty trusting others or making friends, sudden changes in eating or sleeping patterns, inappropriate sexual behavior, poor hygiene, secrecy, and hostility are often signs of family problems and may indicate a child is being neglected or physically, sexually, or emotionally abused.

If you witness a child being harmed or see evidence of abuse, make a report to your state's child protective services department (link below) or local police (link below). When a child talks about abuse, listen carefully, assure the child that he or she did the right thing by talking to you, and affirm that he or she is not responsible for what happened.      Patient Centered Care, PLLC  910-799-6262

Sunday, March 25, 2018


Definition: Electronic cigarettes (e-cigarettes) are battery-operated devices that heat a liquid usually containing nicotine, producing a vapor that the user inhales. E-cigarettes entered the market as consumer products without government regulation.

Conventional cigarettes burn tobacco and generate smoke, e-cigarettes have a cartridge containing a liquid (sometimes referred to as "e-liquid"), which contains nicotine and other constituents. The main components of the liquid vaporized is nicotine, propylene glycol or glycerol, and flavorings. A variety of other compounds have also been identified, some with carcinogenic potential.

The long-term health consequences of e-cigarette use are largely unknown but are likely to be less than continuing to smoke conventional cigarettes because e-cigarettes do not expose the user to many of the toxins in tobacco smoke. E-cigarettes expose users to nicotine as well as heated and aerosolized propylene glycol and glycerol and other compounds. The toxicity of chronic exposure to these and the other components of e-cigarettes is uncertain. We do not have long term data examining the health effects of e-cigarettes.

Nicotine Exposure: From e-cigarette use, as with cigarette smoking, increases heart rate and introduces levels of blood cotinine, a nicotine metabolite. The consequences of chronic inhalation of e-cigarette vapor are largely unknown, and levels of toxic and carcinogenic compounds may vary by e-cigarette liquid components and device used. We do know the potential adverse effects are related to nicotine exposure as well as exposure to other components in the vapor produced by the devices. There have also been documented emergency department visits for burns from electronic nicotine delivery systems (ENDS) due to device malfunction either while stored (eg, in a pocket) or during use, resulting in burns to the thigh, groin, face, and/or hand.

Passive Exposure: There is limited evidence on the health effects of passive vapor exposure and no conclusions can be drawn. Passive exposure to e-cigarette vapor produces small increases in serum cotinine, comparable with that from passive exposure to cigarettes. However, passive exposure to e-cigarette vapor is expected to be less toxic to bystanders than combustible cigarette smoke.

E-cigarettes are not approved by the US Food and Drug Administration (FDA) for smoking cessation and the FDA has not endorsed their safety or efficacy for smoking cessation. Using e-cigarettes is probably less harmful than smoking conventional cigarettes, but we do not know how safe they are to users or those around them. They continue the user's exposure to nicotine. The health consequences of vapor exposure are unknown, and there may be risks from inhaling e-cigarette flavorings on respiratory function.

WARNING: The typical 5 mL vial of e-cigarette liquid refill may contain a nicotine concentration of 20 mg/mL (100 mg/vial). The known lethal dose of nicotine is about 10 mg in children.

Wednesday, February 28, 2018


Colorectal cancer (cancer of the colon or rectum) is the second leading cause of cancer deaths in the United States.  Greater than 50,000 people die from colorectal cancer every year.  This disease is highly preventable, by getting screened beginning at age 50.
Screening tests help prevent colorectal cancer by finding precancerous polyps (abnormal growths) so they can be removed. Screening also finds this cancer early, when treatment can be most effective.
·         Risk increases with age. More than 90% of colorectal cancers occur in people aged 50 and older.
·         Precancerous polyps and colorectal cancer don’t alwayscause symptoms, especially at first. You could have polyps or colorectal cancer and not know it. That is why having a screening test is so important. Symptoms may include—
o    Blood in or on the stool (bowel movement).
o    Stomach pain, aches, or cramps that do not go away.
o    Losing weight and you don’t know why.
·         Some people are at a higher risk than others for developing colorectal cancer. If you think you may be at increased risk, talk to your provider about when to begin screening, which test is right for you, and how often to get tested.
·         There are several screening test options. Talk with your provider about which is right for you.
o    Colonoscopy (every 10 years).
o    High-sensitivity guaiac fecal occult blood test (FOBT) or fecal immunochemical test (FIT) (every year).
o    Sigmoidoscopy (every 10 years, with FOBT or FIT every three years).
o    Sigmoidoscopy alone (every 5 years).
o    Stool DNA test (FIT-DNA) every one or three years.
o    CT colonography (or virtual colonoscopy) every five years.

Patient Centered Care, PLLC