Know Where to Go for Emergency Care

  Naples Comprehensive Health (NCH) continues to proactively negotiate with Florida Blue Cross Blue Shield (Florida Blue) in an effort to come to a resolution regarding contract terms with the insurance company. Following on-going financial challenges stemming from inflation and external economic factors, the system is seeking fair payment from the insurance company to cover the rising cost of patient care and preserve local access to doctors and vital services for families across Southwest Florida. Florida Blue is the third most profitable Blue Cross program in the nation yet pays NCH a lower rate than other insurers that the community hospital is contracted with, meaning NCH is reimbursed less than other hospitals in the region for the exact same services, even though the cost to provide patient care is similar. NCH is asking Florida Blue to be accountable partners and pay fair rates that keep pace with inflation and prioritize the best interests of patients. If Florida Blue forces NCH out of network and refuses to pay our community hospital fairly, thousands of patients will be without access to local doctors and specialists, said Betsy Brothers, MD, NCH North Hospital Chief Medical Officer and Section Chair for OB/GYN. As the only birthing center in Collier County and the only Comprehensive Stroke Center in Southwest Florida, its critical that Florida Blue recognizes the role NCH plays in community health, and listens to the patients and their customers, who depend on us when they say they want and need to keep their doctors in-network. We hope Florida Blue recognizes that and does the right thing. NCH reached out to Florida Blue months ago to begin negotiations with the goal of coming to a resolution without having to cause concern for, or impact patients. Florida Blue took over three months to respond to NCHs initial proposal. Were disappointed Florida Blue has not shown they share our sense of urgency in reaching a resolution said Jon Kling, Chief Operating Officer for NCH. Were also disappointed they continue to prolong the negotiation and choose to prioritize profit over their members. Florida Blue reported over $14 billion in revenue in the first half of 2023 alone. We know the company can afford to pay our non-profit healthcare system fairly without passing costs to patients. For us, this is about ensuring the health of our organization so we can continue to serve our community and take care of people. If an agreement is not made by September 30, 2024, NCH will be considered out of network for individuals and families with Florida Blue insurance plans. During the negotiation, patients with Florida Blue insurance coverage should continue to access their NCH doctors and services as usual. Community members can learn more at www.standwithnch.com.

Note: this is not medical advice and should not replace a discussion with your own treating physician. This document was created after compiling helpful over the counter and home remedies from patients and colleagues. Winter is a beautiful time of the year, but it also brings along various illnesses. With the constant change in temperature and dry air, it's easy to catch a cold or flu. However, being sick doesn't have to be miserable. Here are some tips to help you through your winter sickness. First off, make sure you are getting enough rest. Your body needs time to fight off the illness, so getting plenty of sleep is essential. Drinking lots of fluids is also crucial to staying hydrated. Warm liquids such as tea or soup can help soothe your throat and loosen congestion. Second, take over-the-counter medication to relieve your symptoms. Decongestants can help relieve nasal congestion, and pain relievers such as acetaminophen or ibuprofen can help reduce fever and body aches. However, be sure to read the instructions carefully and consult with a doctor if you have any doubts. Lastly, try to avoid spreading your illness to others. Cover your mouth and nose when you cough or sneeze, and wash your hands frequently with soap and water. Stay home if you're feeling unwell to prevent spreading the illness to others, and mask up if you need to leave the house. Reminder that we are fortunate enough to have vaccinations against flu, COVID and RSV which cause significant respiratory illness. In conclusion, being sick during the winter can be tough, but with plenty of rest, hydration, and medication, you can make it through. Ive gathered up some of the most common remedies used by myself, my patients, and my followers on social media and shared them below. Remember to take care of yourself and stay warm during the chilly winter weather.STRAIGHT OFF THE SHELFNote: if you take other medications, its important to talk with your physician or pharmacist about how these over the counter meds may interact with your prescribed meds Cough Vicks Vapo Rub on the chest and bottoms of feet Coricidin (good for those with cough and high blood pressure) Delsym Cough Medicine: dextromethorphan containing cough meds help with cough suppression, for dry coughs Zarbees for kids: these come in a daytime and nighttime forms to help with sleep (chamomile) Mucinex: guaifenesin containing meds help to loosen up mucus in your though to help you cough it up, for wet coughs Sudafed: pseudoephedrine is a decongestant and can make you pretty wired/awake. caution if you have high blood pressure Dimetapp for kiddos 6 and older Congestion/sore throat Afrin nasal spray: temporary congestion relief Flonase nasal spray: great for post nasal drip that causes sore throat Saline nasal rinses General cold/flu symptoms Dayquil/Nyquil: remember, these contain acetaminophen aka Tylenol. so dont mix with additional tylenol unless instructed by your physicianKnow your meds! acetaminophen is also known as Tylenol; ibuprofen is also known as Motrin and is the same class of medications as naproxen aka Aleve HOME/HERBAL REMEDIESNote: if you take other medications, its important to talk with your physician or pharmacist about how these remedies may interact with your prescribed meds Nin Jiom Pei Pa Koa-Chinese herbal throat and cough syrup Green tea Ginger tea Boom boom inhaler stickLemon, honey, and chamomile tea Sleep Epsom salts baths Oscillococcinum Black elderberry syrup Raw garlic with honey Mullein tincture Electrolyte rich drinks like liquid IV, LMNT, pedialyte-- monitor sugar content Fermented foods Reishi Ashwaghanda Foods high in vitamin C (citrus!)SOOTHING TEA RECIPEIn a saucepan, bring the following to a boil, then remove from heat and enjoy:8 ox water1 T apple cider vinegar1 T honey1 cinnamon stick1 clove of peeled and smashed garlicsmall  piece of peeled gingerTIPS & TRICKS FROM A PCPafter a viral infection, cough can last 4-6 weeks in some cases. if you have fever with the cough or its getting worse, talk with your doctor as it could indicate a bacterial infection never underestimate the power of sleep and resting your body a fever is technically a temperature over 100.4 degrees F the symptoms of COVID, flu, and RSV overlap significantly. getting tested for these infections may be helpful in determining if you need further intervention your gut health is key to your immune system. you may not be able to fully prevent getting sick, but a healthy mind and body will help you with resilience and recovery. focusing on fiber, mindfulness, sleep and regular exercise can help your gut stay strong! most viral infections last about 5-7 days. but if you are experiencing shortness of breath, chest pain, high fevers, difficulty swallowing, dizziness, or wheezing, contact your physician immediately ask your doctor for their recommendation on checking your childs temperature. they may want you to use a rectal thermometer depending on age

Safeguarding Lives in Every SeasonEvery year, on the first day of autumn, communities across the nation come together to observe Fall Prevention Awareness Day. This important day serves as a reminder of the significant impact falls can have on individuals and the collective effort needed to prevent them. As we step into the season of changing leaves and cooler temperatures, it's crucial to raise awareness about fall prevention and prioritize safety for ourselves and our loved ones.A Silent ThreatFalls are a leading cause of injuries among older adults, often resulting in fractures, hospitalizations, and a decline in overall quality of life. However, falls can affect people of all ages, so it's vital to address this issue comprehensively. The consequences of falls go far beyond physical injuries; they can also have emotional and financial repercussions for individuals and their families.Understanding the Impact of FallsPhysical Consequences: Falls can lead to a wide range of physical injuries, including fractures, sprains, and head trauma. These injuries can result in prolonged pain, limited mobility, and a significant loss of independence. For older adults, in particular, a fall can mark the beginning of a decline in health.Emotional Toll: The emotional toll of a fall should not be underestimated. The fear of falling again can lead to anxiety, depression, and social isolation. Many individuals who have experienced a fall become hesitant to engage in physical activities they once enjoyed, further compromising their physical and mental well-being.Financial Burden: The financial burden of falls is substantial. Medical bills, rehabilitation costs, and potential long-term care expenses can put a strain on individuals and families. In some cases, these financial challenges can jeopardize retirement savings and financial security.The STEADI Initiative:Screen - Assess - InterveneThe CDC STEADI (Stopping Elderly Accidents, Deaths, and Injuries) initiative is a comprehensive approach developed by the Centers for Disease Control and Prevention (CDC) to help healthcare providers and patients address fall prevention in older adults. Falls are a common and serious issue among older adults, and the STEADI initiative provides tools and resources to reduce the risk of falls and related injuries. Here are some key components of the STEADI program for adult fall prevention:Screening: Healthcare providers are encouraged to use standardized fall risk assessment tools, such as the "Steady Steps" tool, to identify patients that are at risk of falling. These screening tools help determine an individual's risk factors for falling. When screening, ask questions such as; Have you fallen in the past year? Do you feel unsteady when standing or walking? Are you worried about falling? A yes to any of these questions indicates that a patient has an increased risk in falling. Once the screening process is complete, healthcare providers can now begin to assess the situation. Assessment: For patients identified as being at risk, healthcare providers conduct a more comprehensive fall risk assessment. This assessment includes a review of medications, medical conditions, and mobility issues that may contribute to falls. Home hazards are some of the biggest issues with adult falls. Asking detailed questions can be very important in this case. Along with home hazards, here are some additional indicators of an increased fall risk: poor footwear, impaired vision and cognitive ability. Intervention: Based on the assessment results, healthcare providers can develop personalized fall prevention plans for their patients. These plans may include recommendations for exercise programs, medication adjustments, vision assessments, and home modifications.Raising Awareness: Fall Prevention StrategiesKnow the Risk Factors: Understanding the risk factors associated with falls is the first step in prevention. These factors include age, muscle weakness, balance issues, medications, chronic health conditions, vision problems, and environmental hazards.Regular Exercise: Engaging in regular physical activity can help improve strength, balance, and flexibility. Exercise programs like tai chi and yoga are particularly effective in preventing falls among older adults.Medication Management: It's essential to review medications with healthcare professionals regularly. Some medications can cause dizziness or drowsiness, increasing the risk of falls.Vision Care: Regular eye check-ups are crucial, as vision problems can contribute to falls. Correcting vision impairments and ensuring adequate lighting in the home can make a significant difference.Home Safety: Eliminating tripping hazards in the home, such as loose rugs and clutter, is essential. Installing handrails, grab bars, and adequate lighting can enhance safety.Footwear: Wearing proper footwear with non-slip soles and good support is essential for stability.Regular Health Check-ups: Routine health check-ups can help identify and address underlying health issues that may increase the risk of falls.Promoting Fall Prevention Awareness Year-RoundWhile Fall Prevention Awareness Day is an important annual event, it's crucial to emphasize fall prevention year-round. Education and awareness campaigns should continue to remind people of the risks and strategies for prevention.Additionally, healthcare providers, community organizations, and families can work together to support individuals at risk of falls. This might involve home assessments, personalized exercise programs, and ongoing monitoring of medication use.As we embrace the arrival of autumn, let's also embrace the idea of falling for safety. Falls are a significant threat to individuals' well-being and the healthcare system as a whole. By raising awareness, identifying risks, and taking proactive measures, we can protect ourselves and our loved ones from the physical, emotional, and financial consequences of falls. Fall prevention should be a priority not just on Fall Prevention Awareness Day but throughout the year. Together, we can make a difference in safeguarding lives and promoting safety in every season.Please remember to be SAFE!S - Screen for factors that may increase fall risk. A - Assess the patient to best issues that can contribute to falls.F - Formulate the patients fall prevention plan.E - Educate the patient and caregiver about medical conditions and mobility issues that lead to high risk falls.