Center East Sumner Branch
(253) 284-9030
www.mdc-tacoma.org/
1110 Fryar Avenue
Suite B
Sumner WA 98390

Rehabilitation Services

Primary Focus: Substance abuse treatment services
Services Provided: Substance abuse treatment, Halfway house
Type of Care: Outpatient
Special Programs/Groups: Adolescents, Persons with co-occurring mental and substance abuse disorders

Internal Medicine

Doctors of internal medicine focus on adult medicine and have had special study and training focusing on the prevention and treatment of adult diseases. At least three of their seven or more years of medical school and postgraduate training are to learning how to prevent, diagnose, and treat diseases that affect adults. Internists are sometimes known as the doctor's doctor, because they act as consultants to other physicians to help solve puzzling diagnostic problems. Internists can choose to focus their practice on general internal medicine, or may take additional training to sub-specialize in one of 13 areas of internal medicine. Cardiologists, for example, are doctors of internal medicine who sub-specialize in diseases of the heart. The training an internist receives to sub-specialize in a particular medical area is both broad and deep. Subspecialty training usually requires an additional one to three years beyond the standard three-year general internal medicine residency. Internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Doctors of internal medicine, also known as internists, are sometimes the doctor's doctor, because other physicians consult them to help solve puzzling diagnostic problems. They are especially skilled in the management of patients who have undifferentiated or multi-system disease processes. An internist cares for hospitalized and ambulatory patients and may play a major role in teaching or research. Internal medicine is also a type of veterinary specialty. The term internal medicine comes from the German term "Innere Medizin," popularized in Germany in the late 19th century to describe physicians who combined the science of the laboratory with the care of patients. Many early-20th-century American doctors studied medicine in Germany and brought this medical field to the United States. Specialists in internal medicine are internists in the United States. In modern practice, most internists are subspecialists; that is, in general, they limit their medical practice to problems of one organ system or to one particular area of medical knowledge. For example, gastroenterologists and nephrologists specialize in diseases of the gut and the kidneys, respectively.

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Strength Training

Muscle strengthening activities also provide health benefits. Experts recommend that adults do muscle strengthening activities on two or more days per week in addition to meeting recommendations for aerobic physical activity. However, muscle strengthening activities can provide another way for a person to meet the recommended aerobic physical activity each week. Moderate- to vigorous-intensity muscle strengthening activities count toward the weekly physical activity recommendation if they involve one or more of the major muscle groups, such as those in the legs, hips, back, chest, abdomen, shoulders or arms. Strength training will help burn extra calories, build strong muscles, bones and joints and improve how the body works and moves. Experts recommend one full day of rest between workouts to allow the muscles to recover.