New emergency care opens in Pahrump
A new urgent care facility with a rotation of medical experts, sophisticated equipment and 16 partitioned exam rooms has opened at 1460 E. Calvada Blvd.
Pahrump Urgent Care now treats adult walk-in patients with sprains and strains, eye irritation, urinary tract infections, rashes and allergic reactions, injuries from accidents and falls , earaches, respiratory illnesses, sore throats and more.
Dr. Tali Arik and her colleague, Dr. Julie Woodward, expanded Pahrump Cardiology and Family Practice in the same building at 1470 E. Calvada on February 28 to provide this layer of patient care to the entire community, including patients in their practice.
“We are definitely multi-specialty and we try to really take care of the whole patient. This is what sets us apart from everyone else in Nye County,” said Dr Woodward.
Dr. Arik is an independent practice, with certified Advanced Cardiovascular Life Support (ACLS) providers, crash carts, defibrillators, x-rays, and high-tech imaging modalities. They specialize in family medicine, cardiology, pain management and women’s health.
“With the way it’s integrated here with our practitioners, it’s different – it’s not just urgent care. There are practitioners. We have two cardiologists, we have all this diagnostic equipment. So we can understand, instead of just saying, “Oh, you’re out of breath.” We can say “You are short of breath and it is due to pericardial effusion, or you have heart failure, or you have pneumonia.” And we can give specific treatment to that person. That’s the difference. We also have a laboratory to diagnose the most common abnormalities. Blood, urine, special cardiac tests. We are urgent care; you want the diagnosis right away. We get you results immediately,” says Dr. Arik.
“We go back and forth between primary care and emergency care all day,” Dr. Woodward said.
In the urgent care suite, they use ultrasound for conditions such as pelvic pain or abdominal pain. A mobile x-ray is used for imaging limb injuries.
“In the operating room, we perform the incision, the drainage, for seroma or abscess; we suture the lacerations or the staples, whatever the situation. We provide IV hydration, antibiotic therapy; we have a plethora of drugs on hand to be able to treat the patient intravenously,” Dr. Woodward said.
“We actually treat the conditions here and save them from having to go to the hospital,” Dr Arik said. “We’ve already had some pretty big conditions here that we’ve been able to deal with here in town, when normally they would have to go to Vegas and be admitted for two or three days.”
A patient who has a congestive heart failure remote monitoring system through an implanted chip was developing fluid overload, he said. The monitoring station alerted the patient.
“So we told him to come to urgent care,” Dr Arik said. “Indeed, she had been more breathless than usual, so instead of admitting her to hospital, we gave her a dose of diuretics here, so she could go home. And not be admitted.
There is no need to treat mild cases of heart failure in a hospital setting, Dr. Arik said.
“We brought in a person with various types of chest pain. We did an echocardiogram; the patient had a rapid heartbeat,” he said. “It turns out the patient had an inflammation around the heart called pericarditis. This doesn’t need to be admitted. She was able to go home, with the correct diagnosis and treatment. She will return for follow-up.
But the treatment options in urgent care have limits.
“Heart attack, stroke, stab wounds, gunshot wound, severe trauma – all of these will warrant a call to 911,” Dr. Arik said. “The professional relationships we have in Las Vegas to do telecardiology consultations has resulted in expedited planning and treatment. Instead of waiting two weeks to be seen in Vegas, we can bring patients in within hours,” said Dr. Arik.
The Emergency Department is open from 8 a.m. to 8 p.m. Monday to Saturday.
The family practice hours of operation are Monday through Thursday, 8 a.m. to 6 p.m. Their phone number is 775-210-8333.
There are 13 medical care providers, six of whom rotate through emergency care. Two are full-time cardiologists. The others are imaging specialists, doctors or nurse practitioners.
“Pahrump is a much bigger community now – 45,000 people, many of them very sophisticated. People expect things to be done to a certain level or standard,” says Dr. Arik. An important part of its vision is to “transform the healthcare experience by providing essential services that are both coordinated and convenient within the local community, making quality care accessible to patients and families”.
Dr. Arik became genuinely enthusiastic when he showed his business card, which features his theme, “Live here, work here, take care of yourself here in Pahrump”.
Dr. Arik has been practicing in Pahrump since 2005 and moved here in 2014.
“We have a unique cardiology structure to perform cardiology diagnostics. There are several ways to understand the problems: electrocardiogram and monitoring, ultrasound to examine structures, echocardiogram. Our equipment is the latest best versions of that, so our imagery is really excellent. We can use imaging to visualize any artery in the body.
For cardiology, it’s a complete package, he says.
“Our images are cloud-based so anyone can access them with the proper username and password, so if I have someone’s echo and want to share it with a specialist, let’s say the patient might need heart surgery, I can send that imagery to the surgeon for a second opinion,” Dr. Arik said. “That’s another way for a patient to not necessarily travel to Las Vegas to have an opinion on this, all with the patient’s permission, of course.
The center also performs PET scans, stress tests where doctors look at the heart’s arteries.
“The coronary arteries are too small to be visualized on CT scans. PET is performed with nuclear medicine. There are only 250 PET heart nuclear scanners in the United States to examine coronary arteries and blood flow; we have one here. We have the technicians to make it work and the specialists to interpret it,” said Dr Arik. “We can rule out heart disease with a high degree of accuracy in some cases, more accurate than doing an invasive angiogram. We can decide who needs an intervention or who just needs a medication adjustment.
Most angiograms aren’t necessary, he said. Most stents are also not necessary.
“You have technology like this, you can stop people from having unnecessary risky procedures. And there’s the downside of going to Las Vegas and recovering. Diabetics, hypertensives, people with active chest pain with a normal PET scan, that means everything is fine,” Dr. Arik said. “On the other hand, people with pre-existing heart disease can have a PET scan here to determine the level of severity of the presenting symptoms.”
If a patient is suffering from chronic shoulder pain, the practice can also address the root cause.
“We actually do interventional procedures. We take a multimodal approach,” said Dr Woodward. “We use image-guided technology to perform joint injections with ultrasound: hips, knees, shoulders, carpal tunnel, plantar fasciitis, that sort of thing.”
Many specialists are available for consultation at the Pahrump office.
“When these consultants come here, they see 20 Pahrump patients each time. These are all patients who would otherwise have to travel to Las Vegas, or simply would not receive care,” Dr. Arik said.
Pahrump Cardiology & Family Practice and Urgent Care accepts many insurance programs including Medicare, Medicaid, Anthem CBS, Aetna POS/Medicare Advantage, Humana, Loomis – Sierra Healthcare Options, MGM, Optum, P3 Health, and City of Las Vegas.
For more information, call 775-210 or visit www.pahrumpcardiology.com.