NEWSLETTER:
JUNE 2004

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Penn Elm Medical Group
488 E. Valley Parkway
Suite 411
Escondido, CA 92025

(760) 745-2000

Hello, and welcome to the new Penn Elm newsletter! In this monthly publication we will provide:

  • updates on news regarding your and your family’s health from research around the world;
  • links to websites with useful information and educational papers;
  • updates on services that are available at Penn Elm;
  • reminders for vaccinations and preventive care;
  • discussions about Penn Elm policies and procedures, recommended products, and information on obtaining all of your medical needs through your physician. 

If you have particular questions you would like to see addressed, please notify our reception staff and we will try to cover them in future newsletters. Also, if you have ideas to make the format of this newsletter more useful and interesting, please let us know!

News you can use
Plan B Emergency Contraception
The FDA has decided not to make Plan B Emergency Contraception available without a prescription. On May 7, 2004 agency officials said they had informed Barr Research, the sponsor of the over the counter (OTC) request, that they took the action primarily due to the lack of data in the company's application concerning use of the product by women under 16 years old. "I will be working toward the expeditious evaluation of Barr's response to the ‘Not Approvable’ letter," said Steven Galson, acting director of the FDA's Center for Drug Evaluation and Research. "If Plan B is approved for nonprescription use, it would dramatically increase access to this product and will represent an important incremental step forward in contraceptive availability in the United States." Additional information on the FDA's action is available at http://www.fda.gov/cder/drug/infopage/planB/default.htm

Insurance Premium Increases Forecasted to Continue
Employers fed up with the latest round of premium increases are eyeing alternate products and consumer-driven benefits models, and they're intensifying their efforts to educate employees on becoming wiser health care consumers. "Premiums are going up at rates substantially in excess of the revenues of the organizations for which you are purchasing the benefits," said Arnold Milstein, MD, MPH, and medical director of the 50-member coalition Pacific Business Group on Health in San Francisco. Milstein says that the longer-range solution lies in "identifying and linking your benefits business to more efficient health care producers, thinning or reconfiguring physician and hospital networks, and tiering networks to steer enrollees toward those deemed more efficient." Read more from HealthLeaders magazine…

Link of the Month
This month’s recommendation is www.familydoctor.org.  This site is sponsored by the American Academy of Family Physicians, the umbrella organization that Penn Elm physicians support.  This site provides excellent discussions about specific conditions, healthy lifestyle advice, how to quit smoking, website reviews, diet recommendations, and information geared to seniors, women, parents, and conditions particularly affecting men. We highly recommend that you visit this site and we have added it to our links at pennelm.com.

Penn Elm Policies: Q and A
Q: How can I get a refill for prescription narcotic pain relievers after regular office hours?
A: Your doctor wants to make sure your medical needs are met 24 hours a day, 7 days a week, and after hours, there is always a Penn Elm physician on call to answer your questions by phone. Many times patients have existing prescriptions that they have either lost or run out of, or have a condition previously treated by their doctor over the phone. Due to requirements set by medical standards of care, the on-call physician may not be able to call in requests for narcotic medications to pharmacies after hours. It is your responsibility to make sure you notify your pharmacy or doctor at least 3 business days in advance if you will be running out of medication so they may address your needs.

Q: I have had infections previously treated with antibiotics over the phone.  If I am sick after hours, will the on call doctor call in an antibiotic prescription for me?
A: Although you may have a condition mimicking an infection previously treated with antibiotics, it may not be appropriate to fill a prescription request for antibiotics without an exam. Recent medical literature has highlighted an international problem of “super bugs” that are resistant to antibiotics resulting from over-prescribing antibiotics. Often it will be necessary to obtain a specimen culture to see what type of germ is causing the symptoms you are experiencing. If you take antibiotics before a specimen can be collected, we may not be able to obtain a useful result. Please understand that the doctor on call wants to make your life easier, but also wants to make sure your health comes first.

What’s new at Penn Elm?
Please check out the links on the homepage to monthly updates, including Important Announcements, Hot Topics, and What’s New at Penn Elm. We believe that the most useful feature on the new site is the forms page which will allow you to download and fill out necessary medical history and insurance information prior to your next visit to Penn Elm. This will save you and our staff time, which will help get you in to see your doctor at your designated appointment time. Also please explore our doctors’ bios, office policies, lab and radiology information, and FAQs.


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