Why Do We Ask So Many Questions

Why All The Questions

Why do we ask so many questions?

Today, more than ever, when you visit us you are asked a series of questions. Some of them are focused on preventive care and some are screening tools that give your provider insight into what is going on in the rest of your life. We care about you and want to be sure we are providing all the support available for you to enjoy a healthy life. Primary care settings have become the gateway to the behavioral health system, and primary care providers need support and resources to screen and treat individuals with behavioral and general healthcare needs.

The unfortunate truth is people suffering from with mental and substance abuse disorders may die decades earlier than the average person — mostly from untreated and preventable chronic illnesses like hypertension, diabetes, obesity, and cardiovascular disease that are aggravated by poor health habits such as inadequate physical activity, poor nutrition, smoking, and substance abuse.

The solution lies in a blended approach to caring for people with multiple healthcare needs called integrated care. Integrating mental health, substance abuse, and primary care services produces the best outcomes and proves to be the most effective approach to caring for people with multiple healthcare needs. We want to have an entire team to support you in your pathway to a healthier life.

When you come to PCHS we may ask you about…

  • How have you done on changing your diet and exercise or other activities?
  • Do you still smoke? Or do you use tobacco? What can I do to help you find resources to support you in stopping?
  • Over the last 2 weeks how often have you been bothered by any of the following problems?
    • Little interest or pleasure in doing things?
    • Feeling down, depressed, or hopeless?
  • How many times in the last year have you had 4, 5 or more drinks in one day?
  • How many times in the last year have you used a recreational drug or used a prescription drug for nonmedical reasons?
  • When were your last flu shot, Tdap, and/or pneumonia vaccine?
  • When was your last well exam, pap test, or physical exam?
  • When was your last colon cancer screening test?
  • When was your last mammogram?
  • When was your last blood work done?

Whooping Cough aka Pertussis

Whooping Cough aka Pertussis

What is Pertussis?

It is a respiratory infection that is also known as Whooping Cough due to the characteristic sound of a whoop after a coughing attack when trying to breathe in.

How is Pertussis spread?

Pertussis is spread through respiratory droplets from coughing and sneezing. Pertussis is VERY contagious.

Why do I care?

Though the incidence of whooping cough has gone down significantly since the 1940s when the vaccine was first made, there have been several outbreaks recently in different parts of the country including Washington State. This infection can be very serious and send people to the hospital and can even lead to death. Infants are especially at risk for this infection and cannot be vaccinated right away, so it is recommended that anyone that comes into contact with infants (daycare workers, healthcare workers, moms/dads/grandparents/etc.) all get vaccinated at least 2 weeks prior to contact with a new baby.

How do I prevent Pertussis?

Get vaccinated. The Center for Disease Control recommends that every adult get a onetime booster dose of Tdap (a tetanus shot with pertussis vaccine in it) to help protect you and others from getting pertussis. Children are vaccinated against it in their DTaP series which is part of their routine vaccines. Pregnant women are recommended to get a Tdap vaccine with each and every pregnancy, so ask your OBGYN for more information.

What happens if I get Pertussis?

The infection itself can take weeks to months to completely resolve. If you are diagnosed with the infection within the first 3 weeks then an antibiotic can help to treat.