Day: November 25, 2020

Health care

Treat Your Low Back Pain with Double-Certified Spine Specialist in Las Vegas

The majority of people experience pain at their lower back in their lives, and the condition is among the leading causes of job-related disability. Do you experience pain in your lower back area? Dr. Patrick S. McNulty is a high-ranking, double certified orthopedic surgeon and spine specialist at McNulty Spine in Las Vegas, specializing in practical conservative measures, surgical reconstruction, and spinal injections. He uses innovative and state-of-the-art surgical and non-surgical procedures to diagnose and treat lower back pain. If you experience lower back pain conditions, call or schedule an appointment online for an effective treatment.

What Causes Lower Back Pain?

The condition is caused by many conditions and injuries, ranging from degenerative diseases and acute injuries to spinal deformities and chronic issues. Strains and sprains cause most of your acute back pain in your connective tissues and back muscles. Other causes of lower back pain include scoliosis, spondylosis, osteoarthritis, osteoporosis fracture, spinal stenosis, spondylolisthesis, degenerative disc disease, kyphosis, lordosis, and injury. If the back pain is caused by sciatica, you may experience electrical sensations, shooting pain, or weakness in one of your legs or buttocks due to nerve compression.

When Should You Talk To A Doctor About Your Back Pain?

If you are experiencing acute pain due to sprain or strain in your back, it should begin to subside after some days of rest. Also, over-the-counter medication and at-home therapy such as cold and hot compresses should be enough to subsidize the pain. However, if the pain persists or intensifies for more than two to four weeks, you should make an appointment with a medical professional for proper diagnosis and treatment. The team at McNulty Spine is dedicated to providing the best and most effective treatment services to both children and adults.

How Is The Cause Of Back Pain Diagnosed?

For diagnosis, your provider will offer a comprehensive exam that includes several diagnostic tests. Some of the tests available at McNulty Spine include MRI, X-rays, CT-scan, bone scan, spinal injections, discography, and myelography. During the diagnosis, Dr. McNulty will inquire about your pain and symptoms while guiding you through some movements to identify and gauge your pain’s effect on your mobility.

What Is The Back Pain Treatment Procedure?

Contingent with your diagnosis, your provider develops a customized treatment plan to address your specific condition, focused on alleviating the pain and healing the causative condition. The available treatments plan at McNulty Spine include nerve blocks, physical therapies, spinal injections, chiropractic treatment, fusion surgeries, disc replacement, radiofrequency ablation, and reconstruction surgeries. During the treatment, Dr. McNulty often begins with conservative treatments before incorporating surgical options. Physical therapy strengthens your back, relieves pain, and enhances circulation while medications relax muscles and decrease inflammation. He is highly-skilled in spinal injections to encourage your recovery process in an efficient, coordinated fashion and thrives in providing spine surgery alongside minimally invasive and robotic surgical options.

In conclusion, if you experience back pain, it would be best to act quickly to find prompt relief. Call or book an online appointment with McNulty Spine for a customized lower back pain treatment that guarantees comfort.

Dental

Why Tooth Extraction is Necessary

Is being toothless one of your biggest fears? Of course, people may start giving you senseless remarks to lower your self-esteem. But think of the potential risks you may encounter when one or more of your teeth are decayed or have an infection. At this point, your health is more important than worrying about what people will say. So, getting a reliable dentist at Ueno Center Dental Specialists that performs tooth extractions in Campbell is the best bet you have at improving the health of your teeth, gums, and jaw.  Read on to find out why you may need to extract your teeth.

Reasons why tooth extraction is necessary

In some cases, broken or decayed teeth can be fixed through fillings, crowns, or other dental procedures. However, the damage can be too severe to survive these procedures. At this point, your dentist may recommend extraction for the following reasons:

  •       When decay is deeply rooted inside the tooth
  •       When an infection has damaged a bigger part of the tooth or the bone surrounding it
  •       When your mouth cannot accommodate all your teeth
  •       When there is an extra tooth distracting other teeth from sprouting
  •       Baby teeth fail to fall out to pave the way for permanent teeth
  •       When you have third molars or wisdom teeth during your late teens.

For some people, deciding to go for tooth extraction can be traumatizing because of the pain associated with the procedure. But when the more significant part of your tooth has an infection or decay, tooth extraction may be the only option you have. Only a qualified dentist can recommend tooth extraction after confirming the severity of your tooth damage.

How tooth extraction is conducted

Like any other dental procedure, your dentist will begin the procedure after assessing your medical history. They are highly trained in diagnosing and conducting tests using x-rays to portray the nature of your tooth and the surrounding bone. Once they have discovered the results, they can either go ahead with the procedure or refer you to a surgeon if your case is complicated.

Before your tooth is extracted, local anesthesia will be applied to the area surrounding your tooth to numb it. For complicated cases, intravenous (IV) anesthesia may be used to sedate you. If you go through this case, organize for someone to pick you and be available for you after the procedure as you will be unable to drive or care for yourself until the anesthesia wears off.

What to expect after tooth extraction

The healing process depends on how you take care of your tooth after extraction. Your dentist may provide you with information on how to clean the area to prevent infection. If you are instructed against smoking, rinsing your mouth vigorously, or sanitizing your teeth next to the extracted area, adhering to those directions will aid in the quick and full healing process. Pain is part of the healing process after an extraction, which is why your dentist may recommend pain-relieving medications to help you cope.

Tooth Extraction Can Save the Life of Your Teeth

Whether you are having a tooth extracted for the first time, or have had it done before, you can look forward to a successful procedure through a qualified dentist. Book an appointment online today to find out if the tooth extraction option is best for you.

Health

Compassionate Infant & Family Care in Texas

To ensure your baby develops and grows healthy, strong, and happy with every passing milestone, Dr. Carrie Jones, MD, and her team at Argyle Pediatrics devote their full attention to babies and their family’s needs. With her expert medical team, Dr. Jones will work closely with parents to help track the main milestones of development from infancy to early adulthood.

Dr. Jones can identify and help manage symptoms of common childhood conditions that negatively affect development, such as autism or ADHD. To learn more about the practice, call or use the online booking tool to schedule an appointment today.

Meet Dr. Carrie Jones

Dr. Jones pursued an undergraduate degree in Biology from Baylor University in Waco, Texas. During medical school at the University of Texas Medical Branch, Galveston, Dr. Jones started falling in love with pediatric care, where she later attained a medical degree. After that, she completed a residency and internship in pediatrics at the Naval Medical Center at San Diego.

When Dr. Jones isn’t practicing medicine, she likes spending quality time with her family. You will often find her cheering her daughter and three sons at the theater, basketball court, and baseball fields. Dr. Jones is compassionate and treats every patient like family. She wouldn’t recommend treatment or parental advice that she cannot give to her own children. In case you have any questions or concerns about the practice, you can reach Dr. Jones at any time.

Services

Currently, Dr. Jones holds a board-certification in pediatric care. She’s entirely dedicated to helping parents raise healthy and happy children. Dr. Jones loves the facility’s small community setting as it ensures she spends ample time with all children and their families to understand their unique needs.

Together with her highly-skilled and experienced staff, they actively participate in community activities in Argyle and the surrounding communities with their children. Whether your child has allergies or asthma, flu/cold, atopic dermatitis/eczema, strep throat or ear infections, concussions or sports injuries, etc., Dr. Jones and her team can help. Some of the services offered include, but are not limited to, newborn care, developmental screenings, well checks, and immunizations.

Besides patient care from the private practice in Argyle, Dr. Jones is an outpatient pediatrician at Texas Health Resources in Denton, TX.  To find out more about the practice, schedule a consultation today.

Testimonials & Reviews

Dr. Jones values and appreciates reviews from her patients. To date, her private practice prides itself with a 5 out of 5 stars rating based on 122 collected reviews. Check out various patient testimonials by visiting their website.

To sum up, Dr. Jones views herself as most privileged to be part of every child’s life journey, as they celebrate all milestones from infancy to early adulthood. Her private practice in Argyle is open on weekdays, from 8 am to 5 pm. As a parent, one would like the best for their children every step of the way until they become adults. To access compassionate care for children that also focuses on individual family needs, schedule for consultation with the pediatrician located in Argyle, TX by calling or use the convenient online booking tool.

Health care

Tips To Relief Pain From Varicose Vein

When valves in the veins malfunction, they may be unable to draw blood back to an individual’s heart in an efficient manner because they are working against gravity. Varicose veins appear as enlarged veins with the appearance of a rope. You will notice that you have blue or purple lines running beneath your skin. These veins typically appear on your legs and feet, but they could also occur in other areas like near the armpits and on your hands. Varicose veins, in some instances, may cause pain and discomfort. You may have large, twisting veins with no discomfort, but other times, less visible varicose veins can be pretty painful. If your varicose veins are bothering you, David Naar, MD and his team can help provide treatment. To help manage pain associated with the varicose veins, you may want to do the following:

Elevate your legs

Raising your legs can help provide immediate relief from discomfort and pain that comes with varicose veins. Keep your legs raised above your heart. Stretch them up against a wall, place the feet up on your table, or lie down on your bed and place the legs on three pillows. These techniques will help the venous valves to function more effectively and allow blood to flow from your lower body to the heart.

Stretch and exercise the legs

You may consider short exercises including stretching the calf muscles several times a day. Ensure you keep your feet flexible particularly during long trips if you have limited legroom. If you are in the workplace and have to stand or sit, ensure you change positions every 30 minutes. Also, see that you bend your knees regularly.

Use cold water

Shower your legs with cold water if they are in pain after ending your day’s activities. Cold temperatures allow blood vessels to constrict. This helps alleviate cramps, the feeling of heaviness and swelling, and the associated discomfort. If your varicose veins are painful, avoid hot baths. The pain can worsen when you expose the veins to heat.

Wear special compression hosiery

As with most chronic conditions, you should consider prevention when it comes to managing varicose vein discomfort. You can wear special compression hosiery to help prevent symptoms such as heavy legs and swelling. These products allow you to avoid the painful cramps you tend to experience at the end of the day or night.

Before you walk in the morning, whether going to your workplace or at home, you can put on a compression stocking. The idea is to prevent blood from pooling around the ankles. Do not wear tight clothing and high heels. These tend to exert too much pressure on various parts of the body. They also constrict blood flow and may make varicose veins and the associated discomfort worsen.

As you manage the pain and discomfort of varicose veins, you want to seek treatment from a specialist doctor. Premier Vein Clinic has a specialist team that performs minimally invasive interventional procedures and cosmetic procedures to help treat varicose veins and give your legs the beautiful look you desire to have.

Health

Why You Need a Stress Test

Did you know that a stress test can be used to determine the wellbeing of your heart, particularly when you are under physical stress? While heart problems are easy to detect when your heart is trying to pump blood throughout your body, it can still be daunting to determine its condition unless you go for stress testing in Philadelphia. In doing so, heat problems including ischemic heart disease, cardiac failure, or heart valve disease can easily be diagnosed so that an appropriate medical plan can be tailored for you. Read on to find out why this diagnostic procedure will help you.

The team at Corrielus Cardiology consists of board-certified cardiologists and other medical practitioners dedicated to providing top-notch heart care in Philadelphia and other areas surrounding it.

What to expect during a stress testing procedure

If you are having trouble keeping up with physical exercises, chances are your heart could be struggling to pump blood from the heart to other parts of your body. Your physician may refer you to a cardiologist to conduct a stress test to determine whether your heart can normally handle its functions.

During a stress test, the image reflects a person having an exercise stress test. Your cardiologist will attach electrodes to your chest and link it to an electrocardiogram machine. It will note down your heart’s electrical activity. You will be required to walk on a treadmill or use a stationary bicycle after the blood pressure cuff registers your blood. That way, your cardiologist can determine whether your heart is at risk of contracting diseases that prevent it from functioning as it should.

Your doctor may warn you against taking prescription medicines or specific beverages 24 hours before the test to get the best results. You may also be required to wear clothes and shoes that fit loosely. After the stress test, your doctor will take images to see how the blood is flowing through your heart. It also aims at determining how your heart pumps blood at every beat. In some cases your doctor may ask you to put on a mask or mouthpiece to see how your lungs are functioning.

What happens after the stress test?

After the stress test, your doctor will gauge your heart activity and blood pressure to ensure that both results are restored within the normal range. That indicates that it is okay for you to resume your normal activities immediately. In the case of a radioactive dye, your doctor may recommend that you take enough fluids to eliminate it out of your system.

If the stress test reveals a healthy heart, you may not be required to repeat testing or treatment. Other diagnostic procedures may be recommended to determine whether there is a pre existing heart condition.

Stress testing can save your life

Unless you have chest pain symptoms, you may not be a perfect candidate for stress testing. But if you feel something is amiss about how your heart works, it would be best to go for this procedure. For more information on how the stress testing works, consult your cardiologist today.

Health care

Management of pain and injuries in sports

In the current world, adults and children are engaged in many sports activities. Recreational sports have played a significant role in keeping your body fit. Physical fitness reduces the possibility of experiencing stress, depression, and developing cancer. Since there are many types and versions of sports, you can get injuries and pains depending on the sport you have engaged in. During sports, your body can suffer either internal or external injuries, which are accompanied by pain. Many people incur these injuries during sports. If you live in or around Raritan, anti-aging & regenerative medicine specialists are available to offer services and treatments on multiple types of injuries and pain.

Top 4 injuries associated with sports

An injury in sports occurs during practice or in participating in competitions You can develop injuries in sports if you have not properly warmed up or if you have not been regularly practicing. This injury includes:

  •       Knee injury – This injury alters the movement of your knee joint.
  •       Bone dislocation – When your bone is forced out of its socket, we refer to the injury as a bone dislocation.
  •       Fractures – Bone fracture is also called broken bone.
  •       Swollen muscles -. This occurs when a muscle is injured.

The above injuries are accompanied by pain and joint weakness. The most efficient ways of treating sports injuries are explained below.

The best treatment of sport injuries

In sports, treatment of an injury depends on the characteristics or intensity of pain. RICE is a treatment method for mild sports injuries that stands for:

  •       Rest
  •       Ice
  •       Compression
  •       Elevation

This method of injury treatment prevents you from additional pain and swelling of muscles. In some cases, your injury may look severe and you should make an appointment with a doctor immediately. The following are some of the conditions that will indicate your injury is severe: body instability and weak joints, popping or crunching sound in joints, fractures, and joint dislocation. The section below discusses how you can prevent sports injuries.

Tips to prevent the occurrence of injuries in sports

Proper preparation is a fundamental activity you can do to avoid injuries before participating in sports. Make sure that you warm up frequently, stretch your muscles to prevent tearing down during the actual activity. Exercising and warming up your muscles makes them less prone to injuries.

It is also advisable that you wear proper equipment before engaging in a sport. For example, in football, wear the right shoes that will prevent you from sliding. Shoes with no spikes are prone to sliding, which can result in joint dislocations.

The success of every sport requires unique techniques and moves. The development of tactics and moves depends on the rules and objectives of the sport. Failure to adopt the right posture attracts significant consequences in sports.

Significant Consequences of injuries in sports 

A sports injury can be severe or mild. Severe injuries can be hard to recover from, even after treatment and management. For instance, a spinal injury can result in paralysis, thus changing your lifetime career. A bone fracture often results in poor performance in sports, even after recovery.

Engaging in sports without  observing precautions increases the chances of getting injuries. Once you get a mild or a severe injury, consult Performance Pain & Sports Medicine in Raritan for treatment. Consultation or seeking healthcare advice from a professional will reduce the risk of the severity of your injury.

Health care

Signs of Early Menopause

The first picture that comes to most peoples’ minds when they hear the term “menopause” is of a woman in her mid 50s. The truth is menopause for each woman occurs differently, depending on their estrogen levels. Some may experience it as early as their 30’s. Some experience harsh and unrelenting symptoms, while others may only experience mild symptoms that can easily be treated by lifestyle changes, such as avoiding hot drinks when they have hot flashes. If you are dealing with such symptoms, seeing Dr. Michael Coppa, MD, a gynecologist specializing in menopause in Providence, can be the best bet you have at finding the solution that is right for you.

The signs and symptoms of menopause

While menopause does not need treatment, the symptoms associated with it can be problematic. Changes you may experience include:

Irregular periods

When you are approaching menopause, your periods may become more irregular. Sometimes it may come less often or last longer or shorter than before, making it difficult to predict when it will come. Determining how long it will last or if it will be heavy or light also becomes daunting. This classic symptom of perimenopause can also make it harder for you to conceive.

Hot flashes and night sweats

The temperature change you have always experienced during ovulation is not the same as approaching menopause. The latter is characterized by hot flashes that may redden your skin. Your heart may also start beating fast, and then it gets cold. This is a classic sign of the onset of menopause.

Vaginal dryness and bladder control

At this point, you may experience vaginal dryness, making you uncomfortable during intercourse. In other cases, you may have either vaginal or bladder-related infections that may make it harder for you to hold your urine long enough to reach your bathroom. When you are unable to control your bladder, you suffer from a condition known as incontinence. It gets worse when you are sneezing, laughing, or exercising.

Insufficient sleep

Trouble sleeping is a common symptom of menopause that most women face. It gets worse when it is accompanied by night sweats that keep waking you up. This is one of the frustrating effects of menopause that affect both your nighttime and daytime routines.

When to see a doctor  

Menopause is a regular aging process that every woman will undergo at some point in their lives, so experiencing these types of symptoms is inevitable. But when it becomes troublesome and affects your normal daily activities, it would be advisable to seek an expert’s help.

Your gynecologist may perform the PickAMH diagnostic test that was recently approved by the FDA during your examination. Through this new test, it is easy to detect perimenopause symptoms, which can cause adverse side effects. That way, your doctor can devise a perfect plan that can prevent you from the risk of chronic conditions such as cardiac disease, vaginal dryness, osteoporosis, or fracture.  To learn more about menopause and its symptoms, consult your gynecologist today.

Health

Benefits of Seeing a Pain Management Specialist

It can be challenging to avoid pain problems, especially if you have a chronic medical condition. If your pain control is beginning to appear out of control, it may be wise to consult a pain specialist. As with any ailment in New York, tremors can be treated by a highly qualified neurologist. At NY Neurology Associate, you consult with a specialist with the right expertise to get you on the right path to recovery.

Do not continue to suffer. If you have been experiencing tremors for an extended period, it’s time to seek help. Working with a pain management specialist or a neurologist comes with the following benefits:

Extensive training and experience in pain management 

If you are looking for any form of treatment, you want it done by the right professionals. A highly trained neurologist knows what to do to help you deal with the pain better. What is more, your doctor will approach your case personally and help with the perfect solution for your condition. You do not have to worry about any mistakes because the doctor has been in the field for a long time and has dealt with many patients who may have had the same issues as yours. He knows what to do and will get you on the right path in the best way possible.

Access to specialty equipment and treatment options 

Pain management can be a daunting task, which is why it requires ultimate attention. No one wants to deal with pain, be it tremors or a migraine. The right neurologists have access to state-of-the-art equipment that focuses on where the pain is originating from. They have the resources to manage the condition until you get to where you want to be.

They prescribe the right type of medication.

Pain management often involves being prescribed different types of medications. However, taking medication does not guarantee recovery. While you may be trying to suppress chronic pain desperately, the worst mistake you can make is to take drugs without professional guidance. An expert assesses your condition first to know what may be causing your problem, then prescribes the right medicine that helps get you to recovery.

They have skill, patience, and empathy

Managing pain successfully requires expertise. It is not something that any medical practitioner can take care of effectively. Things like migraines and tremors require a lot of patience. Such conditions take time before recovery. A professional walks with you throughout the journey, prescribing the right medication and issuing advice on what practices to do to get better. They are committed to treating your specific type of pain. They aim to improve your quality of life and ensure the pain doesn’t affect your daily activities.

Everyone dreams of living a life where they don’t have to deal with pain, even as they age. A visit to NY Neurology Associates will help you get rid of all your pain. Visit your doctor to find out what options are available for you.

Health

Benefits of Vaginal Rejuvenation

Many women at the childbearing age undergo hormonal changes due to aging and experience changes in their genital parts. These changes can affect a woman’s life due to urinary unpredictability, lack of vaginal lubrication, and a reduction in sexual sensation. Vaginal rejuvenation is the solution to your vaginal problem. This non-surgical operation can help improve erotic sensation. Broward Specialty Group, your leading Coconut Creek vaginal revitalization center offers this and other women’s services.

Importance of vaginal revitalization

A woman’s genital area changes due to childbearing, aging, and hormonal imbalance.

To improve the vaginal muscle strength and tone

The female genitalia is composed of elastic muscles, which expand when there is a change in hormones or aging. This makes it loose with thinned-vaginal walls, thus making one feel that they have a bigger diameter. This feeling makes one lose confidence; you can opt for vaginal revitalization because it enhances your vaginal muscle tone and robustness. The procedure helps improve sexual satisfaction.

Treating vaginal atrophy

Vaginal revitalization is the solution to thin, dried, and inflamed vaginal walls. Vaginal atrophy leads to painful intercourse and distress during urination. Vaginal rejuvenation at Broward Specialty Group can reduce the discomfort and give you a new sensation.

Am I a good candidate for vaginal revitalization?

Consult your doctor if you notice the following changes:

  •   Discomfort or pain in the vaginal area
  •   Difficulty to hold your bladder
  •   A feeling of discomfort while wearing some clothes
  •   Pain during sex

The above challenges can be due to vaginal loosening and dryness. Specialists at Broward Specialty Group are readily available to give you the best evaluation and solution to your condition.

However, vaginal revitalization is not all about sex; there are numerous other reasons you can go for the procedure. First, falling of tampons, unwanted tissue around the genitals such as a scar, when you experience a “popping” sound when walking or in any physical activity. You can also get vaginal rejuvenation when you encounter a rough time with bowel movements. Also, vaginal revitalization is a long-term investment; after the reconstructive treatment, you are assured that you will be good for the rest of your life.

This process is done at Broward Specialty Group without requiring incisions, anesthesia, or needles; it is a painless process that is done within 15 minutes. Your doctor at Broward Specialty Group advises that you should abstain from sex for a week after treatment. If you would like to get this rejuvenation, consult a Broward Specialty Group specialist as they understand the importance of rejuvenating your sexual health. However, vaginal rejuvenation is not a guarantee that you will return to the way you were while you were 18 years old; the body goes through wear and tear as we age. It is a good option to assist in alleviating many problems and restoring your confidence; however, you should consider its possible outcomes.

Consult your doctor to learn how vaginal rejuvenation can help restore your confidence and self-esteem.

Health

A Cardiologist Can Help You with Your Heart Problem

Heart problems can be caused by many factors including genetics, underlying issues, or unhealthy lifestyle habits. The good news is heart conditions are preventable, but only when you entrust your body with the right professionals. Fortunately, Syed Bokhari, MD, FACC is a board-certified cardiologist in Riverside, CA that leads a team of other heart-related specialists at Advanced Cardiovascular Care, Inc. Read on to find out why they are the best.

A collaborative approach with other cardiologists

The only way to beat heart-related complications is through a collaborative approach with other like-minded specialists in cardiothoracic surgery and vascular and endovascular surgery. This is done to ensure all patients receive seamless care regardless of their gender, race, and medical history.

High-quality cardiac patient care

A good patient care facility should uphold an excellent level of service. Patients need to be placed under the care of compassionate and professional cardiologists so that they can believe in the process. Healthcare providers do not just offer their services for the sake of it. Rather, they should involve their patients and other medical practitioners to promote a patient-focused practice.

A dedicated team of medical practitioners

If you or anyone you love needs heart surgery, the center has cardiac surgeons, cardiac nurse practitioners, and anesthesiologists. They are available around the clock and work closely with you to plan and deliver your treatment, so you get the best service before, during, and post-surgery. The best part is that they explain what will go on during the surgery and what you can expect afterwards.

State-of-art equipment and tools

Heart surgery and other related complications can only be diagnosed using the latest biplane digital imaging tools programmed for interventional procedures. The team relies on advanced cardiac imaging initiatives to identify, evaluate, and treat all types of coronary heart diseases. You can rest assured that your problem will be identified and solved with the best cardiologists in town.

The center also has electrophysiology procedure rooms that are equipped with the latest digital tools for implanting devices, removing leads, and training upcoming cardiologists on electrophysiology. That way, they can perform complicated procedures that primary care providers cannot.

Alternative medical plans for acute heart cases

If you are at risk of developing heart disease, the team will work with you to evaluate your heart’s wellbeing. Helping you to lower the chances of getting heart disease is one of their primary goals. You will be taught how to lead a healthy lifestyle through medication, diet, exercise, and many others. Always adhere to their rules if you want to stay healthy.

Visit a cardiologist today

Advanced Cardiovascular Care has a large team of specialists dedicated to both men and women’s heart health in the region. Whether you have heart failure, stroke, or other heart-related condition, the team will go out of their way to identify the cause of your problem. Even after your surgery, they will monitor how you respond to the treatment. For more information on matters of the heart, consult your cardiologist today.