The Coumadin Clinic – Located in Internal Medicine Group Suite 201

Coumadin is an anticoagulant, or blood thinner. Anticoagulants do not really thin out or dilute the blood. They reduce clotting of the blood, and thus reduce the risk of conditions caused by abnormal clot formation. The following conditions may warrant the use of Coumadin therapy:

• Clots in the extremities and/or lungs

• Artificial heart valves

• Heart arrhythmia (irregular heartbeat)

• Strokes

• Heart Attacks

• Blocked Arteries

Millions of patients safely take Coumadin, but it requires tightly regulated dosing, administration, and follow-up. That is why IMG is making the Coumadin Clinic available to you. We provide periodic evaluation and monitoring of the blood so that we can make immediate adjustments to your anticoagulation therapy.

If you are on Coumadin or think you may benefit from the services offered in the Clinic, please speak with your physician about this matter.

Coumadin Clinic hours are 8:30 a.m. – 5:00 p.m. on Tuesdays, Wednesdays and Thursdays.


Bone Densitometry Testing – Located in Internal Medicine Group Suite 201

A bone density test determines if you have osteoporosis — a disease that causes bones to become more fragile and more likely to break.  In the past, osteoporosis could be detected only after you broke a bone. By that time, however, your bones could be quite weak. A bone density test makes it possible to know your risk of breaking bones before the fact.  A bone density test uses X-rays to measure how many grams of calcium and other bone minerals are packed into a segment of bone. The bones that are most commonly tested are located in the spine, hip and forearm.

Doctors use bone density testing to:

• Identify decreases in bone density before you break a bone

• Determine your risk of broken bones (fractures)

• Confirm a diagnosis of osteoporosis if you've experienced broken bones

• Monitor osteoporosis treatment

The higher your bone mineral content, the denser your bones are. And the denser your bones, the stronger they generally are and the less likely they are to break.  Bone density tests are not the same as bone scans. Bone scans require an injection beforehand and are usually used to detect fractures, cancer, infections and other abnormalities in the bone.  Although osteoporosis is more common in older women, men also can develop the condition.

Regardless of your sex or age, your doctor may recommend a bone density test if you've:

• Lost height. People who have lost at least 1.6 inches (4 centimeters) in height may have experienced compression fractures in their spines. Osteoporosis is one of the main causes of compression fractures.

• Fractured a bone. Fragility fractures occur when a bone becomes so fragile that it breaks much more easily than expected. Fragility fractures can sometimes be caused by a strong cough or sneeze.

• Taken certain drugs. Long-term use of steroid medications, such as prednisone, interferes with the bone-rebuilding process — which can lead to osteoporosis.

• Received a transplant. People who have received an organ or bone marrow transplant are at higher risk of osteoporosis, partly because anti-rejection drugs also interfere with the bone-rebuilding process.

• Experienced a drop in hormone levels. In addition to the natural drop in hormones that occurs after menopause, women may also experience a drop in estrogen during certain cancer treatments. Some treatments for prostate cancer reduce testosterone levels in men. Lowered hormone levels weaken bone.


Centralized Laboratory – Located in Internal Medicine Group Suite 201

JPMA operates a state of the art laboratory. The laboratory performs testing in the areas of hematology, coagulation, chemistry, special chemistry, therapeutic drug monitoring, and serology. Our laboratory is CLIA certified and is staffed with medical lab technicians. The JPMA laboratory is open from 6:30 a.m. to 5:30 p.m. Monday through Friday. Our phlebotomy services are located on the second floor in our main office for your convenience.