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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_1732342153-7106173_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_1732342153-7106173_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_1732342153-8388312_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_1732342153-8391018_1_trigger"><span class="icon icon-hamburger"></span><span class="text"></span></div><div id="header-action_1732342153-8391018_1_content" class="header-action__content"> <form class="sitewide-search header-search-box" id="sitewide_search_1732342153-8392284_2" action="/sitewide_searches" accept-charset="UTF-8" method="get"><input name="utf8" type="hidden" value="✓" /><input name="query" id="sitewide_search_1732342153-8392284_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="node" id="services_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">Neurology</a></li> <li>Stroke</li> </ul> </nav> <div class="content-title content-title--default"><h1>Stroke</h1></div> <nav id="future_bar" class="children future-bar"> <div class="future-bar-mobile"> <div class="future-bar-menu future-bar-button"> More <div class="future-bar-icon"></div> </div> </div> <ul> <li><a href="/services/neurology/stroke/signs-symptoms">Signs and Symptoms</a></li> <li><a href="/services/neurology/stroke/prevention">Prevention</a></li> <li><a href="/services/neurology/stroke/treatment-recovery">Treatment Options</a></li> <li><a href="/services/neurology/stroke/stroke-quality-data">Stroke Quality Data</a></li> </ul> </nav> </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_1bef689090" data-columns="12" data-component-behavior-id="628c09fafd574504363f" data-uuid="Service-626-1bef689090"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section ">San Diego region’s leading stroke care provider</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-3957b94d9d84d8783348719170c8613f_desktop_x++-1200x1200.jpg" media="(min-width: 1024px)"><source srcset="//www.scripps.org/sparkle-assets/variants/hi_res_stroke-3957b94d9d84d8783348719170c8613f_tablet_x++-1200x1200.jpg" media="(min-width: 480px)"><source srcset="//www.scripps.org/sparkle-assets/variants/hi_res_stroke-3957b94d9d84d8783348719170c8613f_phone_x++-600x600.jpg" media="(max-width: 479px)"><img style="max-width: 100%;" alt="Two senior women laugh outdoors representing the expert stroke care at Scripps." src="//www.scripps.org/sparkle-assets/images/stroke-3957b94d9d84d8783348719170c8613f.jpg" /></picture> </figure> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section ">San Diego region’s leading stroke care provider</h2> </header> <div class="wysiwyg-content" data-context-name="text"><p>Scripps is San Diego’s leader in stroke prevention, life-saving stroke treatment and stroke rehabilitation. For the sixth consecutive year, all five Scripps Health hospital campuses — Scripps Memorial Hospital Encinitas, Scripps Green Hospital, Scripps Memorial Hospital La Jolla, Scripps Mercy Hospital Chula Vista and Scripps Mercy Hospital San Diego — have earned the Stroke Gold Plus Quality Achievement Award by the American Heart Association/American Stroke Association for delivering high-quality, life-saving stroke care. The awards, which are part of the AHA/ASA’s Get With The Guidelines stroke program, recognize hospitals across the United States that consistently comply with patient management quality measures.</p><p><br></p><p>Scripps Memorial Hospital Encinitas, Scripps Memorial Hospital La Jolla, Scripps Mercy Hospital San Diego and Scripps Mercy Hospital Chula Vista earned the Stroke Gold Quality Plus Achievement Award. These hospitals have reached an aggressive goal of treating patients to core standard levels of care as outlined by the AHA/ASA for two consecutive calendar years or more.</p></div> </div> </div> </section><section class="component component--section-with-image full-width title-image title-style-underline alpha omega" id="component_4c795f4f51" data-columns="12" data-component-behavior-id="c0d03d756962aaabc0f5" data-uuid="Service-626-4c795f4f51"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section ">About stroke</h2> </header> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section ">About stroke</h2> </header> <div class="wysiwyg-content" data-context-name="text"><p>A stroke happens when a blood vessel that provides oxygen and nutrients to the brain is blocked or ruptures. Without oxygen, brain cells start to die within minutes. The severity of a stroke depends on where the blood flow is blocked, and how many brain cells are affected. </p><p><br></p><p>According to the American Heart Association, in the United States someone has a stroke about every 40 seconds. Stroke is the 5th leading cause of death and is the leading cause of serious long-term disability.</p></div> </div> </div> </section><section class="component component--expandable-section narrow-width show-global-controls show-read_less-link alpha omega" id="component_2b458041c7" data-columns="12" data-component-behavior-id="2aff5e636956f7086c5c" data-uuid="Service-626-2b458041c7"><nav class='global-controls' aria-label="What causes stroke? 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 ">What causes stroke?</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>Stroke is caused by a disruption in the flow of blood to the brain. In some cases, there may be a blockage in the artery that cuts off blood flow. In other strokes, an artery carrying blood to the brain may rupture. The cause of the disruption determines the type of stroke. Learn about <a href="/services/neurology/stroke/prevention" data-document-title="false" draggable="false">risk factors for 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 narrow-width show-read_less-link hide-global-controls alpha omega" id="component_3a453566fd" data-columns="12" data-component-behavior-id="4cbe8e07711daa9f9263" data-uuid="Service-626-3a453566fd"><nav class='global-controls' aria-label="What are the types of stroke? 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 ">What are the types of stroke?</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>There are two types of stroke: ischemic stroke and hemorrhagic stroke. </p><p><br></p><p><strong>Ischemic stroke</strong></p><p>Ischemic stroke accounts for 85% of strokes and is the most common type of stroke. Ischemic stroke happens when a blood vessel is blocked. The blockage can occur in an artery that supplies blood to the brain or in a blood vessel in the brain itself. The blockage can start in that artery, or it may be caused by a blood clot that forms elsewhere in the body and travels to the brain.</p><p><br></p><p><strong>Hemorrhagic stroke</strong></p><p>Hemorrhagic stroke occurs when a blood vessel in the brain ruptures, or bursts. Potential causes include uncontrolled high blood pressure (hypertension) or a weak, enlarged section of an artery (called an aneurysm).</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 narrow-width show-read_less-link hide-global-controls alpha omega" id="component_53ab95fa5e" data-columns="12" data-component-behavior-id="62e66ffe8b69fd2a82b4" data-uuid="Service-626-53ab95fa5e"><nav class='global-controls' aria-label="What is a transient ischemic attack (TIA)? 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 ">What is a transient ischemic attack (TIA)?</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>A condition similar to a stroke, a transient ischemic attack (TIA) or “mini-stroke” occurs when the flow of oxygen-rich blood is blocked only for a short time and there’s no permanent damage to brain cells. </p><p><br></p><p>One in 3 people who have a TIA will eventually have a stroke, so the condition is considered a strong warning sign that a stroke may occur unless a patient makes important lifestyle changes. These changes may include:</p><p><br></p><ul> <li>Taking medication to prevent blood clots</li> <li>Treating diabetes, high blood pressure and high cholesterol</li> <li>Making heart-healthy changes in diet, including reduced alcohol consumption </li> <li>Getting regular cardiovascular exercise</li> <li>Quitting smoking immediately</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 alpha omega" id="component_672013e7eb" data-columns="12" data-component-behavior-id="a5766f4891eda783b891" data-uuid="Service-626-672013e7eb"><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--section-with-image pull-left title-text alpha omega" id="component_02f1e6c199" data-columns="12" data-component-behavior-id="abacfe695c21532170df" data-uuid="Service-626-02f1e6c199"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/signs-symptoms" class=" default-style" > Signs and symptoms </a></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-symptoms-4049295930413859695_desktop_x++-x.jpg" media="(min-width: 1024px)"><img style="max-width: 100%;" alt="A smiling mature woman in her kitchen represents the importance of knowing the signs and symptoms of stroke." src="//www.scripps.org/sparkle-assets/images/stroke-symptoms-4049295930413859695.jpg" /></picture> </figure> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/signs-symptoms" class=" default-style" > Signs and symptoms </a></h2> </header> <div class="wysiwyg-content" data-context-name="text"><ul> <li><a href="/services/neurology/stroke/signs-symptoms#component_49f7000d42" data-document-title="false" draggable="false">How to spot stroke symptoms</a></li> <li><a href="/services/neurology/stroke/signs-symptoms#component_35bee774f7" data-document-title="false" draggable="false">What to do if you have warning signs</a></li> </ul></div> </div> </div> </section><section class="component component--html alpha omega" id="component_2e2ccc4e1e" data-columns="12" data-component-behavior-id="01fecefa8708df687965" data-uuid="Service-626-2e2ccc4e1e"><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="custom-html" data-context-name="content"><hr></div> </div> </div></section><section class="component component--section-with-image title-image pull-left title-text alpha omega" id="component_9015b2f7b7" data-columns="12" data-component-behavior-id="5b01402c8e6dcd0b462c" data-uuid="Service-626-9015b2f7b7"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/prevention" class=" default-style" > Prevention </a></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-prevention-5166925304493779897_desktop_x++-x.jpg" media="(min-width: 1024px)"><img style="max-width: 100%;" alt="A mature man blows bubbles with his grandson on a park bench, representing the importance of stroke prevention." src="//www.scripps.org/sparkle-assets/images/stroke-prevention-5166925304493779897.jpg" /></picture> </figure> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/prevention" class=" default-style" > Prevention </a></h2> </header> <div class="wysiwyg-content" data-context-name="text"><ul> <li><a href="/services/neurology/stroke/prevention#component_6fdb7a7c3b" data-document-title="false" draggable="false">Stroke risk factors</a></li> <li><a href="/services/neurology/stroke/prevention#component_ba1b343be5" data-document-title="false" draggable="false">How to prevent stroke</a></li> </ul></div> </div> </div> </section><section class="component component--html alpha omega" id="component_eb88236804" data-columns="12" data-component-behavior-id="d182f3ea8a0fc0a8a605" data-uuid="Service-626-eb88236804"><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="custom-html" data-context-name="content"><hr></div> </div> </div></section><section class="component component--section-with-image title-image pull-left title-text alpha omega" id="component_e2e24f80e3" data-columns="12" data-component-behavior-id="8325c9cf2b9a4874b112" data-uuid="Service-626-e2e24f80e3"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/treatment-recovery" class=" default-style" > Stroke treatment </a></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 "><a href="/services/neurology/stroke/treatment-recovery" class=" default-style" > Stroke treatment </a></h2> </header> <div class="wysiwyg-content" data-context-name="text"><ul> <li><a href="/services/neurology/stroke/treatment-recovery#component_a7e0a8f92e" data-document-title="false" draggable="false">How is stroke diagnosed?</a></li> <li><a href="/services/neurology/stroke/treatment-recovery#component_10a30ad4fe" data-document-title="false" draggable="false">Stroke treatment options</a></li> <li><a href="/services/neurology/stroke/treatment-recovery#component_621a9095dc" data-document-title="false" draggable="false">Stroke recovery and rehab</a></li> <li><a href="/services/neurology/stroke/treatment-recovery#component_3e32aa3f63" data-document-title="false" draggable="false">Community involvement</a></li> <li><a href="/services/neurology/stroke/treatment-recovery#component_b93d8a87df" data-document-title="false" draggable="false">Support groups</a></li> <li><a href="/services/neurology/stroke/treatment-recovery#component_642cac13c0" data-document-title="false" draggable="false">Treatment locations</a></li> </ul></div> </div> </div> </section><section class="component component--html alpha omega" id="component_af4b2db340" data-columns="12" data-component-behavior-id="29c3f1968673986a65c8" data-uuid="Service-626-af4b2db340"><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="custom-html" data-context-name="content"><hr></div> </div> </div></section><section class="component component--section-with-image title-image pull-left title-text alpha omega" id="component_d62a422864" data-columns="12" data-component-behavior-id="5bf072093916aec093b5" data-uuid="Service-626-d62a422864"> <div class="component-wrapper--classic"> <div class="component-content"> <header class="title-image" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/stroke-quality-data" class=" default-style" > Quality data </a></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-data-13155684859161954853_desktop_x++-x.jpg" media="(min-width: 1024px)"><img style="max-width: 100%;" alt="A person points to a brain scan, representing the quality data for the stroke program at Scripps." src="//www.scripps.org/sparkle-assets/images/stroke-data-13155684859161954853.jpg" /></picture> </figure> <header class="title-text" data-context-name="title"> <h2 class="linked-title--section "><a href="/services/neurology/stroke/stroke-quality-data" class=" default-style" > Quality data </a></h2> </header> <div class="wysiwyg-content" data-context-name="text"><ul> <li><a href="/services/neurology/stroke/stroke-quality-data#component_7b04fdab1a" data-document-title="false" draggable="false">Our patient volume</a></li> <li><a href="/services/neurology/stroke/stroke-quality-data#component_22bd775c1a" data-document-title="false" draggable="false">Performance measures</a></li> <li><a href="/services/neurology/stroke/stroke-quality-data#component_332cdcc776" data-document-title="false" draggable="false">Time to thrombolytic</a></li> <li><a href="/services/neurology/stroke/stroke-quality-data#component_1edefafcda" data-document-title="false" draggable="false">Effectiveness of 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