Generated by All in One SEO v5.0.1.1, this is an llms.txt file, used by LLMs to index the site. # Trinity Medical Associates Trinity Medical Associates ## Sitemaps - [XML Sitemap](https://trinitymedassoc.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [The new website is available.](https://trinitymedassoc.com/04/the-new-website-is-available/) - Just wanted to let everyone know the new website for Trinity is now available. We hope you like it as much as we do. In the very near future we'll be adding new blogs, comments, and book reviews from our staff. Stay tuned! - [Book Review: "Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease" by Robert Lustig, MD](https://trinitymedassoc.com/04/book-review-fat-chance-beating-the-odds-against-sugar-processed-food-obesity-and-disease-by-robert-lustig-md/) - Robert Lustig, MD's book Fat Chance is a quick, well referenced follow-up to his wildly popular YouTube video "Sugar: The Bitter Truth". In this book he lays out the clear physiological pathway in which excess sugar (specifically fructose) is the key toxin causing so much obesity and metabolic disease. The twin cofactors of our lack - [Will you go blind?](https://trinitymedassoc.com/04/will-you-go-blind/) - If you could predict blindness 20 years before it happens and then take steps to avoid it, would you? Diabetic retinopathy is the leading cause of blindness in the United States. Get your sugar tested and know your numbers. Talk to our providers about how to avoid diabetes. Dig deeper into what nutritional and health - [The Syndrome That’s Sweeping the Nation](https://trinitymedassoc.com/04/the-syndrome-thats-sweeping-the-nation/) - The Syndrome That's Sweeping the Nation One of the most common and damaging diagnoses I see day in and day out is one whose name many of my readers have heard little about. It is a syndrome that is epidemic in the U.S. with a staggering 1/3 of adults meeting its diagnostic criteria. It parallels - [Weekend Weather](https://trinitymedassoc.com/04/weekend-weather/) - Weekend weather looks great! Get outside. - [Bird Flu](https://trinitymedassoc.com/04/bird-flu/) - China has seen six deaths due to a novel strain of influenza that can infect birds and humans. So far human to human spread hasn't been documented. What if this strain crosses the species barrier? Imagine a virus capable of killing over 90% of the people it infects that also can spread as rapidly as - [I can't control the weather (yet).](https://trinitymedassoc.com/04/i-cant-control-the-weather-yet/) - One of the great things about living in Knoxville is our proximity to the Smoky Mountains. Since today was a beautiful day I took the opportunity to go get my exercise outside along Chestnut Top Trail. Since everyday isn't going to be as beautiful as today and I can't control the weather yet I need - [Let's do this together](https://trinitymedassoc.com/04/lets-do-this-together/) - One of my favorite truisms reads "A cord of three strands is not easily broken." I love the idea that when you take several individual ropes and weave them together you can get a stronger rope. As a practice we've used this proverb as one of the principles of treatment. We seek to partner with - [Success stories](https://trinitymedassoc.com/04/success-stories-and-170lbs-of-weight-loss/) - Yesterday afternoon we launched our celebration wall. We have four different boards celebrating the different types of success seen when people change their lifestyle and nutritional habits. The four boards are: Normal Numbers: People who have achieved normal blood sugars, blood pressure or cholesterol through lifestyle changes. Less of me equals more of me: People - [Can I catch that?](https://trinitymedassoc.com/04/can-i-catch-that/) - Did you know that for every case of pertussis, commonly known as whooping cough, that 17 susceptible people will contract the disease. That's the same rate as measles. Influenza only infects 1-3 susceptible people per case. Consider updating your pertussis vaccination especially if you are going to be around infants and children. They are the - [Book Review: "Wheat Belly: Lose the Wheat, Lose the Weight and Find Your Path Back to Health" by William Davis, MD](https://trinitymedassoc.com/04/book-review-wheat-belly-lose-the-wheat-lose-the-weight-and-find-your-path-back-to-health-by-william-davis-md/) - I listened to the audio version of Wheat Belly in 2011 during my daily commute and walks. I thought I would repost a review I did at that time here on our new website blog. Dr. Davis lays out an argument against the use of wheat containing products in any of its various forms. He - [Diabetes: Prevention and Treatment](https://trinitymedassoc.com/04/dieabetes-prevention-and-treatment/) - “All I had was a bologna sandwich on white bread and a glass of sweet tea and my glucose is 250!” So went a call from “Sue”, a patient this week who already knew she had impaired glucose tolerance (IGT) or “pre-diabetes”. Now it’s beginning to look like she may actually have full-blown type 2 - [In case you are keeping score](https://trinitymedassoc.com/04/in-case-you-are-keeping-score/) - We've documented 340 lbs of weight loss by lifestyle change by patients seen since we put our celebration wall up on Wednesday. Six people have documented normalization of their numbers indicating their illnesses are under control. One person has removed a diagnosis (ie, been cured) and one person has stopped a medication. That's all in - [Recipe Review- Shepherd's Pie](https://trinitymedassoc.com/04/recipe-review-shepherds-pie/) - We are starting a recipe review :) All of the recipes are "low carb" and excellent choices for our friends with diabetes, high blood pressure, high cholesterol, arthritis, gout, acid reflux, celiac disease or gluten intolerance, etc...or just simply because they are good for you! Shepard’s Pie Recipe Credit: www.wellnessmama.com 2013 You need per person/serving. - [The secret to success](https://trinitymedassoc.com/04/the-secret-to-success/) - How many people do you know, I mean personally know, that have lost more than 25 lbs? What about 50lbs? 100 lbs? 200lbs? I dare say that very few of you personally know anyone who has lost 200lbs. Now throw in that it has to have been done without surgery or without weight loss drugs - [Plant based nutrition and low carbohydrate diets debated](https://trinitymedassoc.com/04/plant-based-nutrition-and-low-carbohydrate-diets-debated/) - Recently at the Univeristy of Alabama, Birmingham, Dr Collin Campbell, author of The China Study, and Dr Eric Westman, author of The New Atkins for A New You, presented their respective viewpoints on diet and health and then fielded questions from the audience and from each other. It is a very good summary of the - [10 Weight Loss Hurdles](https://trinitymedassoc.com/04/10-weight-loss-hurdles/) - Mark Sisson author of Primal Blueprint and host of Mark's Daily Apple blog recently summed up some very common reasons why many people struggle to lose weight effectively. You can find his blog post here: 10 Psychological Hurdles Keeping You From Losing Weight (and how to overcome them). In my clinical practice I run into - [Book Review: "What's Eating Your Child?"](https://trinitymedassoc.com/04/book-review-whats-eating-your-child/) - Kelly Dorfman's recent book What's Eating Your Child? is an exploration of how food affects the physical and emotion health of children. She uses anecdotal pseudo-case studies to demonstrate how particular children had improvement focusing on particular nutritional changes. Throughout her book she helps parents and practitioners alike understand better ways to involve their children - [Exercise Your Way To Better Health](https://trinitymedassoc.com/04/exercise-your-way-to-better-health/) - I know, I know, for those of us who aren’t hard-core consistent exercisers, the topic can be one we avoid like last year’s fruitcake. The Psalms tells us, “We are fearfully and wonderfully made”, but many of us have become “scarily and awfully squishy.” Could 2013 possibly, just possibly be a year of change for - [Why I Exercise](https://trinitymedassoc.com/04/why-i-exercise/) - Read Dr. Smith's post. He explains the reasons to exercise. I have exercised daily as long as I can remember. Sometimes it is quick and seemingly unproductive. Some might say I may even be obsessed, my numbers would beg to differ. I exercise on the weekends and during the week exercising at lunch is my - [Gary Taubes' BMJ editorial](https://trinitymedassoc.com/04/gary-taubes-bmj-editorial/) - Gary Taubes, author of Good Calories, Bad Calories and Why We Get Fat published an editorial in the British Medical Journal on the competing theories of obesity and weight loss. It can be found here His books and this editorial are worth your time. - [Recipe Review- Italian Wedding Soup](https://trinitymedassoc.com/04/recipe-review-italian-wedding-soup/) - Italian Wedding Soup Recipe Credit: www.wellnessmama.com 2013 You Need per person/serving: (FN= Family Number) • ground turkey (or other ground meat) (approx 1/4 lb per person) • spices: garlic powder, salt, pepper and basil • 1/4 of an onion, diced (xFN) • 1 large carrot, thinly sliced or diced (xFN) • 1/2 of a - [How's Your Kids' Media Diet?](https://trinitymedassoc.com/04/hows-your-kids-media-diet/) - Worldwide, infectious diseases are still the number one cause of death in young children. But deaths from infectious diseases declined markedly in the United States during the 20th century and have long ago fallen out of the number one position. It is remarkable that in the U.S. in 1900, over 30% of all deaths occurred - [McDonald's would like you to be happy](https://trinitymedassoc.com/04/mcdonalds-would-like-you-to-be-happy/) - Recently I was online when the following advertisement caught my eye. I'm fascinated by this. I never knew McDonald's was so interested in me being happy. Just for kicks I went and checked out the nutritional value of happiness. Of course happiness comes in different sizes so I decided just to keep it simple and - [Recipe Review- Chicken Carbonara](https://trinitymedassoc.com/04/recipe-review-chicken-carbonara/) - Chicken Carbonara Author: Recipe Credit: www.wellnessmama.com Chicken Carbonara over Wilted Spinach and Spaghetti Squash Ingredients You Need per person/serving. FN= Family Number 1 chicken breast or 2 thighs (xFN) 2 pieces of bacon (xFN) 1/2 of a small/medium spaghetti squash (xFN) 3 ounces of spinach (xFN) 3-4 stalks of asparagus (1 bunch per family) 2 - [Vaccine Question and Answer](https://trinitymedassoc.com/04/vaccine-question-and-answer/) - I recently had the privilege of being asked to participate in a question and answer forum concerning vaccines. A former patient of mine who has moved out-of-state is an avid blogger at www.amusingmaralee.com. She covers all types of topics concerning family life, adoption both international and domestic, foster parenting, and in general raising your children - [Pirates are fit to their core.](https://trinitymedassoc.com/05/pirates-are-fit-to-their-core/) - Dr Green recently demonstrated the proper exercise technique for pirates. Watch here: VitalSigns Medically Based Wellness. - [The best baby food fights the worst diseases](https://trinitymedassoc.com/05/the-best-baby-food-fights-the-worst-diseases/) - Neat article showing that our physiologic design is really good or us. Imagine that. Bacteria dislike breast milk - [Broken Heart Syndrome](https://trinitymedassoc.com/05/broken-heart-syndrome/) - "Oh, this is the big one! You hear that, Elizabeth?! I'm coming to join you, honey!" This was the classic, often-repeated line voiced by Fred Sanford in the sitcom “Sandford & Son, a long time ago. Nearly every episode, if he was stressed out or not getting his way, Fred (Redd Foxx) would clutch his chest - [Bacon Apple Crock-Pot Chicken](https://trinitymedassoc.com/05/1040/) - Bacon Apple Crock-Pot Chicken Author: www.wellnessmama.com Serves: 4 Ingredients 4 boneless skinless chicken breasts (can also be done with a whole chicken or thighs) 2 apples- peeled, cored and grated 1 cup homemade barbecue sauce 8 pieces of bacon (nitrite free) Instructions Wrap each piece of chicken in 2 pieces of bacon - [Recipe Review: Stuffed Green Peppers](https://trinitymedassoc.com/05/recipe-review-stuffed-green-peppers/) - Recipe Review: Stuffed Green Peppers Recipe credit: www.tasteofhome.com (with slight modification) Stats: Prep time- 10 mins, Cook time- 55 mins, Yield- 4 servings Ingredients 4 green peppers 6 medium fresh tomatoes (peeled & chopped) 1 medium onion (chopped) 3 celery ribs (diced) 1 cup water 1 can (8oz) of tomato sauce 2 tsp salt, - [That Nagging Cough](https://trinitymedassoc.com/05/that-nagging-cough/) - ​ It is doubtful that a day goes by in my office where no one coughs. It’s one of the most common symptoms we deal with day in and day out. Coughing is a protective reflex that helps to clear the lungs and upper airways. It is a symptom, and not a final diagnosis. There - [Free Fitness Month at VitalSigns](https://trinitymedassoc.com/05/free-fitness-month-at-vitalsigns/) - [Bigfoot, Loch Ness monster, and Carbohydrate Deficiency](https://trinitymedassoc.com/05/carbohydrate-deficiency/) - It is interesting to think about food in its three basic constituents: Fat, Protein, and Carbohydrates. For each of these three constituents one can imagine a situation where there is excess or deficiency. In fact, over the centuries of recorded medical literature these states have been identified. Well, five of the possible six states have - [Is Sugar Toxic?](https://trinitymedassoc.com/05/is-sugar-toxic/) - Here's a link to a great article about the short and long term effects of sugar. How we define toxicity changes our discussion. http://eatingacademy.com/nutrition/is-sugar-toxic - [Now offering scheduled times for Lab Only Visits](https://trinitymedassoc.com/06/now-offering-scheduled-times-for-lab-only-visits/) - Starting this week we are now scheduling times for patients to come in for Lab Only Visit. If you have an upcoming appointment and wish to have your blood work done prior to the office visit we encourage you to call the office and schedule an appointment for a Lab Only Visit. This allows us - [Natural Peanut Butter](https://trinitymedassoc.com/06/natural-peanut-butter/) - Here are some examples of natural peanut butter: Smucker's Natural Chunky runs about $4.25/16oz. Has a rougher texture with a rich flavor. Kroger natural creamy runs about $2.50/16oz. Very smooth and tasty! Why natural peanut butter: The best peanut butter is made with simple and limited ingredients: peanuts or peanuts and salt. It is best to avoid added oils - [Diverticulitis](https://trinitymedassoc.com/06/diverticulitis/) - Today my first patient was my own co-worker. He was walking gingerly toward me holding his abdomen and wincing. “Could you check out my abdomen, I was up most of the night with pain.” As I pressed around his abdomen, the left lower quadrant was obviously the tender spot. A few more questions and labs - [Medication disposal](https://trinitymedassoc.com/06/medication-disposal/) - Today at Fort Sanders West Complex the police department is hosting a medication disposal event. If you have medications that aren't needed anymore or expired this is a great way to get rid of them. Flushing them puts those medications into the local water supply which can be dangerous. Throwing them away in the trash - [Recipe Review- Stuffed Zucchini Boats](https://trinitymedassoc.com/06/recipe-review-stuffed-zucchini-boats/) - Stuffed Zucchini Boats Author: Welness Mama (www.wellnessmama.com) Ingredients You Need per person/serving: 1 medium zucchini 1/4 pound ground beef, bison, turkey, sausage, etc (1 lb/family of 4) 2 oz of roasted red peppers (usually in a jar or can- 1 can per family of 4) 1/4 of a green pepper, chopped 1/4 of - [ALDI review](https://trinitymedassoc.com/06/aldi-review/) - Well I finally had a chance to go check out ALDI supermarket this week! Overall, it was a good experience but I had no idea how it worked and looked like a lost puppy I'm sure! Here's my thoughts and tips if you go there... Bring: A quarter. You put a quarter in the cart, shop and - [Recipe Review- Beef and Sweet Potato Curry](https://trinitymedassoc.com/06/recipe-review-beef-and-sweet-potato-curry/) - Beef and Sweet Potato Curry Author: Wellness Mama Ingredients You Need per person/serving: 1 tablespoon coconut oil or butter (1/4 cup/family of 4) 1/2 of an onion, chopped 1 clove of garlic, or 1/2 tsp minced garlic or garlic powder 1/4 pound ground beef 1 teaspoon of curry powder (1-2 tablespoons/family of 4) - [VitalSigns Video](https://trinitymedassoc.com/06/vitalsigns-video/) - Check out this video on our wellness program VitalSigns VitalSigns Video - [Cold storage awesomeness](https://trinitymedassoc.com/06/cold-storage-awesomeness/) - Awesome story about cold storage technology advances that will allow vaccines to reach the far corners of the earth and still be viable. Thanks Gates Foundation. Vaccine Cold Storage - [Healthy Habits in kids](https://trinitymedassoc.com/06/healthy-habits-in-kids/) - In the next couple of weeks Trinity Medical and VitalSigns will be launching a study program designed to evaluate how to help parents teach and lead their kids in healthy lifestyle choices. We'll be looking for families wit children between the ages of 5 and 15 years old. The program will consist of health evaluations - [Health in Nigeria](https://trinitymedassoc.com/06/health-in-nigeria/) - Health in Nigeria ​As I write this we are preparing to head out on a medical mission trip to Nigeria. The contrasts between health care in the U.S. vs. a country like Nigeria are so striking. Nigeria is the most populous black country in the world. Over 70% of its population is considered poor with - [Low carb pancakes](https://trinitymedassoc.com/06/low-carb-pancakes/) - Cream Cheese Pancakes 2oz. cream cheese (reduced fat) 2 eggs 1 packet stevia sweetener 1/2 tsp. cinnamon (optional) 1/4 tsp lemon juice 1/4 tsp vanilla Put all ingredients in a blender or magic bullet. Blend until smooth. Let rest for 2 minutes so that the bubbles can settle. Pour 1/4 of the batter into a - ["What if obesity is a coping mechanism for something far more sinister going on underneath the cell?"](https://trinitymedassoc.com/06/what-if-obesity-is-a-coping-mechanism-for-something-far-more-sinister-going-on-underneath-the-cell/) - Peter Attia, MD is a favorite blogger of mine who presented this talk at a recent TedMed conference. For anyone interested in obesity treatment, diabetes, and healthy nutrition it is a must watch video. Let me know what you think. Peter Attia, MD at TedMed - [Bacon Wrapped Salmon Cakes](https://trinitymedassoc.com/06/bacon-wrapped-salmon-cakes/) - Bacon Wrapped Salmon Cakes Recipe Type: Entree Author: Wellness Mama Serves: 6 Everything's better with bacon! Right?! This is a great option if you are looking for something that appears a little "fancier" for special occasions, dinner parties, or just to get in touch with your "iron chef". It is simple, delicious, and best - [Reflections on Nigeria](https://trinitymedassoc.com/07/reflections-on-nigeria/) - So we’re back from a ten day medical mission trip to Nigeria. The images in my mind are numerous. Not surprising, since instead of seeing twenty-some people a day (as in my practice here), we would each see a hundred and twenty-something there – less thoroughly, of course, just trying to identify something with which - [Chicken Enchiladas](https://trinitymedassoc.com/07/chicken-enchiladas/) - Chicken Enchiladas Author: Kyra Fowler Cook time: 30 mins Total time: 30 mins These chicken enchiladas are SUPER simple, cheap, and great for feeding the multitudes or just a small family. One recipe can make between 20-24 enchiladas so they are wonderful for freezing and pulling out later on a night when time is - [Whooping cough](https://trinitymedassoc.com/07/whooping-cough/) - Finishing up my patients for the day, I was thinking of the vacation ahead. I didn’t reflect much on the runny nose and slight cough I’d had for past couple of days – probably just a little cold. That all changed a few days into the trip - though I still didn’t feel too bad - [Deli meat](https://trinitymedassoc.com/07/deli-meat/) - Here are some examples of preservative free deli meat: -Boars Head has a large variety of flavors, typicaly sold at Kroger. Price typically varies from $6-9/lb. depending on flavor. -Hormel Natural Choice has several flavors, typically sold at Kroger or Wal-mart. Price varies from $3-4.50/8oz. package. -Sara Leah also sells one that I recently found - [Califlower "Mac and Cheese" Casserole](https://trinitymedassoc.com/07/califlower-mac-cheese-casserole/) - 2 bags frozen cauliflower 1 cup Heavy cream (Slightly - [Medical Missions to Kenya](https://trinitymedassoc.com/07/medical-missions-to-kenya/) - Two of Trinity's favorite specialists have announced a new venture in their lives. Drs. Heath and Angela Many, a general surgeon and a obstetrician-gynecologist respectively, have felt the Lord calling them to medical missions in Kenya. They have started a blog called Into the Deep. We invite our patients to read along with us in - [Be ready: Choking](https://trinitymedassoc.com/07/be-ready-choking/) - I unfortunately had an opportunity today to need to know what to do for a choking victim. Formally called the Heimlich maneuver, abdominal thrusts are forceful inward and upward thrusts attempting to help dislodge the object stuck in the victim's airway. Everyone should have some basic training in helping someone in trouble. Parents especially should - [](https://trinitymedassoc.com/07/1238/) - Stuffed Poblano Chilis Recipe Type: Dinner Cuisine: Mexican Author: Linda's Low Carb Menu Prep time: 30 mins Cook time: 15 mins Total time: 45 mins Serves: 3-6 Ingredients 3 roasted poblano chiles 1 lb of ground turkey (or ground beef or pork if you prefer) 1 small onion (chopped) 1 clove garlic (minced) 1/2 cup - [One year anniversary](https://trinitymedassoc.com/07/one-year-anniversary/) - Trinity celebrates it's one year anniversary in our new building space. What a change from the old space! We are so grateful for the new accommodations and thankful all of patients found their way here. True to our nutritional philosophy we believe birthday cake is okay if it is your birthday. - [Insulin: MVP of hormones](https://trinitymedassoc.com/07/insulin-mvp-of-hormones/) - Here's another great article from Dr Peter Attia describing the various actions and functions of insulin. It describes so much of what we teach in our nutritional counseling visits. Our version doesn't require a biochemistry or physics degree to understand though. He uses the same example of insulin deficiency, Type I diabetes, and insulin excess, - [Why Am I So Tired?](https://trinitymedassoc.com/08/why-am-i-so-tired/) - ​“I’m just exhausted all the time, and I don’t know why. I used to have all kinds of energy. What do you think is wrong with me?” I get asked some version of that question several times a week. At any given time, there are just so many people who are tired or fatigued. Sorting - [Mini ham and egg cups](https://trinitymedassoc.com/08/mini-ham-and-egg-cups/) - Mini Breakfast Quiches/ Baked Ham and Egg Cups Recipe by Our Best Bites (edited slightly by Kyra Fowler) DON'T HAVE TIME FOR BREAKFAST IN THE MORNING?? NEED SOMETHING QUICK TO GRAB AND GO??? THIS COULD BE YOUR SOLUTION!!! IT IS SUPER TASTY, SUPER EASY, AND VERY FILLING!! A LOT QUICKER AND CHEAPER THAN SITTING THRU - [Recipe Review- Taco Salad](https://trinitymedassoc.com/08/recipe-review-taco-salad/) - Taco Salad www.wellnessmama.com Servings: 4 Ingredients: 12.00 oz Shredded lettuce or spinach 2.00 count Avocado 1.00 count Onions 4.00 teaspoon(s) Spices to taste ( I used garlic powder, salt, pepper, chili powder) 1.00 cup Grated Cheese 4.00 count Boneless Chicken Breast 0.25 cup Coconut Oil or butter 1.00 count Bell Pepper 1.00 cup Sour Cream - [Vital Signs Core Class](https://trinitymedassoc.com/08/vital-signs-core-class/) - WE HAVE A NEW VS CORE CLASS THAT STARTS NEXT MONDAY AUGUST 19th. Hardin Valley 2531 Willow Point Way Knoxville, TN 37931 Map & Directions (M-W-F; 6-7pm). 8 weeks $399 for 24 --1 hour sessions You may be able to use your flex spending or a Wellness Practioner visit may be covered by insurance so check with your - [Don't Let Acne Get You Down](https://trinitymedassoc.com/08/acne/) - “If you ever want some help with your skin, let me know, there are some good treatments.” “What do you mean? What’s wrong with my skin?” This was one of those awkward conversations in the midst of doing a physical on a young man with obvious rather severe acne. Either he was in denial or - [Sausage and Egg Casserole](https://trinitymedassoc.com/08/sausage-and-egg-casserole/) - Ingredients: 1 lb. pork sausage (I use Swaggerty's Natural, purchased at Kroger for about $2.50/roll) 1 cup shredded cheddar cheese (I recommend 2% or "reduced fat") 2 slices of bread cubed (I use Healthy Life Whole Wheat it is only 5 net carbs/slice, purchase at many grocery stores) 6 eggs (Yes-the whole egg!) 1 cup milk (I - [Its Football Time in Tennessee Part 3](https://trinitymedassoc.com/08/its-football-time-in-tennessee-part-3/) - Dorritos style chips (low carb of course!) Recipe Type: Appetizer Author: Your Lighter Side Prep time: 10 mins Cook time: 20 mins Total time: 30 mins Serves: 36 chips Wondering what you could put with your salsa, guac, & sour cream dips? Here is just the solution! Ingredients 1 large zucchini (shredded) 2 eggs 2 - [Its Football Time in Tennessee Part 2](https://trinitymedassoc.com/08/its-football-time-in-tennessee-part-2/) - Here's another! Sausage Cheese Balls Recipe Type: Appetizer Author: Rick & Beverly Mize Prep time: 5 mins Cook time: 15 mins Total time: 20 mins I must give credit to some of my fav. patients who sent me this recipe along with several others. DELISH! (and soooo easy!) Ingredients 1 lb sausage 10 oz - [Its Football Time in Tennessee!!](https://trinitymedassoc.com/08/its-football-time-in-tennessee/) - If you ask me...its about to be the most wonderful time of the year! Cooler air will soon be blowing in, leaves will start to change, the high school bands will be heard across the city on Friday nights, and the VOLS will take the field for what many hope to be the year of - [Who Needs An Antibiotic?](https://trinitymedassoc.com/08/who-needs-an-antibiotic/) - Let me tell you a little cautionary tale. Once upon a time (roughly twenty years ago) a strong new antibiotic came forth uniformed in a handy little green 6 pill, 5 day pack. Emblazoned across his uniform was the catchy swashbuckling name, Z-pak. For doctors, easy to write; for patients easy to take – dosed - [Cream Cheese Pinwheels](https://trinitymedassoc.com/08/cream-cheese-pinwheels/) - GO BIG ORANGE!!!!!!!! YAY!!!! As Steph reminded us last weekend....IT'S FOOTBALL TIME IN TENNESSEE!!! Here is another fast and easy appetizer option! Its cheap, easy, and goes a LONG way!!! It can be prepared in advanced and enjoyed by many!! Ingredients: 2 blocks of cream cheese 1 packet of Hidden Valley Ranch Mix (you - [Vital Signs- Silver Sneakers!](https://trinitymedassoc.com/09/vital-signs-silver-sneakers/) - SILVER SNEAKERS A great way to work on functional movement and develop great friendships! Any member of VitalSigns is welcome to attend!! Membership $25/ month. Most Medicare supplements and Advantage Care plans will cover classes (membership fee) 100%. Call us today to see if your plan qualifies. 865-249-7566 Silver Sneakers Class Schedule MONDAY Sept 2 LABOR DAY - [It's time for your flu shot!](https://trinitymedassoc.com/09/its-time-for-your-flu-shot/) - Did you know that more people in the United States die from influenza and its complications than from car accidents? It's amazing how dangerous this common disease really is. Now is the time to protect yourself and your family. The seasonal influenza vaccination is available at Trinity. We have all dosages and forms including the - [Lightning](https://trinitymedassoc.com/09/lightning/) - As my wife and I take care of a few last minute projects before going to bed, it is obvious a thunder storm is brewing. We haven’t seen any flashes or heard any rumbles yet, but our dog, Cody, is intermittently glued to my legs or hers. Somehow he always senses when a storm is - [Coconut flour biscuit](https://trinitymedassoc.com/09/coconut-flour-biscuit/) - Prep time 5 mins Cook time 15 mins Total time 20 mins Ingredients ⅓ cup Coconut Flour 5 TBSP Butter or Coconut Oil, softened but not melted 4 eggs 2 TBSP honey (optional)-careful, this raises the carb count a lot! dash of salt ½ tsp baking powder Instructions: Preheat oven to 400 degrees F Put - [Dedicated Flu Shot Days](https://trinitymedassoc.com/09/dedicated-flu-shot-days/) - Every year Trinity hosts several days where our patients can walk in and receive their flu shot quickly and from their health care team. We encourage our patients to get vaccinated from influenza regularly and we want to make this process as simple as possible. We also want our patients to know that their health - [Pumpkin Chili](https://trinitymedassoc.com/09/pumpkin-chili/) - Pumpkin Chili Recipe Type: Soup Author: wellness mama Prep time: 10 mins Cook time: 20 mins Total time: 30 mins Serves: 4 With Fall starting to settle in...what is better than a little bit of chili & a little bit of pumpkin?! Marry the two & you have a stellar combination! Great for your next - [A Good Commentary on the Modern Medical System](https://trinitymedassoc.com/09/a-good-commentary-on-the-modern-medical-system/) - As the winds of medical practice have shifted over the last several years, many physicians are calling into question the medical model under which we have worked for the last couple decades. It is an interesting discussion to understand how we ended up in this medical system but that is for a later date. One - [Fever Without Fear - HealthyChildren.org](https://trinitymedassoc.com/10/fever-without-fear-healthychildren-org/) - So it's 2A.M. and your son wakes you up crying. As you touch him you notice he is burning up. What should you do and (more importantly) why should you do it? Here's a good article written by American Academy of Pediatrics on dealing with fever. Hopefully it will help answer some of your questions - [Low fat, plant based nutrition study causes a lowering in HDL](https://trinitymedassoc.com/10/low-fat-plant-based-nutrition-study-causes-a-lowering-in-hdl/) - Here's a link to an interesting 30 day dietary intervention study out of Australia where over 5000 people were self selected to participate in a standard program which advocates a low fat, plant based diet. Here's the study's description of the nutrition intervention: The CHIP intervention, previously described, encouraged and supported participants to move towards - [Pumpkin Cheesecake](https://trinitymedassoc.com/10/pumpkin-cheesecake/) - Pumpkin Cheesecake Prep time: 20 mins Cook time: 1 hour Total time: 1 hour 20 mins. A creamy pumpkin cheesecake made with healthy real-food ingredients and minimal sweetener! Serves: 6-8. Recipe credit: http://wellnessmama.com/3351/pumpkin-cheesecake/ (I slightly modified a few things from the original version) Ingredients Crust: •About 1 cup of almonds, pecans or hazelnuts, finely powdered - [Gallbladder Blues](https://trinitymedassoc.com/10/gallbladder-blues/) - Gallbladder Blues “Toe in, toe in! Come on, retract, I can’t see what I’m doing!” These were the commonly heard urgings by gallbladder surgeons when I was a med student nearly thirty years ago. Gallbladders were removed through large incisions followed by long recovery periods. We students would scrub in and stand for a few - [The Nagging Sore Throat](https://trinitymedassoc.com/10/the-nagging-sore-throat/) - Over the past couple of weeks, one of the most common sick visit complaints in the office has been the nagging sore throat. The causes can be broad and range from allergies to viral or bacterial infections. One of the most common concerns among patients and providers alike is whether or not strep throat could - [Smoothie Pop Molds](https://trinitymedassoc.com/10/smoothie-pop-molds/) - I haven't been cooking new recipes as much lately but I have been preparing school lunches and afternoon snacks! I got the idea of smoothie pop molds from "100 days of real food" and my girls love them! Originally, I thought I would stick them in their lunches with an ice pack but I let them - [Asthma](https://trinitymedassoc.com/10/asthma/) - Asthma ​As I write this article, I am toasting by our fireplace after grabbing some wood from outside where the temperature is a brisk 29 degrees. The colder fall temperatures have rolled into East Tennessee like a freight train and winter feels close on its heels. I don’t mind it a bit, but for those - [Chicken Cordon Bleu](https://trinitymedassoc.com/10/chicken-cordon-bleu/) - If you are bored with chicken, here is a super yummy and easy way to change things up!!! We love us some chicken at the Fowler house hold, but I am always looking for new ways to spruce it up and get creative!!! Chicken doesn't have to be boring! You can enjoy it with many - [Recipe Review- Whole Wheat Waffles](https://trinitymedassoc.com/11/recipe-review-whole-wheat-waffles/) - Recipe Review- Whole Wheat Waffles Recipe Type: Breakfast Author: www.100daysofrealfood.com We are always jumping on carbs over here at TMA and if you are limiting carbs, I would bypass these guys. But we also stress the importance of "REAL, WHOLE FOODS." and minimal to no processed foods. My girls asked for waffles the - [Wellness Nurse](https://trinitymedassoc.com/11/wellness-nurse/) - What is a "Wellness Nurse"? Have you experienced this before? At your yearly medical appointment, lab work reveals a high glucose and triglyceride level. A prescription for lifestyle changes is given and you are instructed to return in 3 months for repeat lab work. A caution is given: if lab values do not improve, you - [You can't out supplement poor eating](https://trinitymedassoc.com/11/you-cant-out-supplement-poor-eating/) - Many of our patients are on a slew of supplements for which they have spent a pretty penny and while some supplements have their place in health; they can't make up for a poor diet. There are many parts of overall health: (healthy eating, exercise, adequate sleep, supplements when necessary, stress reduction, etc.). We tend to focus - [An Epidemic of Minutia](https://trinitymedassoc.com/11/an-epidemic-of-minutia/) - I very much hesitate to comment even briefly on the state of practicing medicine in the U.S. My outlook is that of just one foot-soldier in one particular place and setting (one that I thoroughly enjoy). Better minds and broader experiences are certainly available. Likewise, I do not want to appear to be whining when - [Influenza is lurking](https://trinitymedassoc.com/11/influenza-is-lurking/) - Several border states are reporting influenza activity. If you are thinking about getting your influenza vaccination, now is the time. Stop by today and get your vaccination! Protect yourself and your family from this often deadly infection. - [Baked spaghetti squash and cheese](https://trinitymedassoc.com/11/baked-spaghetti-squash-and-cheese/) - Baked spaghetti squash and cheese Recipe Type: side dish Prep time: 20 mins Cook time: 90 mins Total time: 1 hour 50 mins Serves: 7 cups A fantastic casserole dish, full of flavor, and it even includes one of my favorite SUPERFOODS=Spinach! Recipe has been slightly modified from its original. Recipe credits and photos can - [Roasted Broccoli with parmesan](https://trinitymedassoc.com/11/roasted-broccoli-with-parmesan/) - One of my favorite sides! My hubs was not a huge veggie fan when we met 10 yrs ago!!! He actually had NEVER had a salad before, this is a TRUE story!!! He liked NOTHING green, but as time has passed and I have continued to introduce vegetables in all kinds of new ways, steamed, - [Taco, salsa chicken](https://trinitymedassoc.com/11/taco-salsa-chicken/) - Ok guys!! Another super simple chicken recipe with multiple ways to enjoy it! Either as a main dish with some yummy veggie sides, over a salad with some added cheese and sour cream, or on a low carb wrap! Extremely convenient to set and forget in the crock pot overnight, while at work, or bake - [Thankful for our Senses](https://trinitymedassoc.com/11/thankful-for-our-senses/) - “Dad, your hand was on fire!” So summarized my youngest daughter after watching my culinary disaster unfold in front of her. We had been chatting as I began to pop some corn the old-fashioned way – in hot olive oil in a pan. As the oil heated, the popcorn kernels were not where I thought - [Adolescent Obesity](https://trinitymedassoc.com/12/adolescent-obesity/) - Adolescent Obesity and Overweight “That was awesome!” OK, admittedly that is not a phrase that is usually uttered as a patient exits one of my exam rooms. This was an 11 year old boy, Sam, who had just heard some very encouraging news. Some five months earlier he had come in with abdominal pain - [Flu Time](https://trinitymedassoc.com/12/flu-time/) - Flu Time “It’s the most wonderful time of the year…” So states one of the frequently-heard Christmas songs. And in many ways, it can be wonderful. At the same time, from a health perspective, it’s a time to take a few extra precautions. You may notice a few extra sniffles and coughs around you. - [Coffee Talk](https://trinitymedassoc.com/12/coffee-talk/) - Save the Date for “Coffee Talk” Coffee Talk is a monthly educational series open to Trinity patients, the community, and VitalSigns members. It meets the first Thursday of every month at 10:30am-11:30am at our VitalSigns facility in Hardin Valley. A great cup of coffee is provided by our neighbor, Cozy Joes. Feel free to - [Dispensary Milestone: 100,000 prescriptions filled](https://trinitymedassoc.com/01/dispensary-milestone-100000-prescriptions-filled/) - Last week our dispensary passed a big milestone. Since the opening of our in-office dispensary we have filled over 100,000 prescriptions for our patients. Our in-office dispensary serves only Trinity patients and only fills prescriptions written by Trinity providers. This means we have an unparalleled ability to serve our patients. Darrell, Cheryl, and Crystal get - ["Mock" Garlic Mashed Potatoes (cauliflower mashed potatoes)](https://trinitymedassoc.com/01/mock-garlic-mashed-potatoes-cauliflower-mashed-potatoes/) - Soooo, how many of you all are meat and potatoes folks! :) Well, my husband and father sure are!!! However, this Christmas they were in for a treat for a MUCH healthier option!!! It has the same texture and looks JUST like mashed potatoes for a fraction of the carbs! They are sooo delicious!!! My - [Sleep and Your Health](https://trinitymedassoc.com/01/sleep-and-your-health/) - Sleep – at its best it’s a wonderfully refreshing period where we physically and emotionally get reset for another day. But for an estimated 70 million Americans, one of the over 80 different sleep disorders intrudes on their ability to get a good night’s sleep. Everything from sleep apnea to restless leg syndrome to simple - [Wellness Newsletter- January 2014](https://trinitymedassoc.com/01/wellness-newsletter-january-2014-2/) - Click the link below to check out our latest wellness newsletter. Topics include : ACCOUNTABILITY, TESTIMONIALS, CELEBRATION WALL, WELLNESS NURSE, VITAL SIGNS Wellness Newsletter- JAN 2014- web version - [Low Carb Apple Crisp](https://trinitymedassoc.com/01/low-carb-apple-crisp/) - This is an incredible dessert and the recipe was given to me by one of my dearest pts!! I have made a few "tweeks" so feel free to do the same!! This dessert does have some carbs in it, as we know that 1 medium sized apple has approx 17-18 net carbs in it and - [Stayin' Alive takes on a whole new meaning](https://trinitymedassoc.com/01/stayin-alive-takes-on-a-whole-new-meaning/) - Check out this Public Service Announcement from our friends across the pond. https://www.youtube.com/watch?feature=player_embedded&v=ILxjxfB4zNk - [Raynaud’s: More Than Just Cold Fingers and Toes](https://trinitymedassoc.com/01/raynauds-more-than-just-cold-fingers-and-toes/) - ​During this recent cold snap I got to sneak out to Ober Gatlinburg with some of my family – tame skiing for my wife and me, and a little more edgy snowboarding for the kids. The wind chill was pretty impressive and the toes and fingers were getting chilled. My youngest daughter peeled off her - [Spicy Kale Stuffed Chicken](https://trinitymedassoc.com/02/spicy-kale-stuffed-chicken/) - During these cold & blustery winter days (mixed in with 50s & sunny! ha!) I find myself craving warm dishes (both temperature warm & "spicy seasoned" warm. This recipe is a nice way to spice up the usual routine of grilled chicken, not to mention a great way to get your veggies in a unique - [What should you know about fevers?](https://trinitymedassoc.com/02/what-should-you-know-about-fevers/) - I was recently asked by Maralee Bradley, host of a great blog on adopting, parenting, and fostering children entitled A Musing Maralee, to answer some of her reader generated questions on fevers, the common cold, and influenza. I've had the privilege to do this before for her on a series of questions regarding vaccinations. It - [Why is nutrition confusing?](https://trinitymedassoc.com/02/why-is-nutrition-confusing/) - Gary Taubes wrote a very good op-ed in the NY Times asking that very question. The link is here. - [Eating out Low Carb?](https://trinitymedassoc.com/02/eating-out-low-carb/) - Is it possible? Is it really possible? One of the common things I hear from patients over and over again is "I want to eat healthy, but I have to eat out all the time." What if I told you that there were great options at most any and all restaurants...including fast food!??! Well, its true. - [How's Your Heart?](https://trinitymedassoc.com/02/hows-your-heart/) - Maybe it’s the countless images of hearts everywhere I turn during this Valentine’s Day season, but it seems we should talk a little about protecting our hearts. If we were living in the U.S. in 1900, the top three causes of death would all be infectious diseases: flu and pneumonia (lumped together), tuberculosis, and gastrointestinal - [Low fat? Margarine? No eggs?](https://trinitymedassoc.com/02/low-fat-margarine-no-eggs/) - This is an interesting article and very consistent with what we teach at TMA! http://www.businessinsider.com/whats-wrong-with-the-modern-diet-charts-2014-2 - [Cold or Flu?](https://trinitymedassoc.com/02/cold-or-flu/) - Here is the next post in the series I did for A Musing Maralee's blog. I answer some of her reader questions concerning the common cold and influenza infections. You can find the original blog post here. What is the biggest mistake you see parents making in treating the common cold or flu? If a - [Antibiotics: When and Why?](https://trinitymedassoc.com/02/antibiotics-when-and-why/) - This is part three of my question and answer session for the A Musing Maralee blog. Today I focus on antibiotic use and touch on overprescribing. The original article can be found here. Andy Smith, MD wrote a related article on antibiotics found here. When do we need antibiotics? Are they over prescribed? What should - [School Lunch Box](https://trinitymedassoc.com/02/school-lunch-box/) - This is what my girls got for lunch today: Apple and Natural Peanut Butter sandwich ( we want nut or seed butters to be the nut or seed and possibly salt only. No sugar or extra oils) "Carbmaster" Yogurt from Kroger Turkey Pepperonis (beef ok too! Prefer nitrite/ preservative free) Baby Carrots - [Recipe Review- Chicken Pizzaiola](https://trinitymedassoc.com/02/recipe-review-chicken-pizzaiola/) - Chicken Pizzaiola Author: The Amercia's Test Kitchen Family Cookbook Prep time: 10 mins Cook time: 20 mins Total time: 30 mins Serves: 4 My hunny originally made this with a side of spaghetti squash for Valentines day and it was SO yummy! We made it again last week with a side of asparagus. He - [Bell's Palsy](https://trinitymedassoc.com/02/bells-palsy/) - ​What are you supposed to think when you wake up and half of your face isn’t working? That was the question one of my patients recently had to ask herself. When she smiled in the mirror, only the left side of her mouth went up. When she tried to close her eyes, only the left - [Steak Pizzaiola](https://trinitymedassoc.com/03/steak-pizzaiola/) - Steak Pizzaiola Recipe Type: Dinner Prep time: 20 mins Cook time: 15 mins Total time: 35 mins Serves: 4 Ingredients 1 1/4 lbs boneless sirloin steak Kosher salt 2 tablespoons extra virgin olive oil (EVOO) 4 cloves of garlic, smashed 1 large onion (sliced 1/4 inch thick) 2 bell peppers (1 red, 1 yellow)- sliced - [Unintentional Medication Overdoses](https://trinitymedassoc.com/03/unintentional-medication-overdoses/) - “I want ice cream!” My four year old daughter, Abby, had spotted her two year old brother Dan wolfing down the last of the ice cream under the watchful eye of mom and dad. This was unheard of in the middle of the day. Ice cream was an after dinner treat only. My response to - [Chicken Stuffed Peppers](https://trinitymedassoc.com/03/chicken-stuffed-peppers/) - I absolutely LOVE stuffed peppers and there is already an amazing stuffed pepper recipe available on this blog, but a great friend of mine created their own recipe the other day and treated us all to a super tasty dinner and it was so yummy, I had to share! A little back story, this great - [A New Twist on Eggs!](https://trinitymedassoc.com/03/a-new-twist-on-eggs/) - A New Twist on Eggs! Recipe Type: Breakfast Cuisine: Almond, Cheese, and Rosemary Omelet Prep time: 10 mins Cook time: 10 mins Total time: 20 mins Serves: 4 Ingredients 1 Tbsp. Olive oil oil ½ cup Sliced Almonds 1 Tbsp. fresh rosemary leaves from 2 "stalks" rosemary, removed from stems ½ tsp. plus 1 pinch - [VitalSigns Fit Kids](https://trinitymedassoc.com/04/vitalsigns-fit-kids/) - We're super excited to announce the next session of VitalSigns Fit Kids will be starting April 8th and run through May 29th. This program has been designed by the physicians at Trinity and is led by the trainers at VitalSigns. We wanted our children and patients ages 5-12 years old to have a great place - [Vertigo](https://trinitymedassoc.com/04/vertigo/) - Over twenty years ago, my receptionist at the time was occasionally plagued with bouts of vertigo. During these bouts, when she had to move around the office she’d move ever so carefully, trying to turn her head as little as possible and as slowly as possible. The wrong move or turn of the head would - [If diabetes is a problem of too much sugar....](https://trinitymedassoc.com/04/if-diabetes-is-a-problem-of-too-much-sugar/) - Check out this piece on getting to work helping patients instead is sitting around acting like no one knows what to do. What to do if my foot caught fire Remember that simple isn't always easy and hard isn't always complicated. Come see our Nutrition and Wellness Counselors if you want to know the simple - [Cauliflower Buffalo Wings](https://trinitymedassoc.com/04/cauliflower-buffalo-wings/) - Ok folks are you ready to "shake it up" a bit with some cauliflower?!!! Sounds exciting huh! :) Seriously, this recipe is super duper simple and loved by ALL, well most anyway! :) So, everybody loves some yummy buffalo wings and this is a super easy way to get in those veggies and provide a - [A View From the Other Side](https://trinitymedassoc.com/04/a-view-from-the-other-side/) - A View From the Other Side “So, I was body surfing off the coast of Nigeria…” Not a bad way to start an explanation of why your shoulder is injured; definitely better than my later explanation for my burned and bandaged hand a couple months later: “I was making popcorn in the kitchen when…” But - [Fresh Fruit Pie](https://trinitymedassoc.com/04/1671/) - Well folks, spring is in the air, the warm weather has arrived, and the fruits are finally starting to look super fresh & delicious! All the fruit screams to be used in a fresh pie, doesn't it? Did you know that by making a few simple switches, you can make a pie that is much - [Big Mac In A Bowl](https://trinitymedassoc.com/05/big-mac-in-a-bowl/) - Recipe Type: Salad Author: Linda's Low Carb Recipes Prep Time: 15 minutes Cook Time: 0 minutes Total Time: 15 minutes Serves 2-4 Ingredients 1/2 pound raw ground beef-- Ideally lean beef (grass fed or 93/7) * Salt and pepper, to taste 1 slice deluxe American cheese, broken up 1 teaspoon minced dry onions (or frozen - [Pakistani Kima](https://trinitymedassoc.com/05/pakistani-kima/) - Prep time: 10 mins Cook time: 20 mins Total time: 30 mins An easy one-pan skillet meal with delicious flavor and aroma. Kids love this! Author: Wellness Mama Recipe type: Main Cuisine: Pakistani Serves: 4-6 Ingredients: 1 large onion, finely diced 1 pound ground beef (or venison, buffalo, etc) 1 (15 ounce) can or jar - [Low Carb Pizza](https://trinitymedassoc.com/05/low-carb-pizza/) - Ok folks, I don't know about you all but PIZZA is a FAV in my house!!! and most of my patients do NOT like the idea of giving this up when they take on a low carb lifestyle....GOOD NEWS....you don't have to! There are several recipes for low carb crust which you can find by - [Grilling out Low Carb](https://trinitymedassoc.com/05/grilling-out-low-carb/) - Hello and Happy Summer! With Memorial Day coming up this weekend, I figured it would be worth talking about some GREAT options for grilling out that are also great choices that won't break the bank if you are trying to watch your carbs... MAIN ENTREE: - Burgers or Hot Dogs wrapped in lettuce wraps are - [Avocado & Tomato Salad](https://trinitymedassoc.com/05/avocado-tomato-salad/) - Prep Time: 15 minutes Cook Time: 0 Total Time: 15 minutes Serves: 4-6 Ingredients - Chilled Cherry Tomatoes (cut in half) - 3-4 Ripe Avocados (sliced/dice) - 1 Red Onion (optional) - Juice from Half a Lemon - Olive Oil - Handful of Chopped Cilantro (some use ~1/4 cup finely chopped Parsley) - Pepper (if - [Low carb sausage balls](https://trinitymedassoc.com/06/low-carb-sausage-balls/) - Ingredients: 1 1/2 cups almond meal/flour 1/2 pound ground sausage-preservative free 4oz shredded cheddar cheese or colby jack cheese (reduced fat) 1/3 pack of reduced fat cream cheese (approx. 2-3 oz.) 1 egg (makes approx. 32 balls at about 1.5 net carbs each) Directions: Preheat the oven to 375. Put all ingredients together in a large mixing - [VitalSigns Baby](https://trinitymedassoc.com/06/vitalsigns-baby/) - Hi friends! It's my first week back from maternity leave and whew... it is one thing to counsel and educate new mommas as a healthcare provider. It is a whole other ballgame to be a new momma!! I wanted to start this blog series as my baby grows. Trinity Medical has an INCREDIBLE focus on - [Cheesy meatloaf minis](https://trinitymedassoc.com/07/cheesy-meatloaf-minis/) - Cheesy Meat Loaf Minis Ingredients: 1/2 cup fresh breadcrumbs (about 1 ounce) (I used 1 slice of low carb bread-my favorite is Sara Lee Healthy Multi-grain= 6 net carbs/slice) Cooking spray 1 cup chopped onion 2 garlic cloves, chopped 1/2 cup ketchup, divided (Heinz makes a reduced sugar ketchup) 3 ounces white cheddar cheese, diced - [VitalSigns Baby- Car Seats](https://trinitymedassoc.com/07/vitalsigns-baby-car-seats/) - You are not allowed to leave the hospital with your new little love bug without a car seat and he/ she will frequent some type of special car seat until their 9th birthday!! (According to TN law as of 6/2014) So what are the rules now anyway?! Child Restraint Law Source: TN Dept. of State - [Strawberry Salad](https://trinitymedassoc.com/07/strawberry-salad/) - Ok folks for all of you out there who don't like to cook, here is a super simple, super yummy idea for lunch or dinner! Each person can kinda build their own depending on what their favorite add-ons are! So, confession time......my family has been in the process of selling a house and moving over - ["Fed up" movie review](https://trinitymedassoc.com/07/fed-up-movie-review/) - Click here to watch the trailer: "Fed up" movie trailer "Fed Up" is a documentary that examines the role of sugar in the obesity epidemic. Any documentary should be watched with an open mind to challenge us to think of things in a new light. "Fed Up" was very eye opening in - [PAD](https://trinitymedassoc.com/08/pad/) - Peripheral Vascular Disease "My new shoes fit kind of tight and they rubbed some skin off the top of my big toes. Can you take a look at them?" Normally that question would be no big deal. But when the patient has weak to non-existent pulses in their feet, diabetes, and smokes, it can be - [Exertional Headaches](https://trinitymedassoc.com/08/exertional-headaches/) - "Pretty much every time I’m done with soccer practice I have a headache.” Sam, a 20 year old college soccer player, had finally decided it was time to get this problem checked out. “And usually the harder and hotter the practice the more intense the pain. Sometimes it makes me a little sick at my - [Zucchini Noodles with Lemon-Garlic Spicy Shrimp](https://trinitymedassoc.com/08/zucchini-noodles-with-lemon-garlic-spicy-shrimp/) - Zucchini Noodles with Lemon-Garlic Spicy Shrimp Author: http://www.skinnytaste.com/2014/04/zucchini-noodles-zoodles-with-lemon.html Serves: 2 Ingredients 1 1/2 teaspoons olive oil Pinch crushed red pepper flakes 4 oz peeled and deveined shrimp 2 cloves garlic, sliced thin and divided 1 medium zucchini, spiralized pinch salt and fresh black pepper 1/4 lemon 1/4 cup halved grape tomatoes Instructions Heat a medium - [Cabbage and beef stew](https://trinitymedassoc.com/08/cabbage-and-beef-stew/) - Ingredients 1 lb. ground beef 1/2 teaspoon garlic salt 1/4 teaspoongarlic powder 1/4 teaspoonblack pepper 3 clovesgarlic, finely chopped 1/4 cup chopped onion 2 stalks celery, chopped 1 (8 ounce) can kidney beans, un-drained 1/2 head cabbage, chopped 1 (28 ounce) can diced tomatoes, liquid reserved 2-3 cups of water (to desired consistency) 4 beef bouillon - [The end comes from the beginning](https://trinitymedassoc.com/08/the-end-comes-from-the-beginning/) - Being board certified in Internal Medicine and Pediatrics and working in a full spectrum primary care practice I get to see all types of people every day. Yesterday, for instance, I took care of a two week old and then went across the hall to care for a 99 year old. I absolutely love that - [Recipe Review- Slow Cooker Ribs](https://trinitymedassoc.com/08/recipe-review-slow-cooker-ribs/) - Slow Cooker Ribs Author: www.wellnessmama.com The rubber has hit the road with going back to work full time, 3 kids at home, and trying to cook healthy for our family. Slow cooker recipes are a must!! Adjust spices and sweetener to fit your own taste! Ingredients •4 pounds of beef or pork ribs, - [Recipe Review- Vegetable Tian](https://trinitymedassoc.com/08/recipe-review-vegetable-tian/) - Vegetable Tian Serves: 6-8 **using a mandolin makes quick work of slicing vegetables but be careful! Option: Can add yellow squash slices too using an 8x8 dish or substitue squash for potatoes Ingredients 1 T. olive oil and 1 T. butter 2 medium sweet or yellow onions, quartered and sliced 4 plum tomatoes, sliced ¼” - [ALS Challenge](https://trinitymedassoc.com/08/als-challenge/) - Our front office staff was challenged to do the ALS Ice Bucket Challenge. Since we see patients from all walks of life in our practice, we enjoyed the opportunity to help raise awareness and to support the research to find treatments and a cure for ALS. We encourage you to go to www.alsa.org to check - [Red Lumps](https://trinitymedassoc.com/08/red-lumps/) - “Your diagnosis is, red lumps.” That’s just not a medical pronouncement that is going to impress anyone. So medical terminology has supplied the much more striking term, erythema nodosum, which means, you guessed it, red lumps. But all the jargon aside, erythema nodosum is indeed a very specific, though incompletely understood, entity. It’s not exceedingly - [Ice Bucket Challenge Accepted](https://trinitymedassoc.com/08/ice-bucket-challenge-accepted/) - I was nominated to complete the ALS ice bucket challenge by the wonderful front office staff here at TMA. I accept and have completed my challenge; bowtie and all. My children, Jon and Maddy, also accept and nominated their friends. Dr McColl's Ice Bucket Challenge - [ALS Challenge Accepted and callout](https://trinitymedassoc.com/08/als-challenge-accepted-and-callout/) - Notice how excited Dr. Pardue is... - [Dr. Smith accepting the ALS challenge solo](https://trinitymedassoc.com/08/dr-smith-accepting-the-als-challenge-solo/) - [Maryville Office responding strong](https://trinitymedassoc.com/08/maryville-office-responding-strong/) - Nice technique Dr. Smith!!!! - [Vital FIT](https://trinitymedassoc.com/08/vital-fit/) - Free fitness classes with a non-perishable food for Second Harvest Foodbank - [Information on Ebola](https://trinitymedassoc.com/09/ebola-resources/) - Here are two links to some high quality resource material on Ebola and it's associated Marburg virus. It's a good reminder that we live in a world full of microbes who desire to use us as their food source and means of propagation. Without all our defensive mechanism, both those inherent to our physical bodies - [Chocolate coconut bark](https://trinitymedassoc.com/09/chocolate-coconut-bark/) - If you struggle with a sweet tooth like myself! :) then THIS is your answer!! Its's super easy, only THREE ingredients, and can be made in MINUTES!! Sounds like a perfect recipe for this busy momma! Ingredients: 4 tbsp of coconut oil (organic) 2 tbsp of splenda (or your choice of artificial sweetener; may need - [Original Research: Low-carb versus Low-fat diets](https://trinitymedassoc.com/09/original-research-low-carb-versus-low-fat-diets/) - Another bit of original research has recently been published in the Annals of Internal Medicine comparing a low carbohydrate diet and a low fat diet. It evaluated the effects on weight loss and other cardiovascular markers in patients who are at risk for cardiovascular disease but had no known disease yet. Nutritional studies are often - [Low Carb Pizza Bites!](https://trinitymedassoc.com/09/low-carb-pizza-bites/) - Low Carb Pizza Bites! Recipe Type: Tailgate Appetizer Author: Stephanie Schneider Prep time: 5 mins Cook time: 10 mins Total time: 15 mins Yall, this recipe is sooo easy and soooo good! Football Saturdays lend themselves to some awesome appetizers and many of them require just 1 or 2 minor switches & they become a - [Gastritis: More Than Just Gas](https://trinitymedassoc.com/09/gastritis-more-than-just-gas/) - “Wait you think I just have gas? This definitely feels like more than that.” Patty, my thirty-something patient was expressing a common confusion. After hearing her symptoms and examining her, I had told her that I thought she likely had gastritis. But only the “gas” part of that diagnosis had jumped out to her. So - [Kickin' Chili](https://trinitymedassoc.com/09/kickin-chili/) - Kickin' Chili Recipe Type: Crockpot Author: Peace Love and Low Carb Now that it's officially football time in Tennessee it's time for some healthy hosting and tailgating foods! Chili is my favorite go-to when hosting a football get together but the beans can make it too high in carbohydrate. This is a simple, healthy - [The luxury of obesity](https://trinitymedassoc.com/09/the-luxury-of-obesity/) - Ever thought about the fact that some people always assume that other people who are overweight are worse off than someone who isn't? Have you ever thought that yourself? I hear from patients all day long about how they feel okay about their health even when they have an awful diet and no exercise habit. - [Low-Carb Blueberry Cream Cheese Coffee Cake](https://trinitymedassoc.com/09/low-carb-blueberry-cream-cheese-coffee-cake/) - Blueberry Cream Cheese Coffee Cake (Low carb and gluten free) Ingredients: 3 cups almond meal 1 ½ cups sugar substitute (liquid or powdered, see below) 3 eggs (real eggs-not the beaters :-) 1 teaspoon baking powder ½ teaspoon baking soda ¼ cup butter (4 Tablespoons), chilled and cut into small pieces ½ cup reduced fat sour - [When do I need my flu shot?](https://trinitymedassoc.com/09/when-do-i-need-my-flu-shot/) - In a weekly email I receive from the state health department it shows the state and national trends for the spread of influenza. I've included it below. You can see that Tennessee as a whole (and I'd include Knoxville in particular) starts to see influenza infections in early December. I recommend patients receive their vaccinations - [Recipe Review- Asian Poached Salmon](https://trinitymedassoc.com/09/recipe-review-asian-poached-salmon/) - Recipe Review- Asian Poached Salmon Recipe Type: Slow Cooker Author: Emeals.com Serves: 6 Use wild caught salmon (not farm raised). Salmon is an AWESOME source of good omega 3 fatty acids. I bought minced garlic in the jar instead of cloves to save time. I had to make this one on a weekend while I - [The best grocery store should be in your backyard](https://trinitymedassoc.com/10/the-best-grocery-store-should-be-in-your-backyard/) - The best food often comes from your own backyard. Home gardens and homesteading farms are less common these days but certainly sustained the thriving nations for centuries. Consider this: anything at the grocery store you could conceivably produce in your own backyard (given the freedom of time and friendlier HOA by-laws) is probably what you - [Diabetes: The Good, The Bad and The Ugly](https://trinitymedassoc.com/10/diabetes-the-good-the-bad-and-the-ugly/) - Mrs. Simmons looked somewhere between stunned and a little depressed. I had just informed her of the unwelcome news that her lab results showed she was now a diabetic. “How can that be, I feel as good as ever?” These days it’s a rather common thing in my office for me to be delivering this - [Pizza dip](https://trinitymedassoc.com/10/pizza-dip/) - Ok all, so here is a GREAT appetizer for you to share with your friends and family on game day, a tailgating favorite!!! Again, super duper simple! This is a trend with recipes I post, because I am super simple and can't find a ton of time with a 19 mo. old running around! He - [Mexican Chicken Soup](https://trinitymedassoc.com/10/mexican-chicken-soup/) - Mexican Chicken Soup Recipe Type: Dinner Cuisine: Mexican Author: Stephanie Schneider Serves: 6 As the air turns crisp, its time for soup! Here's a spicy recipe that will warm you up and satisfy while at the same time being a great choice for all our "low carb" friends! Enjoy! Recipe credit: Rachel Ray Ingredients 2 - [Atrial Fibrillation](https://trinitymedassoc.com/10/atrial-fibrillation/) - “Man, doc, I’m just tired and out of breath doing any little thing the last couple of weeks. Just walking in here I’m winded.” Mr. Saxon, a man in his sixties, had not been in great health, having various issues with high blood pressure, cholesterol, and blood sugar, but this was a definite change for - [VitalFest is tomorrow](https://trinitymedassoc.com/10/vitalfest-is-tomorrow/) - Don't forget that VitalFest is tomorrow. Come on out and have fun. Lots of games for the kids and other fun things to do. You can meet our staff, hear from our experts, or even try out the treadmills if you want. http://www.vitalsignswellness.com - [Easy Crustless Mini Pumpkin Pies](https://trinitymedassoc.com/10/2020/) - Easy Crust Less Mini Pumpkin Pies Author: Healthylivinghowto.com This is a great low carb, sweet treat for the fall holidays! Ingredients •1 15 oz. Can Pumpkin Puree •1 13.5 oz. Can Coconut Milk •1/2 Tbsp. Pumpkin Pie Spice •1/2 tsp. Celtic Sea Salt •1/2 c. Granular Sweetener -- for sugar-free I recommend Birch Xylitol or - [Savory Chicken Sausage and Mushroom Salad](https://trinitymedassoc.com/10/savory-chicken-sausage-and-mushroom-salad/) - I bet my family isn't the only family that is always looking for a quick but healthy dinner that all of us enjoy. We recently came across a delicious, preservative free chicken sausage from Aidells. It has become a go to favorite for all of us. It comes fully cooked so all we need to - [Necessities](https://trinitymedassoc.com/10/necessities/) - Proteins and fats are like air and water. You can't live very long without them. Carbohydrates are like Christmas presents. They are great to have but no one really needs them. - [Oh My Aching Pancreas](https://trinitymedassoc.com/10/oh-my-aching-pancreas/) - “Doc, I've just got a real bad old-fashioned gut ache.” Mr. Simms had his hand on his upper mid to left abdomen and winced as he made his statement. “It started yesterday and it’s just getting worse. Goes right through from my front to my back. Makes me feel like I need to puke but I haven’t - [JJ Unwich to the rescue](https://trinitymedassoc.com/10/jj-unwich-to-the-rescue/) - Jimmy John's Gourmet Sandwiches offers every sandwich they serve as an Unwich. They remove the bread and wrap it in lettuce leaves. It's a great alternative to the traditional sub sandwich when you're trying to stick to a low carb lifestyle. Remember that the next time your office chums go out for lunch. Thanks Jimmy - [Free t-shirts and free exercise?!?!?](https://trinitymedassoc.com/11/free-t-shirts-and-free-exercise/) - If you want a good reason to go exercise then here it is. Come work out at VitalSigns 30 times in November and December and get a free t-shirt. If can make it 45 times in those two months we'll pay for your January membership. VitalSigns as a division of Trinity Medical Associates specializes in - [Where there is smoke](https://trinitymedassoc.com/11/where-there-is-smoke/) - Have you ever been through a tragic and unexpected event like a car accident or house fire? Wouldn't it have been great if a couple days before the event the paramedics or the firefighters showed up at your house to warn you? What if they were able to point out the dangerous driving habits or - [Recipe Review- Breakfast Berry Bowl](https://trinitymedassoc.com/11/recipe-review-breakfast-berry-bowl/) - Did you make this? Did you like it or not? Make any changes? Let us know below! Recipe Review- Breakfast Berry Bowl Author: Terri Stewart- RN I am always looking for new, quick breakfast ideas and our own Terri delivered!! Dry ingredients can be assembled and placed in baggies in bulk until ready to use. - [Let food be thy medicine...](https://trinitymedassoc.com/11/let-food-be-thy-medicine/) - "Let food be thy medicine and medicine thy food" is a well-known quote attributed to Hippocrates, the father of medicine. My encouragement for you today is simple. Don't take a medication simply to avoid eating healthy food. Or perhaps, don't take a medication in the belief you are free to eat unhealthy food. For most - [Brocolli Gratin](https://trinitymedassoc.com/11/brocolli-gratin/) - Its November which means time to think about Thanksgiving Recipes. Thanksgiving doesn't have to be a holiday where you "fall off the wagon" with your food choices. There are great ways to make classic dishes that are delicious without packing on the carbs and sugar. Here is one of my favs: Brocolli Gratin Recipe Type: Thanksgiving - [Children aren't little adults and adults shouldn't be big children](https://trinitymedassoc.com/11/children-arent-little-adults/) - During my training in medical school and residency I often heard well meaning friends and family members mention that the specialty of Pediatrics should be easy because, after all, children are just little adults. The assumption was that kids and adults have the same set of problems. In reality, kids have their own unique set - [5 thoughts on nutrition and wellness....](https://trinitymedassoc.com/11/5-thoughts-on-nutrition-and-eating-well/) - 1) Just because its organic doesn't mean its good for you. 2) Gluten free often ends up being high carb-but it doesn't have to! (Gluten free diets often consist of tapioca and rice flour for baking; and rice, corn and potatos in several different varieties of food). Choose low carb & gluten free flours such as: - [Hide and seek is easy when you know where to look](https://trinitymedassoc.com/11/hide-and-seek-is-easy-when-you-know-where-to-look/) - The same is true with cardiovascular disease. It may seem obvious but one of the best ways to find a problem with your blood vessels that could lead to a heart attack or stroke is to actually look at the blood vessels themselves. Historically, the only way to measure what was going on inside a - [Chicken Enchilada Casserole](https://trinitymedassoc.com/11/chicken-enchilada-casserole/) - Ok guys this is my new rendition of the chicken enchilada," casserole style" :) It is super simple and makes an incredibly yummy mixture with a little kick, for little money, very little time, and can be used/ cooked/ eaten in multiple delicious ways! Ingredients: 1 Rotisserie chicken (simple truth from Kroger is one of - [Thankful for How We are Made](https://trinitymedassoc.com/11/thankful-for-how-we-are-made/) - Especially at this time of Thanksgiving, it is good to follow the advice of a three thousand year old Psalm which reminds us to, “Bless the Lord, O my soul, and forget none of His benefits.” My job mostly involves trying to help repair the deficits, damages, and diseases that happen to the human body - [Bacon Wrapped Green Bean Bundles](https://trinitymedassoc.com/11/bacon-wrapped-green-bean-bundles/) - Bacon wrapped green beans are a great low carb option for a Thanksgiving side dish! They are quick and easy to make but savory and delicious! Ingredients 2 Bags long string beans or frozen string beans 1 Package of bacon- preferable Nitrate/Nitrite free (Cut in half) 2 Tablespoons Splenda brown sugar (or regular) Olive Oil - [Cultivate an Attitude of Gratitude](https://trinitymedassoc.com/11/cultivate-an-attitude-of-gratitude/) - Novemember naturally seems to be a time of the year where we discuss what we are thankful for. Challenge yourself to adopt an attitude of gratitude, not just in November, but for a lifetime. Here are some tips below to help cultivate gratitude in our daily lives. Proverbs 17:22 says "A joyful heart is good medicine, - [Blueberry Muffins (gluten free and low carb)](https://trinitymedassoc.com/11/blueberry-muffins-gluten-free-and-low-carb/) - Blueberry Muffins (gluten free and low carb) Recipe Type: Breakfast Serves: 6 Ingredients 2 eggs 4 tbsp. melted butter 8 tbsp. splenda (or 4 tbsp. stevia and 4 tbsp. splenda; mixing 2 types helps reduce bitter aftertaste) 1/4 tsp. baking soda 1/2 tsp. sea salt 1 tsp. lemon zest (or 1 tbsp. of lemon juice) - [How to Not Catch a Respiratory Virus](https://trinitymedassoc.com/12/how-to-not-catch-a-respiratory-virus/) - It’s that time of year when a small tidal wave of coughing, sniffling, sometimes feverish folks are filing into the office. And you, my readers, would rather not be among them. So what can you do? Well first let’s take a moment and consider what we’re dealing with. Most of these respiratory infections are viruses. - [Free Fitness classes for January](https://trinitymedassoc.com/12/free-fitness-classes-for-january/) - Make Exercise More Enjoyable Find a Fitness Program That Matches Your Personality and Goals In support of our patients' desire to adopt healthy lifestyle habits that help prevent and reverse disease processes, during the month of January the VitalSigns monthly membership fee of just $25 (no initiation fees) will include unlimited free participation in selected VitalSigns fitness and training classes - ["Offering Your Body as a Living Sacrifice....with food!"](https://trinitymedassoc.com/12/offering-your-body-as-a-living-sacrifice-with-food/) - The following is a blogpost from a pastor of mine where I attended church in VA. It was refreshing to read his blogpost and hear a biblical perspective on food, discipline, and glorifying God. "The goal is not to look like everyone else but rather to truly use your body as an instrument for how - [Merry Christmas!](https://trinitymedassoc.com/12/merry-christmas/) - Merry Christmas to all our patients, family, and friends. We hope today is a wonderful celebration of the birth of our Lord Jesus. "For to us a child is born, to us a son is given; and the government shall be upon his shoulder, and his name shall be called Wonderful Counselor, Mighty God, Everlasting - [Exercise 2015](https://trinitymedassoc.com/12/exercise-2015/) - So here we are entering into a new year. Typically the gyms experience a wave of increased activity only to see it flatten out after a few weeks. Myriads of well-intentioned folks join up to make this the year that they get in shape, only to fall off the exercise wagon a short time later. - [Mexican "Rice"](https://trinitymedassoc.com/12/mexican-rice/) - Mexican "Rice" Recipe Type: Side Dish Author: http://deliciouslyorganic.net/mexican-rice-grain-free-paleo/ I have so many patients that say rice is such a huge part of their culture or just an easy go to side that there's no way they can cut it out. This is a great substitute for a starchy rice-like side dish without the guilt and - [Curied-Cashew Cauliflower](https://trinitymedassoc.com/01/curied-cashew-cauliflower/) - Curied-Cashew Cauliflower Recipe Type: appetizer Author: Recipe credit: www.onceagainnutbutter.com Serves: 6 A tasty treat! Vegan, gluten, and dairy free. Ingredients 1 head cauliflower, cut into large florets 1/2 cup Once Again Organic Cashew Butter 2 tbsp olive oil 2 tbsp curry powder 1/4 tsp kosher salt 1/2 cup salted cashews, roughly chopped Instructions Preheat - [Fruits and Veggies](https://trinitymedassoc.com/01/fruits-and-veggies/) - So I started this challenge with my family (me, hubby, 2 1st grade girls, 10 month old) this week to cut out processed foods in 14 weeks. Week 1: Eat a minimum of two different fruits or vegetables (preferably organic) with every breakfast, lunch, and dinner meal. We are on day 2 and not perfect but this - [Butternut Squash Soup](https://trinitymedassoc.com/01/butternut-squash-soup/) - Cozy up with this delicious winter soup! Butternut Squash Soup Recipe Type: Soup Author: 100 days of real food (adapted from Joy of Cooking) Cook time: 60 mins Total time: 1 hour Serves: 5-6 Ingredients 1 medium to large butternut or other winter squash (between 3 and 4 pounds) 3 tablespoons butter, unsalted (Kerrygold recommended) - [Anxiety and Panic](https://trinitymedassoc.com/01/anxiety-and-panic/) - “Did you see I was in the ER last week? I’d been shopping at Walmart and started getting all short of breath, chest pressure, heart pounding… I was sure I was having a heart attack. But they did the work-up, drew some blood, did an EKG, even put me on a treadmill… all totally normal. - [(Not so) Good Old Pneumonia](https://trinitymedassoc.com/01/not-so-good-old-pneumonia/) - “I’ve just been coughing up a little bit of junk … kind of sore in the chest when I do cough. I’ve got a bit of fever too. But overall I’m just really tired the last couple of days and winded when I go up the stairs. You think my smoking is finally catching up - [Forgetting your daily medications or vitamins?](https://trinitymedassoc.com/02/forgetting-your-daily-medications-or-vitamins/) - Rxmindme app Walgreens has a great app you can download on your phone called Rxmindme http://download.cnet.com/RxmindMe-Prescription-Medicine-Reminder-and-Pill-Tracker/3000-2129_4-75311057.html It's a great way to set up reminders for medications or vitamins. If medication has been prescribed by your healthcare provider there is an important reason they have recommended them. If high blood pressure, diabetes, thyroid, cholesterol, - [Cholesterol Myths](https://trinitymedassoc.com/02/cholesterol-myths/) - “So, my cholesterol’s running high? It’s probably all those eggs I’m eating. Give me a couple of months and I can fix that with my diet. I don’t want a heart attack… but I also don’t want to be on one of those statin drugs. Who wants something that saves your heart but then wrecks - [Rock-Paper-Scissors](https://trinitymedassoc.com/02/rock-paper-scissors/) - In the game of Rock-Paper-Scissors each choice has the possibility of winning. In the pursuit of health, patients often want to play a similar game of Diet-Exercise-Medication. Patients, one of which I am known to be from time to time, like to eat. They like to eat food that tastes good and makes them happy. - [Trigeminal Neuralgia](https://trinitymedassoc.com/03/trigeminal-neuralgia/) - “I keep getting this sharp stabbing pain from the corner of my mouth to the angle of my jaw. It feels almost like a jabbing electric shock and it’s excruciating. After that it starts getting better slowly over a few minutes. But I keep wondering when the next one’s going to hit.” My middle-aged patient - [Fever of Unknown Origin](https://trinitymedassoc.com/03/fever-of-unknown-origin/) - “Over the last few weeks I just keep getting these night sweats. I’m all achy and tired… I just don’t feel good. I’ve checked my temperature and it’s gone over 101 degrees several times in the last few weeks.” Mrs. Brown looked moderately ill, but after a physical exam the only abnormalities were her usual - [Common Warts](https://trinitymedassoc.com/03/common-warts/) - “Thirty eight… and seven.” “Nice.” Such was the interaction between one of my older brothers and me when he would return for a visit from college. I was eight years old and my brother always wanted to know how many warts I was up to and how many scars I had on my head; I - [Treadmill At Work!?](https://trinitymedassoc.com/04/treadmill-at-work/) - James Levine, an obesity expert at the Mayo Clinic who came up with the idea of the treadmill desk, told me that my experience was pretty typical. "There's a tendency to want to jump on the treadmill and walk for hours and hours a day," he says. "Don't do that. Certainly, at the absolute - [He is Risen!](https://trinitymedassoc.com/04/he-is-risen/) - In their fright the women bowed down with their faces to the ground, but the men said to them, “Why do you look for the living among the dead? He is not here; he has risen! Remember how he told you, while he was still with you in Galilee: ‘The Son of Man must be - [Aortic Aneurysm](https://trinitymedassoc.com/04/aortic-aneurysm/) - “Well Jim, the good news is your coronary calcium scan shows no calcified plaque on the arteries that supply your heart. The not so great news is that the biggest artery coming out of your heart, the aorta, shows the beginnings of an aneurysm.” “Hmmm, why don’t I have any chest pain or other symptoms?” - [Good medicine: Joy](https://trinitymedassoc.com/04/good-medicine/) - A joyful heart is good medicine, but a crushed spirit dries up the bones. (‭Proverbs‬ ‭17‬:‭22‬ ESV) Many of the problems that eat away at the heart of my patients are centered around feeling crushed and hopeless under all of life's hardships. No pill can fix that. If this describes you then I encourage - [Good medicine: Take advantage of opportunity](https://trinitymedassoc.com/04/good-medicine-take-advantage-of-opportunity/) - The sluggard does not plow in the autumn; he will seek at harvest and have nothing. (‭Proverbs‬ ‭20‬:‭4‬ ESV) Sometimes we work so hard surviving the daily battles of life when an easier day rolls along we fail to make good use of it. We accept the rest it provides. Fight the good fight every - [Good Medicine: Healthcare for everyone](https://trinitymedassoc.com/04/good-medicine-heathcare-for-everyone/) - Whoever closes his ear to the cry of the poor will himself call out and not be answered. (‭Proverbs‬ ‭21‬:‭13‬ ESV) Over the last five years this nation has watched many fundamental healthcare changes including the Affordable Care Act and the more recent SGR repeal and record breaking profit announcements from major insurance companies. Through - [Good Medicine: Honesty](https://trinitymedassoc.com/04/good-medicinehonesty/) - Whoever gives an honest answer kisses the lips. (‭Proverbs‬ ‭24‬:‭26‬ ESV) Solutions to our problems take many forms. Sometimes we want a fix and sometimes we want an answer. Often the fix is too risky or too uncertain but we want our problem better so bad we lose sight of that. Seek a physician or - [Weird Tongues](https://trinitymedassoc.com/04/weird-tongues/) - “I was looking at the back of my tongue and there are all these weird looking bumps. Have I got cancer or some kind of infection going on back there?” As I looked at Jack’s tongue I saw only the normal, though odd-looking, papillae that form the bumpy service of the back of the tongue - [Good Medicine: Defend yourself](https://trinitymedassoc.com/04/good-medicine-defend-yourself/) - Like a city whose walls are broken down is a man who lacks self-control. (‭Proverbs‬ ‭25‬:‭28‬ NIV96) A city that never comes under attack from outside forces has no need of walls. We only build walls to defend ourselves from the enemy. When we lack self-control we allow the enemy, in whatever form it may - [Good Medicine: The choice of a fool](https://trinitymedassoc.com/04/good-medicine-the-choice-of-a-fool/) - Like an archer who wounds at random is one who hires a fool or any passer-by. (‭Proverbs‬ ‭26‬:‭10‬ NIV) McDonalds has perfected the art of consistency. Everywhere you go a Big Mac is the same. Not true for the medical profession or healthcare as a whole. The people who live out their jobs by taking - [Good Medicine: Simpleness](https://trinitymedassoc.com/04/good-medicine-simpleness/) - The prudent see danger and take refuge, but the simple keep going and pay the penalty. (‭Proverbs‬ ‭27‬:‭12‬ NIV) Think of it less as an exhortation to wisely take refuge from danger but rather a barometer by which you can judge your grasp of wisdom. -mbm - [Reading is fundamental](https://trinitymedassoc.com/05/reading-is-fundamental/) - Read with your children. Reading to them is great at first but make sure you read with them too. Sharing a book is sharing an experience. Encouraging one another as you read, intentionally talking about the points of the story, and growing that desire to explore and learn in your children is a powerful way - [Low Carb Tedx Talk](https://trinitymedassoc.com/05/low-carb-tedx-talk/) - Watch this great talk on low carb nutrition by an obesity doctor. So good and so much of what we teach at VitalSigns every day. Come see us and reverse disease and be free of diabetes. https://youtu.be/da1vvigy5tQ - [Soda and heart disease](https://trinitymedassoc.com/05/soda-and-heart-disease/) - Interesting study looking at heart disease risk after drinking soda. http://www.ehla-europe.eu/blog/2015/05/06/does-it-only-take-two-weeks-for-sugar-sweetened-beverages-to-increase-cardiovascular-risk/ - [Do know you know your blood sugar past, present, and future?](https://trinitymedassoc.com/05/do-know-you-know-your-blood-sugar-past-present-and-future/) - "Those who cannot remember the past are doomed to repeat it." -George Santayana, Life of Reason, Vol 1, Reason in Common Sense Understanding where we are and where we've been helps us understand where we are going. We use three blood tests to help people understand their past, present, and future as it relates to - [Health](https://trinitymedassoc.com/05/health/) - We shouldn't consider health a destination at which we hope to arrive but rather a direction we travel on the road of life. No matter how far I may travel across this great world I can always turn towards home and start walking--one step in the right direction and one step at a time. You - [Celebrate Pentecost](https://trinitymedassoc.com/05/celebrate-pentecost/) - And it shall come to pass that everyone who calls upon the name of the Lord shall be saved.’ Now when they heard this they were cut to the heart, and said to Peter and the rest of the apostles, “Brothers, what shall we do?” And Peter said to them, “Repent and be baptized every - [Kidney Stone Prevention](https://trinitymedassoc.com/06/kidney-stone-prevention/) - As I entered the exam room, Harry, one of the biggest toughest guys I have as a patient, was on his hands and knees rocking back and forth on the exam table and crying. This guy is about 6’ 4 inches tall, weighs about 240 pounds and normally wears a huge smile beneath his mountain-man - [Egypt and Us](https://trinitymedassoc.com/06/egypt-and-us/) - Last week I had the opportunity to visit Egypt and, among other things, take part in some medical clinics. The medical care in Egypt is reasonably good in many areas, but not so much in the very poor section we served outside of Cairo. Looking out of the window of the little bus as we - [Poison Ivy](https://trinitymedassoc.com/07/poison-ivy/) - Sarah, one of the young ladies in my practice in her late teens, sat on the exam table looking just a bit like a picture I once saw of a frog that had been stung by a few dozen bees. Her eyes were almost swollen shut. Her ears, lips and cheeks were puffy and red. - [The Times They are a Changing](https://trinitymedassoc.com/07/the-times-they-are-a-changing/) - I am blessed by the fact that I really do love what I do as a physician. I love seeing folks every day and seeking to sort through the problems they’re struggling with, figure out what malady is underlying their symptoms, effectively treat it, make plans with them for preventing other big problems down the - [Low Carb shopping at Costco](https://trinitymedassoc.com/07/low-carb-shopping-at-costco/) - Here's a post from Jimmy Moore, famed internet blogger and low carb self-experimenter, showing what he buys at a warehouse superstore that fits his eating plan. There are some good ideas here and obviously plenty to eat! Low Carb At Costco - [Direct Primary Care](https://trinitymedassoc.com/08/direct-primary-care/) - Article update: To learn more about Trinity's Direct Primary Care program please visit www.trinitydpc.com or call our DPC headquarters at 865-244-1800. Two weeks ago we talked about the challenges of today’s medical care. Without repeating ourselves too much, it boils down to patients paying more and more for insurance that seems to cover less and - [25 years of God's blessings](https://trinitymedassoc.com/08/25-years-of-gods-blessings/) - 25 years ago Dr Allsop and Dr Pardue shared a calling to honor God by opening a primary care practice In Knoxville. Over the years and with various name changes they have been faithful to His call by building Trinity to what it is today. I'm blessed to be a part of this great practice - [Free exercise classes](https://trinitymedassoc.com/08/free-exercise-classes/) - VitalSigns is celebrating going back to school by hosting free classes in September. - [Bursitis: Water on the Elbow](https://trinitymedassoc.com/08/bursitis-water-on-the-elbow/) - “So what’s this little water balloon on my elbow? Doesn’t really hurt; just feels kind of weird to rest my elbow on anything. And I didn’t really do anything much to hurt it as far as I know.” To cut to the chase, this patient had something called olecranon bursitis. Olecranon is just the name - [Coming Soon: Trinity Medical Associates of Hardin Valley](https://trinitymedassoc.com/08/coming-soon-trinity-medical-associates-of-hardin-valley/) - I am pleased to announce that Trinity is in the final stages of developing a satellite office in Hardin Valley. I plan on opening in January 2016 and will be staffing this clinic full time. Being board certified in both Pediatrics and Internal Medicine, I'm excited to be able to provide a full spectrum of - [Hypothyroidism](https://trinitymedassoc.com/09/hypothyroidism/) - “Well I know I’m tired, but we do have three young children in diapers and I’m not sleeping well. It’s probably just normal exhaustion.” My wife’s explanation certainly made sense, but it was so easy to check a thyroid level that we went ahead anyways. And low and behold, it showed that besides her “normal - [Grandma's cough remedy](https://trinitymedassoc.com/09/grandmas-cough-remedy/) - Every fall those annoying respiratory infections start getting passed around. Most are short lived and minor. They don't require antibiotics or homeopathic medications to resolve. Thankfully, our body will cure itself if given enough time. However, there are lots of options to help improve symptoms while the body is clearing the infection. One over-the-counter 'medicine' - [First Principles: Listen to your patient](https://trinitymedassoc.com/10/first-principles-listen-to-your-patient/) - At the University of Tennessee Health Science Center in Memphis where I attended medical school I had many excellent teachers. These teachers spent countless hours at patient bedsides personally instructing me and my classmates using the principles established by Sir William Osler, MD. In the early 1900's, Dr. Osler pioneered the teaching method of bringing - [What is Direct Primary Care?](https://trinitymedassoc.com/10/what-is-direct-primary-care/) - Since I announced the addition of a Direct Primary Care program to the services offered through Trinity I've gotten lots of positive feedback and support. I'm excited to see the first patients start signing up for the program even though it doesn't start until January 1st, 2016. Many people have asked me to provide a - [Direct Primary Care presentation and open forums](https://trinitymedassoc.com/10/direct-primary-care-presentation-and-open-forums/) - I'll be offering two opportunities this week to hear a short presentation on Trinity's Direct Primary Care program. At the end of the presentation we'll have time for questions and discussion. Thursday October 15th at 6pm in Trinity's main lobby. Seating is limited to 25 participants. Saturday October 17th at 2pm at our wellness center, - [Risky Behaviors](https://trinitymedassoc.com/10/risky-behaviors/) - “Why do you have a question about wearing seat belts? You’re a doctor not a policeman.” This adolescent was expressing a rather common question among both youth and adults. But the reality is the answer to that question, especially among youth, may have more impact on their health than almost anything else we will talk - [Direct Primary Care presentation tonight](https://trinitymedassoc.com/10/direct-primary-care-presentation-tonight/) - Tonight at 6pm I'll be hosting an open forum on Trinity's new Direct Primary Care program in the main lobby of Trinity's Fort Sanders West office. There will be a short presentation then time for questions and discussion afterwards. Space is limited to about 25 participants. The next presentation will be this Saturday at 2pm - [Direct Primary Care presentation and discussion](https://trinitymedassoc.com/10/direct-primary-care-presentation-and-discussion/) - Tomorrow at 2pm in the upstairs exercise room of VitalSigns I'll be presenting a short talk on Direct Primary Care and hosting a question and answer time. Please come out and join me to hearmore about adding free market principles to primary care. Everytime choice is added prices are pushed down and service is driven - [Direct Primary Care presentation  ](https://trinitymedassoc.com/10/direct-primary-care-presentation/) - We had a good crowd yesterday at the DPC presentation even though we were competing against a wonderful fall day. We had lots of questions and an engaged discussion by all the participants. I'll be hosting another meeting soon and will post the details as they are made. I encourage anyone with questions to feel - [#iamdirectcare](https://trinitymedassoc.com/10/iamdirectcare/) - Very excited to be listed on iamdirectcare's new website. Great to see others joining the creative disruption of primary care. Check out their website to learn about Direct Primary Care and see all the other practices and physicians around the country who are participating in this grassroots movement to reclaim healthcare as a service - [TMA of Hardin Valley Facebook page](https://trinitymedassoc.com/10/tma-of-hardin-valley-facebook-page/) - Check out the new facebook page for Trinity Medical Associates Hardin Valley. https://www.facebook.com/TMAHV We'll be posting updates and information there about the Hardin Valley office and the Direct Primary Care program. mbm - [DPC member benefits: office visits that make sense](https://trinitymedassoc.com/10/dpc-member-benefits-office-visits-that-make-sense/) - In the next series of posts I'm going to be highlighting and explaining the various benefits that are available to members of the Direct Primary Care program. The first benefit for members, which for many people is the most drastic difference from traditional fee-for-service (FFS) offices, is the nearly unlimited number of visits available. As - [Some things are lose-lose](https://trinitymedassoc.com/10/some-things-are-lose-lose/) - Good article on the trying times forcing experienced physicians out of practice too early. Worth the read. When a Physician Leaves, We All Lose Here's a companion article from across the pond where UK physicians lost the freedom to work directly for their patients long ago. Now they're having some career ending struggles meeting the - [DPC Member Benefits: increased access](https://trinitymedassoc.com/10/dpc-member-benefits-increased-access/) - A couple weeks ago, one of my patients was up in the middle of night taking care of their child and had a question. It wasn't urgent by any means but definitely was weighing on their mind. As a Direct Primary Care member she sent me an email and I was able to respond to - [Direct Primary Care presentations and discussion forum](https://trinitymedassoc.com/10/direct-primary-care-presentations-and-discussion-forum/) - Every couple of weeks I host another presentation and discussion on Direct Primary Care. It's an opportunity to hear about the program details as well as the reasons Trinity developed this new paradigm of primary care. At the end I try to answer some of the common questions about Direct Primary Care and then field - [Direct Primary Care presentation schedule](https://trinitymedassoc.com/11/direct-primary-care-presentation-schedule/) - The next two presentations on Trinity's Direct Primary Care program are scheduled for Thursday, November 5th at 6pm and Saturday, November 7th at 1pm. Both will be in the main lobby of the Fort Sanders West office. I will give a shortish slide show on why Trinity is launching this program and how it will - [Don't forget the next DPC presentation is tomorrow, Saturday, Nov 7th at 1pm in Trinity's main lobby](https://trinitymedassoc.com/11/dont-forget-the-next-dpc-presentation-is-tomorrow-saturday-nov-7th-at-1pm-in-trinitys-main-lobby/) - That is all. #iamdirectcare - [The cost of primary care, Part 1](https://trinitymedassoc.com/11/the-cost-of-primary-care-part-1/) - I going to provide two examples in two posts about the cost of primary care. First, I want to highlight what the true cost of ordinary primary care visits can be even for those with insurance. Second, I hope to show how difficult it is to determine the cost of care before a visit occurs. - [Hypothyroidism](https://trinitymedassoc.com/11/hypothyroidism-2/) - “Well I know I’m tired, but we do have three young children in diapers and I’m not sleeping well. It’s probably just normal exhaustion.” My wife’s explanation certainly made sense, but it was so easy to check a thyroid level that we went ahead anyways. And low and behold, it showed that besides her “normal - [DPC presentation and open forum schedule](https://trinitymedassoc.com/11/dpc-presentation-and-open-forum-schedule/) - The next two Direct Primary Care presentations will be at 10am on November 21st and December 5th in the main lobby of Trinity's Fort Sanders West office. Please feel free to attend if you would like to learn more about Direct Primary Care and the program offered through Trinity's Hardin Valley and Maryville offices. Each - [The cost of primary care, Part 2](https://trinitymedassoc.com/11/the-cost-of-primary-care-part-2/) - In this next installment on understanding the cost of primary care, I'm going to present an example involving the cost for a typical child to receive care for sore throat symptoms. As in the last example, I'll try and show the cost of care for those with high deductible insurance, those with no insurance, those - [One family's perspective on the cost sharing ministries](https://trinitymedassoc.com/11/one-families-perspective-on-the-cost-sharing-ministries/) - This is a nice personal story and summary about one family's experience with the cost sharing ministry Samaritan Ministries. Tired of paying too much? - [Does Direct Primary Care hate insurance?](https://trinitymedassoc.com/11/does-direct-primary-care-hate-insurance/) - In a word, no. Insurance is a good thing. Insurance is used to cover the cost of an event for which we don't want to or can't pay out-of-pocket. For instance, we carry car insurance in part to cover the replacement price of a car in the event of a car accident. If my car - [DPC presentation schedule](https://trinitymedassoc.com/11/dpc-presentation-schedule/) - Good crowd today at our DPC presentation. I appreciate all those that attended and participated. The next presentation is scheduled for Saturday December 5th at 10am in the main lobby of Trinity Medical Associates. Feel free to come and hear about the program. Email us at TMAHV@secure.trinitymedical.net or mbmccoll@secure.trinitymedical.net - [Thankful](https://trinitymedassoc.com/11/thankful/) - “So, how are you feeling, Bobby?” “Well, really I feel pretty great… certainly better than I deserve!” As a physician, I don’t get that answer a whole lot. Most of my time is spent either tracking down what’s causing someone to feel poorly, or at least trying to correct unhealthy pathways that are leading toward - [Direct Primary Care information](https://trinitymedassoc.com/11/direct-primary-care-information/) - Just two quick reminders about Direct Primary Care. 1. The next DPC informational meeting and open forum will be this Saturday, December 5th at 10am in the main lobby of Trinity's Fort Sanders West office. I'll present an overview of the program as well as why Trinity built this program for our community and offer - [Atherosclerosis: the Silent but Deadly Stalker](https://trinitymedassoc.com/12/atherosclerosis-the-silent-but-deadly-stalker/) - The deadliest enemies tend to be the most quiet and stealthy. They don’t announce themselves or make a lot of noise as they stalk us. When they finally strike, it’s often too late to deal with them effectively. That’s so true of the most deadly killer of all, atherosclerosis. Don’t let the long name fool - [Direct Primary Care presentations and limited offer](https://trinitymedassoc.com/12/direct-primary-care-presentations-and-limited-offer/) - Tomorrow I'll host the next DPC presentation at 10am in Trinity's main lobby of the Fort Sanders West office. Trinity's Maryville office will host a presentation at their office on Monday, December 14th at 5pm. Everyone is invited to attend those meetings to hear about the Direct Primary Care program and how it benefits you. - [Direct Primary Care is about to launch](https://trinitymedassoc.com/12/direct-primary-care-is-about-to-launch/) - Tomorrow Trinity's Direct Primary Care program launches. The first day of appointments and operations will be Monday January 4th. It has been a long process of reading, planning, and praying to put this program together and we couldn't be more excited to see 2016 roll in. Today is the last day to sign up and - [Hypertension](https://trinitymedassoc.com/01/hypertension/) - “I was late rushing over here.” “Traffic was terrible.” “I just had a cup of coffee.” “Work’s been really stressful.” “My blood pressure’s only high when I’m here in the office. I can feel when it’s high and it’s never high at home.” For some reason, when I mention that someone’s blood pressure (BP) is - [Direct Primary Care presentation January 30th at 10am](https://trinitymedassoc.com/01/direct-primary-care-presentation-january-30th-at-10am/) - Trinity will host our next community presentation on the Direct Primary Care program next Saturday January 30th at 10am. This presentation will be in Trinity's west Knoxville office located in the Fort Sanders West complex building 4. Both Direct Primary Care physicians, Dr. Hone and Dr. McColl, will be on hand to lead the presentation - [Direct Primary Care News for January 2016](https://trinitymedassoc.com/01/direct-primary-care-news-january-2016/) - Here are a couple of reminders for our Direct Primary Care members and prospective members for the upcoming weeks. Saturday Walk-in Clinic: Dr. Hone, our Maryville office DPC physician, will be staffing the Saturday walk-in clinic this weekend at Trinity's Fort Sanders West office. DPC members may utilize the Saturday walk-in clinic as part of - [Upper Respiratory Infections](https://trinitymedassoc.com/01/upper-respiratory-infections/) - Now that Christmas is over, tis the season for coughin’ and sneezin’. This is the time of year when legions of folks dealing with some kind of upper respiratory symptoms try to decide whether or not to make the trek into their doctor’s office. Let’s see if we can help sift through some of the - [Medicanomics and the free market](https://trinitymedassoc.com/02/medicanomics-and-the-free-market/) - The free market was never about benevolence but rather incentives. We need to understand that if we align our incentives as a community anything is possible and government programs become obsolete. http://thehealthcareblog.com/blog/2016/01/30/there-is-nothing-free-about-the-health-care-market/ - [A soured system can be renewed into sweet success](https://trinitymedassoc.com/02/a-soured-system-can-be-renewed-into-sweet-success/) - Patrick Rohal, MD opened his Direct Primary Care program the same day I did. He offers some rewarding insights from the first month of practice that are worth reading. He shows us that we can really take our current national healthcare system that is slowing souring and revitalize it back to the sweet, relational, successful - [Direct Primary Care legislative promo video](https://trinitymedassoc.com/02/direct-primary-care-legislative-promo-video/) - Recently I had a the opportunity to be interviewed by the Beacon Center of Tennessee for promotional video on Direct Primary Care to help support the pending Tennessee legislation on the matter. You can watch the video at the link below. Consider contacting your local representative to help support this bill and provide DPC the - [Cholesterol Meds – Awesome or Awful?](https://trinitymedassoc.com/02/cholesterol-meds-awesome-or-awful/) - Statins – those frequently-prescribed cholesterol-lowering medicines that include Zocor (simvastatin), Lipitor (atorvastatin), Crestor (rosuvastatin), Livalo (pitavastatin), Mevacor (lovastatin), Lescol (fluvastatin), and Pravachol (pravastatin) – are they awful toxins or awesome remedies? You can certainly read both opinions if you follow the news or scan the web. The New York Times once touted them as “the - ["Am I a health care business metric or a physician?" by Craig Bowron, MD](https://trinitymedassoc.com/02/am-i-a-health-care-business-metric-or-a-physician-by-craig-bowron-md/) - Craig Bowron, MD, an internist and hospitalist in St. Paul, Minnesota, writes about how the patient-doctor relationship is altered when business leaders apply business systems and metrics to a 'job' where it often doesn't make sense. [Physicians] are looking for recognition that an ill patient is something more than a paradigm, pie chart, or simple - [Direct Primary Care is good for Tennessee Op-ed](https://trinitymedassoc.com/02/direct-primary-care-is-good-for-tennessee-op-ed/) - The Knoxville News Sentinel published my opinion piece about the value and necessity of Direct Primary Care for Tennesseans in today's edition. Thanks to the Beacon Center of Tennessee for helping to promote this piece as well as promoting good legislation that would allow DPC practices to thrive in our state. A good DPC practice - [Three Reasons Why Employers Should Care about Direct Primary CarePosted by Samir Qamar](https://trinitymedassoc.com/02/three-reasons-why-employers-should-care-about-direct-primary-careposted-by-samir-qamar/) - Dr. Qamar is the CEO and founder of Medlion which is one of the oldest Direct Primary Care networks in the country. They've done great work in laying the foundation for DPC offices to thrive. Here, Dr. Qamar outline several good reasons why adding a DPC element to the employee healthplan could lower the overall - [When there is nothing more to do... by Heath Many, MD](https://trinitymedassoc.com/02/when-there-is-nothing-more-to-do-by-heath-many-md/) - Drs. Heath and Angela Many were Knoxville physicians who gave up their medical careers stateside to follow God's call upon their lives to serve as teaching physicians at Tenwek Hospital in Kenya. Dr. Heath Many, a general surgeon, shares in his latest post about being at the point in your life when there is nothing - [Top Docs: Dr. Allsop and Dr. Pardue](https://trinitymedassoc.com/03/top-docs-dr-allsop-and-dr-pardue/) - Congratulations to Dr. Allsop and Dr. Pardue for being voted some of Knoxville's Top Docs by Cityview magazine. Every year Cityview polls physicians to nominate and vote for the Top Docs in each category. Consistently, Dr. Allsop and Dr. Pardue are nominated and win. Trinity is very proud to have its founding physicians recognized as - [Swollen Glands](https://trinitymedassoc.com/03/swollen-glands/) - “I’ve got this gland in my neck that’s all swollen. I just noticed it shaving a few days ago and I don’t have any idea how long it’s been there. What the heck do you think it is?” Danny, a man in his 30’s had that deer-in-the-headlights look in his eyes. He was obviously thinking - [DPC presentation Saturday April 9th at 10am](https://trinitymedassoc.com/04/dpc-presentation-saturday-april-9th-at-10am/) - Our next Direct Primary Care presentation will be this Saturday at 10am in the main lobby of Trinity's Fort Sanders West office. Dr. McColl will present a short outline of the DPC program and benefits. Afterwards will be a question and answer time. Dr. McColl will share information for both the Hardin Valley office and - [Pulmonary Hypertension](https://trinitymedassoc.com/04/pulmonary-hypertension/) - Mr. Beeler, a fiftyish guy was perplexed and worried: “I just don’t get it. My mail box is maybe a hundred feet down the driveway. Used to be nothing to march down to it, grab the mail and hoof it back and never think about it. Then I started getting a bit winded on the - [Direct Primary Care program presentation May 7th at 11:30am](https://trinitymedassoc.com/04/direct-primary-care-program-presentation-may-7th-at-1130am/) - Our next presentation concerning Trinity's Direct Primary Care program will be Saturday May 7th at 11:30am in the main lobby of Trinity's Fort Sanders West office. There will be a brief description of the program plus a time for questions. Please attend and hear about the program. Bring your questions and your friends for this - [Trinity Direct Medical Care in Maryville is almost ready](https://trinitymedassoc.com/05/trinity-direct-medical-care-in-maryville-is-almost-ready/) - I had a chance to visit Trinity's new Direct Primary Care office in Maryville and see the renovations nearing completion. It's a beautiful new office that will be a perfect setting for the low cost, personalized health care we offer in our Direct Primary Care program. It sits directly on East Lamar Alexander Boulevard and - [Romaine Calm! Low carb Mexican dining just got easier](https://trinitymedassoc.com/05/romaine-calm-low-carb-mexican-dining-just-got-easier/) - I recently visited Abuelo's in Turkey Creek and found their fajitas come with an option to be served with romaine lettuce leaves instead of the traditional tortilla's wraps. Many of our patients carry their own store-bought, low carb tortilla with them while eating out at a Mexican restaurant. However, it is great to have - [Why sugar makes you go blind. ](https://trinitymedassoc.com/05/why-sugar-makes-you-go-blind/) - Here's an interesting study looking at the prevalence of diabetic retinopathy in patients across the spectrum of blood sugar control. It showed that individuals with a Hgb A1c greater than 5.5% have the biggest increase in retina damage due to sugar exposure. A Hgb A1c of 5.5% is equivalent to an average blood sugar of - [DPC pays for itself just in lab costs](https://trinitymedassoc.com/05/dpc-pays-for-itself-just-in-lab-costs/) - I recently calculated out the cost of standard physical labs for a male patient of ours who had some blood sugar concerns. These labs totaled over $933 if they had been billed directly to him by the lab company. Mind you, none of that cost comes from the office visit or the interpretation of those - [Large HSA bill introduced in Congress](https://trinitymedassoc.com/06/large-hsa-bill-introduced-in-congress/) - What a blessing this would be for middle America? Larger tax savings with more control over health care spending would encourage cost reduction and improved accountability. It encourages health insurance to be detached from employment which again encourages insurers to cater to individuals instead of companies. The more we put individual citizens in charge their - [Direct Primary Care June Newsletter](https://trinitymedassoc.com/06/direct-primary-care-june-newsletter/) - Direct Primary Care News There are lots of important happenings this summer for Trinity's Direct Primary Care! Tennessee's Health Care Empowerment Act goes into effect July 1st. We're very excited to be able to offer Direct Primary Care to all Tennesseans this year. With this Act, patients covered by Medicaid or TennCare will now be - [Direct Primary Care hates reading...](https://trinitymedassoc.com/06/direct-primary-care-hates-reading/) - ...in the waiting room because the doctor is running late (again)! In the DPC model of care, I get to spend more time with each patient. I don't have to try and polish my skills at polite interruption because I have other patients waiting. Instead, each visit is long enough to cover the majority of - [Is surgery really the best option to treat obese diabetics?](https://trinitymedassoc.com/06/is-surgery-really-the-best-option-to-treat-obese-diabetics/) - In 1993, MTV's new hit reality show The Real World: Los Angeles was in its second season. During that season Tami Akbar Roman famously had her jaw wired shut in an attempt to lose weight. From her perspective it was a simple enough idea, if she can't eat food, then she should lose weight, right? - [Tomorrow's walk in clinic is open to DPC patients](https://trinitymedassoc.com/07/tomorrows-walk-in-clinic-is-open-to-dpc-patients/) - I will be staffing Trinity's walk in clinic tomorrow, Saturday June 2nd, 2016. DPC patients and members are eligible to use this time to be seen for urgent issues as part of their membership with no per visit fee. Please feel free to come in during our open hours of 8:30 to 11:30am. No appointment - [Sore Throats – More Complicated Than You May Think](https://trinitymedassoc.com/07/sore-throats-more-complicated-than-you-may-think/) - I returned to the exam room with the results of the five minute rapid strep test on an elementary school boy whose mom had brought him in with a complaint of a very sore throat. “His strep test is negative Mrs. Thompson.” “Well that’s a relief!” My own thoughts about it were a little more - [DPC: Subtracting the Guesswork and Adding Back the Relationship](https://trinitymedassoc.com/07/dpc-subtracting-the-guesswork-and-adding-back-the-relationship/) - This week my partner, Jackie Hone, was seeing a new patient who had driven an hour seeking her help in sorting out his health situation. She spent an hour seeking to undo the damage done by miscommunication from multiple encounters in varied medical settings. Her patient had been left confused, upset, and almost ready to - [Lessons Learned in Haiti](https://trinitymedassoc.com/08/lessons-learned-in-haiti/) - “Does anyone have any questions?” I am standing inside an 8 foot by 8 foot corrugated metal shack with a fabric roof in Port-au-Prince, Haiti. It is stiflingly hot with not a breath of wind. It’s hard to imagine spending a half hour sweating inside this metal box let alone living there. But it is - [Hernias](https://trinitymedassoc.com/08/hernias/) - “About two weeks ago I’m on one end of my mother’s piano trying to horse it up the ramp into the moving truck. First my back starts to feel not so good. Then I notice down near my groin isn’t feeling just right either. I figured I’d just strained something a little. But now it’s - [My Aching Back](https://trinitymedassoc.com/09/my-aching-back/) - On any given day in my office, it is likely I’ll be seeing at least a couple of folks with low back pain (LBP). Julie was typical with her complaint, “I’m just achy all day right in the small of my back. And the pain often shoots down my buttocks toward the back of my - [Stimulants are the new opioids](https://trinitymedassoc.com/09/stimulants-are-the-new-opioids/) - Over prescribing of ADD and ADHD stimulant medications, especially in adults, is a rapidly exploding issue. Inappropriate use is common at many universities and high pressure jobs. However, there remains a considerable number of patients who have legitimate need and should be cared for within the healthcare community. Addressing a patient's need for stimulant - [Fill in the blank. I want to ___________.](https://trinitymedassoc.com/09/fill-in-the-blank-i-want-to-___________/) - We all have goals and aspirations for our lives that are going unmet. Our dreams usually aren't lofty. They center around being with family, traveling, or maybe enjoying a favorite hobby. What keeps us from achieving these goals? For many of us, it is the physical challenge of playing in the backyard with younger, faster - [Fatty Liver](https://trinitymedassoc.com/09/fatty-liver/) - “Well, it looks like your liver enzymes are a bit high on your bloodwork.” That comment or something like it is repeated by me a few times a day in the office. Liver enzymes are a part of a typical chemistry panel that is checked for a physical exam or with numerous other standard blood - [Your body is better built than you can ever know.](https://trinitymedassoc.com/09/your-body-is-better-built-than-you-can-ever-know/) - Ever wonder why so many experts say the brain requires carbohydrates to live? Here's the simple story behind that oft quoted "130 grams of glucose per day". https://experiment.com/u/3f3C9g Even though the 130 gram number probably isn't the whole story, what still amazes me is that we are created with the ability to generate any - [Dr. Hone discussed Direct Primary Care on WVLT](https://trinitymedassoc.com/10/dr-hone-discussed-direct-primary-care-on-wvlt/) - Recently, Dr. Hone was interviewed by Whitney Kent from WVLT's Moms Everyday about Trinity's Direct Primary Care program. If you haven't seen it, then give it a watch at the following link. Dr. Hone's Interview If you're interested in how the Direct Primary Care program can serve your needs and lower your healthcare costs please - [Direct Primary Care Presentation and Open House October 29th at 12:30pm](https://trinitymedassoc.com/10/direct-primary-care-presentation-and-open-house-october-29th-at-1230pm/) - The next presentation on Trinity's Direct Primary Care program will be on October 29th at 12:30pm. Dr. McColl will offer a short description of the program benefits and list of services including how the DPC program works regardless of a patient's insurance coverage. There will be plenty of time to ask questions in this informal, - [Gout and Pseudogout](https://trinitymedassoc.com/10/gout-and-pseudogout/) - “I don’t remember doing a thing to my foot; I didn’t stub it, I didn’t drop anything on it, but holy cow it feels like a boil in my big toe. I woke up and it’s big and red and throbbing. What do you think is going on with it?” Indeed the base of Mr. - [Labors, Mercies and a Gift of Projection](https://trinitymedassoc.com/10/labors-mercies-and-a-gift-of-projection/) - When someone’s voice would rise above all the rest and be heard across the room, my wife’s family, the Davises, would remark knowingly, “He has the gift of projection.” A little after nine in the morning a week ago Friday, a man who had, and I would say still has, the gift of projection, died - [Direct Primary Care Presentation and Open House](https://trinitymedassoc.com/10/direct-primary-care-presentation-and-open-house/) - I will be hosting the next presentation on Trinity's Direct Primary Care program this Saturday, October 29th at 12:30pm at the Trinity Medical Associates of Hardin Valley office located at 10437 Hardin Valley Rd. Feel free to come hear about the program, ask questions, and view the new office. Overflow parking will be at the - [Red Eyes](https://trinitymedassoc.com/11/red-eyes/) - Recently, just as I thought I was turning the corner on dealing with my own upper respiratory infection, one of the eyes looking back at me from the mirror was red with some thick crusty stuff in and around it (affectionately termed “eye boogers” by many). I had that common malady which goes by a - [DPC Open House and discussion on the future of healthcare and health insurance. ](https://trinitymedassoc.com/11/dpc-open-house-and-discussion-on-the-future-of-healthcare-and-health-insurance/) - Our next DPC open house and discussion is scheduled for November 18th at 12:30. Please join us for a conversation about our Direct Primary Care program, the future of healthcare, and how health insurance may be changing in the future. https://www.facebook.com/events/682426515255818/?ti=icl - [Medicine Expiration Dates – What Do They Mean?](https://trinitymedassoc.com/12/medicine-expiration-dates-what-do-they-mean/) - Do medications go bad? - [Is Sugar Killing Us?](https://trinitymedassoc.com/12/is-sugar-killing-us/) - Is Sugar Killing Us? - [Computer outage](https://trinitymedassoc.com/12/computer-outage/) - Please bear with us as we are experiencing a computer outage at the main office that affects all of our satellite offices too. The patient portal is not available at this time. If you need assistance in any way please contact the main office number at 539-0270. We ask for 48 hours on all refill - [Computer outage resolved](https://trinitymedassoc.com/12/computer-outage-resolved/) - We've corrected the computer outage. Please let us know if you continue to experience any difficulties. - [January DPC discussion and Open House](https://trinitymedassoc.com/01/january-dpc-discussion-and-open-house/) - Trinity Direct Primary Care will host their next open house and discussion on the DPC program at the Hardin Valley office on January 13th at Noon. Please feel free to attend and hear about our DPC program. Participants can tour the facility also. Dr. McColl will be leading a discussion on healthcare and health insurance - [Open House today in Hardin Valley](https://trinitymedassoc.com/01/open-house-today-in-hardin-valley/) - Don't forget that Trinity Medical Associates of Hardin Valley is hosting an Open House today at noon and will be discussing the Direct Primary Care program. If you have lost your insurance, are uncertain of the benefits of your current insurance, or have medical concerns that are not being adequately cared for under your current - [In Health, Silence Isn't Always Golden](https://trinitymedassoc.com/01/in-health-scilence-isnt-always-golden/) - Most of us have heard the expression, “Silence is golden.” The poet Thomas Carlyle, observed, "Silence is the element in which great things fashion themselves together; that at length they may emerge, full-formed… Silence is golden.” But when it comes to our health, if those “great things fashion(ing) themselves” in silence to later “emerge, full-formed” - [Pre-existing conditions don't scare us.](https://trinitymedassoc.com/01/pre-exisiting-conditions-dont-scare-us/) - Trinity's Direct Primary Care program is about finding better ways of taking care of patients. It isn't about insurance companies or government policy. It is about caring for patients without outside influence. We don't base our standard of care on who is in the White House or who controls congress. We focus on our patients. - [Reignite Liberty's torch](https://trinitymedassoc.com/01/reignite-libertys-torch/) - The American dream for healthcare needs strong medicine. The inscription on the Statue of Liberty which is taken from the poem New Colossus written by Emma Lazarus says in part, Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore. Send these, the homeless, tempest-tossed to - [Bell's Palsy](https://trinitymedassoc.com/01/bells-palsy-2/) - Patty relates her story: “So I’m out for a nice dinner with my husband and it’s so embarrassing -- as I’m drinking my water, it keeps dribbling out of the corner of my mouth. At first I think I’m just being spastic and hope he didn’t notice. But it keeps happening and I laugh and - [Respiratory Syncytial Virus (RSV)](https://trinitymedassoc.com/02/respiratory-syncytial-virus-rsv/) - “He’s really just been moving a little slower than usual and not eating or drinking as much… and he’s kept a fever for a few days. Oh, and I noticed he seems to be breathing a bit quicker than usual, and just seems tired. Other than that just cold symptoms with a runny nose and - [Whooping Cough: Still Lurking](https://trinitymedassoc.com/02/whooping-cough-still-lurking/) - The 3 year old girl sat quietly on the exam table as her mom described her symptoms. “A couple of weeks ago she had what just seemed like a cold. Then she developed a little cough. But day by day it’s just gotten worse and worse. She’ll seem fine in between coughing spells but when - [Direct Primary Care Open House Today](https://trinitymedassoc.com/03/direct-primary-care-open-house-today/) - Please join us today at Trinity Medical Associates of Hardin Valley for this month’s open house. Dr. McColl will discuss the Direct Primary Care program, benefits, and details. In this time of health insurance uncertainly and political policy changes, Trinity DPC is establishing as its sole priority the healthcare of patients. DPC allows patients to - [Living and Dying By What We Eat](https://trinitymedassoc.com/03/living-and-dying-by-what-we-eat/) - “Let food be thy medicine and medicine be thy food.” This was the advice of one of history’s best known physicians, Hippocrates, who lived around the 4th century B.C. He must have had an okay idea of things as he apparently lived to around 90 years old when many were - [Top Docs](https://trinitymedassoc.com/03/top-docs/) - Dr. Allsop and Dr. Pardue, the founding partners of Trinity Medical Associates, were voted 2017 Top Docs for Family Practice in Cityview physician poll. This annual survey completed only by fellow physicians showcases the area's top doctors. This is the list of physicians that other physicians think are the best in their field. Dr. - [Heart Failure](https://trinitymedassoc.com/03/heart-failure/) - My middle-aged patient was both confused and concerned. “I don’t know what the deal is; I can barely make it the hundred yards to my mailbox and back without huffing and puffing and stopping to rest. And I’ve never been a smoker, so what’s the deal?” As it turned out, after a full work-up, the - [Hepatitis C](https://trinitymedassoc.com/04/hepatitis-c/) - Jan, a fifty-something mom, registered some surprise when I listed hepatitis C as one of the things I would test in her bloodwork. “But I’ve never had jaundice or anything that would say I have liver disease. Maybe I’m tired a lot, but who isn’t?” I explained that the recommendation is that all “baby boomers” - [Direct Primary Care open house tomorrow in Maryville](https://trinitymedassoc.com/05/direct-primary-care-open-house-tomorrow-in-maryville/) - Trinity Direct of Maryville will host their monthly open house tomorrow, May 17th, from noon to 1pm. Dr. Hone and her staff will be on hand to discuss the DPC program, its benefits, and options. Please come to hear how a Direct Primary Care membership offers improved access to less expensive primary care. Don't wait - [Save money by seeing your own doctor](https://trinitymedassoc.com/05/save-money-by-seeing-your-own-doctor/) - In the world of high healthcare prices there are several online services cropping up that hope to improve price transparency for patients In this example, you can see the range of costs for a routine screening colonoscopy. It seems like you'd be saving a bundle by shopping around at various specialists. But did you know - [Allergy in East Tennessee](https://trinitymedassoc.com/05/allergy-in-east-tennessee/) - Oh, the sneezing and sniffling and runny noses and itchy eyes that are all around us this time of year. And it’s not just your imagination – Knoxville ranks as the fifth worst city in the country for allergy sufferers. That comes as no surprise to the legions of residents who this spring are dealing - [Feeling the Heat](https://trinitymedassoc.com/07/feeling-the-heat/) - I’m generally not a big sweater. But last evening as my wife saw me returning from chipping and putting a few balls around she noticed the large wet patches on my shirt. “Did you end up going on a bike ride or is that just from hitting a few golf balls?” I responded that - [Painful Spasms of the Face](https://trinitymedassoc.com/07/painful-spasms-of-the-face/) - As I sat in the midst of a group of folks pleasantly chatting at a friend’s surprise birthday party, I couldn’t help noticing the grimaces of a woman across from me. Every minute or two she would wince as though being jabbed with a needle. When I asked about this privately she filled me in. - [Community physician day: Steedman Sarbah, MD, MBA](https://trinitymedassoc.com/08/community-physician-day-steedman-sarbah-md-mba/) - Once a month we set aside time to meet with physicians and specialists in our area to better facilitate communication and referral for our patients. As an independent primary care practice, we have the ability to utilize any specialist in the area, regardless of hospital or group affiliation, in order to more fully meet the - [Don't be Sleepy the Dwarf. Get a sleep study!](https://trinitymedassoc.com/08/dont-be-sleepy-the-dwarf-get-a-sleep-study/) - Sleep apnea is an under recognized contributor to heart disease, high blood pressure, insulin resistance, metabolic syndrome, and depression. Most individuals cannot tell if they have sleep apnea themselves other than maybe constantly feeling tired or falling asleep accidentally while sitting still. Sometimes spouses are 'kind' enough to disclose their partner's sleep habits (or even - [Facetime with a doctor?](https://trinitymedassoc.com/08/facetime-with-a-doctor/) - Telemedicine is expanding the availability of healthcare options to more people. When you're stuck at work or on the ball field with your son, it would be great to have a quick appointment with a trusted medical professional from Trinity. Someone who knows you best and has your chart available is the best person to - [Maintain Your Brain](https://trinitymedassoc.com/08/maintain-your-brain/) - Seventy year old Mrs. Lansing drew a complete blank as I asked her if she could recall any of the five words I’d given her to remember some 4-5 minutes ago as part of her mental status exam. Inwardly I always wince at those moments. It feels like I’m unintentionally bullying a harassed person - [The Black Dog of Depression](https://trinitymedassoc.com/09/the-black-dog-of-depression/) - “I am the most miserable man living. If what I feel were equally distributed to the whole human family there would not be one cheerful face on the earth. Whether I shall ever be better, I cannot tell. I awfully forebode I shall not. To remain as I am is impossible. I must die - [Maryville Daily Times features Dr. Jaclyn Hone and Direct Primary Care](https://trinitymedassoc.com/09/maryville-daily-times-features-dr-jaclyn-hone-and-direct-primary-care/) - The Maryville Daily Times featured an article on Trinity's Direct Primary Care program in Maryville and the great work that Dr. Jaclyn Hone is doing there. Check out the article below. If you are interested in how DPC might work for you give us a call at 980-8551 in for the Maryville office and 244-1800 - [BPH](https://trinitymedassoc.com/09/bph/) - The lowly prostate – in a young adult it’s a walnut-sized gland that forms part of the male reproductive system. It sits below the bladder and wraps around the urethra, the tube through which urine exits the body. Generally it grows with age… and there’s the problem. Most middle-aged and elderly men come to know - [Lab appointments](https://trinitymedassoc.com/09/lab-appointments/) - We love that we’re growing and continuing to serve the needs of an expanding community. In order to fully meet the needs of our patient’s busy schedules, we will transition to having all lab draws scheduled by appointment only. This allows us to prepare in advance and have the appropriate orders and equipment available. It - [Employers lower healthcare spending with Onsite Clinics and Direct Primary Care](https://trinitymedassoc.com/10/employers-lower-healthcare-spending-with-onsite-clinics-and-direct-primary-care/) - Trinity Medical Associates offers two excellent options for employers seeking to lower their healthcare spending while maintaining a high level of employee care and accountability. The first choice is a Trinity Onsite Clinic. We can setup, staff, and operate a full service primary care office within your facility. With a Trinity provider onsite during the - [Polymyalgia Rheumatica](https://trinitymedassoc.com/10/polymyalgia-rheumatica/) - “Wow, I guess I’m just getting old. Everything hurts and I’m tired even doing little things.” Mrs. Jennings, in her early sixties, was normally one of my more energetic patients. On further questioning it turned out it really wasn’t “everything” that hurt, but particularly the muscles of her thighs and shoulders, not so much - [Dr Green turns 20!](https://trinitymedassoc.com/10/dr-green-turns-20/) - Can you believe it? Dr Green turns 20 today; not 20 years old, but 20 years with Trinity. Please celebrate with us in congratulating him and thanking God for his steadfast faith and service within our practice. - [Walk-in News](https://trinitymedassoc.com/10/walk-in-news/) - Walk-in Clinic News Headache, sore throat, stuffy nose? Don't let minor health issues drag you down. Trinity Medical Associate's Walk-In Clinic is now open 7am to 7pm on Mondays. You can be seen by one of our knowledgeable, local health professionals and get back to your life quickly. Our clinic can treat all manner of - [Changes to after-hours physician phone number](https://trinitymedassoc.com/10/changes-to-after-hours-physician-phone-number/) - Trinity recently welcomed Dr. Katie Tipton to our physician staff. She is board certified in Internal Medicine. As such, when she is participates in the after-hours call schedule she will be on-call for patients 17 years of age and older. One of the other physicians will be on-call for patients under 17 years of age - [Trinity Dispensary saves time and money](https://trinitymedassoc.com/11/trinity-dispensary-saves-time-and-money/) - Medications can be a costly part of your healthcare. We are continually seeking ways to help patients lower that cost or reduce the medications they need to take. Trinity Medical Associates offers an in-house dispensary that allows you to fill your prescriptions before you leave the office. We make every effort to reduce the cost - [Thankful for Our Bodies](https://trinitymedassoc.com/11/thankful-for-our-bodies/) - Thankful for Our Bodies Some sixteen centuries ago, Augustine observed, “People travel to wonder at the height of mountains, at the huge waves of the sea, at the long courses of rivers, at the vast compass of the ocean, at the circular motion of the stars; and they pass by themselves without wondering... Now, let - [Sad to say goodbye as Dr. Schupp moves to Missouri](https://trinitymedassoc.com/11/sad-to-say-goodbye-as-dr-schupp-moves-to-missouri/) - For nearly 6 years, Dr. Angie Schupp was a part of Trinity's physician staff. After serving in the middle east as missionaries for fourteen years, they were called back to the states to finish raising their children. God's call in their hearts brought them to Knoxville and to Trinity and we were blessed to receive - [Faithful at 50](https://trinitymedassoc.com/11/faithful-at-50/) - Just want to take a moment and say Happy 50th Birthday to Carolyn, one of our awesome nursing staff! She’s always ready to help lend a hand in whatever role she can. Carolyn is one of the many reasons we have the best practice in the area. Help us wish her a wondeful birthday. We - [Well The Weather Outside is Frightful](https://trinitymedassoc.com/12/well-the-weather-outside-is-frightful/) - “Hey Dad, there’s no shelter here.” This was the report of my oldest daughter, Hannah, after checking out the area where we had planned to camp for the night after an eleven mile hike with three of my children and two of their friends (some 15 years ago). The temperature was in the low - [Christmas Rejoicing!](https://trinitymedassoc.com/12/christmas-rejoicing/) - To our Trinity patients and friends, In the 1st chapter of the Gospel of Luke, Mary responds to being told she will give birth to the Savior of the world with this expression, “My soul magnifies the Lord, and my spirit rejoices in God my Savior, for he has looked on the humble estate of - [Influenza Killed a Healthy 21 Year Old. Here's Why the Flu Can Be Deadly | Time](https://trinitymedassoc.com/01/influenza-killed-a-healthy-21-year-old-heres-why-the-flu-can-be-deadly-time/) - No one waits till they are in a car accident to put their seatbelt on. Don’t wait any longer for your flu shot either. http://time.com/5099042/influenza-deaths-flu/ - [Still Not Convinced You Need a Flu Shot? First, It’s Not All About You - The New York Times](https://trinitymedassoc.com/01/still-not-convinced-you-need-a-flu-shot-first-its-not-all-about-you-the-new-york-times/) - “You don’t get immunized just to protect yourself. You also get immunized to protect those who can’t protect themselves.” https://mobile.nytimes.com/2018/01/15/upshot/flu-shot-deaths-herd-immunity.html?referer= - [Gallbladder Blues](https://trinitymedassoc.com/03/gallbladder-blues-2/) - “This pain is pretty intense. It goes right from the right upper abdomen through to my back. It started about twenty minutes after a big meal out last night. I’ve had it happen a couple other times but it usually goes away after a couple hours; this one’s dragging on.” This is one of the - [Easter Holiday Hours](https://trinitymedassoc.com/03/easter-holiday-hours/) - Our offices will be closed Friday, March 30 in observance of Good Friday. Our Knoxville walk-in clinic will be open Saturday, March 31 from 8:30 to 11:30am for sick visits only. We will reopen on Monday, April 2 with regular office hours. If you need to reach our physician on call outside of business hours, - [Panic](https://trinitymedassoc.com/03/panic/) - As I leaned in, thirty-year-old Jim related his recent striking experience: “I’m sitting at my desk at work, when all of a sudden my heart starts pounding out of my chest for no good reason. I’m thinking I’m having a heart attack. My chest starts hurting and I get short of breath and lightheaded. Then - [Spring Sneezing](https://trinitymedassoc.com/04/spring-sneezing/) - We can treat spring allergies! Springtime is in Bloom! For many of us, those beautiful blooms mean suffering from seasonal allergies. Are you taking multiple medications to gain relief? Do you have side effects from allergy medications? Do you suffer several months of the year? Have you tried allergy shots but were not able to - [Iron](https://trinitymedassoc.com/04/iron/) - “Goldilocks was hungry. She tasted the porridge from the first bowl. ‘This porridge is too hot!’ she exclaimed. So, she tasted the porridge from the second bowl. ‘This porridge is too cold,’ she said. So, she tasted the last bowl of porridge. ‘Ahhh, this porridge is just right,’ she said happily and she ate - [Medicine is Moving](https://trinitymedassoc.com/05/medicine-is-moving/) - This has been a crazy, but mostly enjoyable week. We moved our medical office about a half mile closer to the mountains on Rt. 321. It’s exciting to see a band of workers busily laboring to turn a beautiful but empty shell of a building into a humming place ready to provide medical care. - [Keto Krazy?](https://trinitymedassoc.com/06/keto-krazy/) - Trinity physicians emphasize nutrition as one of the key pillars of good health. We've used low carb and ketogenic (or keto as it is known) plans to reverse chronic disease, promote extraordinary weight loss, and often reduce the need for daily dependence on insulin injections and high blood pressure medications. If you're ready to build - [Polymyalgia Rheumatica](https://trinitymedassoc.com/06/polymyalgia-rheumatica-2/) - Wow he’s really struggling coming up that hill.” I was watching my eighty-something father-in-law labor up the hill to our house. In context, you need to realize that, “Grandpa” is normally one of the most vigorous elderly guys you’ll ever see. He generally comes blasting out of his room in the morning like a man - [Keeping Your Medical Care Personal](https://trinitymedassoc.com/06/keeping-your-medical-care-personal/) - In my last article, I alluded to how medical care is changing at near warp speed, as the volume of new knowledge keeps doubling every few years or less. There’s a load of good treatment and care, as well as improved outcomes that comes from that. At the same time, there are some downsides to - [Low Testosterone? Separating medical advice from marketing with Dr. Andrew Smith](https://trinitymedassoc.com/10/low-testosterone-separating-medical-advice-from-marketing-with-dr-andrew-smith/) - “Hey Doc, do you think I have low T?” It’s a question that comes up quite a lot these days. Whereas 10 or 15 years ago, testosterone (T) was an occasional level to be checked, it is now a frequent part of a blood workup. This may be partly due to marketing. But, at - [Those Dreaded Side Effects](https://trinitymedassoc.com/12/those-dreaded-side-effects/) - “So, it seems like the prednisone cleared up your allergic rash pretty well. Did you have any side effects from it?” My thirtyish female patient looked at me with a little smile and responded, “Does the term, ‘Psycho Chick’ mean anything to you? I stuck with it because it was clearing up my rash and ## Pages - [Home](https://trinitymedassoc.com/) - [et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_fullwidth_slider _builder_version=”4.25.2″ _module_preset=”default” custom_padding=”30%||10%||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][et_pb_slide heading=”TRINITY MEDICAL ASSOCIATES” button_text=”LOCATIONS” button_text_2=”TELEHEALTH” button_link=”/locations” button_link_2=”/telehealth” use_bg_overlay=”on” heading_tablet=”TRINITY MEDICAL ASSOCIATES” heading_phone=”TRINITY MEDICAL ASSOCIATES” heading_last_edited=”on|phone” _builder_version=”4.16″ _module_preset=”default” header_level=”h3″ header_font=”|600|||||||” background_color=”rgba(0,0,0,0)” background_enable_color=”on” background_image=”http://www.trinitymedassoc.com/wp-content/uploads/Depositphotos_88289006_xl-2015-scaled-e1609795704947.jpg” background_enable_image=”on” custom_button=”on” button_text_size=”17px” button_text_color=”#194e91″ button_bg_color=”#ffffff” button_border_width=”2px” button_border_color=”#ffffff” button_border_radius=”40px” button_font=”|600|||||||” button_use_icon=”off” custom_css_slide_button=”width: 150px;||text-align: center;” global_colors_info=”{}” button_bg_color__hover_enabled=”on|hover” button_bg_color__hover=”rgba(0,0,0,0)” button_bg_enable_color__hover=”on” button_text_color__hover_enabled=”on|hover” button_text_color__hover=”#ffffff” sticky_transition=”on”][/et_pb_slide][/et_pb_fullwidth_slider][/et_pb_section][et_pb_section fb_built=”1″ - [Locations](https://trinitymedassoc.com/locations/) - [et_pb_section fb_built=”1″ module_id=”knox” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ make_equal=”on” disabled_on=”off|off|off” _builder_version=”4.16″ _module_preset=”default” animation_style=”fade” global_colors_info=”{}”][et_pb_column type=”1_2″ module_class=”ds-vertical-align” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”] TRINITY KNOXVILLE Located in Building 4 to the left of the fountain in the Fort Sanders West complex. 280 Fort Sanders West Blvd. Suite 101 Knoxville, TN 37922 Phone: (865) 539-0270 Fax: (833) 908-2106 - [Nutrition](https://trinitymedassoc.com/services/nutrition/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_text _builder_version=”4.6.6″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″] Medical Nutrition Management [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.6.6″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||”] [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|desktop” _builder_version=”4.6.6″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_padding=”||0px|||”] Medical Nutrition Management aims to train you to eat in a way that will give your - [Pay](https://trinitymedassoc.com/pay/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_text _builder_version=”4.6.6″ _module_preset=”default” header_4_font=”|||on|||||” header_5_font=”|||on|||||” header_5_text_color=”#194e91″] Payment OPTIONS [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.6.6″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||”] [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ make_equal=”on” _builder_version=”4.6.6″ _module_preset=”default” max_width=”1500px”][et_pb_column type=”1_4″ _builder_version=”4.6.6″ _module_preset=”default” custom_padding=”3%|3%|3%|3%|false|false” link_option_url=”www.quickpayportal.com” link_option_url_new_window=”on” border_width_all=”1px” border_color_all=”#efefef” box_shadow_style=”preset1″ transform_styles__hover_enabled=”on|hover” transform_scale__hover_enabled=”on|hover” transform_translate__hover_enabled=”on|desktop” transform_rotate__hover_enabled=”on|desktop” transform_skew__hover_enabled=”on|desktop” transform_origin__hover_enabled=”on|desktop” transform_scale__hover=”102%|102%”][et_pb_text _builder_version=”4.6.6″ _module_preset=”default”] Pay Online Without a - [Your Health](https://trinitymedassoc.com/your-health/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default” custom_padding=”||0px|||”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_text _builder_version=”4.6.6″ _module_preset=”default” header_4_font=”|||on|||||” header_5_font=”|||on|||||” header_5_text_color=”#194e91″] your HEALTH [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.6.6″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||”] [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ specialty=”on” _builder_version=”4.6.6″ _module_preset=”default” width=”100%” custom_padding=”0px|||||”][et_pb_column type=”2_3″ specialty_columns=”2″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_row_inner _builder_version=”4.6.6″ _module_preset=”default” width=”100%”][et_pb_column_inner saved_specialty_column_type=”2_3″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_blog fullwidth=”off” posts_number=”8″ include_categories=”all” excerpt_length=”150″ show_more=”on” show_author=”off” show_date=”off” show_categories=”off” _builder_version=”4.6.6″ _module_preset=”default” - [Office Visits](https://trinitymedassoc.com/services/office-visits/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_text _builder_version=”4.6.6″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″] OFFICE VISITS [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.6.6″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||”] [/et_pb_text][et_pb_text _builder_version=”4.6.6″ _module_preset=”default” header_6_font=”|600|||||||” hover_enabled=”0″ sticky_enabled=”0″] Preventative Care – Physicals & Well Child Visits This type of visit is the backbone of primary care. In these visits we - [Updates](https://trinitymedassoc.com/updates/) - [Biblical Counseling](https://trinitymedassoc.com/services/biblical-counseling/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.22.1″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ header_6_font=”|700|||||||” header_6_text_color=”#194E91″ global_colors_info=”{}”] BIBLICAL COUNSELING Discipleship & Coaching [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.18.0″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” global_colors_info=”{}”] [/et_pb_text][et_pb_text _builder_version=”4.18.0″ _module_preset=”default” header_6_font=”|600|||||||” global_colors_info=”{}”] Simply coping with our problems is not enough. We need the real - [Consent Form](https://trinitymedassoc.com/consent-form/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text disabled_on=”on|on|on” _builder_version=”4.16″ _module_preset=”default” disabled=”on” global_colors_info=”{}”][/et_pb_text][et_pb_code _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”] id=”JotFormIFrame-222305869950058″ title=”Consent Form” onload=”window.parent.scrollTo(0,0)” allowtransparency=”true” allow=”geolocation; microphone; camera; fullscreen; payment” src=”https://form.jotform.com/222305869950058″ frameborder=”0″ style=”min-width:100%;max-width:100%;height:539px;border:none;” scrolling=”no” [/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section] - [Personal Data Inventory](https://trinitymedassoc.com/personal-data-inventory/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text disabled_on=”on|on|on” _builder_version=”4.27.4″ _module_preset=”default” disabled=”on” global_colors_info=”{}”][/et_pb_text][et_pb_code disabled_on=”off|off|off” _builder_version=”4.27.4″ _module_preset=”default” hover_enabled=”0″ custom_css_main_element=”width: 100%;” global_colors_info=”{}” sticky_enabled=”0″] id=”JotFormIFrame-222304278753052″ title=”Personal Data Inventory” onload=”window.parent.scrollTo(0,0)” allowtransparency=”true” allow=”geolocation; microphone; camera; fullscreen; payment” src=”https://form.jotform.com/222304278753052″ frameborder=”0″ style=”min-width:100%;max-width:100%;height:539px;border:none;” scrolling=”no” [/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section] - [Telehealth](https://trinitymedassoc.com/services/telehealth/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ global_colors_info=”{}”] TELEHEALTH [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.16″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” global_colors_info=”{}”] [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|desktop” _builder_version=”4.16″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_padding=”||0px|||” global_colors_info=”{}”]The following links allow you to access to your virtual waiting room for - [Our Team](https://trinitymedassoc.com/our-team/) - Meet our team! - [Walk-In Clinic](https://trinitymedassoc.com/services/walk-in-clinic/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ global_colors_info=”{}”] Walk-in clinic [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.16″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” global_colors_info=”{}”] [/et_pb_text][et_pb_text _builder_version=”4.25.2″ _module_preset=”default” header_6_font=”|600|||||||” custom_padding=”||5px|||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] Knoxville Mon-Fri: 8am – 6pm (x-ray 8am-5pm) Sat: 8:30 am – 11:30 am (no x-ray) - [Ultrasound Guided Injections](https://trinitymedassoc.com/services/ultrasound/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.22.1″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] ULTRASOUND-GUIDED INJECTIONS [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.22.1″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] [/et_pb_text][et_pb_text _builder_version=”4.22.1″ _module_preset=”default” hover_enabled=”0″ sticky_enabled=”0″] We offer Ultrasound-guided joint injections as a safe, non-invasive approach to treating pain, inflammation, - [Patient Info](https://trinitymedassoc.com/patient-info/) - We appreciate the confidence you have placed in us! Find out what you should expect from us and how to get registered. - [Contact](https://trinitymedassoc.com/contact/) - Contact us today! - [FAQ](https://trinitymedassoc.com/faq/) - Frequently asked questions. - [Procedures](https://trinitymedassoc.com/services/procedures/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″ admin_label=”Procedures”] OUR PROCEDURES [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.21.0″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] [/et_pb_text][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” header_6_font=”|600|||||||” custom_margin=”4%||||false|false” hover_enabled=”0″ global_colors_info=”{}” admin_label=”Colonoscopy” sticky_enabled=”0″] COLONOSCOPY [/et_pb_text][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” header_6_font=”|600|||||||” hover_enabled=”0″ global_colors_info=”{}” link_font=”|700|||on||||” - [Clinical Pharmacy](https://trinitymedassoc.com/services/clinical-pharmacy/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ global_colors_info=”{}”] CLINIC PHARMACY [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.16″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” global_colors_info=”{}”] [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”1_3,2_3″ make_equal=”on” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https://trinitymedassoc.com/wp-content/uploads/Headshot-2022-Internet-1.jpeg” title_text=”Laura Schalliol” _builder_version=”4.20.4″ _module_preset=”default” box_shadow_style=”preset1″ global_colors_info=”{}”][/et_pb_image][/et_pb_column][et_pb_column type=”2_3″ module_class=”ds-vertical-align” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text - [Services](https://trinitymedassoc.com/services/) - Full list of services. - [CIMT](https://trinitymedassoc.com/services/cimt/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.20.2″ _module_preset=”default” header_4_font=”|||on|||||” header_4_text_color=”#194e91″ header_5_font=”|||on|||||” header_5_text_color=”#194e91″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] cimt [/et_pb_text][et_pb_text content_tablet=”” content_phone=”” content_last_edited=”on|phone” _builder_version=”4.20.2″ _module_preset=”default” header_font=”|||on|||||” header_4_font=”|||on|||||” header_5_font=”|||on|||||” custom_margin=”-20px||||false|false” custom_padding=”||0px|||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] [/et_pb_text][et_pb_text _builder_version=”4.20.2″ _module_preset=”default” header_6_font=”|600|||||||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″] Carotid Intima Media Thickness (CIMT) screenings for our patients. The test is an ultrasound using a special ## Projects - [Melissa Porter
Site Administrator](https://trinitymedassoc.com/team/melissa-porter/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”Melissa Porter” position=”Site Administrator” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/melissa.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″][/et_pb_team_member][/et_pb_column][/et_pb_row][/et_pb_section] - [Peggy L. Descamps
PA-C](https://trinitymedassoc.com/team/descamps/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”Peggy L. Descamps, PA-C” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/harris.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ sticky_enabled=”0″ position=”Certified Physician Assistant” title_text=”harris”] Educational Information Tennessee Tech University, BS Trevecca Nazarene University, PA, 1988 Practice Experience 2001-Present Trinity Medical Associates, PC 1997-2001 Walk-in Clinic 1992-1997 Internal Medicine/Hospitalist 1987-1992 Cardiology Certifications and Licensures - [R. Michael Green
MD](https://trinitymedassoc.com/team/green/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”R. Michael Green, MD” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/green.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ sticky_enabled=”0″] Educational Information University of Tennessee, BA University of Memphis, MD Practice Experience 1997-Present Trinity Medical Associates, PC Certification and Licensures Internal Medicine Pediatrics Pediatric Advanced Life Support Advanced Cardiovascular Life Support Professional Organizations AAP, - [Mindy Meyer
FNP-BC](https://trinitymedassoc.com/team/meyer/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column _builder_version=”4.6.6″ _module_preset=”default” type=”4_4″][et_pb_team_member name=”Mindy Meyer, FNP-BC” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Mindy-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ title_text=”Mindy” position=”Family Nurse Practitioner” sticky_enabled=”0″] Educational Information University of Tennessee, Knoxville, BS, 2003 University of Tennessee, Knoxville, MSN, 2009 Practice Experience 2010-Present Trinity Medical Associates, PC Procedures Nexplanon implantation and removal Areas of focus Health - [Matt Cox
PA-C](https://trinitymedassoc.com/team/cox/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column _builder_version=”4.6.6″ _module_preset=”default” type=”4_4″][et_pb_team_member name=”Matt Cox, PA-C” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Matt-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ position=”Certified Physician Assistant” sticky_enabled=”0″ title_text=”Matt”] Education University of Tennessee, Knoxville, BS of Science in Education, 2008 South College, Knoxville, Masters of Health Science in Physician Assistant Studies, 2016 Practice Experience Trinity Medical Associates 2018-present Certifications - [Jesse Von Fange
PA-C](https://trinitymedassoc.com/team/fange/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column _builder_version=”4.6.6″ _module_preset=”default” type=”4_4″][et_pb_team_member name=”Jesse Von Fange, PA-C” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Jesse-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ sticky_enabled=”0″ title_text=”Jesse”]Educational Information Clemson University, BS The University of South Carolina, Post Baccalaureate P.A. Prerequisites South College, Masters of Physician Assistant Practice Experience Medical Assistant/Scribe – Pediatric Associates Ophthalmic Assistant – 20!20 Vision Intern - [Jamie Russell
Clinical Supervisor](https://trinitymedassoc.com/team/russell/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”Jamie Russell” position=”Clinical Supervisor” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/JamieDSC_5012-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ title_text=”JamieDSC_5012″ sticky_enabled=”0″] As the Clinical Supervisor, Jamie Russell supervises the clinical staff team that includes nurses, x-ray, and lab personnel. She was the first employee in the practice which opened in 1990. Jamie serves - [Dalana Cornell
Front Office Supervisor](https://trinitymedassoc.com/team/cornell/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”Dalana Cornell” position=”Front Office Supervisor” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/DalanaDSC_4884-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ sticky_enabled=”0″] As Trinity’s Front Office Team Leader Dalana is in charge of answering and handling front office inquiries,handling the daily schedule for the front office and training the front office staff. Educational Information - [Chris Borders
PA-C](https://trinitymedassoc.com/team/borders/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column _builder_version=”4.6.6″ _module_preset=”default” type=”4_4″][et_pb_team_member name=”Chris Borders” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/ChrisDSC_4954-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ sticky_enabled=”0″ title_text=”ChrisDSC_4954″] Educational Information Maryville College, Maryville, TN- BA Seton Hall University, South Orange, NJ- MS Practice Experience 2012-Present Trinity Medical Associates, Certifications and Licensures National PA Licensure – NCCPA State PA Licensure – Tennessee Professional - [Andrew L. Smith
MD](https://trinitymedassoc.com/team/smith/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”Andrew L. Smith, MD” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Smith-scaled.jpg” _builder_version=”4.6.6″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ title_text=”Smith” sticky_enabled=”0″] Educational information Cornell University; BS University of Vermont, Burlington, MD Biblical Theological Seminary Practice Experience 2001-Present Trinity Medical Associates, PC 1989-2001 Boca General and Family Medicine, PA Certification and Licensures Medical License - [Patty Brown](https://trinitymedassoc.com/team/brown/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Patty Brown” position=”Biblical Counselor” image_url=”https://trinitymedassoc.com/wp-content/uploads/image-11.png” _builder_version=”4.25.2″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ min_height=”263px” custom_padding=”||32px|||” hover_enabled=”0″ box_shadow_style_image=”preset1″ global_colors_info=”{}” title_text=”image (11)” sticky_enabled=”0″] Patty Brown has a deep desire to help hurting people after personally experiencing great transformations in her own life by practically applying biblical principles. - [Tom Webb](https://trinitymedassoc.com/team/webb/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Tom Webb” position=”Biblical Counselor” image_url=”https://trinitymedassoc.com/wp-content/uploads/IMG_3236-scaled.jpg” _builder_version=”4.22.1″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″ global_colors_info=”{}”] Tom Webb has been counseling at Trinity Counseling Center since it’s inception in 2003 and believes strongly in the sufficiency of the Scriptures for the purpose of understanding and dealing with - [Luke Hall
DO](https://trinitymedassoc.com/team/luke-hall-do/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Luke Hall, DO” image_url=”https://trinitymedassoc.com/wp-content/uploads/SNC_0794-scaled.jpg” _builder_version=”4.21.0″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ global_colors_info=”{}” sticky_enabled=”0″]Educational information Carson Newman University, BS, Biochemistry, 2015 Lincoln Memorial University DeBusk College of Osteopathic Medicine, DO, 2020 Practice Experience 2023-Present – Trinity Medical Associates, PC 2020-2023 – ETSU Bristol Family - [Randy T Pardue
MD](https://trinitymedassoc.com/team/pardue/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Randy T Pardue, MD” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Dr.-Pardue-1-scaled.jpg” _builder_version=”4.21.0″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ global_colors_info=”{}” sticky_enabled=”0″] Educational Information University of Tennessee, BA, 1983 University of Tennessee School of Medicine, MD, 1987 Practice Experience 1990-Present Trinity Medical Associates, PC Certification and Licensures Diplomat, American Board of Family - [Ashley Haney
FNP-BC](https://trinitymedassoc.com/team/haney/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Ashley Haney, FNP-BC” position=”Family Nurse Practitioner” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/AshleyRutherford-scaled.jpg” _builder_version=”4.20.0″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″ global_colors_info=”{}”] Educational Information University of Tennessee, Knoxville, BSN, 2010 University of Tennessee, Knoxville, MSN, 2014 Practice Experience 2015- Present Trinity Medical Associates, PC Certifications and Licensures Basic Life Support Registered - [Cameron Brocco
PA-C](https://trinitymedassoc.com/team/cbrocco/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” collapsed=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Cameron Brocco, PA-C” position=”Certified Physician Assistant” image_url=”https://trinitymedassoc.com/wp-content/uploads/CBrocco.jpg” _builder_version=”4.16″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″ global_colors_info=”{}”] Educational InformationUniversity of Tennessee at Chattanooga, Chattanooga, TN – BS South College, Knoxville, TN – PA Practice Experience2022-Present Trinity Medical Associates Certifications and LicensuresNational Commission on Certification of - [Bonnie Jo Dziesinski
PA-C](https://trinitymedassoc.com/team/bjdziesinski/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Bonnie Jo Dziesinski, PA-C” position=”Certified Physician Assistant” image_url=”https://trinitymedassoc.com/wp-content/uploads/BonnieJo.jpg” _builder_version=”4.16″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″ global_colors_info=”{}”] Educational InformationLipscomb University, Nashville, TN- BA Trevecca Nazarene University, Nashville, TN – MS Practice Experience2022-Present Trinity Medical Associates 2021-2022 – Kidzcare Pediatrics, Madisonville, TN 2010 – 2020 – - [Christopher E Acker
MD](https://trinitymedassoc.com/team/acker/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Christopher E Acker, MD” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Acker_Christopher_000006081-2-scaled-e1607979866148.jpg” _builder_version=”4.16″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″ global_colors_info=”{}”]Educational Information Carson-Newman College, BA, Biology, 2011 St. George’s University School of Medicine, MD, 2016 Practice Experience 2020-Present Trinity Medical Associates, PC 2019-2020 Halifax Health Primary Care Sports Medicine Fellowship Team physician - [Katie J Tipton
MD](https://trinitymedassoc.com/team/tipton/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Katie J. Tipton, MD” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Dr.-Tipton-1-scaled-e1607979425134.jpg” _builder_version=”4.16″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″ global_colors_info=”{}”]Educational Information Emory University Department of Medicine, Atlanta, GA J. Willis Hurst Internal Medicine Residency Program, Primary Care Track, 2015 University of Tennessee Health Science Center – College of Medicine, Memphis, TN - [Victoria Wolfgramm
MD](https://trinitymedassoc.com/team/victoria-wolfgrammmd/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Victoria Wolfgramm, MD” image_url=”https://trinitymedassoc.com/wp-content/uploads/SNC_7042.jpg” _builder_version=”4.18.0″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ global_colors_info=”{}” sticky_enabled=”0″]Educational Information University of Colorado, BA, Chemistry, 1993 University of New Mexico School of Medicine, MD, 2000 Practice Experience 2022 – Present, Trinity Medical Associates, PC 2007 – 2022, Hana Health - [Tyler Hall
DO](https://trinitymedassoc.com/team/t-hallmd/) - [et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_team_member name=”Tyler Hall, DO” image_url=”https://trinitymedassoc.com/wp-content/uploads/Tyler-Hall-MD-scaled.jpg” _builder_version=”4.19.4″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ hover_enabled=”0″ box_shadow_style_image=”preset1″ global_colors_info=”{}” sticky_enabled=”0″]Education Information Carson Newman University, BA, Chemistry Lincoln Memorial University DeBusk College of Osteopathic Medicine, DO University of Tennessee Family Medicine Residency Practice Experience 2023 – Present-Trinity Medical Associates, PC 2021 - [Chelsey Henry
PA-C](https://trinitymedassoc.com/team/chelsey-henrypa-c-2/) - [et_pb_section fb_built=”1″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_row _builder_version=”4.6.6″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.6.6″ _module_preset=”default”][et_pb_team_member name=”Chelsey Henry” image_url=”http://www.trinitymedassoc.com/wp-content/uploads/Chenry-pic.jpg” _builder_version=”4.8.1″ _module_preset=”default” header_level=”h5″ header_font=”|600|||||||” header_text_color=”#194e91″ box_shadow_style_image=”preset1″] Educational InformationTennessee State University, Johnson City, TN- BA South College, Knoxville, TN – MS Practice Experience 2014-Present Trinity Medical Associates Certifications and Licensures Nationally Certified Physician Assistant State PA Licensure – Tennessee State PA Licensure – South ## Categories - [Uncategorized](https://trinitymedassoc.com/category/uncategorized/) - [General](https://trinitymedassoc.com/category/general/) - [Website](https://trinitymedassoc.com/category/website/) - 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