Vacation? Protect Yourself From Zika

Zika virus is a growing concern for people traveling this summer, as it has begun spreading rapidly through new regions in Central America and the United States.

Zika virus typically has very mild symptoms, but it can put people at risk of complications such as infant microcephaly and Guillain-Barré syndrome. There is currently no cure or vaccine for the Zika virus.

AFC Urgent Care wants you and your family to be protected while on vacation, so if you’re planning to travel to an area that has been affected by Zika, like Africa, Southeast Asia, Central and South America, or the Pacific Islands, read on for our tips to keep yourself safe.

Avoid going out during peak mosquito activity. Early morning and early evening are the most active times for mosquitoes, so you should try to avoid spending a lot of time outside during those times of day. Careful planning can allow you to have breakfast and dinner inside and still enjoy the sights and experiences of your destination.

Use insect repellents. Bug sprays registered with the Environmental Protection Agency are the most likely to be effective at keeping mosquitoes away. You can also treat your clothing with permethrin, an insecticide and repellent that acts like natural extracts from the chrysanthemum flower. This chemical is widely-used by public health mosquito control programs, and it can give the wearer a bubble of protection.

Studies have shown that permethrin is one of few pesticides that could be safe for young children.

Use barriers like netting and clothing. You can add a physical barrier between you and mosquitoes by wearing loose-fitting clothing that covers most of your skin. Thin, loose fabric can keep you cool in warm climates, while allowing you to protect yourself from bites. You can also add mosquito netting to baby strollers, hats and hotel rooms that don’t have window screens or air conditioning. These measures can keep you protected around the clock!

Use condoms or abstinence. To prevent sexual transmission of the Zika virus, doctors recommend the same measures you can take against other sexually transmitted diseases. Employing physical barriers like condoms or abstaining from sexual activity are two very effective ways to protect yourself from Zika!

The Zika virus has begun to spread quickly through countries like Brazil, and many cases have been confirmed in the United States. While the disease can be unnoticeable when you contract it, there are complications that can make the virus a much bigger health problem.

If you need more information, visit your local AFC Urgent Care for advice on vaccines and other ways you can keep your family healthy while on vacation!

Memphis Doctors Warn of Dangerous Insect Diseases As Memorial Weekend Approaches

(May 24, 2016)   As families head out for Memorial Day weekend, local docs warn that insect-borne diseases are increasing here and globally, taking a bite out of summer fun and posing serious health threats.

•Infected mosquitos carrying the Zika virus are expected to enter the U.S. starting in June or July, meaning Americans could get infected right here at home – according to the head of the National Institute of Allergy and Infectious Diseases. *
• One type of infected mosquito likely to carry Zika will blanket the south and reach as far north as New York City and as far west as San Francisco.  Another species could spread widely along the East Coast and New England. *
• A newly released study in the journal Climatic Change shows another half a billion people could be at risk from diseases carried by insects including the Zika virus and West Nile virus.
• The World Health Organization reports that Zika, with most outbreaks in South America and Southeast Asia, now has a moderate likelihood of an outbreak in France, Italy and Greece —popular American summer tourist destinations.

The problem? Global warming has created warmer, wet breeding grounds for insects that are “sip feeders” — taking small blood meals from lots of people.

“With Zika spreading to the U.S., we are urging our patients to take precautions to protect themselves from bug bites,” says Jeremy Allen, M.D., of American Family Care. “We are here seven days a week to treat all summer injuries and illnesses from sunburn to bug bites. And if we suspect patients have contracted an insect-carried disease we will make sure they get the proper medical treatment.”

We invite you to interview our docs at the local AFC urgent care to explain the best way to protect your family from bug-bite diseases. We also invite you to talk to families in our clinics about their fears of these illnesses as they prepare for summer travel.

Zika Virus Fast Facts:
• You get the Zika virus from a bite from an infected Aedes mosquito.
• The disease is mostly a threat for women who are pregnant or want to conceive because it can cause serious birth defects.
• Zika is very hard to detect and diagnose. The symptoms are often very mild so people don’t realize they have the virus. In fact, one in five people who contract Zika have few or no symptoms.
• Symptoms include fever, rash, joint and muscle pain and conjunctivitis (pink eye).

West Nile Virus Fast Facts:
• Carried by mosquitos and transmitted when they bite.
• Symptoms include fever, headache, vomiting and in older adults — stiff neck, confusion, seizures, muscle weakness and loss of consciousness.

HOW TO PROTECT FROM ZIKA AND WEST NILE VIRUS:
• Wear long-sleeved shirts and long pants.
• Stay in places with air conditioning and screens to keep mosquitos outside.
• Sleep under a mosquito bed net if you are overseas or outside and can’t protect yourself.
• Use EPA registered insect repellents with one of these ingredients: DEET, picaridin, or oil of eucalyptus.

Lyme Disease:
•Spread by tiny deer ticks that attach to the skin.
•First and most obvious symptom is a rash that looks like a red spot surrounded by a light ring that looks like a target. Some children have fever, fatigue, headaches, sore muscles and swollen glands.
•Lyme disease can cause headaches and body aches or numbness, stiff joints (similar to arthritis), fatigue, meningitis (inflammation of the nervous system), Bell’s palsy (weakness/paralysis in facial muscles), heart problems like inflammation of the heart muscle, inflammation of the eye and difficulties with speech, memory or concentration.

HOW TO PREVENT LYME DISEASE:
• Cover up. When in wooded or grassy areas, wear shoes, long pants tucked into your socks, a long-sleeved shirt, a hat and gloves. Try to stick to trails and avoid walking through low bushes and long grass. Keep your dog on a leash.
• Use insect repellents. Apply insect repellent with a 20 percent or higher concentration of DEET to your skin. Parents should apply repellent to their children, avoiding their hands, eyes and mouth. Apply products with permethrin to clothing or buy pretreated clothing.
• Do your best to tick-proof your yard. Clear brush and leaves where ticks live. Keep woodpiles in sunny areas.
• Check yourself, your children and your pets for ticks. Be especially vigilant after spending time in wooded or grassy areas. Deer ticks are often no bigger than the head of a pin, so you may not discover them unless you search carefully.
• It’s helpful to shower as soon as you come indoors. Ticks often remain on your skin for hours before attaching themselves. Showering and using a washcloth might remove unattached ticks.
• Don’t assume you’re immune. You can get Lyme disease more than once.
• Remove a tick as soon as possible.  Using tweezers, gently grasp the tick near its head or mouth. Don’t squeeze or crush the tick, but pull carefully and steadily. Once you’ve removed the entire tick, dispose of it and apply antiseptic to the bite area.

*Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases

About American Family Care:
Starting with a single location in Hoover, Alabama in 1982, American Family Care has pioneered the concept of non-emergency room urgent care. With its 2013 acquisition of the Doctors Express franchise, AFC is the nation’s leading provider of urgent care and accessible primary care, with more than 160 clinics and 500 in-network physicians caring for more than 2 million patients a year. Ranked by Inc. Magazine as one of the fastest growing companies in the U.S., AFC’s stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. For more information, visit www.americanfamilycare.com.

Certified Radiologic Technologist Job Opening

Memphis Area Candidates: Come join the AFC Urgent Care Team!

Certified Radiologic Technologist Job Description:

-Full time

-The shift is 8am-8pm Thursday, Saturday, & Sunday

-Applicant must be registered in radiology through the ARRT

-Tennessee state license is preferred

-Experience is preferred, but not required

-Job responsibilities include but are not limited to: X-ray, Front Desk, Triage, EKG, Labs, Breath Alcohol Testing, and DOT Drug screens

-Must have good attitude, get along well with others, have a good bedside manner to deal with sick patients, and willing to take directions

-Knowledge of EMR DocuTAP, MS Word and Excel preferred

Please send resume and references and a digital copy of your current ARRT card and Tennessee State License to memphisteam@afcurgentcare.com

 

 

 

Cabbage Soup ≠ Bikini Body

Summer is fast approaching, which means it will be time to get out the bathing suits and short shorts!

And who doesn’t begin to feel a little insecure after a long winter of bundling up?

Before you start getting ready to bare your “bikini body” on the beach, AFC Urgent Care wants to know:

How do you feel about crash diets? 

For those who have never tried one, a crash diet is when you dramatically cut your calorie intake and restrict the variety of foods you eat for a short period of time, with the goal of losing weight quickly.

By cutting your calorie and nutrient intake abruptly and then allowing your intake to go back to normal, the hope is that instead of a long-term change in your eating habits, you can achieve weight loss with just a few weeks of starvation.

Unfortunately, that’s rarely how it turns out.

During a crash diet, most people will experience the typical symptoms of starvation, including lightheadedness, fatigue, constipation, loss of coordination, irritability and extreme hunger. This is the “crash” part of the diet; your body is trying to conserve as much energy as it can, so its response is to prevent the unnecessary burning of calories. Your body’s starvation response begins within a couple of days of starting your crash diet, after your body burns through its stores of quick energy in the form of glycogen. That’s when your body will begin burning fat and muscle for energy to make up for the deficit. Your metabolism slows to a crawl, and it becomes harder to lose weight as your body clings to every calorie and nutrient you consume.

And here’s the kicker: any weight you lose over the course of your crash diet is highly likely to come back.

According to Darcy Johanssen, Ph.D., R.D., an assistant professor at the Pennington Biomedical Research Center, any weight you drop during a crash diet is likely to be a mix of water weight, fat and muscle, and water and fat will return the fastest. This could have long-term implications for your health, since muscle is harder to replace.

Additionally, there is evidence that your metabolism remains slower for a period of time after your crash diet ends, which could cause you to regain even more weight. Some studies have also shown that repeated crash diets can affect your insulin sensitivity, leading to a greater risk of metabolic disorders or diabetes.

If the word “crash” in the name wasn’t enough to convince you, hopefully these facts are. Crash diets might seem like a good idea over the short term, but they are bad for your long-term health and weight management.

Instead, give our doctors here at AFC Urgent Care in Memphis a visit to discuss building a sustainable plan to manage your weight and keep your body ready for “bikini season” all year long!

Look Out For These Heart Health Warning Signs

It’s the middle of February, which means our New Year’s resolutions are either new habits or fond memories. We at AFC/Doctors Express are hoping that one of your resolutions was to maintain a healthy lifestyle, and to help you stay on track, we have compiled a list of things to look out for when you’re evaluating your health.

As February is American Heart Month, we’ll go over what could indicate that you might have heart trouble! According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death among adults in the United States.

You get exhausted easily. If you notice that you become more tired than usual doing everyday things, you might want to get to your doctor’s office. We’re not talking the feeling you get after a long day of work. If you feel like you have the flu every day, and you haven’t changed your daily activities, that should be something you bring up with your doctor. This fatigue could be caused by circulation issues or a faulty heart valve, which could be lowering your blood pressure. If this is paired with shortness of breath or an inability to walk up a couple flights of stairs without becoming tired, this should be a serious cause for concern.

Your feet are swelling. If you notice that your feet are swelling, or if you feel pain in your legs when you walk, your heart could be having trouble moving the blood in your peripheral arteries, which are the arteries that are furthest from your heart. This could cause buildups of fatty deposits in your arteries and an increase in fluid in your feet, leading to swelling and pain. You should see your doctor or urgent care physician as soon as possible if you think you might have this condition, because while these are very treatable, they must be addressed to prevent them from getting worse.

You can hear your heartbeat. If you lie down to sleep and can hear your heart in your ears, that might spell trouble, because it could mean your heart valves are not closing and opening the way they should be. Faulty valves are symptoms of coronary artery disease and can lead to low blood pressure and exacerbate other symptoms of heart trouble.
For American Heart Month, it’s a good idea to take stock of your heart health. Visiting your local AFC/Doctors Express can give you detailed information on the state of your heart, without even needing an appointment. Your heart is the organ that keeps you going, so do your part to keep it healthy this February!

Lost Time from Injury is a Loss in Productivity to Most Companies, Big or Small

All types of businesses and all sizes from small businesses to large corporations benefit from using urgent care centers in terms of the reduced lost-time-on-the-job we provide over a primary care doctor’s office and in the cost of services, which are much cheaper than an ER.

If your employees aren’t well, business suffers. If business suffers, your bottom line suffers. As a business leader you’ve got enough to worry about. You also need an Occupational Health and Workers Compensation clinic that can deliver prompt, accurate communication, a key building block to effective occupational health services.

At AFC/Doctors Express, we’ve designed programs that promote streamlined record keeping, enable a quick return to work, and keep you fully aware of your employee’s health status.

Here are just a few examples of the types of illness and injury we treat that may be related to occupational health or worker’s comp:

• Colds, Coughs and Flu
• Cuts and Bruises
• Earaches and Infections
• Broken Bones & Fractures
• Burns, Rashes and Bites
• Sprains and Strains
• Vomiting and Diarrhea
• Allergies and Asthma
• Respiratory Infections
• Nausea and Headaches
• Eye Injuries
• Ingrown Toenails
• Back Injury and Pain

And here are just a few examples of occupational health services we provide to meet federal regulations you and/or your employees may be subject to and some of the preventive care services you may offer to employees as part of their compensation or for pre-employment qualifications your company may require of new hires:

• DOT medical services for CDL certification and re-certification
• Flu shots and flu tests
• INS physicals and shots
• Pre-employment physicals and drug screens
• Executive health and wellness physicals
• Pre-operative physicals

AFC/Doctors Express offers employers an occupational medicine program that is an integrated, comprehensive source for health services.

Please contact us for more information at 901-254-8040.

Yes, You Can Dance Your Way to Better Health

Whether it’s a few steps around your living room or a line dance with friends, dancing can have immediate health benefits, as well as long-term effects for life.

Dancing is a popular, doctor-recommended activity that offers cardiovascular exercise, social interaction and other health benefits to keep you moving! Although the benefits vary based on the type of dance routine you choose, dancing is still a great way to keep your body healthy.

Immediate Benefits

Mood Lifter – Whether you are in a depression that you can’t explain, or you’re angry at the world, the ability to lose yourself in dance can help lift any mood. The Mayo Clinic has cited dance-based exercises, such as Zumba, as great ways to boost your mood.

Stress-Reliever – Dancing gives your mind something else to focus on, allowing you to slowly de-stress and concentrate on feeling better. Dancing also releases endorphins in the same way that running does, giving you the same elevated feeling at the end of your workout.

Self-Monitor – When you dance, you gain better awareness of your body and how it moves. You can feel what parts of your body need more activity and what parts need to be strengthened. By learning your body’s limits, you learn how to prevent injury and will know if something doesn’t feel right later on.

Short-Term Benefits

Improved Muscle Tone and Weight Management – Depending on the routine, dancing can provide concentrated exercise to specific areas on your body, as well as full-body exercises.  Ballet, for instance, consists of holding various poses which work deep muscle tissue across the entire body. A more lively dance routine like the salsa or tango targets your waistline and hips.Improved Flexibility and Balance – Daily and even weekly dancing can help you find your center of gravity and make balancing easier. Healthguidance.org says that certain dance activities can work to strengthen the smaller muscles that play a big role in your ability to balance.

Improved Self-Confidence – Whether it’s mastering a routine or learning to feel comfortable in public, dancing with a group or with a partner can help you build self-confidence. Dancing can be both a social and private event, allowing you to grow comfortable in your own skin and comfortable around others.

Long-Term Benefits

Stronger Heart –  AARP found that dancing not only strengthens your heart and lowers your risk of high blood pressure, but it also decreases your risk of a stroke. Ballroom dance and salsa have been found to have the biggest effect on heart health, because dancers are able to maintain a healthy target heart rate.

Stronger Mind- The New England Journal of Medicine conducted a study in 2003 to see if regular physical activity could reduce the risk of dementia and memory loss. Dancing provided the biggest reduction in risk even when compared to bicycling, doing crossword puzzles and playing a sport.

Stronger Bones – Just like our muscles, bones grow stronger through exercise and use. The International Osteoporosis Foundation recommends dancing for both children with developing bones, young adults and women. Dancing increases bone density for children and maintains it in adults, allowing for bones that are less likely to fracture.

Other Benefits

Injury Rehabilitation – When recovering from an injury, slow and steady is the best way to go. A health letter written by the Mayo Clinic states that dancing can be a positive alternative to jogging. This is because it is a low-impact way of allowing gradual movement and rotation, without added risk of further injury.

Energy Booster – Dancing not only wakes up all your muscles, but it increases blood flow and causes you to breathe more, providing your body with more oxygen. All these things combined equal higher levels of alertness, wellness and energy.

As with all forms of exercise it is important to start slow and gradually work up to more complicated routines. Be sure to research different styles of dance to see which one might work for you, whether it be slow with low-impact, or fast-paced and intense.

We recommend you get a basic physical before starting any exercise program, especially if you have been away from a regular exercise program for several months or more. We can do a basic physical for exercise fitness at AFC Urgent Care in Memphis, no appointment need, done by our on-site physicians, any day of the week.

Finally, always make sure to monitor how you feel when you start exercising and throughout all your exercise routines and classes, and be sure to contact a medical professional if you notice anything irregular.

About the Flu; Part 2

A couple of weeks ago we delivered part 1 of our, “Misconceptions about the flu,” series. And now, here we are with part 2 of our series on flu season!

We hope you took our advice and got your flu shot! We’re going to get a bit more into the nitty-gritty about how the flu spreads and what makes the flu vaccine work. So hang on, we’re diving right in!

1. The influenza virus is a respiratory virus, and it spreads primarily through contact with respiratory droplets. However, these droplets can spread through direct bodily contact or through contaminated surfaces. The flu virus can remain alive on solid surfaces for as long as eight hours, according to the Centers for Disease Control and Prevention. To keep from getting sick, doctors recommend you avoid touching your eyes, nose and mouth after touching surfaces or other people and that you wash your hands frequently.
2. Herd immunity is part of what makes the flu vaccine so powerful. Herd immunity is what happens when enough members of the population have an immune response built up against the disease that it doesn’t gain a foothold and spread throughout the community. This phenomenon is especially important for people who are unable to get the flu vaccine because their immune systems are too weak or because they are too young or old.
3. In order for the vaccine to be effective during flu season, you have to get the vaccine again every year. Studies have shown that immunity to the flu wears off over time after getting the flu vaccine. The annual flu vaccine also protects against different strains of the flu each year, based on CDC predictions of what will be the most prevalent strains.
4. New strains of the flu evolve in two different ways. One is a slow, gradual change that makes the flu unrecognizable to your immune system, and this is called antigenic drift. This makes the flu vaccine important on a year-to-year basis. The second kind is called antigenic shift and is a more sudden kind of mutation that occurs when two different strains of the flu infect the same cell and combine their genetic material. This type of mutation can cause a very severe epidemic, because people have little or no immunity to the new strain.
5. For many reasons, the flu vaccine might not be able to fully protect you. First, if you are exposed to the flu virus before you get the vaccine or in the two weeks after, you could be vulnerable to infection because your body has not built up adequate immunity to it. You could also end up being exposed to a strain of the virus that is not covered by the vaccine, which happens often because of how easily the virus mutates. Finally, you could lose immunity, which happens over time as the body’s immune response to the vaccine dies down. The immune response can wear off faster in older adults.

Now that you’ve read this series, you should be equipped with all the knowledge you need to make it through flu season unscathed.

If you have any more questions about the flu and what risk it presents to your family, you can visit us in #Memphis at #AFC #DoctorsExpress without an appointment to get checked out regarding your exposure to the flu and get our doctors’ directives on what you can do to keep yourself and your family healthy.

 

Do you have any of these symptoms? If so, time to see a doctor.

So you’re sick … or someone you care about is sick, or injured.

Just what are some of the symptoms or warning signs that signal you shouldn’t “tough out” the illness or injury at home?

In general, if you have an injury or illness that demands immediate attention, yet isn’t urgent enough to justify a trip to a hospital emergency room (ER) or emergency department, it still is likely urgent enough to not wait on getting an appointment with a doctor, which may take several days.

Instead, go to an urgent care clinic or center where no appointments are needed and you will be seen by a doctor.

An injury that is truly life-threatening – a cardiac event, for instance, a serious or compound bone fracture, a dramatic injury to the head – are all best treated at a hospital emergency room.

On the other hand, a household cut or burn, a persistent low-grade fever, flu-like symptoms, or joint sprains can all be easily treated at urgent care. And while urgent care centers generally aren’t open 24 hours a day, most of them open early and close late.

Here are some of the conditions for which a trip to a conveniently located urgent care is a good solution:

1. Cold or flu symptoms: Nasal congestion, sneezing and runny nose, low-grade fever, sore throats, and chills can all be easily treated at urgent care.
2. Earaches: An ear infection can be serious if left untreated, and urgent care can provide the proper treatment, or provide a prescription for an antibiotic.
3. Foreign objects: A cinder or speck of dust in your eye can feel like a boulder when you can’t flush it out and your eyes are red and irritated. And children are known for getting pieces of toys and games stuck in the strangest places — including up their noses and inside their ears. These are routine issues for urgent-care staff.
4. Migraine headaches: Migraine victims often need prescription pain medication stronger than the average headache sufferer requires. Urgent care can provide them.
5. Burns: A household burn can be incredibly painful, but it’s easily treated at urgent care. Serious (third-degree) burns are better treated at the emergency room.
6. Sprains: If you’ve hurt your wrist or turned an ankle on the tennis court or the front stair, urgent care is fine. Same thing with a pulled back muscle, a bad bruise or bump from a fall, or simple household accident.
7. Breathing difficulties: Allergy or asthma attacks that are making it difficult to breathe and may require either medication or a prescription inhaler can be handled at urgent care.
8. Cuts: They’re among the most common household injuries, and as long as the bleeding is controllable, they can be handled at urgent care – including those that may need a few stitches.
9. Abdominal pain, nausea, or diarrhea: Urgent care is equipped to dispense anti-nausea and anti-diarrhea medications. If the pain is severe, and appendicitis is a possibility, or if you’ve been so ill that you’re dehydrated, the emergency room could be a better option.
10. Rashes: Urgent care can address skin irritations or eruptions caused by poison oak, poison ivy, and/or minor food allergies.

In summary, an injury that might permanently impair or endanger an individual’s life is best handled by an emergency room – including seizures or loss of consciousness, serious head or neck injuries, poisonings, knife or gunshot wounds, or fever in newborns.

However, with more “everyday” medical matters, urgent care can handle pretty much any and all nonlife-threatening conditions, which is what we do every day, 7 days a week at #AFC #DoctorsExpress urgent care in #Memphis. 

Some Misconceptions about the Flu

The influenza virus is a seasonal epidemic that typically hits the United States around October and can last until May.

Even though this is a yearly occurrence, there are still some misconceptions about the flu and what people should do to protect themselves. To keep our readers informed, we are doing a two-part series on important facts people should know about the flu. Part two will be released next week.The flu is not just a “severe cold.”

This is a dangerous myth that gets repeated because people don’t understand the difference between the flu and the common cold. While both are viral infections, the flu can lead to hospitalization in vulnerable populations, while the common cold very rarely leads to any complications. If you are experiencing body aches, muscle fatigue and headaches in addition to cold-like symptoms, you might want to
plan a visit to your doctor.

Each year, about 20 percent of Americans are affected by the flu. Many among this number are people who can’t get the flu vaccination because they are too young or old or because they have compromised immune systems. People with certain medical conditions and those who don’t get the flu vaccine are also especially vulnerable.

More than 200,000 people have to be hospitalized each year due to the flu. This adds up to about $10.4 billion in direct health care costs, plus the cost of lost productivity for workers who are too sick to come to the office. The flu can cost an individual about $130 due to doctor visits and medications, and those without sick days can lose about $92 in wages from missing work. Compared to these costs, the flu vaccine can be a lot cheaper; it’s free with most insurance plans, and full price is typically around $25 or les at urgent care facilities like #AFC #DoctorsExpress in #Memphis or any of our #AmericanFamilyCare locations around the country.

The people who are usually the most affected are children younger than six months, adults older than 65, pregnant women and people with certain health conditions that compromise their immune systems. If you or a family member fit into any of these groups, it’s important that everyone get a flu vaccine and practice healthy habits, such as good hand-washing techniques.

The flu kills by progressing rapidly, causing difficulty breathing or leaving the body vulnerable to more serious bacterial infections. This means if you notice a sudden progression of symptoms or shortness of breath, a doctor or urgent care facility needs to be your first stop. These types of changes can be difficult to predict, and it can get out of control extremely fast. Even people who seem to be in perfect health can die from the flu.

So that was the first set of facts about flu season in the United States. Because of the myths surrounding the flu, this annual epidemic can be easy to ignore until you’re impacted by it. To keep yourself and your family safe, be sure you take preventive measures, and visit #AFC #DoctorsExpress in #Memphis or any of our #AmericanFamilyCare locations around the country.