In this issue...
RD Chats with Girl Scouts
Tyler's Quest
Guess Where We Are???


Caduceus                                                                          
                                                          March 2012 Newsletter
 
Book Your Own Appointment!
 











Office Locations:
Yorba Linda
18200 Yorba Linda Blvd
(Corner of Yorba Linda Blvd. and Imperial Hwy.)


Laguna Beach
333 Thalia
(Corner of Thalia and Glenneyre)


Irvine
19742 MacArthur Blvd
(Corner of MacArthur and Jamboree)

New Cardiology Services... and on Saturday!

 

Due to overwhelming patient demand, Caduceus has expanded its cardiology services, and welcomes Drs. Paul Weinstein, Frank Bonavita and David Weinberg to the Imperial (Yorba Linda) campus. Appointments are easily scheduled through our Reserve An Appointment online service. And, yes, you read that correctly: in addition to scheduled hours during the week, appointments will be available one Saturday each month.

 

Drs. Weinstein, Bonavita and Weinberg bring their extensive training and experience to our patients beginning this month and will see patients in Suite 204 (Primary Care office). To Reserve an Appointment, click here.   
 OR

SHIZNICK?

Our mascot Samme the Snake is never wrong and he can prove it!   Samme asked the editor if he could have a little fun with our readers in our monthly e-newsletter.


For this game, Samme selects a true case from the archives of Caduceus medical files.  Samme changed a few "FACTS" to protect the innocent.  Or did he??

He may have made up the whole thing up to trick you, which we like to call  "SHIZNICK."
 
The answer will appear at the end of this newsletter in the the Medical Director's message to our patients.  

The Case of the Budding Brain Surgeon
 
Nick was ten years old when his parents became concerned about poor school performance and increasing hyperactivity over the last several years.  He was not focusing on his school work.  He would pull the girls' pigtails in front of him and throw spitwads on the blackboard.  He was commonly in detention and regularly picked up trash after school as part of his discipline.   
 
When Nick's parents brought him to the pediatrician, the evaluation revealed a probable diagnosis of ADHD (attention deficit and hyperactivity disorder).  The pediatrician prescribed Concerta, and Nick immediately began improving.  He became an honor roll student and won the election for class president.  He was named captain of the kickball team and was making preparations for his future career as a neurosurgeon.   
 
On a hot August afternoon, Nick pushed himself very hard preparing for an upcoming tryout for the football team.  On his 14th lap around the track, he collapsed, and paramedics were called.  He was taken to the hospital where the doctors diagnosed a suspected arrhythmia that led to his fainting spell.   
 
The chief of pediatrics told Nick's parents that it was most likely triggered by the Concerta.  He had seen this many times in the past, and , although unusual, was a side effect to be monitored. 
 
Nick's parents took him off the Concerta.  Unfortunately, he had to repeat summer school and received straight Ds on his report card.  The blackboard again was full of spitwads, but Nick never again had a cardiac event and his parents were happy to have him off  the medication. 
 
FACT or SHIZNICK?

Did the Concerta contribute to Nick's fainting spell? 

Find the answer at the bottom of the newsletter... 
CADUCEUS LOVES GIRLS SCOUTS!
(and we like the cookies, too)

Our Registered Dietician, Nancee Perez (pictured right), recently spoke to local Girl Scout Cadettes in Yorba Linda as part of a monthly program regarding positive body image and self esteem. The best tool for young women to achieve a healthy body is sound nutritional information.

We are proud to support our local communities in which we serve.  If you or your organization would like Caduceus to provide a complimentary health screening or a speaking engagement, please contact us here.  

Update on Tyler's Quest

In our January newsletter, we included a story about one of our Caduceus4Kids patients, Tyler Armstrong.  We're following his progress to prepare for his climb of Mount Kilimanjaro in Tanzania. Armstrong is using this climb to raise awareness and funds for CureDuchenne. 

His parents report that Armstrong is committed to his training hikes and working out.  He is also playing soccer and flag football. He has received all of his required shots and visa for Tanzania.  His parents have been organizing his gear and clothing that he will need for the trip and different weather conditions he will encounter.  He will go from tropical rain forest to arctic conditions during the hike so he has to pack accordingly to deal with the extreme cold (twenty degrees below zero) on the summit.

 

Tyler is doing a series of presentations about his Mt. Whitney climb at REI.  His next appearance is on March 21st, at 6:30 pm at REI Huntington Beach

 

You can also follow Armstrong's progress here: http://www.topwithtyler.com
Where in the World Are We?

How observant are you?  Put your thinking caps on everyone...can you correctly identify in which of our offices this item is found and, specifically, where ? To participate, send us a Direct Reply on Twitter or Facebook by March 23.  Every winner will receive a leather-bound iPad case (iPad/iPad2) OR custom flash drive loaded with a digital version of your medical records!  Good luck! 

Like us on Facebook@caduceusmedicalgroup
Follow us on Twitter@caduceusmedical
 
Now for the answer to our "Fact or Shiznick" Quiz:

SHIZNICK!  A recent study published in the New England Journal of Medicine studied the records of over 1.2 million young people aged two to 24 years of age.  They were all on an ADHD drug of the stimulant variety.  A careful review of data revealed no increased risk for serious cardiovascular events (defined as serious arrhythmias, myocardial infarctions or strokes).  Sadly, Nick could have stayed on the Concerta and become a famous neurosurgeon.  He most likely fainted due to heatstroke.

Samme Sez...  Although more studies are welcome, stimulant ADHD meds appear safe from cardiac risks in children and young adults.  

Sincerely,
Gregg DeNicola MD