Sleep Awareness Week

Submitted by Shashikumar Gowda MD, FCCP, UAP Pulmonology/Critical Care/Sleep Medicine

Your life is reflection of how you sleep and your sleep is reflection of your life. Time change plays out in our body a bit like jet lag might. Springing forward is like flying from west to east, say from California to New York, while falling back is like flying from east to west. And as frequent flyers can attest, the eastbound change is much harder to acclimate to than westbound for most. The adjustment is much milder in the fall than in the spring time. Losing an hour of sleep springing forward increases our sleep debt. Some studies in past have shown increased number of auto and industrial accidents and heart attacks the Monday after spring forward. Taking a nap Sunday afternoon might help. But it is important to remind our sleep deprived society to practice good sleep hygiene and habits year-around.

Sleep plays a vital role in good health and well being throughout your life. Getting enough quality sleep at the right times can help protect your mental health, physical health, quality of life, and safety. The way you feel while you’re awake depends in part on what happens while you’re sleeping. During sleep your body is working to support healthy brain function and maintain your physical health. In children and teens, sleep also helps support growth and development. While you are sleeping, your brain is preparing for the next day. It enhances learning and problem solving skills.

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High Blood Pressure: Local Cardiologist Answers Common Questions

High Blood Pressure: Local Cardiologist Answers Common Questions

By Ramesh Shatagopam, MD, UAP Clinic Cardiologist

1. What is high Blood Pressure (Hypertension)?

Blood pressure(BP)is the force of blood pushing against the walls of your arteries.

High blood pressure(Hypertension)means that blood is moving through arteries with a pressure higher than normal. The higher the pressure inside arteries, the higher blood pressure numbers may be.


Normal blood pressure is less than 120 (systolic) over 80 (diastolic)-often written as 120/80 mm Hg.

The following treatment thresholds and goals were suggested (as per Eighth Joint National Committee panel-JNC 8) based upon the average of two or more properly measured readings at each of two or more visits after an initial screen:

Treatment Thresholds and Goals:

  1. In patients equal to or above 60 yrs of age, initiate treatment at BP equal to or above 150/90 mm Hg and treat to a BP goal of <150/90 mm Hg. - The JNC 8 panel included a corollary to this recommendation stating that if pts age equal to or above 60 yrs have been treated to a systolic BP <140 mm Hg and are tolerating treatment well, treatment does not need to be adjusted.
  2. In pts < 60 yrs of age, initiate treatment at BP equal to or more than 140/90 and treat to a BP <140/90 mm Hg.
  3. In adults with diabetes or chronic kidney disease, initiate treatment at BP equal to or more than 140/90 mm Hg and treat to a BP goal of <140/90 mm Hg.

The systolic and diastolic BP are of equal importance. If there is a disparity in category between the systolic and diastolic pressures, the higher value determines the severity of the hypertension. The systolic pressure is the greater predictor of risk in patients over the age of 50 to 60.

2.What are the symptoms of high BP?

Most people with high BP have no symptoms at all, and they are diagnosed to have high blood pressure on routine check. Untreated high blood pressure for a long time can lead to a greater risk for stroke, heart attack, kidney failure needing dialysis, heart damage leading to congestive heart failure, aortic aneurysm or vision problems/blindness. That’s why it is commonly referred to as a “silent killer”.

Sometimes people with markedly elevated blood pressure may develop headache, dizziness, blurred vision, nausea and vomiting, and chest pain and shortness of breath.

3.What are the risk factors associated with high blood pressure?

A risk factor is something that can make a person more likely to get a health problem such as high blood pressure.

A. Non-modifiable Risk factors (we have no control over these)

                i) Age. People are more likely to get high blood pressure as they get older. More than half of Americans 60 years and older have high blood pressure. The risk of developing high blood pressure increases as age. Until the age of 45, most cases of high blood pressure are diagnosed in men. From age 45 to 54, men and women are equally at risk for high blood pressure. After the age of 54, women are actually more likely to have high blood pressure than men.

                ii) Race/ethnicity. Some ethnic groups, such as African Americans, are more likely to get high blood pressure. In these groups, high blood pressure often occurs earlier in life and is more severe.

iii) Family history. People are more likely to get high blood pressure if they have a close family member that has it.


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Breast Cancer: Who is at Risk?

By Vani Manyam, MD, UAP Clinic Oncologist

Estimates show that approximately 230,000 women will be diagnosed with breast cancer in 2013. Breast cancer is the number one cancer among women in the United States. It is the second leading cause of cancer deaths among American women. One in eight women will be diagnosed with breast cancer during their lifetime.
Risk factors for the development of breast cancer can be categorized into the following:
1. Genetics
2. Family history
3. Benign breast disease
4. Hormonal factors
5. Life style
6. Prior thoracic radiation

The risk of breast cancer is very high among women with BRCA 1and BRCA 2 mutations. Women who carry these mutations has a lifetime risk of getting breast cancer up to 80%. Only 5-10% of all women with breast cancer have these mutations. These mutations are hereditary and transmitted from generation to generation. Families with two or more women with breast or ovarian cancers, especially if these occurred at a relatively young age need to be checked for these genetic mutations.

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10 Tips for Healthy Holiday Eating

Tips for healthy eating during the holidays by Dr. Rao Ivaturi, UAP Clinic Nutritionist

Typically, we gain about 1 pound during the six weeks of the holiday season (Thanksgiving to New Year). Research shows that weight gain during this time period makes up most of our weight gain during the year. Furthermore, overweight individuals gain an average of 5 pounds. Adding these pounds year after year leads an overweight person to Obesity. Obesity is a perfect set up for insulin resistance that in due course can lead to Type 2 diabetes.
Here are 10 tips for eating healthier during the holidays:

1. Eat at home before you go
Going to a holiday party on an empty stomach, or with hunger, leads to an overindulgence of food, and frivolous intake of calories, fat, cholesterol, sugar, and sodium. Instead, eat a light meal before you go so that you are not so tempted in devouring those high fat, high sugar treats.

2. Remember, it's just a meal and your plate should look like any other meal
Whatever you eat, whether at home or in a social setting, one must not forget the basic rule. You are eating for nourishment, but not for a hobby! Stick to simple guidelines. Eat your veggies and fruits first so you fill your stomach, drink water but do not drink liquid calories. Go light on snack, high salt, fat, and calorie food items. Remember there are calories lurking everywhere. Choose items sensibly to reflect your nutritional needs: whole grain carbs, fresh fruits and vegetables, proteins, and dairy.

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Same Day Appointments Available for Patients

appoint graphicAt UAP Clinic, we understand that being sick or feeling under-the-weather isn't how you want to spend your time. That's why we offer same and next day appointments for our patients with acute illnesses or other urgent healthcare needs. We want to be your healthcare partner. Give us a call! We are here to answer your questions and together create a plan to meet your needs.

So when you or someone you care about gets sick, call us and we'll all feel better!

Family Medicine 812.242.3773
Internal Medicine 812.242.3140

Our Locations:

221 S. Sixth St.
Family Medicine & Internal Medicine

1739 N. Fourth St.
4601 S. Seventh St.

Do you have leg discomfort, pain or swelling? Do you have varicose veins?

vnus-logoYou may already know more about varicose veins than you would like. Half of all Americans over 50 (and two-thirds of women over 60) suffer from the pain and swelling of those big ropey leg veins.

"The condition is caused by failing valves in the saphenous veins that allow blood to pool in the legs, and symptoms can range from aching and fatigue to skin ulcers", Dr. Glenn Mandeville, surgeon, UAP Clinic, said.

Women who have had more than two pregnancies are at particular risk, and heredity, weight, and careers that require standing throughout the day, like nursing or teaching, are risk factors as well.

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Routine Health Screenings You Can't Ignore

topic screenMaking time in your busy schedule to have routine health screenings, make a big difference in the detection and prevention of serious diseases.

Let's face it, your life is busy. Between work, family, community and social obligations there's hardly time to think. You run from meeting to meeting at work, attend your daughter's soccer game, help your son with his science project, volunteer for the local soup kitchen and plan your high school class reunion. It's no wonder you take very little time for your own health - mostly because there is little time to take. However, by making time in your busy schedule to have routine health screenings, you can make a big difference in the detection and prevention of serious diseases such as cancer and heart disease. Below is a list of recommended screenings, when they should be completed and what they are designed to do.

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UAP Clinic Surgeons Perform Robotic Surgeries in the Wabash Valley

DavinciA new age of surgery has come to the Wabash Valley! UAP Clinic surgeons have partnered with Union Hospital to provide an alternative to the traditional surgical approach for hysterectomies, sacrocolpopexy and prostatectomies by using the da Vinci Surgical System. Union Hospital and UAP Clinic are currently a few of only a handful of facilities across the country offering these minimally invasive, state-of-the-art procedures. The da Vinci S Surgical System integrates 3D HD laparoscopy and state-of-the-art robotic technology to virtually extend the surgeon's eyes and hands into the surgical field. The system is designed to enable new, minimally invasive options for complex surgical procedures. HD projection provides twice the effective viewing resolution and 20 percent more viewing area compared to da Vinci's standard 3D vision system. The unparalleled HD image improves clarity and detail of tissue and anatomy, which is crucial for complex dissection and reconstructive procedures.

Online Prescription Refill Service Updated

prescription-downDid you know that our online services include a prescription refill system?

The UAP Clinic Pharmacy online prescription refill system has been updated and is better then ever! Patients can now create an online account that will allow him/her to request a refill, view the status of the refill and receive an e-mail or text message when the refill is ready to be picked up. The online account also allows access to the pharmacy medication profile that can be viewed and even printed.

This is one way UAP Clinic is working to provide personal, comprehensive and innovative care in the Wabash Valley.

Click Here to refill your prescriptions.

The UAP Clinic Pharmacy is open Monday through Friday from 8 a.m. to 5:30 p.m. For more information or to ask questions, please call (812) 242-3201.

UAP Cosmetic Laser Center is Now Offering Botox and Juvederm

botox-girlWith real, noticeable results, no surgery and no recovery time, there are many reasons why people choose Botox and Juvederm!

Botox is injected into the muscles that control moderate to severe frown lines between the brows. It works by blocking nerve impulses to these muscles which reduces muscle activity. Once injected, you will see optimal results in two to four days. Results may continue to improve over the next 30 days and can last up to 4 months.

Juvederm is a gel filler used to smooth away wrinkles around your nose, mouth, smile lines, marionette lines and vertical lines. It can also enhance your lips. It creates a smooth, natural look which may last up to one year. Juvederm works by restoring hyaluronic acid in your skin which causes it to plump up and look more youthful and natural.

For your free complimentary consultation, call the UAP Cosmetic Laser Center at 242-3333. Let us help you take care of all your cosmetic needs.

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