Strong doctor-patient relationships significantly improve patient health outcomes. Positive relationships within primary care settings may be the most powerful of all. 
Yet an increasing percentage of American adults do not have a primary care provider. There are many reasons for this lapse, but one of the biggest factors is a simple lack of understanding of why primary care is important. 
Keep reading to learn why primary care matters and what it can do for you. 
What Is Primary Care?
Put simply, primary care is when you have a personal doctor who knows you and who is your go-to source for all your health care needs and concerns.
Where specialists focus on an area of the body or a technique, primary care doctors specialize in knowing their patients. Primary care providers (PCPs) are trained to:

• Perform general wellness checks 
• Diagnose conditions based on patient symptoms
• Prescribe medication or treatment for common ailments
• Help patients manage chronic conditions
• Provide health and lifestyle education
• Connect patients with specialists and support resources 

Instead of working out of hospitals, primary care doctors typically work within communities. They serve individuals and families and build healthy lives and neighborhoods. 
Who Should Seek Primary Care?
Ideally, everyone should have a primary care provider. Research consistently shows that adults with PCPs:

• Are healthier
• Experience a better quality of life
• Have lower rates of cancer, stroke, and heart disease
• Are less likely to be hospitalized for any cause
• Live longer
• Have lower overall health care costs

Tragically, about one-third of men and twenty percent of women do not have PCPs or access to crucial primary care services. 
Primary Care and Early Intervention
Primary care medicine is necessary for personal, community, and national health.  PCPs improve patient health outcomes in many ways. One of those ways is through early intervention. 

PCPs deliver routine care including annual physicals. These regular check-ins are important. They allow doctors to identify symptoms that might suggest the onset of serious conditions.

Testing and early intervention can head off health crises before they escalate. For example, a PCP may recognize that a patient is sugar sensitive. He or she may recommend simple diet and lifestyle changes.

Acting before patients develop full-blown diabetes can prevent decades of struggling. It can also prevent life-threatening health complications from ever occurring.

Patients without PCPs often do not get care until their conditions are advanced and hard to treat.   
PCP Relationships and Quality of Life Research shows that patients find tremendous comfort in having a doctor they know and trust. 
Patients are more likely to share the full details of their symptoms, conditions, and habits with providers they trust. This enables doctors to more accurately diagnose the sources of problems and to create treatment plans that genuinely work for patients. As a result, patients more consistently comply with those plans and see better results.
This means that in addition to the mental and emotional comfort a strong doctor-patient relationship provides, it pays very real dividends in patient health outcomes. Beyond that, it creates the foundation for more widespread gains in overall quality of life.   
Quality of Life
Primary care by definition includes health education. PCPs work with patients to create and build healthy lifestyles that allow them to live their lives to the fullest. For example, PCPs can assist patients with:

• Smoking cessation
• Substance use cessation or moderation
• Developing an appropriate and enjoyable exercise routine
• Making appropriate dietary choices

Continuity of Care
Continuity of care of a fancy way of saying that patients with PCPs get coordinated, cohesive attention. It is impossible to overstate the importance of this. 
Patients that visit specialists hit-and-miss to address concerns they can't ignore often:

• Receive expensive testing more often than necessary because results are not shared
• Get conflicting advice from different practitioners
• Are prescribed dangerous combinations of medications or treatments because each prescriber is unaware of what the others are doing 

Primary care providers, by contrast, coordinate patient care. They work with other practitioners to ensure that information is shared and that treatments and medications are safe together and appropriate for the patient. They remove the burden of tracking, evaluating, and communicating treatments and needs from patients. 
Cost Savings.  Studies show that primary care services reduce patients' health care costs. This is largely attributable to PCP's ability to help patients catch and treat conditions while they are small and simple to address. 
It also reflects the fact that patients without PCPs must often resort to emergency rooms and other costly sources for all of their care needs. Primary care providers, by contrast, can offer quick and affordable care for non-emergency needs. 
Specifically, seeing a PCP for non-emergency care is three to seven times less expensive. Working with a PCP can save patients an average of 33 percent on their health care costs annually. Increased use of PCPs nationwide could save the United States up to $67 billion annually.  
Most primary care services are covered in whole or in part under even basic health insurance plans. 
Primary Care and Chronic Conditions One of the most overlooked primary care specialties is PCPs' ability to help patients manage chronic conditions.
Chronic conditions are epidemic in the modern world. While their commonality makes them easy to take for granted, their effects can be crippling. PCPs play a key role in helping patients manage these conditions and limit their negative impacts on quality of life. 
PCPs can provide:  

• Regular visits and testing to monitor symptoms
• Informed, personalized treatment plans
• Support and education
• Low-cost interventions during flare-ups
• Information on new treatment options as they become available

Finding a Primary Care Provider
​Given the vital role that primary care providers play in health, it is important to choose your provider wisely. Let Indianapolis's leading PCP introduce you to everything primary care has to offer, today.  

Suboxone is a medication that reduces the symptoms of opioid withdrawal. But can you get addicted to Suboxone? Here's your Suboxone addiction guide.

On average, 130 Americans die each day from opioid overdoses. The opioid epidemic is tragic and despite some efforts, our country and the world, in general, are nowhere near getting it under control.  Although it is difficult, it is possible to break free from addiction. The best way to do this is different for each individual, but many have found suboxone to be a big help to them on their recovery journey.  However, some people feel that taking Suboxone is just trading one drug for another. Many worry about the possibility of Suboxone addiction, as well.

Are people in recovery from addiction to opioids at risk of becoming addicted to Suboxone? If so, how can they stop this from happening? Is addiction to Suboxone better than an addiction to opioids, or is it almost the same thing? Is the risk high enough to avoid Suboxone, even if it might save your life?

For the answers to these questions and more, read on.

What Is Suboxone? 
Suboxone is the brand name for a medication that is a combination of two different drugs: buprenorphine and naloxone. It is used for the treatment of opioid use disorder. 

People addicted to opioids will experience intense and painful withdrawals when they try to quit the use of prescription opioids or heroin. Suboxone eliminates withdrawal completely. 
Suboxone can be taken in tablet or film form. In both cases, the drug is dissolved in the patient's mouth and absorbed directly into the blood stream. This type of administration creates the option for users to take it themselves at home, instead of forcing them to visit a clinic each day for their treatment as in the case of methadone.

How Does Suboxone Work?

The primary ingredient in Suboxone is buprenorphine. It is a partial opioid agonist.  Buprenorphine binds the opioid receptors very strongly, but does not activate it as strongly as opioids of abuse.  So, while it eliminates withdrawal it doesn't create the high like other opioids.  Buprenorphine also stops cravings, thereby helping to keep that person from returning to abusing opioids. 

How Many People Use Suboxone?

This medication has helped and continues to help many thousands of people that are trying to break free from opioid addictions. In 2018, $1.9 billion dollars worth of Suboxone was sold in the United States, but fortunately, its purchase and use are covered by health insurance in most cases. 
Experts estimate that about two million Americans are addicted to opioids today, and only about ten percent of them are receiving treatment..

Does Suboxone Really Work?

Overdose rates are reduced by 75% through buprenorphine usage.  Success with buprenorphine increases over the first year of usage. With people who choose to stop burprenorphine after 1 year of use succeeding 49% of the time at not restarting other opiates.  Compare that to someone who tries to quit cold turkey, statistically they have less than a 10% chance of success.  Buprenorphine gives you time to get your life in order while it wards off withdrawal and eliminates the disruptive craving/seeking cycle of other opoids.    
When it comes time to stop taking it, users are tapered off at their own speed. It's likely that they will experience some relatively mild withdrawal symptoms,but this is minimized through changing doses very slowly.  
Because of the length time for which patients must continue using Suboxone, some worry about the possibility of Suboxone addiction.  Is it possible to get addicted to Suboxone?
This is really the wrong question to be asking.  The patient is already addicted, suboxone is the treatment.  People don't use suboxone to get high, it doesn't produce the intensity of experience as the opioids of abuse.   It is more likely that someone would return to abusing other opioids than develop a new addiction to buprenorphine/suboxone.  
Buprenorphine has a built-in ceiling. If a person takes more Suboxone than directed, he or she will not experience stronger effects. This helps to limit Suboxone abuse. 
Is Suboxone Trading One Addiction for Another?
No, this is not the case. Suboxone users use buprenorphine  to ward off withdrawal and cravings for opioids.  They do not use it to get high.  Its' use is functional and not fueled by craving, but rather the physiologic consequences of prolonged opioid usage.  It serves as a crutch for a period of time, while a person heals the consequences of addiction.  This allows them to make amends and improve social relationships and initiate a commitment to healthy living, so when the time to stop the medication arrives their support network and stress management abilities are well developed.    
Suboxone gives users an opportunity to step down their addiction in a way that is manageable over time. For many, having this option saved their lives. Although medication-assisted treatment does not work for everyone, for some it is the factor that makes addiction recovery possible in both the short and long term.

Dr. Starsiak's Healthy Thoughts Blog.