Federally Qualified Health Centers: Heartbeat of the Community

October is Breast Cancer Awareness Month, and its the perfect time to talk about the importance of breast cancer prevention and detection. At Intermountain Health, were dedicated to helping you stay ahead of cancer with our High-Risk Cancer Prevention Clinic. Lets dive into why early detection is crucial and how we can support you.Why Prevention and Early Detection MatterBreast cancer is one of the most common cancers among women, but the good news is that early detection can significantly improve outcomes. Regular mammograms are a key part of breast cancer screening because they can detect cancer early when its most treatable. However, for those at high risk due to genetic factors, mammograms alone might not be enough.Maricel Purcell, a Cancer Genetics Nurse Practitioner at our High-Risk Cancer Prevention Clinic, explains, Regular mammograms are a crucial component of breast cancer screening and can detect cancer early when its treatable. However, for individuals at high risk due to genetic factors, mammograms alone may not be sufficient.Understanding Your RiskKnowing your genetic risk can help you take proactive steps to protect your health.Understanding your genetic risk allows you to take proactive steps to protect your health. Having this information doesnt mean you will definitely develop cancer. It means you have the opportunity to take preventive measures and make informed decisions about your health, says Purcell.If you have a family history of cancer, especially if cancers occurred at a young age or if multiple family members are affected, you should consider seeing a cancer genetics provider. Indicators also include having a known genetic mutation in the family, multiple types of cancer in a single individual, or belonging to certain groups with higher prevalence of specific mutations.Personalized Care at Intermountain HealthAt Intermountain Health, we offer a range of services to help manage and reduce your cancer risk. Our High-Risk Cancer Prevention Clinic provides:Genetic Testing: To identify specific gene mutations that increase cancer risk.Increased Screening and Surveillance: Including additional methods like breast MRI, which can detect cancers that mammograms might miss.Personalized Management Plans: Tailored to your specific risk profile to catch cancer early or reduce your risk.Lifestyle Recommendations: Tips on diet, exercise, and other lifestyle changes to lower your cancer risk.Support Resources: Counseling and support groups to help you navigate your journey. Telehealth OptionsOne of the standout features of our High-Risk Cancer Prevention Clinic is the availability of telehealth options. You can have video visits with our specialists without having to leave your house. This makes it easier than ever to get the care you need without the hassle of travel. Whether its a genetic counseling session or a follow-up appointment, our telehealth services ensure you stay connected with your healthcare team.Were shifting the focus from treatment to prevention as often as possible. And we do this all from the comfort of your own home, says Purcell.'Knowledge Is Power'Finding out you may be at high risk for cancer can be overwhelming, but youre not alone. For those feeling overwhelmed, I offer resources such as counseling and support groups and I ensure they know they are not alone in this journey, Purcell reassures.Sabrina Feldman, a vibrant 39-year-old from Denver, Colorado, recently embarked on a life-changing journey at Intermountain Healths high-risk cancer prevention clinic. With a family history of cancer, Sabrina always had a nagging feeling about her health. On the back of my mind, I could have a high risk, she shared. Her grandparents had died of ovarian cancer, but it wasnt until her cousin tested positive for BRCA 2 about four years ago that Sabrina started to connect the dots.Despite her sister testing negative for the gene, Sabrina decided to move forward with her own testing in September, assuming she wouldnt have it. Sure enough, I did have it, she said. This revelation set her on a proactive path to ensure her health and safety. I took all the proactive things. I figured any preventative things I can do to make sure I am healthy and safe and can live a long life without something being invasive.Her journey began with genetic counseling and imaging. As soon as the genetic counselor sent my primary care provider the results, she immediately called for imaging, Sabrina recalled. The day she went for her mammogram and sonogram was nerve-wracking. If I thought I didnt have BRCA 2 and I did, now every result would be the same. I panicked. Fortunately, the results came back in just five hours, and everything was negative. We have detected no abnormal cells, she was told, which brought immense relief.Sabrina then reached out to a medical oncologist for further options and opportunities. She met Lisa Ahrendt, MD, who was incredibly supportive. She was very clear, you know you are supposed to get the surgeries right away and your ovaries removed. So I was nervous going into the appointment. She kept saying when or if you decided to move forward. She heard me, she saw me. Nothing was scary.Dr. Ahrendt spent an hour discussing the best course of action for Sabrina, making her feel comfortable and understood. This is something youll have to deal with and monitor, it doesnt mean you have to take action, Dr. Ahrendt reassured her. Sabrina felt empowered by the knowledge and the support she received. Knowledge is power. You cant make any decisions until you have all the answers. Make sure you know that there are options.Sabrinas journey isnt over yet. She has a couple more screenings lined up and is considering her options carefully.The clinic has created a supportive community for Sabrina. This clinic created such a great community. Find a place that you feel comfortable and heard in is so important. With the help of a social worker and a streamlined team of specialists, Sabrina feels at ease. Its now out of my mind. Is this going to be looming over me forever? I felt like everything was there. It makes it so easy and so approachable.Sabrinas story is a testament to the power of knowledge and the importance of a supportive healthcare community. Her proactive approach and the care she received have empowered her to take control of her health and her future.At Intermountain Health, were here to support you with personalized care and comprehensive services. If you think you might be at high risk, dont hesitate to reach out and schedule an appointment.

Its American Heart Month, so theres no better time for a distinguishing guide of heart attacks VS heartburn. It's natural to feel concerned when experiencing chest discomfort but understanding the difference between conditions can provide peace of mind.Some of our expert caregivers provided crucial insight around the matter, and their practical advice will help navigate your heart health journey."Doctors see an increase in the number of heart attacks during the winter season, said William Daines, MD at Intermountain Medical Center. Similarly, heartburn rates go up this time of year, in part due to overindulgence of comfort foods, late eating, and increased alcohol intake."By learning to recognize the signs and symptoms of each condition, you can take the appropriate steps to address your concerns and, if needed, seek medical care."Although heartburn and heart attack symptoms can share similarities, it is important to recognize the difference, said Kirstin Hesterberg, DO, an Intermountain Health cardiologist in Denver, Colorado.Heartburn signs and symptomsHeartburn often feels like a burning sensation in your chest that can move up to your throat. And despite its name, it has nothing to do with your heart. Its caused by stomach acid backing up into the esophagus."Indigestion generally causes temporary chest discomfort or burning anywhere from the upper abdomen to the throat, said Dr. Daines. Heartburn usually hits after eating spicy, fatty, or greasy foods, but as with too much caffeine, feeling stressed, or eating too much."Common signs and symptoms of heartburn include:Burning sensation in the chestSour taste in the mouthDifficulty swallowingRegurgitation of food or liquidThese symptoms usually occur after eating or when lying down. While heartburn can be uncomfortable, it typically doesnt cause severe pain or lasting damage to the heart.Heart attack signs and symptomsA heart attack happens when blood flow to the heart is blocked, usually by a blood clot. Unlike heartburn, a heart attack can be life-threatening and requires immediate medical attention.Common signs and symptoms of a heart attack include:Chest pain or discomfort, which may feel like pressure, squeezing, or fullnessPain or discomfort in other areas of the upper body, including the arms, back, neck, jaw, or stomachShortness of breathNausea, lightheadedness, or cold sweatsSoubi Azzouz, MD, Interventional and Structural Cardiologist at St. Marys Medical Center, said the most common symptom association he sees is with exertional activities.During silent heart attacks, the most common nonviolent symptom that patients experience is exertional dizziness or shortness of breath while doing an activity, said Dr. Azzouz. And they sit down, and it goes away, and dont link it with their heart.Silent heart attacks are cardiac arrests with mild symptoms, or no symptoms at all, that you may not recognize as a medical emergency.It's important to note that not everyone experiences the same symptoms, and women may have different signs than men. If you suspect you or someone else is having a heart attack, dont wait call emergency services.These symptoms can indicate a serious cardiovascular event and require prompt attention," said Dr. Hesterberg. "If someone experiences heartburn with other symptoms, especially the ones mentioned above, seeking care is advised."Heart attack preventionWe wrote about heart attack risk factors this month. While some risk factors for heart attacks, like age and family history, cant be changed, there are steps you can take to reduce your risk:Maintain a healthy diet low in saturated fat, cholesterol, and sodium. If you need heart-smart diet advice, check out the latest in heart healthy diets.Stay physically active with regular exercise. The American Heart Association (AHA) recommends 150 minutes of moderately intense aerobic activity.Manage stress through relaxation techniques or hobbies. Research has shown that anger, depression, and anxiety are all strong risk factors for heart disease.Avoid smoking and limit alcohol consumption. The AHA recommends no more than two drinks per day for men, and one drink per day for women.Keep chronic conditions like high blood pressure, diabetes, and high cholesterol under control with medication and lifestyle changes. Regular visits with your primary care provider should supplement this.By adopting heart-healthy habits, you can significantly lower your risk of experiencing a heart attack.Understanding the differences between heartburn and a heart attack is crucial for your well-being. If youre unsure about your symptoms, its always better to err on the side of caution and seek help. Take care of your heart its the only one you have! 

Heart disease is the leading cause of death in the United States, causing about one in four deaths. The good news is that heart disease is largely preventable. There are actions you can take at every age to improve your heart health.Maintaining a healthy heart is a lifelong commitment that evolves with each passing decade, Kurt Spriggs, DO, an Intermountain Health cardiologist at St. Mary's Regional Hospital in Grand Junction, CO. As we age, our bodies undergo various changes, and our lifestyles play a crucial role in determining cardiovascular health. Whether you're in your 20s, 40s, or beyond, there are heart-healthy habits you can adopt to improve your well-being.To keep your heart in tip-top shape, follow this decade-by-decade guide:Birth to 10: Establish a foundation for good healthPromote healthy eating: Introduce a variety of nutrient-rich foods. Choose label-free foods, like fresh fruits, vegetables, and unprocessed lean proteins. Swap out processed and sugary snacks for healthier alternatives such as dried fruits and nuts.Play for an hour a day: Set the stage for an active lifestyle by ensuring your children get an hour of play or exercise every day.Limit screen time: To prevent sedentary habits, encourage your child to limit their screen time to no more than an hour a day for children under the age of five and no more than two hours for older children.Teens: Build healthy habitsPrioritize sufficient sleep: Ensure adolescents get at least seven hours of sleep each night to reduce the risk of obesity and heart disease.Avoid caffeine and energy drinks: Energy drinks have been linked to seizures, irregular heartbeat, heart failure, and even death in teens. The American Academy of Pediatrics says teens should skip energy drinks completely.Say no to smoking and vaping: Both habits pose serious threats to heart health. Smokers, especially those who start before age 15, face nearly triple the risk of early death from heart disease and stroke compared to non-smokers.20s: Take charge of your healthTake care of your teeth and gums: Gum disease can double your risk of developing heart disease. Make sure to brush your teeth at least twice a day and floss every day. Also, visit your dentist every six months.Delve into your family history: Knowing your familys health background and your genetic predisposition to diseases can provide you with a roadmap to your own well-being.Be mindful with alcohol: Excessive drinking is linked to potential heart problems, including high blood pressure and dehydration. Limit alcohol consumption and counterbalance each drink with a full glass of water.30s: Prioritize stress managementManage your stress: In your 30s, life takes on a new level of complexity as you juggle a family and a career. Left unchecked, stress can create inflammation in your body and cause high blood pressure. Practice stress-reducing activities such as yoga, meditation, or deep breathing.Schedule regular check-ups: Begin preventative screenings to monitor your blood pressure and cholesterol levels. These screenings will establish a baseline for monitoring your cardiovascular health and provide early identification of a potential condition.Keep moving: Its easy to drop onto the couch at the end of an exhausting workday, so make sure you have a reason to get up and move especially if youve been sitting at a desk all day. Whether that means taking the dog for a walk, playing with the kids outside, or joining an exercise class, make sure youre getting at least 30 minutes of activity three times a week. You may want to consider using fitness apps, smartwatches, or pedometers to track your daily steps, set goals, and monitor your progress.40s: Focus on preventionStep on the scale: This is the decade when metabolism takes a nosedive. Watch your weight and monitor your Body Mass Index. If its over 25, you are at greater risk for health problems. Prioritize healthy foods and physical activity.Monitor blood sugar levels: Keep an eye on your blood sugar levels, especially if you have a family history of diabetes. Elevated blood sugar levels can contribute to heart disease, so managing them is crucial.Stay hydrated: Maintain proper hydration by drinking an adequate amount of water. Dehydration can cause your blood to get thicker which strains the heart, so be sure to consistently replenish your fluids throughout the day. The Institute of Medicine recommends men drink 13 cups (104 ounces) of water every day. Women should consume 9 cups (72 ounces).50s: Nurture the health of your heartListen to your body: Men and women experience heart disease differently. Its important to learn the symptoms of a heart attack and what to watch for. Health issues such as shortness of breath, chest pain, unexplained fatigue, and heart palpitations should be checked out immediately.Continue monitoring your blood pressure and cholesterol: Regularly screen and manage your blood pressure and cholesterol levels. Medications may be necessary. Its important to follow your healthcare providers recommendations.Fine-tune your diet: As you age, intensify your commitment to heart health with a diet high in omega-3 fatty acids, fiber, and antioxidants. Reduce your sodium intake if you consume more than 2,300 milligrams of sodium (salt) per day. Thats equivalent to one teaspoon of table salt.60s: Prioritize your well-beingTake an aspirin a day: Heart attacks can happen at any age, but the risk skyrockets during your 60s. Check with your doctor about whether an aspirin a day could reduce your risk.Cultivate social connections: Retirement can be a lonely time for some, and research shows that loneliness is as bad for heart health as smoking. Volunteer, join a club, or take a class to establish social connections and maintain your emotional well-being.Create an emergency preparedness plan: Establish a plan for your loved ones that outlines the steps they should take in the event of an emergency that includes your medical history, a list of prescriptions, how to reach your healthcare providers, and the location of your preferred medical facility.70s: Maintain a healthy heartStay active: Get at least 150 minutes of moderate intensity exercise every week. Walking, balance exercises and resistance training with weights can make your heart stronger.Reduce your risk of a fall: Falls are the leading cause of injury in older adults. Abnormal heart rhythms, and low blood pressure are a few reasons why seniors with cardiovascular disease face an even greater risk for falls. Take measures to ensure your living environment is safe by removing tripping hazards and installing handrails.Practice proper medication management: Regularly review your medications with your healthcare provider to ensure they remain appropriate and effective.Caring for your heart is a lifelong journeyYour heart deserves the best care at every age. It's never too early or too late to prioritize your heart health. By making informed choices, prioritizing physical activity, and promoting your overall well-being, you can significantly reduce the risk of cardiovascular disease and enjoy a healthier, more vibrant life.Life can change in a heartbeat. Take the Healthy Heart quiz to assess your risk.