The secret to finding a primary care provider: Be flexible

People hunting for a new primary care provider may have a hard time finding a doctor who’s taking new patients. But a number of primary care providers can do the job, including four types of physicians and two types of advanced practitioners. Doctors who provide primary care include internal medicine specialists, med-peds physicians, family practice doctors, and geriatricians. Advanced practitioners who provide primary care include nurse practitioners and physician assistants. Experts say the type of provider isn’t as important as simply having a primary care provider in place.

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Why are you coughing at night?

Several health issues are associated with nighttime coughing. Some of the most common are postnasal drip, gastroesophageal reflux disease (GERD), medication side effects, and heart failure. When a new nighttime cough lasts more than a few weeks, it’s important to go to a doctor to rule out dangerous causes, such as heart failure. The doctor can also determine if a drug side effect, postnasal drip, or GERD is causing the cough, and prescribe medications to treat the condition.

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When high blood pressure affects the lungs

Pulmonary hypertension—a serious illness that affects the lungs and heart—has many possible causes, including a range of diseases and underlying conditions, as well genetic mutations and exposure to certain drugs. It is challenging to diagnose and treat, but a novel experimental drug that targets one form of the disease appears promising. The drug, called sotatercept, targets one of the dysregulated pathways that causes pulmonary arterial hypertension—one specific form of the disease.

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What makes water workouts so worthwhile?

Swimming and water aerobics are joint-friendly forms of exercise that strengthen the cardiovascular system and muscles at the same time. A full-body exercise, swimming uses nearly every muscle in the body. Water aerobics includes exercises like jogging, jumping jacks, and twists done in waist-deep or higher water. The added resistance from moving in water also burns more calories compared with similar land-based exercise.

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Race, racism, and heart disease: Why awareness matters

In the United States, Black adults are more than twice as likely to die of cardiovascular disease than white adults. Discrimination and its downstream effects may underlie the survival gaps in cardiovascular disease between racial groups. Discrimination includes the daily hassles and indignities people experience in daily life and is reflected in a higher frequency of traumatic experiences. Unfair treatment can also affect employment opportunities, which limits opportunities to live in areas with access to heathy food, safe places to exercise, and good medical care.

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What’s the latest on wearables for finding atrial fibrillation?

Five smart watches capable of recording an electrocardiogram and detecting atrial fibrillation have been cleared for the market by the FDA. The devices can continuously monitor a person’s pulse for an abnormally rapid heart rate and tell the wearer when to record an ECG, which involves opening an app and touching the side of the watch for 30 seconds. But it’s not clear if using this feature can improve a person’s health. There are many other ways to screen for afib. These strategies, which include simply checking one’s pulse or wearing a heart monitor, depend on a person’s afib risk and symptoms.

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