Saturday, 21 October, 2017

REASON #6 Why you can not miss our upcoming Health Fair -- THE FOOD TRUCKS ARE COMING!! We are so excited to have Philly’s Cheesesteaks and Lil’ Dipper’s Italian Ice here to serve up their yummy offerings!

PHILLY'S CHEESESTEAKS [] brings the Raleigh area the ‘Real Deal’ when it comes to cheesesteaks. Using only the freshest mushrooms, onions and top quality meats and cheeses, they exhaust every effort to bring you the best product they can!

LIL DIPPER'S ITALIAN ICE [] will be making their third appearance at our Health Fair and we are so excited! Not familiar with Italian Ice? Don’t worry…you’re not the only one. And if you’re lucky enough to know what Italian Ice is, then you’ll be happy to know that Little Dipper’s is authentic Italian Ice. Yes, folks, it’s the real thing! Italian Ice is a delicious, non-dairy, frozen dessert, very similar to sorbet. It is water based and contains no gluten or dairy. Perfect for the lactose intolerant…and just about everyone else! Yum! Yum!


Saturday, 21 October, 2017

REASON #5 you should come out to the 3rd Annual Family Day & Health Fair on October 11 -- FLU SHOT CLINIC!! Flu season is upon us and already many are feeling its effects! The CDC's recommendation of who should get the flu shot includes everyone 6 months old and older. Good thing, as this year's strain seems to be infecting young and middle-aged adults. The flu vaccine typically takes two weeks to become effective, so the sooner the better!


Saturday, 21 October, 2017

REASON #4 you should come out to the 3rd Annual Family Day & Health Fair on October 11 -- Meet Generations’ Providers! Many of you have only met one or two of our awesome providers at Generations during your visits. Come out and meet everyone at our Health Fair! Learn about the many amazing services that we as a practice can offer. Be it pediatric, adult comprehensive or geriatric, we have you and your family covered. Our doctors specialize in a wide variety of medical concerns, including diabetes, skin and vein disorders, ADHD and more. We look forward to seeing you there!


Saturday, 21 October, 2017

REASON #3 you should come out to the 3rd Annual Family Day & Health Fair on October 11 -- SpineCare Chiropractic is once again co-hosting this awesome event! Located next door to Generations, SpineCare Chiropractic Center focuses on discovering the true cause of your pain, removing it and making sure it doesn’t return. They can help you with headaches, neck pain, shoulder pain, carpal tunnel syndrome, back pain, sciatica, bulging disc, scoliosis and auto injuries. They will be on hand to answer questions, provide information on chiropractic services and talk about Ideal Protein, a weight loss method based on quality, protein-based foods. Learn more about SpineCare and Ideal Protein at


Saturday, 21 October, 2017
Health Fair vendors

Reason #2 you should visit us on Saturday, October 11 for our Annual Family Day & Health Fair? Great Vendors! Peak Olive Oil Company, Golson, McCracken and Andrea Ivan Hair Studio will be joining us.

Peak Olive Oil, located in the Lowe’s Foods Plaze in Cary NC, introduces a whole new experience of flavor and freshness with premium extra virgin olive oils in Cary and balsamic vinegars in a tasting bar format. Featuring a large selection of single estate extra virgin olive oils from award winning producers for you to taste before you buy and then have your selection bottled on site. They import only the finest and freshest oils from artisans and small batch producers from Italy, Greece, Spain, Portugal, Tunisia, Australia, Argentina, Chile and California. Peak Oil will have samples of balsamic and olive oils on hand to taste as well as yummy recipes to savor.

Golson, McCracken Inc. has nearly two decades of North Carolina Social Security Disability advocacy experience. Their representatives have helped thousands of clients navigate the complex process of claiming disability benefits. They work with people from all walks of life, and take on child and adult child disability cases in addition to more routine claims. Not only do they help to navigate the Social Security Administration, they also help clients to apply for Supplemental Security Income, Veterans Disability Benefits, Medicaid and Medicare.

Andrea Ivan Hair Studio, located in Cary, specializes in cutting edge coloring techniques, foil highlights and lowlights, Balayage and Ombre, color correction, resistant grey coverage, fashion cuts, razor cuts, men cuts, styling, special occasion hair and make-up. They believe that hair should look amazing in the real world not just for the one time when is in the salon.

Each of our vendors will have representatives on hand to answer questions and many will be offering discounts and prizes!


Saturday, 21 October, 2017

We are getting so excited about our upcoming Family Day & Health Fair on Saturday, October 11th from 11:30am until 2pm! So much so that we decided to put together a Top Ten Countdown to get all of you jazzed too! Mark your calendars and come out to enjoy the many fun activities we are putting together for you!

NUMBER ONE: Get your FREE Health Screening! Generations Family Practice will be offering FREE Vitals Checks and Diabetes Screenings. It is very important to know your vital signs, which include temperature, blood pressure, pulse and respiratory rate. Many people have high blood pressure and do not know it. The only way to know if it is high is by having it checked. For others the pulse rate may be abnormally fast or slow or irregular. Often times there may be no symptoms but it may indicate a heart problem. Part of a physical exam includes checking your vital signs. That is one reason why it is so important to be checked out by your medical provider.

What is normal?

  • The normal pulse for healthy adults ranges from 60 to 100 beats per minute. The pulse rate may fluctuate and increase with exercise, illness, injury, and emotions. Females ages 12 and older, in general, tend to have faster heart rates than do males. Athletes, such as runners, who do a lot of cardiovascular conditioning, may have heart rates near 40 beats per minute and experience no problems.
  • Normal body temperature can range from 97.8 degrees F (or Fahrenheit, equivalent to 36.5 degrees C, or Celsius) to 99 degrees F (37.2 degrees C) for a healthy adult.
  • Normal respiration rates for an adult person at rest range from 12 to 16 breaths per minute.
  • Normal blood pressure: A normal systolic blood pressure is below 120. A systolic blood pressure of 120 to 139 means you have prehypertension, or borderline high blood pressure. Even people with prehypertension are at a higher risk of developing heart disease. A systolic blood pressure number of 140 or higher is considered to be hypertension, or high blood pressure. The diastolic blood pressure number or the bottom number indicates the pressure in the arteries when the heart rests between beats. A normal diastolic blood pressure number is less than 80. A diastolic blood pressure between 80 and 89 indicates prehypertension. A diastolic blood pressure number of 90 or higher is considered to be hypertension or high blood pressure.

Join Us! 3rd Annual Family Day & Health Fair!!

Saturday, 21 October, 2017
Generations Health Fair

Please join Generations Family Practice and SpineCare Chiropractic Center at our 3rd ANNUAL PAR-TEE ~ SATURDAY, OCTOBER 11, 2014 from 11:30am-2pm.

This fun family event celebrates our patients and community with an afternoon of health-related activities and education, championship golf watching, yummy food and activities for the kids.

Come out and enjoy:

  • Free Health Screenings & Demonstrations
  • Learn about Rejuvapen & other Cosmetic Service Offerings! (Attendees will receive discounts on certain products and procedures)
  • SAS Golf Championship viewing from our yard!
  • Food Trucks! Philly’s Cheesesteaks & Lil Dippers Italian Ice
  • Face Painting by Paint Savvy
  • Family Games
  • Flu & Pneumonia Vaccine Clinic*
  • Expired drug drop-off
  • Prize drawings

All activities will take place at our Cary office located at 110 Preston Executive Drive, Cary, NC 27513. No reservations are required! For more information, please call us at (919)852-3999.

We look forward to seeing you there!

[*Fee may apply for flu and pneumonia vaccines. We can file insurance for all current patients.]

What you need to know about Enterovirus D-68

Saturday, 21 October, 2017
Enterovirus D-68

As of two days ago, the respiratory virus, Enterovirus D- 68, which has been sending hundreds of kids to emergency rooms in the Midwest, has not been reported in North Carolina, despite previous reports, according to the North Carolina Department of Health and Human Services, Division of Public Health. However, we at Generations Family Practice, remain vigilant.

Enteroviruses are very common viruses, however the EV-D68 strain is not one of the more common strains. Most people infected with enteroviruses have no symptoms or only mild symptoms, but some infections can be serious.  EV-D68 which has been seen in infants, children, and teenagers has been associated almost exclusively with respiratory disease, which can range from mild to severe. Those are increased risk for more serious infections include those with respiratory conditions and heart conditions.

There is no specific treatment for EV-D68 infections. Many infections will be mild and self-limited, requiring only symptomatic treatment. Patients with asthma exacerbations or other more severe manifestations may require hospitalization for supportive therapy. Vaccines for preventing EV-D68 infections are not currently available.

 What can we do to help reduce the risk of infection with EV-D68 and other respiratory viruses?

  1. Wash hands often with soap and water for 20 seconds;
  2. Avoid touching eyes, nose, and mouth with unwashed hands;
  3. Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick;
  4. Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick; and
  5. Stay home when feeling sick, and obtain consultation from your health care provider.
  6. Get the flu vaccine

What should we be watching for in our children?

  1. Most children most likely will have only mild illness, like a common cold. However signs that your child needs more attention include:
  2. Signs of difficulty breathing such as increased rate of breathing, increased work to breath (as indicated by flaring of the nostrils, use of belly/rib muscles to help breath,) wheezing or grunting;
  3. Bluish color around the lips;
  4. Changes in alterness;
  5. Poor feeding or drinking

If you have any questions about your child’s condition or if you notice any signs that your child might be having trouble with his/her breathing, call our office at (919) 852-3999.

Health Insurance and Substance Abuse Treatment in the United States

Saturday, 21 October, 2017
substance abuse treatment and insurance

Health Insurance and Substance Abuse Treatment in the United States

by Richard Glaser

From one side of the United States to the next, substance abuse remains a problem. There are millions of people with an addiction to drugs and/or alcohol, however, some are unsure of what type of treatment is best for them and how they will pay for it.

For those with health insurance, there is a lot to know about the type of treatment that is covered as well as the facilities at which you can receive assistance.

More than 15,000 Drug Rehab Facilities

According to, there are more than 15,000 drug rehab facilities in the United States. Each and every one provides one or more of the following:

  • Counseling
  • Therapy
  • Case management
  • Detoxification

While many are happy to find that there is a facility that is willing to help, this leads to one very important question: how are they going to pay for treatment?

Since substance abuse has become such a large problem in the United States, a portion of treatment is funded by governments, including federal, state, and local. If treatment is paid for in full through this type of funding, the patient does not have much to worry about from a financial perspective. Unfortunately, this is not typically the case. You will likely find yourself on the hook for some portion of the treatment.

Many employer sponsored and private health insurance plans are now providing coverage for substance abuse treatment, as well as any health issues that may arise as a direct result.

Contact your Insurance Company

With so many insurance policies available in today’s day and age, the only way to know if yours covers substance abuse treatment is to reach out to your provider. By doing so, you can learn more about your particular policy, including what it has to offer if you need addiction treatment.

The following major health insurance carriers provide substance abuse treatment under most of their policies:

  • Blue Cross Blue Shield
  • Aetna
  • Cigna
  • United Healthcare

How much will my Insurance Cover?

In the event that you require professional substance abuse treatment, you should contact your health insurance provider to discuss your plan. During this time, ask the following questions:

  • Does my policy cover substance abuse treatment?
  • How much will my policy cover?
  • Are there any limitations that I need to be aware of?

Some policies will cover your entire bill, after your deductible has been met, but others only pay for a portion of your overall cost.

Consider your Options

A recent report by noted that there are many people who do not have an insurance plan that covers addiction treatment. Here are some of the primary details to be aware of:

  • Don’t shy away from fighting your health insurance company if they are obligated to pay for all or some of your substance abuse treatment
  • Most states have a law that requires your health insurance provider to cover addiction treatment
  • If you receive coverage through your employer, ask your HR professional for more information on the policy
  • If you purchase your own coverage, contact the insurance company for policy related information

Did you know that the economic impact of untreated addiction among Americans has reached roughly $325 billion per year? This is why states and the federal government are making major changes, many which require health care plans to cover substance abuse treatment. Cost savings, when the appropriate treatment schedule is in place, can equal $7 to $12 for every $1 spent.

Marketplace Insurance Plans

With millions purchasing coverage through the new marketplace, many are wondering if these plans cover substance abuse services. In short, all marketplace insurance plans cover substance abuse services as well as mental health treatment.

In an effort for the government to help treat those with mental health or substance abuse issues, all plans available through the marketplace must cover the following 10 categories of essential health benefits:

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventative and wellness services and chronic disease management
  • Pediatric services

Pre-existing Conditions

Adding to the above, marketplace plans cannot deny you coverage or charge you additional money if you have a pre-existing condition. This includes substance use disorders. As soon as your marketplace plan goes into effect, coverage for treatment of pre-existing conditions will begin.

No Dollar Limits

There are no lifetime or yearly dollar limits for marketplace plans, including benefits for substance use disorders. For those who have a continuing problem or require long term treatment, this is a financial savior.

Parity Protections

All marketplace plans must provide “parity” protections between substance abuse benefits and medical benefits. This means that limits applied to substance abuse services cannot be more restrictive than those applied for medical services. The types of limits covered include:

  • Financial: such as copayments, deductibles, coinsurance, and out of pocket limits
  • Care management: such as being required to receive authorization for treatment before moving forward
  • Treatment: such as the number of visits or days covered by the policy

Every year, drug abuse and addiction costs the United States hundreds of billions of dollars. For example, employers lose $122 billion dollars in lost productivity and another $15 billion in health insurance costs on an annual basis.

By making changes to the health insurance system, such as the coverage provided by plans through the marketplace, the government is making it easier and more affordable for those with a substance abuse problem to receive the proper treatment.

[Shared with permission from Rehabilitation Center Cost]

Evolution of the Flu Vaccine

Saturday, 21 October, 2017

The flu has had quite an impact on society over time. Take a look at a brief history of the flu vaccine's history and how we've battled it medically. All the more reason to get your flu shot scheduled! Call us today!!