ASSOCIATED PROFESSIONALS

The PRIMA HEART Team - Therapists, Trainers & Coaches

To provide an aggressive approach to lifestyle modification, we include the support of several different health professionals. These would include as needed:

  • Cardiac Wellness Nurse
  • Registered Dietitian
  • Medical Exercise Specialist, MES
  • Integrative Wellness Coach, RN

 

Terri Bilbro RN, ACE, Medical Exercise Specialist

Director of Fitness and Cardiopulmonary Wellness

Terri Bilbro has many years experience with Community Hospital of the Monterey Peninsula's Cardiac and Pulmonary Rehabilitation as a case manager and with Drs. Karahalios and Moran in the areas of diagnostic testing and preventive management.  She monitored the medical fitness program and was an educator for the Cardiac Rehabilitation Phase II program for Coronary Artery Disease Risk Factors.  Terri also provided education for Exercise Guidelines for Cardiac and Pulmonary Rehabilitation Phase II programs.  She has written and taught the program for the Balance Class provided for the Medical Fitness participants in Phase III.

Terri initially developed the Life Connectins Coronary Artery Disease Program.  This program provided information on risk factors for CAD, medical diagnostics and procedures, post event or diagnostic follow-up, medications and lifestyle modifications. She has also advised smoking cessation for those currently smoking.

Terri's has also been working with athletes that currently have medical conditions. Terri's experience with Medical Fitness clients not only includes those with cardiac and pulmonary disease, but also those with diabetes, hypertension, MS, arthritis, and other chronic conditions. She has worked with athletes with insulin pumps and other medical issues. 

Terri initiated and started a Wellness Coaching program for Personal Trainers this year. The program was an eight week program which covered pathophysiology of disease process, medical management (within scope of practice), working with physicians and other health care practitioners, learning how to read and understand lab values regarding diabetes, lipid management and other chronic conditions, when to notify physician, implementing safe and effective exercise programs for those that are at high risk, nutritional programming (within scope of practice).  The program is designed to help the personal trainer understand their role and scope of practice in medical fitness.  The program is being retooled for the American Council on Exercise as a CE course. Her certifications are:

Terri Bilbro's certifications include:

  • Medical Exercise Specialist
  • ACE Personal Training
  • Cooper Institute Health Promotions Director
  • Oncology Nursing Society (currently expired)
  • Telemetry and EKG
  • USA  Cycling Level II Coach
  • USA Triathlon Level II Coach
  • USAT Track and Field 
  • USA Weight Lifting Sports Performance Specialist
  • ACLS and BLS certified
  • Other certifications with emphasis on sports specifics and medical specifics

We are associated with Terri who founded Nitrous Performance Training which provides comprehensive health and training services:

  • Multi-sport Training
  • Medical Wellness/Lifestyle Coaching
  • Education and Disease Management
  • Risk Assessments and Screenings
  • Weight Management
  • Smoking Cessation
  • Fitness Assessments and Training
  • Personal and Small Group Training
  • Postural Evaluations and Core Mechanics
  • Core Wellness Programming
  • Multi-sport Training
  • Athletic Coaching and Sports Specific Training for Individuals and Teams

 

Associated Facilities and Diagnostic Imaging Centers

Dr. Soteria Karahalios and Dr. Terrance Moran are currently on staff and medical directors of Non-invasive Cardiology and Cardiac Wellness with Community Hospital of the Monterey Peninsula and Tyler Heart Institute on the central coast of California.  Dr. Karahalios is also on staff and provides cardiovascular diagnostic services at the Cardiovascular Diagnostic Imaging Center, affliiated with Salinas Valley Memorial Hospital at Ryan Ranch.

State of the art diagnostic imaging including, the latest MRI technologies, 320 slice –CT scanner or dual source CT scanner, ultrasound, and nuclear imaging are all utilized and clinically integrated.