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Learn how to opt in <a href="/news_items/7769-scripps-launches-new-interactive-text-messaging" data-document-title="false" draggable="false">here</a>.</p></div></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness" data-nav-depth="0"> <div class="navigation-item-title"><a href="/health-and-wellness">Wellness</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p><strong>Wellness</strong></p><p>Stop by San Diego Health for tips and news from Scripps experts. Watch a video, listen to a podcast or read an article designed to help you improve your life. </p><p><a href="/health-and-wellness" data-document-title="false" draggable="false" class="mini-button">Browse content</a></p></div> <li class=" navigation-item" data-behaviour="navigation-item" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class=" navigation-item" data-behaviour="navigation-item" data-url="/events" data-nav-depth="2"> <div class="navigation-item-title"><a href="/events">Classes & Events</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/news_items" data-nav-depth="2"> <div class="navigation-item-title"><a href="/news_items">Articles</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness/videos" data-nav-depth="2"> <div class="navigation-item-title"><a href="/health-and-wellness/videos">Videos & Podcasts</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness/healthy-recipes" data-nav-depth="2"> <div class="navigation-item-title"><a href="/health-and-wellness/healthy-recipes">Healthy Recipes</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness/email-sign-up" data-nav-depth="2"> <div class="navigation-item-title"><a href="/health-and-wellness/email-sign-up">Email Newsletter</a></div> </li></ul></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Featured Content <figure class=""> <img loading="lazy" src="https://www.scripps.org/sparkle-assets/preview_thumbnails/navigation_items/268/navigation_item-49ea8a49cd2950ed7a0c3019f759599a.jpg" /> </figure> <div class="navigation-item navigation-item--context"><p>San Diego Health Magazine features health tips, stories about innovative care and celebrates the healthy spirit of San Diego. <a href="/san-diego-health-magazine" data-document-title="false" draggable="false">Read this issue</a></p></div></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/about-us" data-nav-depth="0"> <div class="navigation-item-title"><a href="/about-us">About</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p><strong>About Scripps Health</strong></p><p>Scripps Health is a not-for-profit, integrated health system in San Diego, California. We’re here for you. We’re here for good.</p><p><a href="/about-us/who-we-are/mission-values" data-document-title="false" draggable="false" class="mini-button">Read our mission</a></p></div> <li class=" link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class="link navigation-item" data-behaviour="navigation-item" data-url="https://careers.scripps.org/" data-nav-depth="2"> <div class="navigation-item-title"><a href="https://careers.scripps.org/"> Careers at Scripps</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/about-us/volunteer" data-nav-depth="2"> <div class="navigation-item-title"><a href="/about-us/volunteer"> Volunteer Opportunities</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/for-health-care-professionals" data-nav-depth="2"> <div class="navigation-item-title"><a href="/for-health-care-professionals"> Professional Education</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/about-us/executive-team" data-nav-depth="2"> <div class="navigation-item-title"><a href="/about-us/executive-team">Executive Team</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/research" data-nav-depth="2"> <div class="navigation-item-title"><a href="/research">Research</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/about-us/scripps-in-the-community" data-nav-depth="2"> <div class="navigation-item-title"><a href="/about-us/scripps-in-the-community">Scripps in the Community</a></div> </li></ul></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title"> Scripps Health Foundation <figure class=""> <img loading="lazy" src="https://www.scripps.org/sparkle-assets/preview_thumbnails/navigation_items/285/navigation_item-4eed6ca7400f2c054213759d3da57074.jpg" /> </figure> <div class="navigation-item navigation-item--context"><p>Help us transform patient care, enable key discoveries and perform lifesaving surgeries. <a href="https://giving.scripps.org/" data-document-title="false" draggable="false" target="_blank">Donate today</a></p></div></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/contact-us" data-nav-depth="0"> <div class="navigation-item-title"><a href="/contact-us">Contact</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p><strong>Contact Us</strong></p><p>Call <a href="tel:+18007274777" data-document-title="false" draggable="false">1-800-SCRIPPS</a> Monday - Friday, 7 am - 7 pm, to talk with our referral experts or learn about services and classes.</p><p><a href="/contact-us" data-document-title="false" draggable="false" class="mini-button">Send a message</a></p></div> <li class=" link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/medical-records" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/medical-records">Medical Records</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/billing" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/billing"> Billing Office</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/about-us/news-center/for-media" data-nav-depth="2"> <div class="navigation-item-title"><a href="/about-us/news-center/for-media">Media Inquiries</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/contact-us" data-nav-depth="2"> <div class="navigation-item-title"><a href="/contact-us">Law Enforcement</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/contact-us" data-nav-depth="2"> <div class="navigation-item-title"><a href="/contact-us">Full Directory</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/vendor-information" data-nav-depth="2"> <div class="navigation-item-title"><a href="/vendor-information">Vendor Info</a></div> </li></ul></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Featured <figure class=""> <img loading="lazy" src="https://www.scripps.org/sparkle-assets/preview_thumbnails/navigation_items/296/navigation_item-de1808653d7b4dc075664f97810ea708.jpg" /> </figure> <div class="navigation-item navigation-item--context"><p>Message your doctor, book appointments, pay bills, view test results and request prescription refills. <a href="https://myscripps.org/mychart/" data-document-title="false" draggable="false" target="_blank">Visit now</a></p></div></div> </li></ul></div> </li> <li data-mobile="show" class="primary-button navigation-item" data-behaviour="navigation-item" data-url="/make-an-appointment" data-nav-depth="0"> <div class="navigation-item-title"><a href="/make-an-appointment">Make an Appointment</a></div> </li> </ul></nav> <form class="sitewide-search header-search-expandable" id="sitewide_search_1732353130-6082368_1" data-behaviour="header-search" data-header-search-expandable="true" action="/sitewide_searches" accept-charset="UTF-8" method="get"><input name="utf8" type="hidden" value="✓" /><input name="query" id="sitewide_search_1732353130-6082368_1-query" class="search-box" placeholder="Search scripps.org" autocomplete="off" type="text" /><span class="sitewide-search-with-icon"><input type="submit" name="commit" value="Search" class="search-submit" data-disable-with="Search" /></span></form> </div> </div> </div> <div id="mobile-header_1732353130-6520677_1" class="mobile-header"><div class="logo"><a class="header-logo" aria-label="Scripps Health" href="https://www.scripps.org/"></a></div><div class="header-button"><a aria-label="MAKE APPOINTMENT" href="/make-an-appointment">MAKE APPOINTMENT</a></div><div class="mobile-sitewide-search"></div><ul class="header-actions"><li class="header-action "><div class="header-action__trigger" tabindex="0" id="header-action_1732353130-652463_1_trigger"><span class="icon icon-hamburger"></span><span class="text"></span></div><div id="header-action_1732353130-652463_1_content" class="header-action__content"> <form class="sitewide-search header-search-box" id="sitewide_search_1732353130-6526072_2" action="/sitewide_searches" accept-charset="UTF-8" method="get"><input name="utf8" type="hidden" value="✓" /><input name="query" id="sitewide_search_1732353130-6526072_2-query" class="search-box" placeholder="Search scripps.org" autocomplete="off" type="text" /><span class="sitewide-search-with-icon"><input type="submit" name="commit" value="Search" class="search-submit" data-disable-with="Search" /></span></form> <nav id="main_mobile" aria-label="Main Mobile Navigation" class="main-navigation navigation-group"><ul class="navigation-group-list"> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/physicians/find" data-nav-depth="0"> <div class="navigation-item-title"><a href="/physicians/find">Doctors & Services</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p>Search over 2,500 Scripps physicians across dozens of specialties. See doctors' availability and book appointments online. </p><p><a href="/physicians/find" data-document-title="false" draggable="false" class="mini-button">Find a doctor</a></p></div> <li class=" link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class="link navigation-item" data-behaviour="navigation-item" data-url="/physicians?availability=true&new_patient=true&page=1&sort=best_match" data-nav-depth="2"> <div class="navigation-item-title"><a href="/physicians?availability=true&new_patient=true&page=1&sort=best_match">Doctors with Online Scheduling</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/physicians/how-to-choose-a-doctor" data-nav-depth="2"> <div class="navigation-item-title"><a href="/physicians/how-to-choose-a-doctor">How to Choose a Doctor</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/medical-groups" data-nav-depth="2"> <div class="navigation-item-title"><a href="/medical-groups">Medical Groups</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/virtual-care" data-nav-depth="2"> <div class="navigation-item-title"><a href="/virtual-care">Virtual Care</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/about-us/who-we-are/quality" data-nav-depth="2"> <div class="navigation-item-title"><a href="/about-us/who-we-are/quality">Scripps Quality</a></div> </li></ul></div> </li><li class=" link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Featured Services<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class=" navigation-item" data-behaviour="navigation-item" data-url="/services/primary-care" data-nav-depth="2"> <div class="navigation-item-title"><a href="/services/primary-care">Primary Care</a></div> </li><li class=" navigation-item" data-behaviour="navigation-item" data-url="/services/cancer-care" data-nav-depth="2"> <div class="navigation-item-title"><a href="/services/cancer-care">Cancer Care</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/services/heart-care" data-nav-depth="2"> <div class="navigation-item-title"><a href="/services/heart-care">Heart Care</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/services/orthopedics" data-nav-depth="2"> <div class="navigation-item-title"><a href="/services/orthopedics">Orthopedics</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/services/scripps-healthexpress-walk-in-clinic" data-nav-depth="2"> <div class="navigation-item-title"><a href="/services/scripps-healthexpress-walk-in-clinic">HealthExpress Walk-In Care</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/services" data-nav-depth="2"> <div class="navigation-item-title"><a href="/services">All Medical Services</a></div> </li></ul></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/locations/find" data-nav-depth="0"> <div class="navigation-item-title"><a href="/locations/find">Locations</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p>Browse more than 70 Scripps Health locations, including hospitals, doctors’ offices, walk-in clinics and specialty centers. </p><p><a href="/locations/find" data-document-title="false" draggable="false" class="mini-button">Find a location</a></p></div> <li class=" navigation-item" data-behaviour="navigation-item" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class=" navigation-item" data-behaviour="navigation-item" data-url="/locations/hospitals" data-nav-depth="2"> <div class="navigation-item-title"><a href="/locations/hospitals">Hospitals</a></div> </li><li class=" navigation-item" data-behaviour="navigation-item" data-url="/medical-groups/scripps-clinic" data-nav-depth="2"> <div class="navigation-item-title"><a href="/medical-groups/scripps-clinic">Scripps Clinic</a></div> </li><li class=" navigation-item" data-behaviour="navigation-item" data-url="/medical-groups/scripps-coastal-medical-center" data-nav-depth="2"> <div class="navigation-item-title"><a href="/medical-groups/scripps-coastal-medical-center">Scripps Coastal Medical Center</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/locations/er" data-nav-depth="2"> <div class="navigation-item-title"><a href="/locations/er">Emergency Rooms</a></div> </li><li class=" navigation-item" data-behaviour="navigation-item" data-url="/locations/specialty-centers" data-nav-depth="2"> <div class="navigation-item-title"><a href="/locations/specialty-centers">Specialty Centers</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/locations/urgent-care" data-nav-depth="2"> <div class="navigation-item-title"><a href="/locations/urgent-care">Urgent Care</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/locations/scripps-healthexpress" data-nav-depth="2"> <div class="navigation-item-title"><a href="/locations/scripps-healthexpress">Walk-In Clinics</a></div> </li></ul></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Featured Location <figure class=""> <img loading="lazy" src="https://www.scripps.org/sparkle-assets/preview_thumbnails/navigation_items/271/navigation_item-8bf20c8405cc324979bc9367ca7b7462.jpg" /> </figure> <div class="navigation-item navigation-item--context"><p>Scripps Coastal Medical Center San Marcos offers primary care for the entire family, plus radiology and lab services. <a href="/locations/scripps-coastal-medical-center/scripps-coastal-medical-center-san-marcos" data-document-title="false" draggable="false">Get directions</a></p></div></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors" data-nav-depth="0"> <div class="navigation-item-title"><a href="/patients-and-visitors">Patients & Visitors</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p>Whether you’re visiting a loved one in the hospital or getting medical care yourself, we’re here to help with parking, visiting hours, services for special needs, hotel discounts and more. </p><p><a href="/patients-and-visitors" data-document-title="false" draggable="false" class="mini-button">View resources</a></p></div> <li class=" navigation-item" data-behaviour="navigation-item" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/medical-records" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/medical-records">Medical Records</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/billing" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/billing">Billing Office</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/help-paying-your-bill" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/help-paying-your-bill">Help Paying Your Bill</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="https://myscripps.org/mychart/" data-nav-depth="2"> <div class="navigation-item-title"><a href="https://myscripps.org/mychart/">MyScripps Patient Portal</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/health-insurance-options" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/health-insurance-options">Health Insurance and Medicare</a></div> </li><li class=" navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/visiting-hours-and-guidelines" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/visiting-hours-and-guidelines">Visiting Hours</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/patients-and-visitors/medical-interpreters" data-nav-depth="2"> <div class="navigation-item-title"><a href="/patients-and-visitors/medical-interpreters">Language Services</a></div> </li></ul></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness" data-nav-depth="0"> <div class="navigation-item-title"><a href="/health-and-wellness">Wellness</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p>Stop by San Diego Health for tips and news from Scripps experts. Watch a video, listen to a podcast or read an article designed to help you improve your life. </p><p><a href="/health-and-wellness" data-document-title="false" draggable="false" class="mini-button">Browse content</a></p></div> <li class=" navigation-item" data-behaviour="navigation-item" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class=" navigation-item" data-behaviour="navigation-item" data-url="/events" data-nav-depth="2"> <div class="navigation-item-title"><a href="/events">Classes & Events</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/news_items" data-nav-depth="2"> <div class="navigation-item-title"><a href="/news_items">Articles</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness/videos" data-nav-depth="2"> <div class="navigation-item-title"><a href="/health-and-wellness/videos">Videos & Podcasts</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness/healthy-recipes" data-nav-depth="2"> <div class="navigation-item-title"><a href="/health-and-wellness/healthy-recipes">Healthy Recipes</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/health-and-wellness/email-sign-up" data-nav-depth="2"> <div class="navigation-item-title"><a href="/health-and-wellness/email-sign-up">Email Newsletter</a></div> </li></ul></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="" data-nav-depth="1"> <div class="navigation-item-title">Featured Content <figure class=""> <img loading="lazy" src="https://www.scripps.org/sparkle-assets/preview_thumbnails/navigation_items/275/navigation_item-49ea8a49cd2950ed7a0c3019f759599a.jpg" /> </figure> <div class="navigation-item navigation-item--context"><p>San Diego Health Magazine features health tips, stories about innovative care and celebrates the healthy spirit of San Diego. <a href="/san-diego-health-magazine" data-document-title="false" draggable="false">Read this issue</a></p></div></div> </li></ul></div> </li> <li data-mobile="show" class=" link navigation-item" data-behaviour="navigation-item" data-url="/about-us" data-nav-depth="0"> <div class="navigation-item-title"><a href="/about-us">About</a><div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><div class="navigation-item navigation-item--context"><p>Scripps Health is a not-for-profit, integrated health system in San Diego, California. 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We’re here for good.</p><p><a href="/about-us/who-we-are/mission-values" data-document-title="false" draggable="false" class="mini-button">Read our mission</a></p></div> <li class=" navigation-item" data-behaviour="navigation-item" data-nav-depth="1"> <div class="navigation-item-title">Shortcuts<div class="title-expander"><span class="expander-icon"></span></div></div><div class="nav-dropdown-wrapper"><ul class="nav-dropdown"><li class="link navigation-item" data-behaviour="navigation-item" data-url="https://careers.scripps.org/" data-nav-depth="2"> <div class="navigation-item-title"><a href="https://careers.scripps.org/">Careers at Scripps</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/about-us/volunteer" data-nav-depth="2"> <div class="navigation-item-title"><a href="/about-us/volunteer">Volunteer Opportunities</a></div> </li><li class="link navigation-item" data-behaviour="navigation-item" data-url="/for-health-care-professionals" 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</div></li></ul></div> </div> </header> </div> <article class="leaf" id="show" role="main"> <header class="content-header"> <nav class="breadcrumbs" aria-label="Breadcrumbs"> <ul> <li><a data-behaviour="breadcrumb" href="/">Home</a></li> <li><a data-behaviour="breadcrumb" href="/services">Services</a></li> <li><a data-behaviour="breadcrumb" href="/services/neurology/stroke">Stroke</a></li> <li><a data-behaviour="breadcrumb" href="/services/neurology/stroke/treatment-recovery">Treatment Options</a></li> </ul> </nav> <div class="content-title content-title--default"><h1>Stroke Treatment Options</h1></div> </header> <div class="container"> <div class="content"> <div class="broadcast-in-page-messages"> </div> <div class="" data-component-section="main" data-component-section-title="Main"><section class="component component--section-with-image full-width alpha omega" id="component_df9a96f6a3" data-columns="12" data-component-behavior-id="ae6378a1d46ce387f2d4" data-uuid="Page-7298-df9a96f6a3"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section ">Expert treatment and recovery for stroke in San Diego</h2> </header> <figure data-context-name="image"> <picture data-lazy="true" class="figure-image-element "><source srcset="//www.scripps.org/sparkle-assets/variants/hi_res_stroke-treatment-9448535038702798027_desktop_x++-x.jpg" media="(min-width: 1024px)"><img style="max-width: 100%;" alt="A smiling mature man reads paperwork over a cup of coffee, representing the improved quality of life that can be gained from quick treatment for stroke." src="//www.scripps.org/sparkle-assets/images/stroke-treatment-9448535038702798027.jpg" /></picture> </figure> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section ">Expert treatment and recovery for stroke in San Diego</h2> </header> <div class="wysiwyg-content" data-context-name="text"><p>Receiving care at the first sign of a stroke is critical. When a person with stroke symptoms enters a Scripps hospital emergency room, our experts are equipped to provide a full spectrum of care — from diagnosis and treatment to recovery and rehabilitation. All Scripps hospital campuses with emergency rooms have been certified by the Joint Commission. Scripps Memorial Hospital La Jolla is a comprehensive stroke center, Scripps Mercy Hospital San Diego is a thrombectomy-capable stroke center, Scripps Mercy Hospital Chula Vista and Scripps Memorial Hospital Encinitas are primary stroke centers.</p><p><br></p><p>Fast, accurate stroke diagnosis improves outcomes. Scripps physicians, nurses and other medical staff are specially trained to recognize the signs of stroke and provide immediate, expert care. Our emergency room physicians, neurologists, neurosurgeons and neuroradiologists quickly determine the nature of the stroke and provide state-of-the-art treatment.</p><p><br></p><p>Through an agreement with emergency medical services (EMS) providers in San Diego County, when a stroke patient with signs of a large vessel blockage arrives at one of Scripps’ primary stroke centers, a critical care transportation ambulance and nurse are dispatched to that hospital and remain on stand-by during the patient’s clinical evaluation. This early notice allows us to rapidly transfer patients who may need a higher level of care to either our comprehensive stroke center at Scripps Memorial Hospital La Jolla or our thrombectomy-capable stroke center at Scripps Mercy Hospital San Diego.</p></div> </div> </div> </section><section class="component component--paragraph title-style-underline alpha omega" id="component_a7e0a8f92e" data-columns="12" data-component-behavior-id="4ab2f240a7cdf17d91d4" data-uuid="Page-7298-a7e0a8f92e"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-title"><header data-context-name="title"> <h2 class="linked-title--section ">Stroke detection and diagnosis</h2> </header></div> <div class="component-text wysiwyg-content " data-context-name="text"><p>When a patient comes to the emergency room with <a href="/services/neurology/stroke/signs-symptoms" data-document-title="false" draggable="false">stroke symptoms</a>, it’s critical to diagnose the type of stroke quickly in order to provide the right treatment.</p><p><br></p><p>In the emergency room, the stroke team determines the diagnosis by gathering a patient’s medical history and conducting a physical and neurological examination. Scripps’ highly skilled stroke care experts employ the latest imaging and diagnostic technology to make an accurate diagnosis as quickly as possible and begin the best treatment. </p><p><br></p><p>Our diagnostic tests include:</p><p><br></p><ul> <li>Advanced imaging scans of the brain, using <a href="/services/imaging/computed-tomography" data-document-title="false" draggable="false">computed tomography (CT)</a> and CT perfusion or <a href="/services/imaging/mri" data-document-title="false" draggable="false">magnetic resonance imaging (MRI)</a> and MRI perfusion, to show the location and extent of brain injury</li> <li>Blood flow tests, such as CT angiography (CTA), magnetic resonance angiogram (MRA), carotid ultrasound, transcranial Doppler and cerebral angiography, to provide detailed information about the condition of the arteries that supply blood to the brain</li> <li>Diagnostic labs, including blood-clotting studies, to look for certain factors that could contribute to a stroke</li> <li>Cardiac evaluation, including EKG, echocardiogram and long-term cardiac monitoring</li> </ul></div> </div> </div></section><section class="component component--paragraph title-style-underline alpha omega" id="component_10a30ad4fe" data-columns="12" data-component-behavior-id="fa5027c73dd50edd1089" data-uuid="Page-7298-10a30ad4fe"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-title"><header data-context-name="title"> <h2 class="linked-title--section ">Stroke treatment options</h2> </header></div> <div class="component-text wysiwyg-content " data-context-name="text"><p>Scripps stroke experts begin the most advanced treatments for stroke in the emergency room as soon as the type of stroke is determined.</p></div> </div> </div></section><section class="component component--expandable-section narrow-width show-global-controls show-read_less-link alpha omega" id="component_d6269d21d3" data-columns="12" data-component-behavior-id="31e1b9619fb797e133e4" data-uuid="Page-7298-d6269d21d3"><nav class='global-controls' aria-label="Ischemic stroke treatment Expandable Section"> <span class="expandable-open-all">Expand All</span> <span class="expandable-close-all">Collapse All</span> </nav> <div class="component-content"> <header data-context-name="title" class="expandable-title"> <h2 class="linked-title--subsection ">Ischemic stroke treatment</h2> <div class="icon-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 320" enable-background="new 0 0 320 320"><path d="M240 154h-74v-74c0-3.3-2.7-6-6-6s-6 2.7-6 6v74h-74c-3.3 0-6 2.7-6 6s2.7 6 6 6h74v74c0 3.3 2.7 6 6 6s6-2.7 6-6v-74h74c3.3 0 6-2.7 6-6s-2.7-6-6-6z"/></svg> </div> </header> <div class="expandable-body"> <div class="wysiwyg-content" data-context-name="text"><p><strong>Thrombolytic therapy</strong></p><p>Thrombolytic therapy is the standard of care for acute ischemic strokes. This clot-busting medication, which dissolves clots in appropriate patients, must be given within 4.5 hours after symptoms begin. </p><p><br></p><p>The American Stroke Association has recognized Scripps with the awards called “Target: Stroke Elite Plus Honor Roll” and “Target: Stroke Elite Honor Roll” for using thrombolytic therapy within 60 minutes in 75% or more of appropriate acute ischemic stroke patients.</p><p><br></p><p><strong>Thrombectomy and embolectomy</strong></p><p>Thrombectomy/embolectomy procedures, which remove a clot from the brain, may be used in eligible patients up to 24 hours from the start of an ischemic stroke. These procedures have been shown to be highly successful in treating acute stroke patients who have blockages of large blood vessels that feed the brain. Scripps has extensive experience with this type of treatment and participated in research that resulted in its adoption.</p><p><br></p><p><strong>Angioplasty and stenting</strong></p><p>Angioplasty and stenting procedures open narrowed arteries. A buildup of plaque in the artery (atherosclerosis) may decrease blood flow to the brain, or plaque may break loose and block a smaller vessel leading to the brain. In these cases, the neurointerventional surgeon may open the narrowed artery by pushing the plaque against the wall of the artery, or inserting a stent to keep the pathway open.</p><p><br></p><p>Learn more about <a href="/services/neurology/stroke#component_3a453566fd" data-document-title="false" draggable="false">ischemic stroke</a>.</p></div> <nav class='read-less-link'> <span class="expandable-close" href="#">Read Less</span> </nav> </div> </div> </section><section class="component component--expandable-section show-read_less-link narrow-width hide-global-controls alpha omega" id="component_3c125f1310" data-columns="12" data-component-behavior-id="783a10617352b41a414e" data-uuid="Page-7298-3c125f1310"><nav class='global-controls' aria-label="Hemorrhagic stroke treatment Expandable Section"> <span class="expandable-open-all">Expand All</span> <span class="expandable-close-all">Collapse All</span> </nav> <div class="component-content"> <header data-context-name="title" class="expandable-title"> <h2 class="linked-title--subsection ">Hemorrhagic stroke treatment</h2> <div class="icon-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 320" enable-background="new 0 0 320 320"><path d="M240 154h-74v-74c0-3.3-2.7-6-6-6s-6 2.7-6 6v74h-74c-3.3 0-6 2.7-6 6s2.7 6 6 6h74v74c0 3.3 2.7 6 6 6s6-2.7 6-6v-74h74c3.3 0 6-2.7 6-6s-2.7-6-6-6z"/></svg> </div> </header> <div class="expandable-body"> <div class="wysiwyg-content" data-context-name="text"><p>Embolizing or clotting agents may be used to treat hemorrhagic stroke. An interventional neuroradiologist may use a catheter to deliver a medication that clots the blood or closes off the ruptured vessel. Tiny platinum coils may be left in the vessel to block abnormal blood flow. This technique may also prevent stroke by treating aneurysms before they rupture. </p><p><br></p><p>Learn more about <a href="/services/neurology/stroke" data-document-title="false" draggable="false">hemorrhagic stroke</a>.</p></div> <nav class='read-less-link'> <span class="expandable-close" href="#">Read Less</span> </nav> </div> </div> </section><section class="component component--paragraph title-style-underline alpha omega" id="component_0a9013e347" data-columns="12" data-component-behavior-id="85d75a49412a31040016" data-uuid="Page-7298-0a9013e347"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-text wysiwyg-content " data-context-name="text"><p> </p></div> </div> </div></section><section class="component component--paragraph title-style-underline alpha omega" id="component_621a9095dc" data-columns="12" data-component-behavior-id="5cf9137f93afae3b581b" data-uuid="Page-7298-621a9095dc"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-title"><header data-context-name="title"> <h2 class="linked-title--section ">Stroke recovery and rehabilitation</h2> </header></div> <div class="component-text wysiwyg-content " data-context-name="text"><p>Stroke is a leading cause of disability, often producing long-term side effects, such as:</p><p><br></p><ul> <li>Paralysis or weakness</li> <li>Mobility, balance or coordination problems</li> <li>Trouble speaking or swallowing</li> <li>Memory or learning problems</li> </ul><p><br></p><p>Scripps Health offers expert rehabilitation care for stroke survivors. Our full continuum of care ranges from our <a href="/services/physical-rehabilitation/brain-injury-rehab" data-document-title="false" draggable="false">brain injury day treatment program</a> to outpatient stroke rehab and <a href="/services/home-health-care" data-document-title="false" draggable="false">home health</a> rehabilitation. Our goal is to help stroke survivors relearn skills and abilities and return to productive, independent living. </p><p><br></p><p>While success depends partially on the amount of damage to the brain, starting rehabilitation as soon as possible with caregivers who are highly experienced in stroke therapies can enhance recovery. Our multidisciplinary stroke rehabilitation teams include physical, occupational and speech therapists, physicians, nurses and other rehabilitation professionals. Along with personalized treatment plans, our stroke rehabilitation programs include recreational outings, support groups, work and home space evaluations and physical conditioning.</p><p><br></p><p>Scripps offers outpatient rehabilitation for stroke patients throughout San Diego. Care is provided by physical therapists who are specially trained to care for people recovering from stroke or brain injury.</p></div> </div> </div></section><section class="component component--paragraph title-style-underline alpha omega" id="component_3e32aa3f63" data-columns="12" data-component-behavior-id="2ffb42e3f03bc5412b8a" data-uuid="Page-7298-3e32aa3f63"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-title"><header data-context-name="title"> <h2 class="linked-title--section ">Community involvement</h2> </header></div> <div class="component-text wysiwyg-content " data-context-name="text"><p>Scripps teams are actively involved in developing new ways to improve stroke care for patients countywide, regardless of where they are admitted. Outreach and education with local first responders (paramedics and emergency medical technicians), as well as collaboration with the American Stroke Association and the San Diego County Stroke Consortium are just a few of the many contributions the Scripps Stroke team is making within our local communities.</p><p><br></p><p>Scripps also created a set of stroke codes to use with regional first responders when paramedics and EMTs believe their patient may have had a stroke. This notification further aims to improve coordination, quick transport and treatment of stroke patients.</p></div> </div> </div></section><section class="component component--paragraph title-style-underline alpha omega" id="component_b93d8a87df" data-columns="12" data-component-behavior-id="bba4ca8ebe9b0fc94982" data-uuid="Page-7298-b93d8a87df"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-title"><header data-context-name="title"> <h2 class="linked-title--section ">Stroke support groups</h2> </header></div> <div class="component-text wysiwyg-content " data-context-name="text"><p>As part of our stroke rehab programs, Scripps offers several support groups and classes about stroke and brain injury offered at various locations. The twice-monthly support group is free and open to anyone who has had a stroke or brain injury, as well as caregivers and loved ones of those coping with stroke and brain injury. We also offer an improvisational speaking class (called Brainmasters) and a healing arts class. Visit our <a href="/events" data-document-title="false" draggable="false">events page</a> to see upcoming dates and times.</p></div> </div> </div></section><section class="component component--expandable-section narrow-width show-read_less-link hide-global-controls alpha omega" id="component_370e604e22" data-columns="12" data-component-behavior-id="1e3fc89db23eedcbd4a5" data-uuid="Page-7298-370e604e22"><nav class='global-controls' aria-label="<p>Stroke classes and support groups </p> Expandable Section"> <span class="expandable-open-all">Expand All</span> <span class="expandable-close-all">Collapse All</span> </nav> <div class="component-content"> <header data-context-name="title" class="expandable-title"> <h2 class="linked-title--subsection ">Stroke classes and support groups </h2> <div class="icon-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 320" enable-background="new 0 0 320 320"><path d="M240 154h-74v-74c0-3.3-2.7-6-6-6s-6 2.7-6 6v74h-74c-3.3 0-6 2.7-6 6s2.7 6 6 6h74v74c0 3.3 2.7 6 6 6s6-2.7 6-6v-74h74c3.3 0 6-2.7 6-6s-2.7-6-6-6z"/></svg> </div> </header> <div class="expandable-body"> <div class="wysiwyg-content" data-context-name="text"><ul> <li>Stroke and Brain Injury Support and Education Group - <a href="/event_schedules/2047-stroke-and-brain-injury-support-and-education-group" data-document-title="false" draggable="false">Encinitas</a> and <a href="/event_schedules/3913-stroke-and-brain-injury-education-and-support-chula-vista" data-document-title="false" draggable="false">Chula Vista</a> </li> <li><a href="/services/physical-rehabilitation/brain-injury-rehab#component_605a1ba75d" data-document-title="false" draggable="false">Improvisational Speaking Group for Stroke</a></li> <li><a href="/event_schedules/3895-balance-and-gait-scripps-encinitas-rehabilitation-services" data-document-title="false" draggable="false">Balance and Gait</a></li> <li><a href="/event_schedules/3906-neuro-fit" data-document-title="false" draggable="false">Neuro Fit</a></li> <li><a href="/event_schedules/3811-gentle-movement-mobility" data-document-title="false" draggable="false">Gentle Movement and Mobility</a></li> <li>Healthy Bones and Balance Exercise Class - <a href="/event_schedules/3907-healthy-bones-exercise-class-scripps-encinitas-rehabilitation-services" data-document-title="false" draggable="false">Encinitas</a> and <a href="/event_schedules/3724-healthy-bones-exercise-class-scripps-mercy-san-diego" data-document-title="false" draggable="false">San Diego</a> </li> </ul></div> <nav class='read-less-link'> <span class="expandable-close" href="#">Read Less</span> </nav> </div> </div> </section><section class="component component--paragraph title-style-underline alpha omega" id="component_642cac13c0" data-columns="12" data-component-behavior-id="06a52b87b20fd208c0c3" data-uuid="Page-7298-642cac13c0"><div class="component-content-container"><div class="component-backdrop" style="background-color: transparent"></div> <div class="component-content"> <div class="component-content-backdrop" style="background-color: transparent"></div> <div class="component-title"><header data-context-name="title"> <h2 class="linked-title--section ">Stroke treatment locations</h2> </header></div> <div class="component-text wysiwyg-content " data-context-name="text"><p>As Joint Commission Certified Stroke Centers, all Scripps hospitals with emergency rooms in San Diego offer comprehensive stroke treatment:</p><p><br></p><ul> <li><a href="/locations/hospitals/scripps-memorial-hospital-la-jolla" data-document-title="false" draggable="false">Scripps Memorial Hospital La Jolla</a></li> <li><a href="/locations/hospitals/scripps-mercy-hospital-san-diego" data-document-title="false" draggable="false">Scripps Mercy Hospital San Diego</a></li> <li><a href="/locations/hospitals/scripps-mercy-hospital-chula-vista" data-document-title="false" draggable="false">Scripps Mercy Hospital Chula Vista</a></li> <li><a href="/locations/hospitals/scripps-memorial-hospital-encinitas" data-document-title="false" draggable="false">Scripps Memorial Hospital Encinitas</a></li> </ul><p><br></p><p><strong>If you think you are having a stroke, please call 9-1-1 immediately.</strong></p></div> </div> </div></section></div> <div data-behaviour="ajax-content" data-ajax-content-url="https://www.scripps.org/related_content/Page/7298/affiliated"></div> </div> <aside id="sidebar" class="content-sidebar"> <div class="" data-component-section="sidebar" data-component-section-title="Sidebar"><section class="component component--section-with-image pull-left alpha omega" id="component_4040b0d0c9" data-columns="12" data-component-behavior-id="a88b27d1578d6ae33f05" data-uuid="Page-7298-4040b0d0c9" data-cta="primary"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section ">Let us help you find a neurologist</h2> </header> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section ">Let us help you find a neurologist</h2> </header> <div class="wysiwyg-content" data-context-name="text"><p>We’re here to help you find a Scripps neurologist who fits your needs and is closest to you. 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