How to Select a Pediatrician

If it’s been 28 weeks into pregnancy, now is the time for you to find a pediatrician who can help you with taking care of your baby. Having a doctor whom you trust is important since you might need the assistance from time to time for your newborn. In the article below, we look at how to find the right Pediatrician.

The best time to start looking for a pediatrician is between 28 and 34 weeks into your pregnancy when you likely know what you want and have at least a few weeks to do your homework. The process may seem daunting, but realize you’re not trying to find the Best Pediatrician in the World — you’re looking for the best one for your child and one who has personal connection with you.

Research Doctors

One person’s pick is sometimes another’s pan, which is why you should collect at least three if not half a dozen names from friends and coworkers. (If you’re short on names, try the American Academy of Pediatrics’ referral site at aap.org/referral.) Call your insurance company about any doctor you’re interested in but don’t see on the list — provider lists change frequently, and the pediatrician may have been added recently.

Next, scout out the location of the pediatrician’s office. Given how often you’ll be schlepping there, you’ll want a short commute. The day that my then 8-month-old daughter suddenly developed a weird body rash, I loved that I was able to call, drive to the office, and be in an exam room within 20 minutes. Also look into which hospitals your candidates are affiliated with; you’ll want one that’s both convenient and reputable. Know more…

Once you decide which pediatrician to have, the next step is to look at the questions that you should ask.

Expecting a New Baby? Top Questions to Ask Potential Pediatricians

It comes down to visiting and interviewing potential pediatricians for a meet and greet. But if you’re a first-time mom or perhaps find yourself starting a new search, you might not know the right questions to ask or where to even begin.

Don’t worry—I’ve got you covered. I wanted to make sure my son’s (and later, my twins’) doctor was someone we all felt comfortable with, and someone my kids could preferably go back to for years to come.

I’ll share a few factors you might want to consider when whittling down your choices, and resources to start your search. Find the rest of the questions here…

We hope that you have selected the right pediatrician for your newborn. Do make sure that you look for a Pediatrician near me, so that commuting is not a pain. 

Drug testing is one action an employer can take to determine if employees or job applicants are using drugs. It can identify evidence of recent use of alcohol, prescription drugs and illicit drugs. The professional medical team at Doctors Immediate Care can preform these tests for you. Call our office to make an appointment.

Currently, drug testing does not test for impairment or whether a person’s behavior is, or was, impacted by drugs. Drug testing works best when implemented based on a clear, written policy that is shared with all employees, along with employee education about the dangers of alcohol and drug abuse, supervisor training on the signs and symptoms of alcohol and drug abuse, and an Employee Assistance Program (EAP) to provide help for employees who may have an alcohol or drug problem.

Why do employers drug test?

Alcohol and drug abuse creates significant safety and health hazards and can result in decreased productivity and poor employee morale.  It also can lead to additional costs in the form of health care claims, especially short-term disability claims.

Employers implement drug testing to:

  • Deter employees from abusing alcohol and drugs
  • Prevent hiring individuals who use illegal drugs
  • Be able to identify early and appropriately refer employees who have drug and/or alcohol problems
  • Provide a safe workplace for employees
  • Protect the general public and instill consumer confidence that employees are working safely
  • Comply with State laws or Federal regulations
  • Benefit from Workers’ Compensation Premium Discount programs

How is drug testing conducted and how accurate is it?

Generally, most private employers have a fair amount of latitude in implementing drug testing for their organization, unless they are subject to certain Federal regulations, such as the U.S. Department of Transportation’s (DOT) drug-testing rules for employees in safety-sensitive positions.  However, Federal agencies conducting drug testing must follow standardized procedures established by the Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services (DHHS).

While private employers are not required to follow these guidelines, doing so can help them stay on safe legal ground.  Court decisions have supported following these guidelines, and as a result, many employers choose to follow them.  These Mandatory Guidelines for Federal Workplace Drug Testing (also called SAMHSA’s guidelines) include having a Medical Review Officer (MRO) evaluate tests.  They also identify the five substances tested for in Federal drug-testing programs and require the use of drug labs certified by SAMHSA.

The most common method of drug testing, urinalysis, can be done at the workplace (at a health unit, for example), a doctor’s office or any other site selected by the employer.  An employee or applicant provides a sample to be tested.  Usually precautions are taken, such as putting blue dye in the toilet and turning off the water supply, to prevent adulteration or substitution of specimens so that collection can be completed in privacy without any direct visual observation by another person.

Under SAMHSA’s guidelines, once a sample is provided, it is sent to a certified laboratory.  The accuracy of drug tests done by certified laboratories is very high, but this certification applies only to the five substances tested for in Federal drug-testing programs and alcohol.

Got body aches? The medical professionals at Doctor’s Immediate Care can help. Call the office in your location to make an appointment.

Body aches, pains, soreness, and tenderness can affect one, two, or many parts of the body. It also may feel like your entire body is painful or tender to the touch.

Body aches and pains can persistently affect one area only, can shift and affect another area or areas, and can migrate all over and affect many areas over and over again.


Why is my whole body aching?

Hyperstimulation can cause the body’s muscles to remain tight even though the immediate threat has passed. Headaches, muscle pain, muscle tension, tight muscles, body aches and pains, and stiffness are all common symptoms of stress-response hyperstimulation. This can also be a cause of persistent body aches and pains.

Why does my body ache and I feel tired all the time?

Chronic fatigue syndrome. Chronic fatigue syndrome (CFS) is a condition that causes you to feel exhausted and weak, no matter how much rest or sleep you get. It often causes insomnia. Because your body doesn’t feel rested or replenished, CFS can also cause aches in the muscles and joints throughout your body.

What can cause unexplained muscle pain?

The most common causes of muscle pain are tension, stress, overuse and minor injuries. Systemic muscle pain or pain throughout your whole body is more often the result of an infection, an illness or a side effect of a medication. Common causes of muscle pain include: Chronic exertional compartment syndrome.


five-facts-you-should-know-about-arthritis

What To Understand About Arthritis and How To Deal With It

Arthritis affects the people of all ages. The common symptoms of arthritis include joint pain, swelling and stiffness that may vary over time. Arthritis makes life painful, causing trouble in physical activities and get worse with age leading to disabilities.

Regardless of age or sex arthritis can cripple anyone. Although, nearly 53 million adults and 300,000 children have fallen victim to arthritis in America, most people are little aware about this disease and the type of arthritis they suffer.

Osteoarthritis or degenerate arthritis:

It is one of the most common forms of arthritis affecting millions across the world. When the protective cartilage on the ends of your bones wears away, it rubs against one another and commonly causes pain in the joints of knees, hands, hips and spine. There is no any common cure for Osteoarthritis. You can control its effect only by:

  •  Maintaining a healthy weight
  •  Regular physical activity balancing rest
  •  Avoiding excessive and repetitive movements.
  •  Using other therapies and treatment.

Inflammatory arthritis:

When human immune systems mistakenly attack the joints and body tissues it is called rheumatoid or inflammatory arthritis. Besides attacking the joints it can affect other organs and parts of the body like eyes, skin, lungs and blood vessels. The symptoms get worse over time with the progress of the disease.

Infectious or septic Arthritis:

It is often caused by the infection of bacteria or viruses into your joints. Joints may become infected with germs or viruses travel through the bloodstream or directly through any injuries. Prompt treatment is necessary to clear the joint infection and prevent the spreading of infection.

Metabolic Arthritis:

The Human body produces uric acid and sometimes its amount increases more than the required. The extra amount of uric acid remains within the body because the body can’t discharge it quickly enough. It creates some needle like crystals in the joint, causing sudden episodic joint paint. It’s also called Gout attack. Controlling the uric acid level in your blood is the only way to get rid of Gout.

Is there any possible prevention?

Research is still underway to find a solution of Arthritis. Right now, it is a kind of disease where true prevention seems to be impossible. However, one can reduce the effect of arthritis and can slow down its progress by taking some caution.

  •  Maintain a healthy weight with regular physical activity.
  •  Eat healthy food, eat less, and do more aerobic exercise.
  •  Water exercises are best for arthritis sufferers.
  •  Quit smoking and drinking alcohol specially those who suffers Gout.
  •  Avoiding excessive and repetitive movements .
  •  Strengthening the muscles around the join for added support.
  •  Use some therapies and medication to help reduce pain and inflammation.
  •  Don’t delay to see a doctor if you have joint symptoms.

These are the things that can be done to preserve joint function and regain pleasure in life with no more pain. Arthritis is the no 1 reason causing disability among many people across the world. It might seem simple or its symptoms may not be severe for you during the initial period. But at any point of time it shouldn’t be ignored and it’s a good idea to visit your doctor as early as possible.

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Medical doctor using tablet PC with diabetes medical concept.

Are you experiencing the symptoms of diabetes, or have you been diagnosis and in need of a doctor’s care? The physicians at Doctors Immediate Care can help. Call your local office to make an appointment.

What is the goal of treatment?

The major goal in treating diabetes is to minimize any elevation of blood sugar (glucose) without causing abnormally low levels of blood sugar. Type 1 diabetes is treated with insulin, exercise, and a diabetic diet. Type 2 diabetes is treated first with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, treatment with insulin is considered.

Adherence to a diabetic diet is an important aspect of controlling elevated blood sugar in patients with diabetes. The American Diabetes Association (ADA) has provided guidelines for a diabetic diet. The ADA diet is a balanced, nutritious diet that is low in fat, cholesterol, and simple sugars. The total daily calories are evenly divided into three meals. In the past two years, the ADA has lifted the absolute ban on simple sugars. Small amounts of simple sugars are allowed when consumed with a complex meal.

Therapies

Weight reduction and exercise are important treatments for diabetes. Weight reduction and exercise increase the body’s sensitivity to insulin, thus helping to control blood sugar elevations.

Popular medications for type 2 diabetes are designed to:

•Increase the sensitivity (response) of cells to insulin,
•Increase the insulin output by the pancreas,
•Decrease the amount of glucose released from the liver,
•Decrease the absorption of carbohydrates from the intestine,
•Slow emptying of the stomach to delay the presentation of carbohydrates for digestion and absorption in the small intestine.

The Popular Therapy for type 2 diabetes, consideration should be given to:

•The magnitude of change in blood sugar control that each medication will provide
•Other coexisting medical conditions (high blood pressure, cholesterol, etc.)
•Adverse effects of the therapy
•Contraindications to therapy
•Issues that may affect compliance (timing of medication, frequency of dosing); and
•Cost to the patient and the healthcare system.

It’s important to remember that if a drug can provide more than one benefit such as lowering blood sugar and have a beneficial effect on cholesterol it should be preferred. It’s also important to bear in mind that the cost of drug therapy is relatively small compared to the cost of managing the long-term complications associated with poorly controlled diabetes.

Varying combinations of medications also are used to correct abnormally elevated levels of blood glucose in diabetes. As the list of medications continues to expand, treatment options for type 2 diabetes can be better tailored to meet an individual needs. Not every patient with type 2 diabetes will benefit from every drug, and not every drug is suitable for each patient. Patients with type 2 diabetes should work closely with their physicians to achieve goals that provides the greatest benefits while minimizing risks.

Patients with diabetes should never forget the importance of diet and exercise. The control of diabetes starts with a healthy lifestyle regardless of what medications are being used.

Next Steps

Poor health can significantly affect your life. Improve your life by creating good health habits. Call your local office to schedule an appointment with one of our doctors for evaluation and testing.

 

Key Facts About Seasonal Flu Vaccine

It’s that time of the year when you have to protect yourself from diseases. Flu season is starting from October and will be there till May. Hence, it is important that your immunity is high. Flu shots not only protect you from viruses, but they also increase your immunity levels. We take a closer look at why people should get vaccinated and how they work in the following paragraphs.

Influenza is a potentially serious disease that can lead to hospitalization and sometimes even death. Every flu season is different, and influenza infection can affect people differently, but millions of people get the flu every year, hundreds of thousands of people are hospitalized and thousands or tens of thousands of people die from flu-related causes every year. An annual seasonal flu vaccine is the best way to help protect against flu. Vaccination has been shown to have many benefits including reducing the risk of flu illnesses, hospitalizations and even the risk of flu-related death in children. Read more here…

There are several circulating myths about flu shots and many people around the world still believe these myths, thus refusing to get vaccinated. In this video, UCLA shares with us some myths and facts about flu shots. 

Now that you know you have to get a flu shot, the next step is to find the nearest center where you can take one. Below, Sara Chodosh shows us how to find one.

Still, need a flu shot? Here’s how to find one near you

The CDC works in conjunction with an organization called HealthMap to run Vaccine Finder, a website that tells you can get any type of vaccine near your provided zip code or address. You can even search specifically for certain types of flu shot, like the cell-based (the one people with egg allergies used to get, though it turns out they can get the normal shot too) or high-dose versions, if you want or need one in particular.

It also lists how much the vaccine will cost you if it costs anything at all. This will largely depend on what your insurance covers, so if there’s no price listed online that doesn’t mean it’s necessarily free, just that some clinics have listed their charges up front. Most pharmacies list their prices online, or you can call to check. Many are totally free, especially if you have Medicaid. Find more information by clicking here…

Find the nearest flu shot center and get your vaccine. The flu season has started and it’s about time you get your dose.

Improving Your Energy as a Learning Concept with Green Chart

Doctors Immediate Care can provide you with B12 injections. Call your local office to make an appointment.

What is B12?

Vitamin B12 is a water-soluble vitamin, also known as cobalamin.

It plays a vital role in brain function and the production of DNA and red blood cells.

Chemically, vitamin B12 can exist in a number of different forms, but all of them contain the mineral cobalt.

The vitamin can be stored in the liver for a long time, so it may take a few years for a deficiency to develop.

Why are people B12 deficient?

The recommended daily intake (RDI) of vitamin B12 is 6 micrograms per day.

Deficiency is common, especially in people who follow a vegetarian or vegan diet.

In fact, it’s thought that up to 90% of people following these diets have a deficiency.

This is because B12 is only found naturally in animal foods.

However, vegans and vegetarians are not the only ones who are deficient. Even some meat eaters don’t absorb it very well.

Unlike other vitamins, the absorption of vitamin B12 depends on a protein produced in your stomach, called intrinsic factor.

Intrinsic factor binds to vitamin B12, so that you can absorb it into the blood. People who don’t produce enough intrinsic factor can become deficient.

Doctors Immediate Care is pleased to provide comprehensive travel medicine to our patients who travel internationally. Immunization and medication prescriptions are available on-site. The services are rendered based on CDC recommendations, individual health status and travel circumstances.

Make copies of your passport, air tickets, all credit cards you take with you, and any other documents to facilitate reporting a loss and replacing them. If you are planning on traveling outside the country, there are many things you need to prepare in addition to Passports and visas. You would also need to get vaccinated as it’s required by most countries before you travel.

What types of travel vaccines are there?

Travel vaccines are divided into three categories: routine, recommended, and required. Requirements for each country are different. Plus, there are different schedules for adults and children. The physicians at Doctors Immediate Care can advise you as to which ones you should have. It’s important to remember that most vaccines take time to become effective in your body and some vaccines must be given in a series over a period of days or sometimes weeks. A traveler who is not vaccinated is at risk for infection.

You may need additional vaccines if you are travelling outside the United States. The Centers for Disease Control and Prevention (CDC) provides information to assist travelers and their healthcare providers in deciding which vaccines, medications, and other measures are necessary to prevent illness and injury during international travel.Visit CDC’s website at www.cdc.gov/travel or call 800-CDC-INFO (800-232-4636).

Got a scratchy, sore throat? Not able to swallow? The medical professionals at Doctors Immediate Care can help. Call your local office to make an appointment.

What is a sore throat?

A sore throat is pain, scratchiness or irritation of the throat that often worsens when you swallow. The most common cause of a sore throat (pharyngitis) is a viral infection, such as a cold or the flu. A sore throat caused by a virus resolves on its own.

Strep throat (streptococcal infection), a less common type of sore throat caused by bacteria, requires treatment with antibiotics to prevent complications. Other less common causes of sore throat might require more complex treatment.

What are the symptoms of a sore throat?

Symptoms of a sore throat can vary depending on the cause. Signs and symptoms might include:

Pain or a scratchy sensation in the throat
Pain that worsens with swallowing or talking
Difficulty swallowing
Sore, swollen glands in your neck or jaw
Swollen, red tonsils
White patches or pus on your tonsils
Hoarse or muffled voice

How is a sore throat caused?

Sore throats can be caused by viruses or bacteria. Viral sore throats are often accompanied by other cold symptoms that may include a runny nose, cough, red or watery eyes, and sneezing. Other causes of sore throat include smoking, pollution or irritants in the air, allergies, and dry air.

How long does it take a sore throat to heal?

Viral pharyngitis often goes away in five to seven days. If you have bacterial pharyngitis, you will feel better after you have taken antibiotics for two to three days. You must take your antibiotic even when you are feeling better. If you don’t take all of it, your sore throat could come back.

Why does it hurt to swallow?

Sore throats caused by a bacterial infection—like strep throat or tonsillitis—can be severe. What you will have is a sore throat that starts quickly and can cause a whole lot of pain while swallowing. You may also have bad breath, fever, and swollen lymph nodes in your neck.

Is sore throat contagious?

Yes, pharyngitis (viral and bacterial) is contagious and can be transmitted from one person to another. Usually, mucus, nasal discharge and saliva can contain the viruses and/or bacteria that can cause sore throat . Consequently, even kissing can cause transfer of these organisms.

What is the first sign of strep throat?

Signs and symptoms of strep throat can include: Throat pain that usually comes on quickly. Painful swallowing. Red and swollen tonsils, sometimes with white patches or streaks of pus.

When should you go to the doctor for a sore throat?

In most cases, your sore throat will improve with at-home treatment. However, it’s time to see your doctor if a severe sore throat and a fever over 101 degrees lasts longer than one to two days; you have difficulty sleeping because your throat is blocked by swollen tonsils or adenoids; or a red rash appears.


Found yourself with a fever? The medical professionals at Doctor’s Immediate Care can help. Call the office in your location to make an appointment.

What is a fever?

A fever is a temporary increase in your body temperature, often due to an illness. Having a fever is a sign that something out of the ordinary is going on in your body.

For an adult, a fever may be uncomfortable, but usually isn’t a cause for concern unless it reaches 103 F (39.4 C) or higher. For infants and toddlers, a slightly elevated temperature may indicate a serious infection.

Fevers generally go away within a few days. A number of over-the-counter medications lower a fever, but sometimes it’s better left untreated. Fever seems to play a key role in helping your body fight off a number of infections.

What causes fever?

In response to an infection, illness, or some other cause, the hypothalamus may reset the body to a higher temperature. Although the most common causes of fever are common infections such as colds and gastroenteritis, other causes include: Infections of the ear, lung, skin, throat, bladder, or kidney.

What are the symptoms of fever?

Depending on what’s causing your fever, additional fever signs and symptoms may include:

– Sweating.
– Chills and shivering.
– Headache.
– Muscle aches.
– Loss of appetite.
– Irritability.
– Dehydration.
– General weakness.

Is a fever contagious?

No matter the illness, keep your child home if she has a fever. It may seem harmless enough, but assume any fever is a symptom of a contagious condition. Viruses that cause fevers are contagious as long as the fever is above a 100.4 degrees F.

How long do fevers last?

The type of infection causing the fever usually determines how often the fever recurs and how long the fever lasts. Fevers due to viruses can last for as little as two to three days and sometime as long as two weeks. A fever caused by a bacterial infection may continue until the child is treated with an antibiotic.

How long are you contagious with a fever?

The Centers for Disease Control and Prevention also recommends staying home for 24 hours after a fever and other flu-like symptoms (chills, sweating, flushed skin) have cleared up.

When should you worry about a fever?

1. If the temperature is 103 F (39.4 C) or greater (fever is too high)
2. If the fever lasts more than seven days.
3. If the fever symptoms get worse (concern if fever is increasing toward 39.4 C)


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