Carl Dameron has a diabetic check-up with his PA at Lasalle Medical Clinic’s Mt. Vernon Office. Carl and his family of four have been LaSalle patient since 2004.
“We see a lot of Latino and Black people and sad to say, type 2 diabetes and its harmful effects are far too common with us,” said LaSalle Medical Associates CEO Dr. Albert Arteaga.”
SAN BERNARDINO, CAIF. There is an old saying that “You are what you eat.” And when it comes to what you eat and your chances of contracting type 2 diabetes, this is especially true.
According to the Food and Drug Administration, “You can inherit a predisposition for diabetes, a disease that disproportionately affects racial and ethnic minorities.” The FDA goes on to note that the death rate for Hispanics from diabetes is “50 percent higher than for non-Hispanic whites.”
The U.S. Department of Health and Human Services Office of Minority Health research studies spanning the years 2018 and 2019 found that non-Hispanic Blacks were “twice as likely as non-Hispanic whites to die from diabetes” and “2.5 times more likely to be hospitalized with diabetes and associated long-term complications than non-Hispanic whites.”
San Bernardino County’s population is 55.8 percent Hispanic or Latino and 9.4 percent Black or African American, per the United States Census Bureau’s July 2022 estimates. In Riverside County, the percentages are 51.6 for Hispanics or Latinos and 7.5 for Blacks or African Americans.
“We see a lot of Latino and Black people,” said LaSalle Medical Associates CEO Dr. Albert Arteaga, “and sad to say, type 2 diabetes and its harmful effects are far too common with us.” Type 2 diabetes is a major health concern for the Inland Empire and LaSalle Medical Associates works hard to address the problem.
Dr. Arteaga says, “Our physicians make it a point to discuss proper nutrition with patients they see who may be pre-diabetic or who have already been diagnosed with the disease.”
Several risk factors contribute to this problem and one of those is eating the wrong foods. Latino and African American diets often include fatty pork, foods fried or cooked with lard or unhealthy shortenings and oils, and starchy vegetables like beans, corn, potatoes, chickpeas, and parsnips, not to mention lots of sugary soft drinks and juices.
Some foods are loaded with refined sugars that few people think as high in sugar, including barbecue sauces, ketchup, baked beans, tomato soups and sauces, canned fruits and vegetables, salad dressings, and Asian-style sauces like Thai sweet chili and teriyaki. These, too, are often part of ethnic minority diets.
Now that the Covid pandemic has receded, LaSalle’s clinics are reaching out to encourage people to come in for preventive health screenings that include talking about diet and diabetes. “We see a lot of Latino and Black clients and we make sure that they get the facts about how important good nutrition is to their overall health and especially diabetes prevention and treatment,” said Dr. Arteaga.
“In addition to avoiding the bad foods, we recommend good ones: lean pork, chicken—especially with the skin off and roasted rather than fried, fish, and healthy veggies—spinach, kale, broccoli, beets, carrots, collard greens, cabbage, cucumbers, cauliflower, raw tomatoes, onions, bell peppers, alfalfa sprouts, and garlic,” added Dr. Arteaga.
Another key factor is consistent management. Diabetes has no cure. Once a person has it, no magic pill or shot will make it go away. “You must stick with your treatment program,” said Dr. Arteaga. “Staying on one’s meds and sticking to a healthy diet is something we constantly remind our adult and pediatric patients to do.”
LaSalle serves many people who are covered by Medi-Cal and Healthy Families. They also accept patients covered by Blue Cross, Blue Shield, Molina, Care 1st, Health Net, and Inland Empire Health Plan (IEHP). LaSalle knows how to help people who lack insurance enroll in coverage that fits their needs.
For more information about LaSalle Medical Associates, call (855) 349-6019 or go online to LaSalleMedical.com.
LaSalle Medical Associates, Inc. is one of the largest independent and Latino-owned healthcare companies in Riverside and San Bernardino Counties. The corporate office is in Redlands.
LaSalle operates six clinics employing more than 100 dedicated healthcare professionals, treating children, adults, and seniors in San Bernardino and Riverside counties. LaSalle’s patients are primarily served by Medi-Cal and Healthy Families. LaSalle also accepts Blue Cross, Blue Shield, Molina, Care 1st, Health Net, and Inland Empire Health Plan (IEHP) coverage.
LaSalle is also an Independent Practice Association (IPA) of independently contracted doctors, hospitals, and clinics, delivering high-quality patient care to approximately 365,000 patients in Fresno, Kings, Los Angeles, Madera, Riverside, San Bernardino, San Joaquin, and Tulare counties.
April Reya a medical assistant, gives the COVID-19 vaccination shot to Vicki Creighton, of Riverside, recently at the LaSalle Medical Associates medical office located in Rialto, Calif. Creighton received the one-shot Johnson and Johnson vaccine. (Photo by Valda Wilson)
“It’s not politics. It’s about keeping people alive and getting past the pandemic. We are almost there. When you protest everything, that doesn’t make you a patriot. It makes you a misfit.”
(Redlands, Calif.) Southern California is finally emerging from the Covid-19 pandemic, but people must continue to follow health precautions until the threat is gone, said Dr. Albert Arteaga, president and founder of LaSalle Medical Associates.
That means washing your hands, following social-distancing guidelines, wearing masks indoors and also when you’re among large groups outdoors.
Also, get vaccinated and recognize that the pandemic is a health crisis, not a political issue, said Arteaga.
It’s all about attitude, he said.
“We do have a public health problem. No question,” he said. “There is a pandemic that can turn rather deadly, and the fact is that around a half million lives have been lost in the United States even though we’re the most advanced country in the world.”
Vicki Creighton, of Riverside, checks in for her COVID-19 vaccination appointment, Recently, at the LaSalle Medical Associates medical office located in Rialto, Calif. Creighton will receive the one-shot Johnson and Johnson vaccine. (Photo by Valda Wilson)
That happened because one group of people made it a loyalty test problem, he said.
“If you’re loyal to this political party, you won’t wear masks. If you’re loyal, you will protest any business closures because that hurts the economy. Some people stopped thinking about the public good.
“Another way to look at it is, ‘Gosh, this is a pandemic. Let’s get together to do what it takes to lick this problem.’”
If people had that attitude, they would recognize that recent reports about vaccine side effects and problems were important to keep people informed, not as ammunition for political arguments.
“We needed a vaccine, and it was rushed because people were sick and dying,” he said. “So now, when we hear of problems with the vaccine, we must realize this is science. This is not a political belief. The alerts and warnings are important to inform the public, and we all need upgrade to our knowledge.
Some of the clinics have been administering Covid-19 vaccines for several months, and Dr. Arteaga said they are safe and effective. He’s been vaccinated and encourages others to do the same.
April Reya a medical assistant, gives the COVID-19 vaccination shot to Alicia Cazenave, of San Bernardino, Recently, at the LaSalle Medical Associates medical office located in Rialto, Calif. Cazenave received the one-shot Johnson and Johnson vaccine. (Photo by Valda Wilson)
He applauded recent updates to CDC guidelines saying fully vaccinated people do not need to wear masks at small family events, when gathering with other fully vaccinated people or in many outdoor situations.
“There is no contradiction, no deception with updating the guidelines,” he said. “It seems like masks, social distancing, and closures of businesses and schools have made a difference holding back the tide while the vaccine was put into production, and then we rushed to put it into people’s arms.
“And rushing the vaccine is same as rushing an ambulance through traffic to save lives. Don’t complain about the ambulance driving too fast or complain that pulling over for it infringes on your ability to drive fast on the same streets.”
It’s not politics. It’s about keeping people alive and getting past the pandemic, he said.
“We are almost there. When you protest everything, that doesn’t make you a patriot. It makes you a misfit,” he said.
LaSalle Medical Associates, Inc Celebrates 30 years of medical service. Left to right: Anna Canton, Human Resource Manager, Kristina Hlebo, Finance Assistant, Carl Meier, executive vice president, Dr. Albert Arteaga CEO, Alexandra Acosta, Director of Finance and Lizette Noriega, Human Resource Assistant, Kristina Hlebo, Finance Assistant, Alexandra Acosta, Director of Finance and Lizette Noriega, Human Resource Assistant.
(SAN BERNARDINO, Calif.) In June of 1984, a young doctor and his wife, a nurse, opened a family medical practice called LaSalle Medical Associates in Fontana. Their goal: provide affordable health care, with dignity and respect, to all in the Inland Empire at http://knockyourhealth.com/wbv/.
Three decades later, Dr. Albert and Maria Arteaga have gone far beyond making their goal a reality. They are now recognized as one of the leading health care providers in the Inland Empire, if not all of California.
“We have had some markers of success,” Dr. Arteaga says. “We went from two employees – my wife and I – to a fully staffed clinic. We opened more clinics. Then we started our own IPA (independent practice association) to keep up with new demands to make health care more and more efficient. We are making people healthier.”
“It has always been our goal to treat as many patients as we could while giving them the best health care possible,” he said.
Some, who have recognized LaSalle Medical Associates as a leader in health care along with www.motorcyclepundit.com , by giving them awards for their endeavors, include:
The federal Center for Disease Control, which recognized Dr. Arteaga as California’s first Childhood Immunization Champion. This award recognized his efforts in educating the parents of LaSalle’s pediatric patients, and the greater Inland Empire community, of the importance of childhood immunizations
The California Medical Association, which recognized Dr. Arteaga with its Ethnic Physician’s Leadership Award, recognizing his contributions to improving health care in the Latino community
The San Bernardino County Board of Supervisors Resolution Award for outstanding community efforts
The San Bernardino County Medical Society’s Merlin Hendrickson, M.D. Award for Outstanding Contribution to the Community. Dr. Arteaga was recognized for his efforts to provide health services to Inland Empire children.
Inland Empire Health Plan (IEHP), as Riverside and San Bernardino counties’ best health care provider, and for being one of the top enrollers in all of California in the state’s former Healthy Families program
The African American Health Initiative as a model provider in a two-year study of Black health care in San Bernardino County.
Hispanic Lifestyle Magazine, which recognized LaSalle Medical Associates as one of the top 15 Latino-owned businesses in the Inland Empire
“As pediatricians, we strive for 100 percent immunizations of pediatric patients and, while that’s probably a utopian objective, our goal is to get as close as to that 100 percent as we can,’’ says Dr. Albert Arteaga, president and founder of LaSalle Medical Associates, Inc. . “This CDC recognition is the fruit of two to three years of intense labor on part of me and staff.”
Despite all this success, it hasn’t always been an easy path for the Arteagas.
“Life doesn’t always play out as you expect,” Dr. Arteaga said. “That is certainly true in my life as a health care provider. Good intentions require good management. Providing good management has been every bit as challenging as my years in medical school were more than three decades ago!”
One of the biggest changes in health care took place just this year. In 2014, Covered California part of the federal Affordable Health Care Act – which Dr. Arteaga has long been a champion of – came into being.
“Although Covered California does not yet mean everyone has insurance, it does mean that many patients who couldn’t afford health care before now can do so,” Dr. Arteaga said. “Health care is no longer an out-of-reach luxury for those who couldn’t afford insurance, but is a basic right for everyone
Dr. Arteaga has always thought that health care is a basic right, and has operated LaSalle Medical Associates as if that were the case.
Dr. Arteaga targeted his marketing to Latinos and low-income people who were underserved. Providing high quality medical services to underserved populations were crucial to the success of LaSalle Medical Associates. LaSalle Medical Associates later expanded from Fontana to San Bernardino and Hesperia. These communities have many low-income people in need of quality affordable medical services.
He also is Latino, so he easily related to his Latino patients in ways they appreciated. They told friends and family about La Salle Medical Associates, which caused his popularity in the Inland Empire’s Latino culture to swell.
Dr. Arteaga has always believed that his key to business success was finding a way to get paid for their services, instead of telling patients they had to figure that out on their own before seeing him. For most of LaSalle’s history, that business model meant LaSalle employees educated patients about their health care insurance options.
Most patients LaSalle saw over the years qualified for either Medi-Cal or Healthy Families. The latter, which like Medi-Cal was run by the state of California, offered low to moderate-income parents who didn’t qualify for Medi-Cal a subsidy for the health care of their children from birth to age 19.
Things have changed in the last two years. In 2013, California got a head start on the Affordable Care Act; they created Covered California and merged Healthy Families and Medi-Cal together.
In 2014, one of the key Covered California’s requirements is everyone must have health insurance or pay a penalty. This means, many patients applied and signed up for Covered California, Medi-Cal or other insurance first, and then choose or are assigned to LaSalle Medical Associates.
Consequently, rather than informing new patients of their insurance options, LaSalle Medical Associates employees now more likely are helping the patients understand how their health insurance system works.
Dr. Arteaga acknowledges the Covered California has brought changes some people will take a while to get accustomed to. One of these is a concept called managed care.
“The structure of the Covered California means many people, both those who had some other type of insurance and those who were uninsured, are now in managed care for the first time,” he said.
Managed care is called this because it requires a doctor, such as one of the physicians in LaSalle Medical Associates, to coordinate patients’ health care services. These primary care doctors have a general, family or pediatric practice, and will treat patients for many of their symptoms, but will refer the patients to specialists when more expertise is needed.
Managed care has been around since the 1990s, Dr. Arteaga said, but it has become more popular. It’s usually more cost-efficient to have managed care, he explained, people choose to buy managed care for its lower premiums.
Medi-Cal has used managed care for nearly two decades. Meanwhile, LaSalle Medical Associates, since the beginning, has accepted Medi-Cal when many doctors would not, and now has a reputation among those familiar with Medi-Cal for providing quality services, no matter how payment is provided.
Even though there wasn’t “managed care,” as it now known when Dr. Arteaga started his practice, even back then he was in favor of patients developing close relationships with one family doctor.
“Thirty years ago I wanted to see all the patients, and manage their health care. That has not changed, but I have learned that in order to do so, a physician must take a leadership role. Otherwise, many patients will seek or demand services that are redundant or not needed. Our goal is to make people healthier.”
Maria and Dr. Albert Arteaga. The California Medical Association awarded Abert Arteaga the “Ethnic Physician’s Leadership Award,” recognizing his contributions to medical care in the Latino community.
Dr. Arteaga sees the physician as an advocate for the patient, one who will make sure patients get the services they truly need. Sometimes, just as some patients will push for more health care than is necessary, some insurance companies will resist paying for what a doctor recommends, but that is not the intent of managed care.
“I want the patient, the doctor and the insurance company to develop a positive team, Dr. Arteaga said. “There may be opposition, but that should not stop any of us in trying to make quality health care succeed.”
Besides managed care and its great expansion through the Affordable Care Act, another large change in the health care industry over the last three decades has been more careful monitoring of expenses by insurance companies.
Now, it is better for a medical group like LaSalle Medical Associates to band with even more doctors, so they can take advantage of economies of scale, and provide health care more cost-efficiently.
This is why LaSalle Medical Associates formed an Independent Practice Association (IPA) in 1995, and has grown it to the point it now serves more than 600 medical clinics serving more than 170,000 patients each year in nine California counties.
LaSalle oversees administrative functions of all these medical clinics, although they are owned and manage their patients’ health care separately.
Another move to make health care more efficient, in many ways, is one that LaSalle Medical Associates only recently transitioned to. It now is keeping track of patients’ charts with electronic records, ridding itself of the wall full of patients’ medical records that once were a hallmark of many medical clinics.
“Electronic records make it easier to share patients’ records among a team of doctors who treat one patient, which results in better health care” Dr. Arteaga said. “It is also easier to keep patients’ records confidential this way.”
One other significant change over the last 30 years has been that most patients are more involved in their health care now than they were in 1984.
“They ask more questions now. Because of the Internet, and because people talk more about health care with their friends, patients now have more information. Not all of the information out there is correct, so this means a doctor helps the patient sort the good from the bad, and develop a treatment plan that works. This is another reason why the managed care approach is necessary.”
One thing Dr. Arteaga has learned during his three decades of medical practice is that change can be good. In fact, one thing he loves about being the CEO of LaSalle Medical Associates is that he gets to lead other health care professionals through the changes their industry faces.
“I love being collegial, and helping other doctors learn,” he said. “When they resist change, it is going to be more difficult for them. They should not expect to practice medicine as it was done 30 years ago, or even 10 years ago.”
LaSalle’s clinics are located at 17577 Arrow Blvd. in Fontana phone (909) 823-4454, 16455 Main St. in Hesperia phone (760) 947-2161, and 1505 West 17th St. phone (760) 947-2161 and 565 N. Mt. Vernon Ave. phone (909) 884-9091 in San Bernardino.
For more information about LaSalle Medical Associates, call (909) 890-0407 or go on line to LaSalleMedical.com.
About LaSalle Medical Associates
LaSalle Medical Associates, Inc., operates four clinics employing more than 120 dedicated healthcare professionals, treating children, adults, and seniors in San Bernardino County. LaSalle’s patients are primarily served by Medi-Cal and they also accept IEHP, Molina, Blue Cross, Blue Shield, Care 1st, and Health Net and Medicare by Easy Choice Health Plan, Molina and Care1st Health Plans.
LaSalle’s clinics are located at 17577 Arrow Blvd. in Fontana phone (909) 823-4454, 16455 Main St. in Hesperia phone (760) 947-2161, and 1505 West 17th St. phone (760) 947-2161 and 565 N. Mt. Vernon Ave. phone (909) 884-9091 in San Bernardino.
LaSalle Medical Associates, Inc., is also an Independent Practice Association (IPA) of independently contracted doctors, hospitals and clinics, delivering high quality patience care with more than 170,000 patient visits per year in Fresno, Kings, Los Angeles, Madera, Riverside, San Bernardino, San Joaquin and Tulare Counties.
LaSalle’s IPA members in the Inland Empire include: LaSalle Medical Associates, Banning Medical Group and San Bernardino Urological Associates. Hospital affiliations include: Rancho Springs Medical Center, Arrowhead Regional Medical Center, Community Hospital of San Bernardino, St. Bernadine Medical Center, Mountains Community Hospital, Redland Community Hospital, Loma Linda University Medical Center, Corona Regional Medical Center, Riverside County Medical Center, Parkview Community Hospital, Kaiser Moreno Valley, Kaiser Fontana and Kaiser Riverside.
