**Neurology Clinic Opportunity: Become a Pillar of Our Clinical Staff as a Medical Assistant/LPN**
In the dynamic world of healthcare, the synergy between dedication and efficiency plays a pivotal role. We're on the hunt for a dependable Medical Assistant or LPN who can seamlessly blend into our fast-paced neurology clinic, ensuring that both our office and clinical operations run like a well-oiled machine.
**What will you do?**
- Directly assist healthcare providers, especially concerning follow-up testing arrangements, authorizations, and lab draws.
- Diligently document within patient records.
- Collaborate and communicate effectively with other healthcare professionals.
- Manage tasks like triaging phone calls, taking vitals, rooming patients, and more.
- Be an active participant in handling medication refills, scheduling tests, and assisting with minor procedures.
**What's in it for you?**
- A consistent Monday-Friday schedule with no weekends.
- Paid major holidays.
- Comprehensive benefits including medical, dental, vision, and more.
- Long-term disability and accidental death and dismemberment options.
- A promising 401K plan post your first employment year.
**Are you the perfect fit?**
- Have at least a year of office experience.
- Be a team player, self-motivated, and detail-oriented.
This is a full-time position, offering a competitive salary ranging from $18.00 to $21.00 per hour. Embrace the opportunity to contribute and grow in a work setting that's all about making a difference, every single day.
Ready to embark on this exciting journey with us? We'd love to hear from you!
How to Apply: Email your resume and cover letter to: info@nebraskaneurology.com. Please allow 48-72hrs for a response from a staff member.
Our Papillion office is open for business! Call (402) 552-2650 for scheduling here. Of course our Farnam St. location is and will remain open as well. Pick the location that is most convenient for you! Click HERE for a map & directions.
What is a pain injection?
These treatments vary depending on your specific condition but typically include a combination of medications to reduce inflammation or disrupt nerve activity in a particular area.
There are several different therapeutic injections used in different areas of your body, especially your joints, muscles, and spine. Depending on the type of injection required, your provider may use special equipment providing X-ray guidance to help them locate the exact area to deliver your medication.
What injections treat joint and muscle pain?
If you’re experiencing joint or muscle pain, your provider might recommend a variety of injections.
Corticosteroid injections
These injections function similarly to a hormone called cortisol that naturally exists in your body and reduces inflammation. Your provider injects corticosteroid injections directly into your affected joint.
Hyaluronic acid injections
These injections include hyaluronic acid. This substance helps to coat your cartilage, adds cushioning, and lubricates your joint, so it moves more freely.
Sacroiliac (SI) joint injection
An SI joint injection not only treats your pain with numbing medication, but it also contains time-released cortisone to reduce inflammation and provide long-term pain relief.
Trigger point injection
Your provider might recommend a trigger point injection to address a muscle issue causing pain and dysfunction.
In some cases, your provider might also recommend removing fluid from your painful joints with the needle instead of injecting medication. This procedure is called arthrocentesis, or fluid aspiration.
What injections treat pain originating in the spine?
When an issue in your spine causes your pain, like a herniated disc, your doctor might recommend specific injections that include:
Have questions or want more information? Please call us to schedule an appointment (402) 552-2650.
What is a trigger point?
A trigger point is a tight, painful area in a muscle or in the connective tissues surrounding your muscles (fascia). You can feel the small knotted area, and you’ll experience pain when it’s touched. You may have one trigger point or several, small trigger points along a band of muscles. A condition called myofascial pain syndrome develops when trigger points cause ongoing, persistent pain.
There are two types of trigger points:
Active trigger points
Active trigger points are extremely sensitive to touch, but you can often feel the pain even when you’re resting. When you press on the knotted area, an automatic twitch response occurs in the muscle. This type of trigger point often causes pain in another part of your body.
Latent trigger points
A latent trigger point only feels painful when pressure is applied to the area. These trigger points are more likely to cause muscles weakness or stiffness that limits your movement.
What causes trigger points?
Trigger points develop when your muscle contracts repeatedly. For many patients, this type of muscle activity is caused by:
• Repetitive activities like typing or pitching
• Sustained loading as you carry or lift heavy items
• Direct injury usually due to a fall or sports injury
• Poor posture that places stress on muscles
• Tense muscles due to overuse or stress
Staying inactive for a long time can also lead to trigger points.
What is a trigger point injection?
The first line of treatment for a trigger point may include muscle relaxants, physical therapy to stretch the muscle, or therapeutic massage to help relieve the tension causing the trigger point. When traditional therapies fail to relieve your pain, you may benefit from a trigger point injection.
Trigger point injections contain a local anesthetic such as lidocaine. In some cases, your doctor may also mix a corticosteroid with the lidocaine. The anesthetic provides quick relief, while the steroid reduces inflammation and helps the muscle relax.
A trigger point injection only takes a few minutes. Your doctor at Neurology Consultants of Nebraska isolates the knotted tissue, inserts the needle into the area, and injects the medication.
Have questions or want more information? Please call us to schedule an appointment (402) 552-2650.
Zoom Cloud Meeting Informaiton
Here are links for the various installations of "Zoom Cloud Meeting" application. More information about & support for Zoom can be found on their website: https://zoom.us/
Please Note:
Zoom Support Contact Info
First we want you and your families know we are taking all guidelines seriously and take your health and the health of our employees extremely seriously.
If for any reason you do not feel comfortable attending your appointment please contact our office as soon as possible. You will be given the option to reschedule your appointment or to make a telehealth appointment.
What to expect during your clinic visit:
Our staff is calling patients and prescreening before each appointments with the following questions:
are you currently experiencing any of the following symptoms now or within the last 14 days.
• Cough
• Sore throat
• Achiness
• Shortness of breath of respiratory problems
• Fever of 100.4 degrees or greater ?
• Have you or your immediate family been exposed to a known case of the COVID-19?
• Have you traveled outside the country or to a known hotspot for the COVID-19 virus in the last 30 days?
• No one other then the patient being seen will be allowed in the clinic. Exceptions include necessary caregivers.
Day of appointment:
• You will be screen upon entering the North Doctors Tower or Bellevue Medical Center by Nebraska Medicine staff.
• You will be asked the same above questions.
• If you answer no to all questions you will be given a green sticker and allowed to continue to your appt.
• If you answer yes, you will be turned away and asked to contact you primary care doctor and self-quarantine.
Office:
• You will be taken into an exam room as soon as one is available. Your temperature will be taken. If you have a temperature of 100.4 or higher you will be asked to reschedule your appt.
Telehealth has been around for many years, but in the context of the current COVID-19 exposure more physician offices are now utilizing the services. Telehealth is cover by insurance companies.
If you choose to utilize our telehealth option you must have access to either a computer, tablet or a smart phone that has both a camera and microphone. You will need to provide the front desk with your email address. Once you make an appointment, have your electronic device in front of you at your scheduled time. You will receive an email at or around the time of your appt. Open the email and there will be a link that will take you to Zoom.
If you are using a tablet or cell phone you will need to download Zoom prior to your appointment. Some links require you to activate audio.
We want you know that we are here to help you. If you have specific questions you always welcome to call the clinic or reach out through the One Chart Patient Portal.
Please call with any questions. If you have scheduling changes or would like to try telehealth please call our schedulers, they can be reached at 402-552-2650 option 1.
Stay Healthy and Safe, from all the staff at Neurology Consultants of Nebraska.
Triage Corona Virus ProtocolWe at Neurology Consultants of Nebraska are following CDC guidelines:
*** If they are having symptoms and no travel they will need to self-quarantine until they are better.
If they are having symptoms and their travel evaluation i_s positive they need to contact the CDC.
If you have questions you can call the Corona Virus Clinic at the University of Nebraska Medical Center call 402.559.0041 -
Nonsurgical nerve blocks involve injection of a medication around a specific nerve or a bundle of nerves. The medication prevents the nerves’ impulses from reaching the central nervous system (CNS) and making you feel pain. Instead, that part of your body will feel numb, or you might feel a “pins and needles” sensation.
Surgical nerve blocks involve deliberately cutting or destroying specific nerves to prevent them from sending out impulses to the CNS.
Nerve blocks are most commonly used to prevent or control pain. A nerve block is more effective than medications given through an intravenous (IV) line. Your doctor may want to use a nerve block to manage the following types of pain:
Pain originating from different areas of the body require different nerve blocks. Examples include:
According to MedicalNewsToday, Dementia is not a single disease in itself, but a general term to describe symptoms of impairment in memory, communication, and thinking.
A person with dementia may show any of these symptoms, mostly due to memory loss.
Some symptoms they may notice themselves, others may only be noticed by caregivers or healthcare workers.
Possible symptoms of dementia:
As the patient ages, late-stage dementia symptoms tend to worsen.
Sometimes, dementia is roughly split into four stages:
Mild cognitive impairment: characterized by general forgetfulness. This affects many people as they age but it only progresses to dementia for some.
Mild dementia: people with mild dementia will experience cognitive impairments that occasionally impact their daily life. Symptoms include memory loss, confusion, personality changes, getting lost, and difficulty in planning and carrying out tasks.
Moderate dementia: daily life becomes more challenging, and the individual may need more help. Symptoms are similar to mild dementia but increased. Individuals may need help getting dressed and combing their hair. They may also show significant changes in personality; for instance, becoming suspicious or agitated for no reason. There are also likely to be sleep disturbances.
Severe dementia: at this stage, symptoms have worsened considerably. There may be a loss of ability to communicate, and the individual might need full-time care. Simple tasks, such as sitting and holding one’s head up become impossible. Bladder control may be lost.
Brain cell death cannot be reversed, so there is no known cure for degenerative dementia.
Management of disorders, such as Alzheimer’s disease, is instead focused on providing care and treating symptoms rather than their underlying cause.
If dementia symptoms are due to a reversible, non-degenerative cause, however, treatment may be possible to prevent or halt further brain tissue damage.
Examples include injury, medication effects, and vitamin deficiency.
Symptoms of Alzheimer’s disease can be reduced by some medications. There are four drugs, called cholinesterase inhibitors, approved for use in the U.S.:
A different kind of drug, memantine (Namenda), an NMDA receptor antagonist, may also be used, alone or in combination with a cholinesterase inhibitor.
There's no sure way to prevent dementia, but there are steps you can take that might help, here are some risk factors:
Though dementia generally involves memory loss, memory loss has different causes. Having memory loss alone doesn't mean you have dementia.
Some people have mild symptoms, such as blurred vision and numbness and tingling in the limbs. In severe cases, a person may experience paralysis, vision loss, and mobility problems. However, this is rare.
Scientists do not know exactly what causes MS, but they believe it is an autoimmune disorder that affects the central nervous system (CNS). When a person has an autoimmune disease, the immune system attacks healthy tissue, just as it might attack a virus or bacteria.
In the case of MS, the immune system attacks the myelin sheath that surrounds and protects the nerve fibers, causing inflammation. Myelin also helps the nerves conduct electrical signals quickly and efficiently.
Multiple sclerosis means “scar tissue in multiple areas.”
When the myelin sheath disappears or sustains damage in multiple areas, it leaves a scar, or sclerosis. Doctors also call these areas plaques or lesions. They mainly affect:
There are four types of MS:
Clinically isolated syndrome (CIS): This is a single, first episode, with symptoms lasting at least 24 hours. If another episode occurs at a later date, a doctor will diagnose relapse-remitting MS.
Relapse-remitting MS (RRMS): This is the most common form, affecting around 85% of people with MS. RRMS involves episodes of new or increasing symptoms, followed by periods of remission, during which symptoms go away partially or totally.
Primary progressive MS (PPMS): Symptoms worsen progressively, without early relapses or remissions. Some people may experience times of stability and periods when symptoms worsen and then get better. Around 15% of people with MS have PPMS.
Secondary progressive MS (SPMS): At first, people will experience episodes of relapse and remission, but then the disease will start to progress steadily.
The most common symptoms of MS are:
Muscle weakness: People may develop weak muscles due to lack of use or stimulation due to nerve damage.
Numbness and tingling: A pins and needles-type sensation is one of the earliest symptoms of MS that can affect the face, body, or arms and legs.
Lhermitte’s sign: A person may experience a sensation like an electric shock when they move their neck, known as Lhermitte’s sign.
Bladder problems: A person may have difficulty emptying their bladder or need to urinate frequently or suddenly (urge incontinence). Loss of bladder control is an early sign of MS.
Bowel problems: Constipation can cause fecal impaction, which can lead to bowel incontinence.
Fatigue: This can undermine a person’s ability to function at work or at home. Fatigue is one of the most common symptoms of MS.
Dizziness and vertigo: These are common problems, along with balance and coordination issues.
Sexual dysfunction: Both males and females may lose interest in sex.
Spasticity and muscle spasms: This is an early sign of MS. Damaged nerve fibers in the spinal cord and brain can cause painful muscle spasms, particularly in the legs.
Tremor: Some people with MS may experience involuntary quivering movements.
Vision problems: Some people may experience double or blurred vision, a partial or total loss of vision, or red-green color distortion. This usually affects one eye at a time. Inflammation of the optic nerve can result in pain when the eye moves. Vision problems are an early sign of MS.
Gait and mobility changes: MS can change the way people walk, because of muscle weakness and problems with balance, dizziness, and fatigue.
Emotional changes and depression: Demyelination and nerve-fiber damage in the brain can trigger emotional changes.
Learning and memory problems: These can make it difficult to concentrate, plan, learn, prioritize, and multitask.
Pain: Pain is a common symptom in MS. Neuropathic pain is directly due to MS. Other types of pain occur because of weakness or stiffness of muscles.
In the later stages, people may experience changes in perception and thinking and sensitivity to heat.
MS affects individuals differently. For some, it starts with a subtle sensation, and their symptoms do not progress for months or years. Sometimes, symptoms worsen rapidly, within weeks or months.
The doctor will carry out a physical and neurological examination, ask about symptoms, and consider the person’s medical history.
No single test can confirm a diagnosis, so a doctor will use several strategies when deciding whether a person meets the criteria for a diagnosis.
These include:
Other conditions have symptoms that are similar to those of MS, so a doctor may suggest other tests to assess for other possible causes.
MS is a potentially severe health condition that affects the nervous system. Progression of MS is different for each person, so it is hard to predict what will happen, but most people will not experience severe disability.
As researchers learn more about genetic features and changes that occur with MS, there is also hope that they will be able to predict more easily which kind of MS a person will have and establish the most effective treatment from the earliest stage.
