The cardiac work-up involves two parts: a history and a physical. The physician will ask a series of questions in order to obtain information that could be relevant to underlying symptoms of cardiac and vascular disease. Some of these questions include:
- Your chief complaint
- Other heart related complaints or past “incidents”
- Medications you are currently taking
- Past illnesses and surgeries
- Family history
- Non-cardiac complaints
- Lifestyle information (smoking, alcohol consumption, etc.)
Your chief complaint and history will determine whether or not you need to have further testing for specific illnesses and how urgent the need for testing is.After the taking your history, your cardiologist will perform a physical examination, which includes listening to your heart beat, lungs and blood vessels of the neck and groin; taking your pulse rate; checking your extremities for edema; and feeling your abdomen for tenderness or swelling.
“Heart disease – also called cardiovascular disease and coronary artery disease- is a simple term used to describe several problems related to plaque buildup in the walls of the arteries, or atherosclerosis. As the plaque builds up, the arteries narrow, making it more difficult for blood to flow and creating a risk for heart attack or stroke.”
– American Heart Association
Cholesterol is a waxy, fat-like substance used by the body to build cell walls and for making several essential hormones. Your liver produces cholesterol and you absorb it from the animal fats you eat. There are two types: low-density lipoproteins (LDL) and high-density lipoproteins (HDL). The former carries the cholesterol around the body in the blood and the latter transports cholesterol out of the blood into the liver.
When cholesterol is too high, or the levels of the two types are out of balance (dyslipidaemia), the cholesterol can clog the arteries affecting the flow of the blood.
Peripheral Arterial Disease (P.A.D.) is a disease in which plaque builds up in the arteries that carry blood to your head, organs, and limbs. Plaque is made up of fat, cholesterol, calcium, fibrous tissue, and other substances in the blood.When plaque builds up in the body’s arteries, the condition is called atherosclerosis. Over time, plaque can harden and narrow the arteries. This limits the flow of oxygen-rich blood to your organs and other parts of your body.
Blocked blood flow to your legs can cause pain and numbness. It also can raise your risk of getting an infection in the affected limbs. Your body may have a hard time fighting the infection.
If severe enough, blocked blood flow can cause gangrene (tissue death). In very serious cases, this can lead to leg amputation.
If you have leg pain when you walk or climb stairs, talk with your doctor. Sometimes older people think that leg pain is just a symptom of aging. However, the cause of the pain could be P.A.D. Tell your doctor if you’re feeling pain in your legs and discuss whether you should be tested for P.A.D.
Membership, Insurance & Billing
The Annual Membership Fee allows us to offer you the innovative digital health tools and value-added services that make us unique. The Annual Membership Fee is paid to 1Life Healthcare, Inc., the healthcare technology and management company affiliated with us, that develops the digital health tools and enhanced services we offer to members.
The Annual Membership Fee covers costs associated with access to the 1Life Healthcare proprietary technology platform, which includes such benefits as online appointment booking and online prescription renewal requests. Members who pay the Annual Membership Fee also have access to time-saving services through the Mobile App including online appointment booking, online prescription renewal requests, on-demand video visit technology, and digital access to virtual medical services on the go.
The Annual Membership Fee also covers costs associated with high-touch and value-added non-medical services including lifestyle and wellness offerings and value-added personal assistance services. The Annual Membership Fee is not a covered benefit under most health insurance plans.
Payment of the Annual Membership Fee is not a prerequisite for receiving medical care in our offices.
While many of our members are happy to support our practice with the annual membership fee, supporting the practice is not a requirement of joining us. Most of our patients do pay the membership fee. However, we are dedicated to serving our community, regardless of financial means. If you don’t have the financial means to pay the Annual Membership Fee and would like to become a member, please call any of our offices to learn about your options
The quality of your care is our highest priority, and we’re dedicated to giving you the best experience possible. If we ever fail to meet your expectations, we’ll do our best to fix it.
We accept health plans from most insurance carriers as well as Medicare. Some of the more popular plans that we accept are listed on our Insurance page, but since the list periodically changes, we encourage you to call us if you don’t see your plan.
We believe that quality health care should be accessible to everyone, so if you have a high-deductible health plan or are not insured, we also offer affordable options for working together.
Our hospital was founded on a better model of care – one designed around patients’ needs that provides a higher level of quality and service affordably. We do this through innovative design, excellent customer service, and the efficient use of technology.
Our entire team believes in building trust-based partnerships with our patients. Rather than simply writing a prescription and sending you on your way, your primary care provider (PCP) will collaborate with you as your long-term health care advocate, help you manage your health issues and navigate complex decisions, and empower you with the knowledge and guidance you need to make positive changes. We use diagnostic tests appropriately, wary of the risk of overdiagnosis, and strive to ensure that follow-up plans are clearly understood.
Moreover, we’re focused on caring for you in a holistic manner – taking all aspects of your health and lifestyle into consideration. To help you restore and maintain optimal health, we’ve made some specialty services available to you on-site at select locations. As we grow, we’ll continue to add more services to make our care as comprehensive and effective as possible.
Your PCP at One Medical is your first point of contact for your health care needs, bringing you the peace of mind that comes from having a trusted advisor in your corner. But should you ever require a specialty consultation or hospitalization, we’ll help you make the best possible choice, and we’ll ensure a well-coordinated referral.
One Medical works with nearly all of the hospitals in the area, allowing you to go to the hospital of your choice, and we can help coordinate care as needed. If you see one of our providers and need to see a specialist for a follow up at a hospital, we can provide the referral and help coordinate the logistics. If you end up at a hospital for another reason, we can help you have all your medical records transferred , so your provider will be able to review your stay and test results and help with any needed follow up.
Our primary care providers can address a wide range of urgent and acute concerns. Because we offer same-day appointment availability and 24/7 access to our clinical team, we are a great option for urgent needs. If you have a concern after-hours or are unsure whether you should go straight to an urgent care facility or the nearest emergency room, please call our office to be connected with our team.
The term primary care refers to the kind of medical care you need first — before you get sick, before you need to see a specialist, before you need to go to a hospital. With an emphasis on family practice and internal medicine, as your primary care providers we will address your essential health needs by:
Focusing on prevention and screening
Working closely with you to plan for your health
Acting as a hub for medical information with a comprehensive, accurate and secure repository for your records
Coordinating your tests, treatments, specialist visits and hospitalizations
Providing plain-spoken guidance, insight and advice
Offering cost-effective solutions to better manage medical expenses
From preventive medicine to holistic integrative care to home remedies, we leverage the latest medical research, our collective experience and feedback from you to keep you healthy—whether you’re already in good health, suffering from a minor cold or experiencing a life-changing illness.
Above all, primary care providers offer continuity. In your quest to become and remain as healthy as possible, we are your partners for the long term.
We believe primary care should be the first stop in your healthcare journey; it’s where you turn for guidance and support before you get sick, before you see a specialist, and before you need to seek hospital care. Our providers combine excellent customer service with an efficient use of technology to deliver high-quality, affordable service that’s designed to fit your unique needs.
As your primary care providers (PCPs), we take your well-being seriously. With an emphasis on family practice and internal medicine, we address all your essential health needs by:
Making prevention and wellness a priority
Collaborating with you to customize the best plan that suits your individual needs and goals
Providing a comprehensive, accurate, and secure repository for all your medical information
Seamlessly coordinating your care, including tests, treatments, specialist visits, and hospitalizations
Providing easy-to-understand, accessible advice, guidance, and insight
Offering cost-effective options that empower you to prioritize your health
We leverage the latest medical research and cutting-edge technology to offer the most comprehensive primary care available. We draw upon our team’s extensive collective experience and your personal feedback to create a truly one-of-a-kind primary care experience. From preventive medicine to integrative care, we have the tools to keep you feeling your best — whether you’re already in good health, suffering from a minor cold, or facing a life-changing illness. Our primary care providers are your partners in cultivating and maintaining long-term health.
Although we don’t require our members to pick a PCP, we strongly recommend finding a practitioner you feel comfortable with and who can collaborate with you on important decisions in order to coordinate and optimize your long-term care.
Besides being your partner in good health, your One Medical PCP is your first point of contact for all health care needs, acting as your advocate, ally, and advisor. We’ll help you make the most informed decisions possible, and we’ll ensure a well-coordinated and thoroughly researched referral should you ever require a specialty consultation or hospitalization.
Finally, if the PCP you select doesn’t feel like the right fit, you can always switch to another practitioner — no questions asked.
The majority of One Medical’s general practitioners, including our doctors, nurse practitioners, and physician assistants, have a focus in either family medicine or internal medicine.
Family medicine providers, otherwise known as family practitioners, are considered to have the widest set of primary care skills, treating patients at every stage of life. They are trained to treat patients from birth through adulthood, and into the elderly years. At One Medical, our family practitioners see patients in adolescence and above; generally age 14 and older.
Internal medicine doctors, otherwise known as internists, focus primarily on adult and elderly patients, and are most comfortable seeing patients age 18 and older. Their training emphasizes the management of chronic, complex, or severe illnesses, particularly for patients who require hospitalization. Although they are proficient in primary care, their specialty training typically does not include obstetrics, gynecology, or pediatrics.
We offer our members on-site laboratory services on a walk-in basis, with no need for an appointment. Our staff will put you at ease, draw your blood and collect other specimens in an anxiety-free environment, and get you on your way quickly. After we receive and review your results, we will promptly email you with our interpretation and a copy of the report.
Your health care provider will order the specific tests you need based on your age, your medications, your overall health status and the amount of time since your last set of blood tests. Young, healthy individuals may only need blood tests every five years, while patients with active medical issues may need tests annually or even more frequently. If you are interested in having specific tests performed, you can discuss them with your provider in the office or via email before coming in to have your blood drawn.
Insurance plans vary, and your coverage depends on your specific policy. While most tests are covered by insurance, you may want to contact your insurance carrier to ensure coverage before having your test done.
No appointment is necessary; however, tests must be ordered by your provider. You can simply walk in to the office during lab hours to have our trained on-site staff to draw blood and collect samples for diagnostic tests. If you have questions about what tests are covered by your insurance plan, we recommend you check with your insurance company.
Privacy & Security
We take the security and confidentiality of your personal information seriously. We follow industry best practices in software development and testing, including periodic vetting by internal and external security researchers. Your data is encrypted in transit and at rest, and our infrastructure runs on an industry-leading highly secure, HIPAA-compliant data center.
If you are a security researcher and you believe you have identified a security issue, please contact ус. We are committed to working with the community to verify, reproduce and respond to all legitimate reports.