Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
It's important to understand that when you become sexually active, you can be at risk of getting a sexually transmitted disease (STD). Some STDs are easily treated with no long-term effects, while others can be carried for life or cause serious or life-threatening diseases.
Hepatitis is an inflammation of the liver caused by a virus. The kinds of hepatitis we hear about most often are caused by viruses, but other types of hepatitis can be caused by certain foods or drinks, herbs, or bacteria. Most often, when we say hepatitis we are thinking of one of the infectious hepatitis viruses that attack the liver. The three main viruses in the United States are hepatitis A, hepatitis B, and hepatitis C. A person can be infected by one of these viruses, two of them, or all three.
If you become infected with hepatitis, you might not have any symptoms at all. However, you might also be sick for several weeks with:
If you are experiencing these symptoms, or if you are at higher risk for contracting infectious hepatitis, we recommend that you be tested. You are at higher risk for hepatitis if:
A blood test can diagnose hepatitis and can tell us which type of hepatitis you have.
If you are sexually active and younger than 25, we recommend you come in once a year to be screened for STDs.
Each kind of hepatitis is spread differently.
Hepatitis A is spread when very small pieces of human feces (stool) are swallowed. People who do not wash their hands can accidentally get feces into water or food other people drink and eat. Feces can be spread from one person's hands to another person's hands and then into the mouth. Sexual contact that involves the anus can also spread the virus.
Hepatitis B is spread by blood or other body fluids. Body fluids include men's sexual fluid (semen and "pre-cum") and women's vaginal fluid. Improperly sterilized needles used for drugs or tattoos can spread the virus. Only a very small amount of blood is needed to spread the virus. Deep kissing (or "French kissing") can spread the virus if someone has a mouth sore or if his and her gums are bleeding a little.
Hepatitis C is found in the blood and is spread by exposure to infected blood. You are most likely to catch it by coming in contact with infected blood, whether by contaminated medical needles or syringes or by intravenous drug use. Tattoos and drug snorting have also been suspected as causes of infection, although it has been hard to prove this for certain. While hepatitis C can be spread sexually, transmitting it this way is rare.
There is a vaccine available for hepatitis A and B that can protect you from getting infected. The vaccines are recommended for specific groups that may have increased risk of getting the infection or becoming very ill if they become infected. These groups include:
|Vaccine for||How it is performed|
|Hepatitis A||The vaccine takes two shots at 6 to 12 month intervals.|
|Hepatitis B||The vaccine takes three shots: an initial shot, followed by the second shot 1 month later, and then a third and final shot 6 months after the first shot. If you need the vaccine, be sure to get all the shots. If you do not get all the shots, you may not be fully protected.|
|Hepatitis C||There is no vaccine.|
It is important to understand that when you become sexually active, you can be at risk of getting a sexually transmitted disease (STD). This is true for all forms of sexual activity such as oral, vaginal, or anal intercourse.
Except for not having sex (abstinence), there is no sure way to avoid contracting an STD. You can reduce your risk of catching viral hepatitis by:
Before you start a sexual relationship, talk with your partner about STDs. Find out whether he or she is at risk for them. Remember that a person can be infected without knowing it.
Talk openly and honestly with your partner about your risk for STDs and practicing safer sex. Be clear about what you will and will not do sexually, and respect what your partner will and will not do. Decide together what is right for both of you.
If you use needles to inject intravenous drugs, it is important not to share them with others. Clean needles and syringes are available through local needle exchange programs. We recommend you seek treatment if you use illicit drugs, and we have resources that can help you.
Unfortunately, abusive relationships are common. Abuse can include pressuring or forcing you to have sex, or refusing to use a condom to protect against pregnancy or STDs. If you think you are being abused, you can get help by talking to us or you can:
If you are at higher risk for contracting hepatitis, we recommend that you be screened. You are at higher risk for contracting hepatitis if:
To arrange to be tested, e-mail me or call the Appointment and Advice line and request screening.
It is important to be tested for sexually transmitted diseases (STDs), even if you do not think you are at risk.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.