Business RadioX ®

Winter Infections

by

Winter Infections
North Fulton Studio
Winter Infections
Loading
/

Winter Infections

Winter Infections (Episode 83, To Your Health with Dr. Jim Morrow)

Host Dr. Jim Morrow covers a variety of winter infections, including the common cold, bronchitis, pneumonia, and others. He detailed where they occur in the body, advice about when to go to the doctor, sensible measures to avoid getting sick, ways to get better once you’re sick, and much more.

To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

About Village Medical (formerly Morrow Family Medicine)

Village Medical, formerly Morrow Family Medicine, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Village Medical one that will remind you of the way healthcare should be.  At Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Village Medical, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook | LinkedIn | Twitter

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics.

Dr. Morrow’s Show Notes

Winter Infections

What are the symptoms of the common cold?

  • Common cold symptoms may include:
    • Stuffy, runny nose
    • Scratchy, tickly throat
    • Sneezing
    • Watering eyes
    • Low-grade fever
    • Sore throat
    • Mild hacking cough
    • Achy muscles and bones
    • Headache
    • Mild fatigue
    • Chills
    • Watery discharge from nose that thickens and turns yellow or green
  • Colds usually start 2 to 3 days after the virus enters the body and symptoms last from several days to several weeks.
  • Cold symptoms may look like other medical conditions.
    • Always consult your healthcare provider for a diagnosis if your symptoms are severe.
  • A cold and the flu (influenza) are two different illnesses.
    • A cold is relatively harmless and usually clears up by itself, although sometimes it may lead to a secondary infection, such as an ear infection.
    • However, the flu can lead to complications, such as pneumonia and even death.

How is the common cold diagnosed?

  • Most common colds are diagnosed based on reported symptoms.
    • However, cold symptoms may be similar to certain bacterial infections, allergies, and other medical conditions.
    • Always consult your healthcare provider for a diagnosis if your symptoms are severe.

How is the common cold treated?

  • Currently, there is no medicine available to cure or shorten the duration of the common cold.
    • However, the following are some treatments that may help to relieve some symptoms of the cold:
      • Over-the-counter cold medicines, such as decongestants and cough medicine
      • Over-the-counter antihistamines (medicine that helps dry up nasal secretions and suppress coughing)
      • Rest
      • Increased fluid intake
      • Pain relievers for headache or fever
      • Warm, salt water gargling for sore throat
      • Petroleum jelly for raw, chapped skin around the nose and lips
  • Because colds are caused by viruses, antibiotics don’t work.
    • Antibiotics are only effective when given to treat bacterial infections.
  • Do not give aspirin to a child who has fever.
    • Aspirin, when given as treatment for viral illnesses in children, has been associated with Reye syndrome.
    • This is a potentially serious or deadly disorder in children.

What are the complications of the common cold?

  • Colds can lead to secondary infections, including bacterial, middle ear, and sinus infections that may require treatment with antibiotics.
    • If you have a cold along with high fever, sinus pain, significantly swollen glands, or a mucus-producing cough, see your healthcare provider.
    • You may need additional treatment.

Can the common cold be prevented?

  • The best way to avoid catching cold is to wash your hands often and avoid close contact with people who have colds.
    • When around people with colds, do not touch your nose or eyes, because your hands may be contaminated with the virus.
    • If you have a cold, cough and sneeze in facial tissue and dispose of the tissue promptly.
      • Then wash your hands right away.
      • Also clean surfaces with disinfectants that kill viruses can halt the spread of the common cold.
      • Research has shown that rhinoviruses may survive up to 3 hours outside of the nasal lining.

When should I call my healthcare provider?

  • If your symptoms get worse or you have new symptoms, let your healthcare provider know.
  • If your symptoms don’t improve within a few days, call your provider, as you could have another type of infection.

Key points about the common cold

  • A cold is caused by a virus that causes inflammation of the membranes that line the nose and throat.
  • The common cold is very easily spread to others.
    • It’s often spread through airborne droplets that are coughed or sneezed into the air by the sick person.
    • The droplets are then inhaled by another person.
  • Symptoms may include a stuffy, runny nose, scratchy, tickly throat, sneezing, watery eyes and a low-grade fever.
  • Treatment to reduce symptoms includes getting rest and drinking plenty of fluids.
  • Because colds are caused by viruses, treatment with antibiotics won’t work.
  • The best prevention for the common cold is frequent hand washing and avoiding close contact with people who have colds.

What is acute bronchitis?

  • Acute bronchitis is a contagious viral infection that causes inflammation of the bronchial tubes. These are the airways that carry air into your lungs. When these tubes get infected, they swell. Mucus (thick fluid) forms inside them. This narrows the airways, making it harder for you to breathe.
  • There are 2 types of bronchitis: acute and chronic. Chronic bronchitisis long-lasting and can reoccur. It usually is caused by constant irritation, such as from smoking. Acute bronchitis lasts only a short time. Most cases get better in several days, though the cough can last for several weeks.

Symptoms of acute bronchitis

  • The symptoms of acute bronchitis can include:
  • Your cough can last for several weeks or more. This happens because the bronchial tubes take a while to heal. A lasting cough may signal another problem, such as asthma or pneumonia.

What causes acute bronchitis?

  • Acute bronchitis is most often caused by a contagious virus. The same viruses that cause colds can cause acute bronchitis. First, the virus affects your nose, sinuses, and throat. Then the infection travels to the lining of the bronchial tubes. As your body fights the virus, swelling occurs and mucus is produced.
  • You can catch a virus from breathing it in or by skin contact. You are at higher risk of catching the virus if you have close contact with someone who has a cold or acute bronchitis.
  • Lesser-known causes of acute bronchitis are:
    • Bacteria or fungal infections.
    • Exposure to irritants, such as smoke, dust, or fumes. You are at greater risk if your bronchial tubes already have damage.
    • GERD (gastroesophageal reflux disease), which causes heartburn. You can get acute bronchitis when stomach acid gets into the bronchial tubes.

How is acute bronchitis diagnosed?

  • Your doctor can confirm acute bronchitis. He or she will do a physical exam and review your symptoms. He or she will listen to your lungs with a stethoscope. Your doctor might order a chest X-ray to look at your lungs. This will help rule out pneumonia.

Can acute bronchitis be prevented or avoided?

  • You can help prevent acute bronchitis by staying healthy and avoiding germs. Wash your hands with soap often to kill any contagious viruses.
  • If you smoke, the best defense against acute bronchitis is to quit. Smoking damages your bronchial tubes and puts you at risk for infection. Smoking also slows down the healing process.
  • Other steps you can take to avoid acute bronchitis include:
  • Wear a mask over your nose and mouth when using lung irritants. These could include paint, paint remover, or varnish.
  • Get a flu shot every year.
  • Ask your doctor if you should get a pneumonia shot, especially if you are over age 60.

Acute bronchitis treatment

  • Most cases of acute bronchitis are caused by a virus. This means that antibiotics won’t help. The infection needs to run its course. It almost always goes away on its own. Home treatment focuses on easing the symptoms:
    • Drink fluids but avoid caffeine and alcohol.
    • Get plenty of rest.
    • Take over-the-counter pain relievers to reduce inflammation, ease pain, and lower your fever. These could include acetaminophen (1 brand name: Tylenol) or ibuprofen (1 brand name: Advil). Never give aspirin to a child. It has been linked to Reye syndrome, which can affect the liver and brain.
    • Increase the humidity in your home or use a humidifier.
    • There are some over-the-counter cough medicines that help break up or loosen mucus. Look for the word “guaifenesin” on the label or ask your pharmacist for a suggestion.
  • Do not hold in a cough that brings up mucus. This type of cough helps clear mucus from your bronchial tubes. If you smoke, you should quit. It will help your bronchial tubes heal faster.
  • Some people who have acute bronchitis need inhaled medicine. You might need this if you are wheezing. It can help open your bronchial tubes and clear out mucus. You usually take it with an inhaler. An inhaler sprays medicine right into your bronchial tubes. Your doctor will decide if this treatment is right for you.
  • If your doctor thinks bacteria have caused your acute bronchitis, he or she may give you antibiotics.

Living with acute bronchitis

  • Most cases of acute bronchitis go away on their own in 7 to 10 days. You should call your doctor if:
  • You continue to wheeze and cough for more than 2 weeks, especially at night when you lie down or when you are active.
  • You continue to cough for more than 2 weeks and have a bad-tasting fluid come up into your mouth. This may mean you have GERD. This is a condition in which stomach acid gets into your esophagus.
  • Your cough produces blood, you feel weak, you have an ongoing high fever, and you are short of breath. These symptoms may mean you have pneumonia.
  • The risk of developing complications from acute bronchitis, such as pneumonia, is greater in some people. These include:
    • Young children
    • The elderly
    • People who have asthma
    • People who have other health issues (such as canceror diabetes)
    • People who haven’t gotten vaccines for flu, pneumonia, or whooping cough

What is pneumonia?

  • Pneumonia is an infection of the lungs. It causes the air sacs (alveoli) of the lungs to get inflamed (irritated and swollen). They may fill up with fluid or pus. This causes a variety of symptoms, which range from mild to severe. Pneumonia is usually caused by bacteria or a virus. It also can be caused by fungi or irritants that you breathe into your lungs. How serious pneumonia is depends on many factors. These include what caused the pneumonia, your age, and your overall health.

Symptoms of pneumonia

  • The symptoms of pneumonia can range from mild to severe. This depends on your risk factors and the type of pneumonia you have. Common symptoms are similar to the symptoms caused by a cold or the flu. They include:
    • cough
    • fever
    • bringing up mucus when you cough
    • difficulty breathing
    • chills
    • chest pain
  • You may also sweat, have a headache, and feel very tired. Some people also experience nausea, vomiting, and diarrhea.
  • If any of these symptoms are severe, call your family doctor. You should also call your doctor if you suddenly start getting worse after having a cold or the flu.

What is walking pneumonia?

  • Walking pneumonia is a mild case of pneumonia. It is often caused by a virus or the mycoplasma pneumoniae bacteria. When you have walking pneumonia, your symptoms may not be as severe or last as long as someone who has a more serious case of pneumonia. You probably won’t need bed rest or to stay in the hospital when you have walking pneumonia.

What causes pneumonia?

  • Bacteria: They are the most common cause of pneumonia in adults. They can cause pneumonia on their own, or after you’ve had a cold or the flu. Bacterial pneumonia usually only affects one area of a lung.
  • Any virus that affects the respiratory tract can cause pneumonia. This includes the flu virus and the virus that causes the common cold. In children under 1 year old, the respiratory syncytial virus (RSV) is the most common cause. Viral pneumonia tends to be mild. It often gets better on its own in 1 to 3 weeks.
  • Some fungal infections can lead to pneumonia, especially in people with weakened immune systems. There are also some fungi that occur in the soil in certain parts of the United States that can lead to pneumonia.
  • You can also get pneumonia through aspiration. This is when you inhale particles into your lungs. These could be food, saliva, liquids, or vomit. It occurs most often after vomiting, and you are not strong enough to cough the particles out. The particles cause irritation, swelling and can get infected. This causes pneumonia.

How is pneumonia diagnosed?

  • Pneumonia can sometimes be hard to diagnose because the symptoms are the same as for a bad cold or flu. If you think it could be pneumonia, you should see your doctor. Your doctor may diagnose pneumonia based on your medical history and the results from a physical exam. He or she will listen to your lungs with a stethoscope. Your doctor may also do some tests, such as a chest X-ray or a blood test. A chest X-ray can show your doctor if you have pneumonia and how widespread the infection is. Blood and mucus tests can help your doctor tell whether bacteria, a virus, or a fungal organism is causing your pneumonia.

Can pneumonia be prevented or avoided?

  • There are many factors that can raise your risk for developing pneumonia. These include:
    • Your age.People older than 65 are at increased risk because the immune system becomes less able to fight off infection as you age. Infants age 2 or younger are also at increased risk because their immune systems haven’t fully developed yet.
    • Your environment.Regularly breathing in dust, chemicals, air pollution, or toxic fumes can damage your lungs. This makes your lungs more vulnerable to infection.
    • Your lifestyle.Habits such as smoking cigarettes or abusing alcohol can increase your risk. Smoking damages the lungs, while alcohol interferes with how your body fights infection.
    • Your immune system.If your immune system is weakened, it’s easier for you to get pneumonia because your body can’t fight off the infection. This could include people who have HIV/AIDS, have had an organ transplant, are receiving chemotherapy, or have long-term steroid use.
    • If you are hospitalized, especially in an ICU.Being in the ICU (intensive care unit) raises your risk of pneumonia. Your risk increases if you are using a ventilator to help you breathe. Ventilators make it hard for you to cough and can trap germs that cause infection in your lungs.
    • If you have recently had major surgery or a serious injury.Recovering from major surgery or injury can make it difficult for you to cough. This is the body’s quickest defense for getting particles out of the lungs. Recovery also typically requires a lot of bed rest. Lying down on your back for an extended period of time can allow fluid or mucus to gather in your lungs. This gives bacteria a place to grow.
  • People who have any of the following conditions are also at increased risk:
    • chronic obstructive pulmonary disease (COPD)
    • asthma
    • heart disease
    • emphysema
    • diabetes
    • sickle cell disease
  • You can help prevent pneumonia by doing the following:
    • Get the flu vaccine each year.People can develop bacterial pneumonia after a case of the flu. You can reduce this risk by getting the yearly flu shot.
    • Get the pneumococcal vaccine.This helps prevent pneumonia caused by pneumococcal bacteria.
    • Practice good hygiene.Wash your hands frequently with soap and water or an alcohol-based hand sanitizer.
    • Don’t smoke.Smoking damages your lungs and makes it harder for your body to defend itself from germs and disease. If you smoke, talk to your family doctor about quitting as soon as possible.
    • Practice a healthy lifestyle.Eat a balanced diet full of fruits and vegetables. Exercise regularly. Get plenty of sleep. These things help your immune system stay strong.
    • Avoid sick people.Being around people who are sick increases your risk of catching what they have.

Is there a vaccine for pneumonia?

  • There isn’t a vaccine for all types of pneumonia, but 2 vaccines are available. These help prevent pneumonia caused by pneumococcal bacteria. The first is recommended for all children younger than 5 years of age. The second is recommended for anyone age 2 or older who is at increased risk for pneumonia. Getting the pneumonia vaccine is especially important if you:
    • Are 65 years of age or older.
    • Have certain chronic conditions, such as asthma, lung disease, diabetes, heart disease, sickle cell disease, or cirrhosis.
    • Have a weakened immune system because of HIV/AIDS, kidney failure, a damaged or removed spleen, a recent organ transplant, or receiving chemotherapy.
    • Have cochlear implants (an electronic device that helps you hear).
  • The pneumococcal vaccines can’t prevent all cases of pneumonia. But they can make it less likely that people who are at risk will experience the severe, and possibly life-threatening, complications of pneumonia.

Pneumonia treatment

  • Treatment for pneumonia depends on several factors. These include what caused your pneumonia, how severe your symptoms are, how healthy you are overall, and your age.
  • For bacterial pneumonia, your doctor will probably prescribe antibiotics. Most of your symptoms should improve within a few days. A cough can last for several weeks. Be sure to follow your doctor’s directions carefully. Take all the antibiotic medicine that your doctor prescribes. If you don’t, some bacteria may stay in your body. This can cause your pneumonia to come back. It can also increase your risk of antibiotic resistance.
  • Antibiotics don’t work to treat viral infections. If you have viral pneumonia, your doctor will likely talk to you about ways to treat your symptoms. Over-the-counter (OTC) medicines are available to lower fever, relieve pain, and ease your cough. However, some coughing is okay because it can help clear your lungs. Be sure to talk to your doctor before you take a cough suppressant.
  • If a fungus is causing your pneumonia, your doctor may prescribe an antifungal medicine.
  • If your case of pneumonia is severe, you may need to be hospitalized. If you are experiencing shortness of breath, you may be given oxygen to help your breathing. You might also receive antibiotics intravenously (through an IV). People who have weakened immune systems, heart disease or lung conditions, and people who were already very sick before developing pneumonia are most likely to be hospitalized. Babies, young children, and adults who are 65 years of age and older are also at increased risk.

What can I do at home to feel better?

  • In addition to taking any antibiotics and/or medicine your doctor prescribes, you should also:
    • Get lots of rest.Rest will help your body fight the infection.
    • Drink plenty of fluids.Fluids will keep you hydrated. They can help loosen the mucus in your lungs. Try water, warm tea, and clear soups.
    • Stop smoking if you smoke and avoid secondhand smoke.Smoke can make your symptoms worse. Smoking also increases your risk of developing pneumonia and other lung problems in the future. You should also avoid lit fireplaces or other areas where the air may not be clean.
    • Stay home from school or work until your symptoms go away.This usually means waiting until your fever breaks and you aren’t coughing up mucus. Ask your doctor when it’s okay for you to return to school or work.
    • Use a cool-mist humidifier or take a warm bath.This will help clear your lungs and make it easier for you to breathe.

Living with pneumonia

  • Your doctor may schedule a follow-up appointment after he or she diagnoses you with pneumonia. At this visit, he or she might take another chest X-ray to make sure the pneumonia infection is clearing up. Keep in mind that chest X-rays can take months to return to normal. However, if your symptoms are not improving, your doctor may decide to try another form of treatment.
  • Although you may be feeling better, it’s important to keep your follow-up appointment. The infection can still be in your lungs even if you’re no longer experiencing symptoms.

When should I see my doctor?

  • Pneumonia can be life-threatening if left untreated, especially for certain at-risk people. You should call your doctor if you have a cough that won’t go away, shortness of breath, chest pain, or a fever. You should also call your doctor if you suddenly begin to feel worse after having a cold or the flu.

What is whooping cough?

  • Whooping cough is a respiratory infection. It is also known as pertussis. Whooping cough is highly contagious and is most harmful to babies.

    Symptoms of whooping cough

  • Whooping cough begins like a cold. Symptoms can start a few days to several weeks after exposure. Early symptoms last 1 to 2 weeks and include:
    • Low fever
    • Mild cough
    • Runny nose
    • Dry or sore throat
    • Apnea (a pause in breathing or shallow breathing, often during sleep)
    • Your cough can get worse over time. Late-stage symptoms include:
    • Coughing fits that end in a “whooping” sound
    • Bursts of coughing that last longer
    • Vomiting after coughing
    • Getting red or blue in the face from coughing
    • Feeling exhausted after coughing
    • Increased coughing at night
    • Worsened apnea
  • Symptoms vary in babies and children, teenagers, and adults. For instance, babies cough less and are more likely to have apnea and turn blue. If you received the vaccine, symptoms will be milder and won’t last as long.

What causes whooping cough?

  • Whooping cough is caused by certain germs, or bacteria. You can get whooping cough if you breathe in these bacteria. It spreads between people when an infected person coughs or sneezes. You also can get it by touching an infected person or surface.

How is whooping cough diagnosed?

  • You should see your doctor if you or someone around you might have whooping cough. Your doctor will review your symptoms and listen to your cough. There are several tests to confirm whooping cough. Your doctor can swab inside your nose and/or throat. A lab will check the swab for whooping cough bacteria. Your doctor also may want to get a blood sample or take a chest X-ray.

Can whooping cough be prevented or avoided?

  • Vaccination is the best way to prevent whooping cough. The pertussis vaccine (DTaP, Tdap) is part of the recommended vaccine schedule for children and adults. Adults should get a pertussis booster every 5-10 years. Pregnant women and those in close contact with babies should be vaccinated. Talk to your doctor to make sure you and your family’s vaccinations are up to date.

Whooping cough treatment

  • Your doctor will most likely prescribe antibiotics. These will relieve your symptoms and kill the bacteria so you aren’t contagious. Infants and babies may need to stay in the hospital. If you have whooping cough, you should avoid contact with others, especially babies.

Living with whooping cough

  • Whooping cough can last anywhere from 1 to 6 weeks. You may continue to cough on and off, even with medicine. Over-the-counter medicines for coughing do not help with whooping cough. You should rest and drink fluids to prevent dehydration. You can try using a cool-mist humidifier or taking a warm bath or shower. These can help clear your lungs and make it easier to breathe. Avoid smoking and areas where the air is not clean. You may need to stay home from work or school. Talk to your doctor about when you can return to your regular schedule.

 

Cancers of the Head and Neck

by

Cancer of Head and Neck
North Fulton Studio
Cancers of the Head and Neck
Loading
/

Cancer of Head and Neck

Cancers of the Head and Neck (Episode 68, To Your Health with Dr. Jim Morrow)

Head and neck cancers refer to cancers that start in the mouth, throat, voice box, sinuses, and salivary glands. On this edition of To Your Health, Dr. Morrow describes their causes, symptoms, causes, treatments, as well as the side effects of those treatments. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

What are cancers of the head and neck?

    • o Cancers that are known collectively as head and neck cancers 
      • usually begin in the squamous cells that line the mucosal surfaces of the head and neck 
        • • (for example, those inside the mouth, throat, and voice box). 
      • These cancers are referred to as squamous cell carcinomas of the head and neck. 
        • • Head and neck cancers can also begin in the salivary glands, sinuses, or muscles or nerves in the head and neck, 
          • o but these types of cancer are much less common than squamous cell carcinomas (1, 2).
    • o Cancers of the head and neck can form in the:
      • Oral cavity: Includes the lips, the front two-thirds of the tongue, the gums, the lining inside the cheeks and lips, the floor (bottom) of the mouth under the tongue, the hard palate (bony top of the mouth), and the small area of the gum behind the wisdom teeth.
      • Throat (pharynx): The pharynx is a hollow tube about 5 inches long that starts behind the nose and leads to the esophagus. It has three parts: the nasopharynx (the upper part of the pharynx, behind the nose); the oropharynx (the middle part of the pharynx, including the soft palate [the back of the mouth], the base of the tongue, and the tonsils); the hypopharynx (the lower part of the pharynx).
      • Voice box (larynx): The voice box is a short passageway formed by cartilage just below the pharynx in the neck. The voice box contains the vocal cords. It also has a small piece of tissue, called the epiglottis, which moves to cover the voice box to prevent food from entering the air passages.
      • Paranasal sinuses and nasal cavity: The paranasal sinuses are small hollow spaces in the bones of the head surrounding the nose. The nasal cavity is the hollow space inside the nose.
      • Salivary glands: The major salivary glands are in the floor of the mouth and near the jawbone. The salivary glands produce saliva. Minor salivary glands are located throughout the mucous membranes of the mouth and throat.
      • • If a squamous cell carcinoma of the head and neck is going to spread, 
    • o it almost always does so locally and/or to the lymph nodes in the neck. 
      • Sometimes, cancerous squamous cells can be found in the lymph nodes of the upper neck when there is no evidence of cancer in other parts of the head and neck, possibly because the original primary tumor is too small. When this happens, the cancer is called metastatic squamous cell carcinoma with unknown (occult) primary. 

What causes cancers of the head and neck?

      • Alcohol and tobacco use
    • o (including secondhand smoke and smokeless tobacco, sometimes called “chewing tobacco” or “snuff”) are the two most important risk factors for head and neck cancers, especially cancers of the oral cavity, hypopharynx, and voice box (3–7). 
      • People who use both tobacco and alcohol are at greater risk of developing these cancers than people who use either tobacco or alcohol alone (8, 9). 
      • Most head and neck squamous cell carcinomas of the mouth and voice box are caused by tobacco and alcohol use (8).
      • Infection with cancer-causing types of human papillomavirus (HPV), especially HPV type 16, 
    • o is a risk factor for oropharyngeal cancers that involve the tonsils or the base of the tongue. 
      • In the United States, the incidence of oropharyngeal cancers caused by HPV infection is increasing, while the incidence of oropharyngeal cancers related to other causes is falling. 
        • • About three-quarters of all oropharyngeal cancers are caused by chronic HPV infection. 
        • • Although HPV can be detected in other head and neck cancers, it appears to be the cause of cancer formation only in the oropharynx. The reasons for this are poorly understood.
        • Other known risk factors for specific cancers of the head and neck include the following:
    • o Paan (betel quid). The use of paan (betel quid) in the mouth, a common custom in Southeast Asia, is strongly associated with an increased risk of mouth cancers  
    • o Occupational exposure. Occupational exposure to wood dust is a risk factor for nasopharyngeal cancer (17, 18). Certain industrial exposures, including exposures to asbestos and synthetic fibers, have been associated with cancer of the voice box, but the increase in risk remains controversial (19). People working in certain jobs in the construction, metal, textile, ceramic, logging, and food industries may have an increased risk of cancer of the voice box (20). Industrial exposure to wood dust, nickel dust, or formaldehyde is a risk factor for cancers of the paranasal sinuses and nasal cavity 
    • o Radiation exposure. Radiation to the head and neck, for noncancerous conditions or cancer, is a risk factor for cancer of the salivary glands (24–26).
    • o Epstein-Barr virus infection. Infection with the Epstein-Barr virus is a risk factor for nasopharyngeal cancer (27) and cancer of the salivary glands (28, 29).
    • o Ancestry. Asian ancestry, particularly Chinese ancestry, is a risk factor for nasopharyngeal cancer (17, 18).
    • o Underlying genetic disorders. Some genetic disorders, such as Fanconi anemia, can increase the risk of developing precancerous lesions and cancers early in life (30).

What are head and neck cancer symptoms?

    • Head and neck cancer symptoms may include a lump in the neck or a sore in the mouth
    • o or the throat that does not heal and may be painful, a sore throat that does not go away, difficulty in swallowing, and a change or hoarseness in the voice. These symptoms may also be caused by other, less serious conditions. It is important to check with a doctor or dentist about any of these symptoms.
    • Symptoms of cancers in specific areas of the head and neck include:
    • o Oral cavity. A white or red patch on the gums, the tongue, or the lining of the mouth; a growth or swelling of the jaw that causes dentures to fit poorly or become uncomfortable; and unusual bleeding or pain in the mouth.
    • o Throat (pharynx). Pain when swallowing; pain in the neck or the throat that does not go away; pain or ringing in the ears; or trouble hearing.
    • o Voice box (larynx). Trouble breathing or speaking, pain when swallowing or ear pain.
    • o Paranasal sinuses and nasal cavity. Sinuses that are blocked and do not clear; chronic sinus infections that do not respond to treatment with antibiotics; bleeding through the nose; frequent headaches, swelling or other trouble with the eyes; pain in the upper teeth; or problems with dentures.
    • o Salivary glands. Swelling under the chin or around the jawbone, numbness or paralysis of the muscles in the face, or pain in the face, the chin, or the neck that does not go away.

How common are head and neck cancers?

    • Head and neck cancers account for nearly 4% of all cancers in the United States (31).
    • o These cancers are more than twice as common among men as they are among women (31). 
      • Head and neck cancers are also diagnosed more often among people over age 50 than they are among younger people.
      • Researchers estimated that more than 68,000 men and women in the United States would be diagnosed with head and neck cancers in 2021. 
    • o Most will be diagnosed with mouth, throat, or voice box cancer. 
    • o Paranasal sinus and nasal cavity cancer and salivary gland cancer are much less common.

How can I reduce my risk of developing head and neck cancers?

    • People who are at risk of head and neck cancers―particularly those who use tobacco―should talk with their doctor about ways to stop using tobacco to reduce their risk.
    • Avoiding oral HPV infection can reduce the risk of HPV-associated head and neck cancers. In June 2020, the Food and Drug Administration granted accelerated approval of the HPV vaccine Gardasil 9 for the prevention of oropharyngeal and other head and neck cancers caused by HPV types 16, 18, 31, 33, 45, 52, and 58 in persons aged 9 through 45 years. 
    • Although there is no standard or routine screening test for head and neck cancers, dentists may check the oral cavity for signs of cancer during a routine checkup.

How are head and neck cancers treated?

    • Head and neck cancer treatment can include 
    • o surgery,
    • o radiation therapy, chemotherapy, 
    • o targeted therapy, 
    • o immunotherapy, 
    • o or a combination of treatments. 
    • o The treatment plan for an individual patient depends on a number of factors, including the location of the tumor, the stage of the cancer, and the person’s age and general health.
    • Research has shown that patients with HPV-positive oropharyngeal tumors have a much better prognosis and higher chance of complete cure than those with HPV-negative tumors following the same treatment (32). 
    • o Because of this, ongoing clinical trials are investigating whether patients with HPV-positive cancers can be treated with less intensive regimens, such as less intensive radiation or immunotherapy.

What are the side effects of head and neck cancer treatment?

    • Surgery for head and neck cancers may affect the patient’s ability to chew, swallow, or talk. 
    • o The patient may look different after surgery, and the face and neck may be swollen. 
    • o The swelling usually improves with time. However, if lymph nodes are removed, the flow of lymph in the area where they were removed may be slower and lymph could collect in the tissues (a condition called lymphedema), causing additional swelling that may last for a long time.
    • Head and neck lymphedema may be visible or internal. 
    • o In most cases, it can be reversed, improved, or reduced if treated promptly. 
    • o Patients with untreated lymphedema may be more at risk of complications such as cellulitis, or an infection of the tissues. Untreated cellulitis, if severe, can be dangerous and could lead to further swallowing or breathing difficulties.
    • After a laryngectomy (surgery to remove the voice box) or other surgery in the neck, 
    • o parts of the neck and throat may feel numb because nerves have been cut. If lymph nodes in the neck were removed, the shoulder and neck may become weak and stiff.
    • Patients who receive radiation to the head and neck may experience side effects during and for a short while after treatment, including redness, irritation, and sores in the mouth; 
    • o a dry mouth or thickened saliva; 
    • o difficulty in swallowing; 
    • o changes in taste; 
    • o or nausea. 
    • o Radiation may also cause loss of taste, which may decrease appetite and affect nutrition, and earaches (caused by the hardening of ear wax). Patients may also notice some swelling or drooping of the skin under the chin and changes in the texture of the skin. The jaw may feel stiff, and patients may not be able to open their mouth as wide as before treatment.
    • Although side effects will improve slowly over time in many patients, others will experience long-term side effects of surgery or radiation therapy, including difficulty swallowing, speech impairment, and skin changes (33).
    • Patients should report any side effects to their doctor or nurse and discuss how to deal with them.

Seasonal Affective Disorder

by

Seasonal Affective Disorder
North Fulton Studio
Seasonal Affective Disorder
Loading
/

Seasonal Affective DisorderSeasonal Affective Disorder (Episode 66, To Your Health with Dr. Jim Morrow)

Dr. Jim Morrow, Host of To Your Health, revisits Seasonal Affective Disorder (SAD). He discusses what causes it, how it is diagnosed, and how to treat it. He mentions light therapy, behavioral therapy, medication, and lifestyle changes, as well as advice for how to live with Seasonal Affective Disorder. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

What is Seasonal Affective Disorder?

  • Seasonal affective disorder (SAD) is a type of depression that is triggered by the seasons of the year
    • Symptoms usually begin in late fall or early winter
    • People with SAD usually feel better in the spring and summer
    • It is thought that SAD is related to changes in the amount of daylight during different times of the year
    • Some people have SAD with depressive episodes in the summer instead of winter
      • This is much less common

 

How common is SAD?

  • Between 4% and 6% of people in the United States suffer from SAD
  • Another 10% to 20% may experience it in a milder form
  • SAD is more common in women than in men
  • Some children and teenagers get SAD.  But it usually doesn’t start in people younger than 20 years of age.
  • The risk of SAD decreases for adults as they age
  • SAD is more common in northern regions of the United States
    • Winters are typically longer and harsher there
    • There is also less sunlight because they are farther away from the equator

Symptoms of SAD

  •  Not everyone who has SAD experiences the same symptoms
    • Common symptoms of winter-onset SAD include:
      • change in appetite, especially craving sweet or starchy foods
      • weight gain
      • fatigue
      • sleeping more than normal
      • difficulty concentrating
      • irritability and anxiety
      • increased sensitivity to rejection
      • avoidance of social situations
      • loss of interest in the activities you used to enjoy
      • feelings of guilt or hopelessness
      • physical problems, such as headaches

 

  • Symptoms of summer-onset SAD include:
  • loss of appetite
  • weight loss
  • insomnia
  • irritability and anxiety
  • agitation

 

  • Symptoms of SAD tend to come back year after
    • They usually come and go at about the same time every year
    • If you think this could be happening to you, call your family doctor.

 

What causes SAD?

  • In most cases, SAD seems to be related to the loss of sunlight in the fall and winter
  • Researchers have found that reduced sunlight can affect the body in ways that could contribute to SAD. These include:

o    Circadian rhythm (biological clock) –

  • The decrease in sunlight could disrupt your body’s natural rhythms
  • This could lead to feelings of depression

o    Serotonin levels –

  • Serotonin is a brain chemical that affects your mood
  • Reduced sunlight could cause serotonin levels to drop
  • This could trigger depression

o    Melatonin levels –

  • Melatonin is a brain chemical that regulates sleep
  • More darkness causes the body to produce more melatonin
  • More melatonin could make you feel more tired and lethargic
  • These are common symptoms of depression

o    Vitamin D levels –

  • It is believed that vitamin D plays a role in serotonin levels
  • Much of the vitamin D we get is from the sun
  • Less sunlight could lead to a deficiency in vitamin D
  • This can cause depression symptoms

 

Some people have a higher risk of developing SAD Factors that increase risk include:

o    Being female.

  • Four times as many women are diagnosed with SAD than men

o    Living far from the equator.

  • In the United States, living farther north increases your risk
  • These areas get less sunlight in fall and winter

o    Family history.

  • Having family members with SAD or other forms of depression increases your risk

o    Having depression or bipolar disorder.

  • If you have one of these conditions, your symptoms may worsen with the seasons

o    Young age.

  • SAD is more common among younger adults
  • It has been reported in teens and children
  • Your chances of getting it decrease as you get older

 

How is SAD diagnosed?

  • Your doctor will ask you about your symptoms, thoughts, feelings, and behavior
  • He or she may perform a physical exam
  • They may request lab tests to rule out other conditions that cause symptoms similar to SAD
  • They may refer you to a specialist to diagnose your condition
  • This could be a psychologist or a psychiatrist.

 

Can SAD be prevented or avoided?

  • There’s not much you can do to avoid getting SAD
    • But you can take steps to manage it so your symptoms don’t get worse
    • Some people start treatment before their symptoms start
    • They also continue treatment past the time that their symptoms normally go away
    • Others need continuous treatment to control their symptoms

 

SAD treatment

  • The three main ways SAD is treated are with light therapy, behavioral therapy, or medicine
  • Your doctor may want to combine therapies if using one does not work for you

 

ï      Light therapy

  • Light therapy is designed to make up for the lack of sunlight during the fall and winter
    • It has been used to treat SAD since the 1980s.
    • You will sit in front of a special light box every
    • The box emits a bright white light that mimics natural sunlight
  • It seems to make a change in brain chemicals that regulate your mood
  • The amount of time you sit in front of the light box depends on the strength of the light
  • It is usually between 20 and 60 minutes
  • There are other types of light therapy
    • Instead of sitting in front of a box, you can wear a visor that emits light
    • Another kind is a “dawn  simulator”
      • This light turns on early in the morning in your bedroom
      • It mimics a natural sunrise and gradually increases in brightness
      • This allows you to wake up naturally, without using an alarm
    • If light therapy helps, you’ll continue it until enough sunlight returns
      • This usually happens in spring
      • Stopping light therapy too soon can result in a return of symptoms
    • When used properly, light therapy seems to have very few side effects
    • Some side effects include eyestrain, headache, fatigue, and irritability
    • If you use it too late in the day, you could have trouble sleeping
    • Talk to your doctor before starting light therapy if you have:
      • bipolar disorder
      • skin that is sensitive to sunlight
      • conditions that make your eyes vulnerable to sunlight
    • Tanning beds should not be used to treat SAD
      • The light sources in tanning beds are high in ultraviolet (UV)
        • These harm your eyes and your skin
        • They also cause skin cancer

 

ï      Behavioral therapy

  • Talk therapy or behavioral therapy can help you identify negative thoughts
  • Then you replace those with more positive thoughts
  • Therapy can help you learn healthy ways to manage your symptoms of SAD
  • You can also learn how to manage stress

 

ï      Medicines

  • Your doctor might recommend you take medicine to help with your symptoms, especially if they are severe
  • Selective Serotonin Reuptake Inhibitors (SSRIs) are often used to treat depression
  • Some have been approved to treat SAD specifically
  • You may have to take the medicine for several weeks before you feel
  • You may have to try more than one medicine to find the one that works best for you
  • You can also make lifestyle changes that can help your symptoms
  • Let as much natural light as possible into your home or
    • Open blinds, sit close to windows, and keep your environments as bright as possible
    • Get outside when you
      • Even if it’s cold or cloudy, the light can still benefit
      • Keep physically active
        • Exercise and activity boost endorphins and relieve stress
        • Both of these can keep you feeling better

 

Living with SAD

The keys to living with SAD are to plan ahead and to manage your symptoms.

ï        Follow your treatment plan.

  • This includes going to appointments, taking medicines, and following up if things aren’t working

ï        Take care of your body.

  • Eat healthy foods and get enough sleep
  • Exercise has been shown to have the same effect on depression as antidepressants

ï        Have a plan.

  • Know what you will do when your depression symptoms start to get worse
  • Watch for early signs and take action before you feel bad

ï        Don’t turn to alcohol or drugs.

  • They make depression worse
  • They can also have negative reactions with antidepressants

ï        Manage stress.

  • You can’t avoid stress, so you have to learn to manage it
  • Talk to a counselor or read about ways to handle stress better

ï        Don’t isolate.

  • It’s harder to be social when you’re depressed
  • But being alone can make you feel worse
  • Try to reach out as much as you can

ï        Start treatment early.

  • If you know your symptoms usually start in October, start your treatments in September, before symptoms start
  • You might be able to prevent. them

ï        Plan ahead.

  • Some people purposely plan their lives to be very busy during the time they normally feel down
    • This helps prevent them from “hiding out” at home, because they have already made committments

ï        Take a trip.

  • Plan a trip to a warmer, sunnier climate during the winter
  • The positive feelings will extend before, during, and after your trip

Marijuana and delta-8 THC

by

Delta-8 THC
North Fulton Studio
Marijuana and delta-8 THC
Loading
/

Delta-8 THCMarijuana and delta-8 THC (Episode 65, To Your Health with Dr. Jim Morrow)

On this episode of To Your Health, Dr. Morrow discusses delta-8 THC, one of the cannabinoids from the hemp plant. It is not FDA evaluated or approved, and Dr. Morrow covers its risks and adverse effects. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Covid-19 Vaccine Booster Update

 

Get a darn booster.

If you wanted to be immune badly enough to get the vaccine, you clearly need a booster to stay as immune as possible.

 

What is this “Delta-8” that everyone is talking about?!?

 

  • Delta-8 tetrahydrocannabinol,
    • also known as delta-8 THC,
    • is a psychoactive substance found in the Cannabis sativa plant,
    • of which marijuana and hemp are two varieties.
      • Delta-8 THC is one of over 100 cannabinoids produced naturally by the cannabis plant
        • but is not found in significant amounts in the cannabis plant.
        • As a result, concentrated amounts of delta-8 THC are typically manufactured from hemp-derived cannabidiol (CBD).

 

  • It is important for consumers to be aware that delta-8 THC products
    • have not been evaluated or approved by the FDA for safe use in any context.
    • They may be marketed in ways that put public health at risk and should especially be kept out of reach of children and pets.

 

Here are 5 things you should know about delta-8 THC

 

  • Delta-8 THC products have not been evaluated or approved by the FDA for safe use and may be marketed in ways that put the public health at risk. 
  • The FDA is aware of the growing concerns surrounding delta-8 THC products currently being sold online and in stores.
  • These products have not been evaluated or approved by the FDA for safe use in any context.
  • Some concerns include variability in product formulations and product labeling,
    • other cannabinoid and terpene content,
    • and variable delta-8 THC concentrations.
    • Additionally, some of these products may be labeled simply as “hemp products,”
      • which may mislead consumers who associate “hemp” with “non-psychoactive.”
      • Furthermore, the FDA is concerned by the proliferation of products that contain delta-8 THC and are marketed for therapeutic or medical uses,
        • although they have not been approved by the FDA.
        • Selling unapproved products with unsubstantiated therapeutic claims is not only a violation of federal law,
          • but also can put consumers at risk, as these products have not been proven to be safe or effective.
          • This deceptive marketing of unproven treatments raises significant public health concerns because patients and other consumers may use them instead of approved therapies to treat serious and even fatal diseases.

 

  • The FDA has received adverse event reports involving delta-8 THC-containing products. 
  • From December 2020 through July 2021,
    • the FDA received adverse event reports from both consumers and law enforcement
    • describing 22 patients who consumed delta-8 THC products;
    • of these, 14 presented to a hospital or emergency room for treatment following the ingestion.
    • Of the 22 patients, 19 experienced adverse events after ingesting delta-8 THC-containing food products (e.g., brownies, gummies).
      • Adverse events included vomiting, hallucinations, trouble standing, and loss of consciousness.
    • National poison control centers received 661 exposure cases of delta-8 THC products between January 2018 and July 31, 2021,
      • 660 of which occurred between January 1, 2021, and July 31, 2021.
    • Of the 661 exposure cases:
      • 41% involved unintentional exposure to delta-8 THC and 77% of these unintentional exposures affected pediatric patients less than 18 years of age.
      • 39% involved pediatric patients less than 18 years of age
      • 18% required hospitalizations, including children who required intensive care unit (ICU) admission following exposure to these products.

 

  • Delta-8 THC has psychoactive and intoxicating effects.

 

  • Delta-8 THC has psychoactive and intoxicating effects,
    • similar to delta-9 THC (i.e., the component responsible for the “high” people may experience from using cannabis).
    • The FDA is aware of media reports of delta-8 THC products getting consumers “high.”
    • The FDA is also concerned that delta-8 THC products likely expose consumers to much higher levels of the substance than are naturally occurring in hemp cannabis raw extracts.
    • So, historical use of cannabis cannot be relied upon in establishing a level of safety for these products in humans.

 

  • Delta-8 THC products often involve the use of potentially harmful chemicals to create the concentrations of delta-8 THC claimed in the marketplace. 

 

  • The natural amount of delta-8 THC in hemp is very low,
    • and additional chemicals are needed to convert other cannabinoids in hemp, like CBD, into delta-8 THC (i.e., synthetic conversion).
  • Concerns with this process include:
    • Some manufacturers may use potentially unsafe household chemicals to make delta-8 THC through this chemical synthesis process.
    • Additional chemicals may be used to change the color of the final product.
    • The final delta-8 THC product may have potentially harmful by-products (contaminants)
      • due to the chemicals used in the process,
      • and there is uncertainty with respect to other potential contaminants that may be present or produced depending on the composition of the starting raw material.
      • If consumed or inhaled, these chemicals, including some used to synthesize delta-8 THC and the by-products created during synthesis, can be harmful.
    • Manufacturing of delta-8 THC products may occur in uncontrolled or unsanitary settings, which may lead to the presence of unsafe contaminants or other potentially harmful substances.

 

  • Delta-8 THC products should be kept out of the reach of children and pets.

 

  • Manufacturers are packaging and labeling these products in ways that may appeal to children
    • (gummies, chocolates, cookies, candies, etc.).
  • These products may be purchased online, as well as at a variety of retailers,
    • including convenience stores and gas stations, where there may not be age limits on who can purchase these products.
    • As I said, there have been numerous poison control center alerts involving pediatric patients who were exposed to delta-8 THC-containing products.
      • Also, animal poison control centers have indicated a sharp overall increase in accidental exposure of pets to these products.
      • Keep these products out of reach of children and pets. 

 

Why is the FDA notifying the public

about delta-8 THC?

  • A combination of factors has led the FDA to provide consumers with this information. These factors include:
    • An uptick in adverse event reports to the FDA and the nation’s poison control centers.
    • Marketing, including online marketing of products, that is appealing to children.
    • Concerns regarding contamination due to methods of manufacturing that may in some cases be used to produce marketed delta-8 THC products.
    • The FDA is actively working with federal and state partners to further address the concerns related to these products and monitoring the market for
      • product complaints,
      • adverse events,
      • and other emerging cannabis-derived products of potential concern.
      • The FDA will warn consumers about public health and safety issues and take action when necessary when FDA-regulated products violate the law. 

How to report complaints and cases of accidental exposure or adverse events:

  • If you think you are having a serious side effect that is an immediate danger to your health, call 9-1-1 or go to your local emergency room.
  • Health care professionals and patients are encouraged to report complaints and cases of accidental exposure and adverse events to the FDA’s MedWatch Safety Information and Adverse Event Reporting Program:
  • Call 800-332-1088 to report a problem.

 

Credit:  http://www.fda.gov/

Five Things You Need to Know About Dietary Supplements

by

Supplements
North Fulton Studio
Five Things You Need to Know About Dietary Supplements
Loading
/

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Covid-19 Vaccine Booster Update- Myths About the Vaccines 

 

·      Myth 1: You can delay routine vaccinations until the pandemic is over.

  • Routine childhood and adult vaccinations are an important part maintaining health.
  • Vaccines prevent additional disease outbreaks during the pandemic.

·      Myth 2: The COVID-19 vaccines were developed too fast to be safe.

  • The technology used to develop the mRNA COVID-19 vaccines is not new;
    • it has been extensively studied and used in cancer research.
    • Additionally, mRNA vaccines have been studied for other infections including Zika, Rabies, and CMV.
  • The other vaccine platform uses a weakened adenovirus, which has been studied extensively for other vaccines.
    • The clinical trials for the COVID-19 vaccines were done with the same rigor as all vaccine trials and the results have been reviewed and approved by multiple independent advisory panels.
    • The ability for the developers to be more efficient was due to increased collaboration, use of newer technology and funding due to the severity of the pandemic.

·      Myth 3: There weren’t enough participants in the clinical trials to say the vaccines are safe.

  • This is not true.
    • The currently authorized COVID-19 vaccines enrolled tens of thousands of participants, many of whom were followed for two months after receiving the second vaccine.
  • After authorization, the CDC, FDA, and other groups continue actively monitoring for safety concerns.
    • There have been a few cases of blood clots plus low platelet counts occurring after the Johnson & Johnson vaccine.
    • However, these are really rare (15 cases in 8 million doses) so the CDC continues to recommend the vaccine.

·      Myth 4: I’ve already had COVID-19, so I don’t need to get the vaccine.

  • It’s unclear how long a natural infection with COVID-19 provides immunity from the disease.
  • There are reports of individuals becoming reinfected, even after being ill with COVID-19.
  • Individuals who have had COVID-19 are encouraged to get vaccinated once they have recovered and symptoms are no longer present.

·      Myth 5: The COVID-19 vaccines will alter my DNA.

  • This is not possible.
    • Messenger RNA (mRNA) vaccines work in the cell’s cytoplasm and never enter the cell nucleus where the DNA, your genetic material, lives.
      • Like all mRNA, it is broken down quickly once it enters the cell and delivers the needed vaccine “message” to the cell’s machinery.
      • The virus spike protein is also rapidly broken down once there is no longer any mRNA.
    • The adenovirus platform uses DNA encoding the spike protein which does enter the nucleus.
      • However, it does not alter the cell’s DNA in anyway.

·      Myth 6: COVID-19 vaccines will make me infertile.

  • There is currently no evidence that COVID-19 vaccination causes any problems with pregnancy or getting pregnant.
  • In addition, there is no evidence that fertility problems result from any other vaccines.

·      Myth 7: COVID-19 vaccines were developed to deliver a microchip into my body.

  • There is not a microchip in the vaccines.
    • This rumor started after comments were made about digital vaccine records.
    • States maintain electronic immunization records to help people and their physicians know which vaccines they have received.
    • There are no electronic components in any of the vaccines.
  • The mRNA vaccines contain only mRNA, lipids (fat bubble), salts and other stabilizing agents, which are routinely used in other medicines.
  • The other vaccines contain the non-replicating adenovirus vector and stabilizing agents.

·      Myth 8: I don’t need to wear a mask after I’m vaccinated.

  • The COVID-19 vaccines protect you from getting seriously ill from COVID.
    • In July 2021, the CDC recommended masks for vaccinated people in certain areas of the U.S. to prevent the spread of the highly contagious Delta variant.
    • The Delta variant is highly contagious because it can replicate to high levels in the airways of infected people.
    • This means that vaccinated people may be able to transmit the Delta variant at a similar rate as unvaccinated people.
  • You may want to wear masks and physical distance indoors and in big crowds to be cautious.
  • This will also help protect people who can’t get vaccinated, like young children.

 

·      Myth 9: I only need one dose of the vaccine to be protected against COVID-19.

  • There is not enough data to support changing the recommendations on the COVID-19 vaccine schedule.
  • You should get two doses of the mRNA vaccines to get the best protection.

·      Myth 10: I have to pay for the vaccine.

  • Anyone living in the U.S. can get the COVID-19 vaccine for free, even if you’re not a citizen or you don’t have health insurance.

Five Things You Need to Know

About Dietary Supplements

 

The dietary supplement industry is huge, with billions of dollars in sales. Now a new study is suggesting that supplements are mostly useless: in a wide-ranging analysis, researchers from Johns Hopkins University determined that supplements did not increase lifespan or reduce heart disease. On the plus side, the supplements were also found to rarely cause meaningful harm. But supplements may have some unusual downsides.

 

1.   Supplements come in many forms.

 

·      Whether in

o   pill,

o   powder

o   or liquid form,

§  the goal of dietary supplements is often the same:

·      to supplement your diet to get enough nutrients and enhance health

·      They contain at least one dietary ingredient,

o   such as vitamins, minerals, herbs, botanicals, amino acids or enzymes.

o   Some of the most popular supplements come in a multivitamin (which can help you avoid taking a dozen pills each day),

o   but they can also be purchased as a standalone supplement.

·      The simplest common denominator?

o   They’re labeled as dietary supplements.

·       Some common dietary supplements include:

o   Calcium

o   Fish oil

o   Echinacea

o   Ginseng

o   Garlic

o   Vitamin D

o   St. John’s wort

o   Green tea

 

2.   Some supplements are effective,

while others are not

·      There’s a reason supplements are so popular:  sometimes, they work.

·      There is evidence that some supplements can benefit your overall well-being with little to no risk

·      Common supplements that may benefit your health include:

o   Vitamin B12, which can help keep nerve and blood cells healthy, make DNA and prevent anemia

o   Folic acid, which can reduce birth defects when taken by pregnant women

o   Vitamin D, which can strengthen bones and assist your immune system

o   Calcium, which can promote bone health

o   Vitamins C and E, which can prevent cell damage

o   Fish oil, which can support heart health

o   Vitamin A, which can slow down vision loss from age-related macular degeneration

o   Zinc, which can promote skin health and slow down vision loss from age-related macular degeneration

o   Melatonin, which can help counteract jet lag and help you sleep

However, despite the amount of research that’s been done on supplements

(since 1999, the National Institutes of Health has spent more than $2.4 billion studying vitamins and minerals),

§  scientific evidence isn’t completely clear.

§  Keep in mind:

·      Most studies suggest that multivitamins

o   won’t make you live longer,

o   won’t slow cognitive decline

o   and won’t lower your chances of disease,

§  such as heart disease,

§  cancer

§  or diabetes.

·      In fact, it’s illegal for companies to make claims that supplements will treat, diagnose, prevent or cure diseases

·      Also, the products you buy in stores or online may be different from those used in studies,

o   so studies may be misleading.

3.   Supplements aren’t always safe.

·      In most cases, multivitamins aren’t likely to pose any health risks.

o   Still, it’s important to be cautious when you put anything in your body.

·      Supplements may interact

o   with other medications you’re taking or pose risks if you have certain medical conditions,

§  such as liver disease, or are going to have surgery.

§  Some supplements also haven’t been tested

·      in pregnant women,

·      nursing mothers

·      or children,

·      and you may need to take extra precautions.

·      Also, federal regulations for dietary supplements are less strict than prescription drugs.

o   Some supplements may contain ingredients not listed on the label,

§  and these ingredients can be unsafe.

§  Certain products are marketed as dietary supplements

·      and actually contain prescription drugs within them —

o   drugs that are not allowed in dietary supplements.

·      Some supplements that may pose risks include:

o   Vitamin K,

§  which can reduce the effectiveness of blood thinners

o   Gingko,

§  which can increase blood thinning

o   St. John’s wort,

§  which can make some drugs, such as antidepressants and birth control, less effective

o   Herbal supplements comfrey and kava,

§  which can damage your liver

o   Beta-carotene and vitamin A,

§  which can increase the risk of lung cancer in smokers

 

4.  Speak with your healthcare provider

before taking any supplements.

·      The most important thing to remember is to be smart when choosing a supplement

o   Your first step should be discussing your options with your healthcare provider,

§  since a supplement’s effectiveness and safety may depend on your individual situation and health.

·      On top of that,

o   keep these simple tips in mind as you choose a supplement:

§  Take supplements as directed according to the label and your healthcare provider’s instructions.

§  Read the label,

·      including ingredients,

·      drug interactions,

·      and percent daily value (% DV).

·      Be wary of extreme claims,

o   such as “completely safe”

o   or “works better than (insert prescription drug).”

·      Remember that the term “natural” doesn’t necessarily equal “safe.”

·      Keep supplements stored properly and away from children.

·      Read about the potential dangers of weight-loss supplements

 

5. Nothing beats the nutrient power of a healthy diet.

·      No matter what your goal is when taking supplements,

o   one thing is certain:

§  They aren’t a replacement for a nutrient-dense, healthy diet.

·      Supplements are meant to be supplementary

o   meaning they enhance benefits already provided by eating a well-rounded diet

·      Supplements should never be used in place of real food.

o   Don’t underestimate what a nutrient-packed salad can do for you compared to a pill made in a factory.

·      Vitamins and minerals are essential to helping your body develop and function as it should.

o   While most people get all of what’s recommended by eating healthy,

§  others need a little extra nutrient boost.

§  That’s where supplements come in

·      providing you with the support your body needs to stay healthy.

 

credit to pennmedicine.org

Shingles Vaccine

by

North Fulton Studio
North Fulton Studio
Shingles Vaccine
Loading
/

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Covid-19 Vaccine Booster Update

What is a third dose of the coronavirus vaccine?

  • A third dose of the mRNA COVID-19 vaccines (Pfizer or Moderna) is identical to the first two doses.
    • It can help protect people with weakened immune systems who did not have a strong enough response to the first two doses of one of the mRNA vaccines.
    • Such people can get a third dose as soon as 28 days after a second dose.
    • The FDA has authorized, and the CDC recommends, that those with certain medical conditions that suppress the immune system get a third dose of the same brand of COVID-19 vaccine that they initially received.

Who can get a third dose of a COVID-19 vaccine?

Based on CDC recommendations, third vaccine doses are available now for people who are considered moderately or severely immunosuppressed. These would include those who:

  • Receive active cancer treatment for tumors or cancers of the blood.
  • Received an organ transplant and are taking medicine to suppress the immune system.
  • Have either had a stem cell transplant within the last two years or are taking medicine to suppress the immune system.
  • Were diagnosed with DiGeorge syndrome or Wiskott-Aldrich syndrome.
  • Are diagnosed with HIV and have a high viral load or low CD4 count, or are not currently taking medication to treat HIV.
  • Are taking drugs such as high-dose steroids or other medications that may cause severe suppression of the immune system.

If you are not sure whether you fit into any of these categories, please contact your medical provider.

When can I get a third dose of COVID-19 vaccine?

  • People who have an eligible medical condition that causes a suppressed immune system can receive a third dose of either the Moderna or Pfizer vaccine as soon as 28 days after the second dose.
  • Johns Hopkins Medicine is offering a third dose to those who are eligible.

Why is a third shot of a COVID-19 vaccine needed?

  • The CDC recommends a third dose of the two-shot vaccines (Pfizer and Moderna) for people with certain health conditions to help further protect them from getting severely ill or dying due to COVID-19.
    • Some people have conditions or take specific medication doses that can cause them to have a decreased immune system.
    • Data suggest that two doses of the mRNA COVID-19 vaccine may not have a strong enough response in these individuals, and that they may benefit from a third dose.

How do I know if I need a third dose of COVID-19 vaccine?

  • If you are unsure about whether your health condition or treatment affects your immune system, discuss it with your health care provider, who can help determine if you would benefit from a third dose of COVID-19 vaccine.
  • People eligible for Pfizer’s booster include
  • those 65 and older and those who live in long-term care facilities,
  • have underlying medical conditions
  • or are at higher risk of exposure to the virus because of their jobs or institutional settings,
    • a group that includes health care workers, teachers and prisoners.

 

Would a third COVID shot have to be the same brand of vaccine I got originally?

  • Ideally, yes:
    • Your third vaccine dose should be the same type (Pfizer or Moderna) you received when you were first vaccinated.
      • The third shot can be given to you when it has been at least four weeks (28 days) since your second shot, if you are considered immunosuppressed based on the criteria determined by the CDC.

 

Can I get an additional COVID-19 shot if I received the Johnson & Johnson vaccine?

  • Data are still emerging as to whether an additional dose is necessary for individuals who received the Johnson & Johnson COVID-19 vaccine.
    • There is no current recommendation for an extra dose for people who received the Johnson & Johnson COVID-19 vaccine, even if they have a qualifying medical condition.
    • Watch for information from the CDC.

www.hopkinsmedicine.org

 

Herpes Zoster “Shingles” Vaccine

 

What Everyone Should Know about the Shingles Vaccine (Shingrix)

  • Shingles vaccination is the only way to protect against shingles and postherpetic neuralgia (PHN),
    • the most common complication from shingles.
    • CDC recommends that healthy adults 50 years and older get two doses of the shingles vaccine called Shingrix (recombinant zoster vaccine),
      • separated by 2 to 6 months,
      • to prevent shingles and complications from the disease.
      • Your doctor or pharmacist can give you Shingrix as a shot in your upper arm.

Who Should Get Shingrix?

  • Healthy adults 50 years and older should get two doses of Shingrix, separated by 2 to 6 months.
  • You should get Shingrix even if in the past you
    • had shingles
    • received Zostavax*
    • are not sure if you had chickenpox
  • There is no maximum age for getting Shingrix.
  • If you had shingles in the past,
    • you can get Shingrix to help prevent future occurrences of the disease.
    • There is no specific length of time that you need to wait after having shingles before you can receive Shingrix,
      • but generally, you should make sure the shingles rash has gone away before getting vaccinated.
    • You can get Shingrix whether or not you remember having had chickenpox in the past.
      • Studies show that more than 99% of Americans 40 years and older have had chickenpox,
        • even if they don’t remember having the disease.
        • Chickenpox and shingles are related because they are caused by the same virus (varicella zoster virus).
        • After a person recovers from chickenpox,
          • the virus stays dormant (inactive) in the body.
          • It can reactivate years later and cause shingles.
        • Shingrix is available in doctor’s offices and pharmacies.
        • If you have questions about Shingrix, talk with your healthcare provider.
  • A shingles vaccine called Zostavax is no longer available for use in the United States, as of November 18, 2020.
    • If you had Zostavax in the past, you should still get Shingrix.
      • Talk to your healthcare provider to determine the best time to get Shingrix.

Who Should Not Get Shingrix?

  • You should not get Shingrix if you:
    • have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix
    • tested negative for immunity to varicella zoster virus.
      • If you test negative, you should get chickenpox vaccine.
    • currently have shingles
    • currently are pregnant or breastfeeding.
      • Women who are pregnant or breastfeeding should wait to get Shingrix.
  • If you have a minor acute (starts suddenly) illness, such as a cold, you may get Shingrix.
    • But if you have a moderate or severe acute illness,
      • you should usually wait until you recover before getting the vaccine.
      • This includes anyone with a temperature of 101.3°F or higher.
    • The side effects of the Shingrix are temporary
      • and usually last 2 to 3 days.
      • While you may experience pain for a few days after getting Shingrix,
        • the pain will be less severe than having shingles and complications from the disease.

How Well Does Shingrix Work?

  • Two doses of Shingrix provides strong protection against shingles and postherpetic neuralgia (PHN),
    • the most common complication of shingles.
  • In adults 50 to 69 years old who got two doses,
    • Shingrix was 97% effective in preventing shingles;
    • among adults 70 years and older,
      • Shingrix was 91% effective.
  • In adults 50 to 69 years old who got two doses,
    • Shingrix was 91% effective in preventing PHN;
    • among adults 70 years and older,
      • Shingrix was 89% effective.
  • Shingrix protection remained high (more than 85%)
    • in people 70 years and older
    • throughout the four years following vaccination.
    • Since your risk of shingles and PHN increases as you get older,
      • it is important to have strong protection against shingles in your older years.

 

What Are the Possible Side Effects of Shingrix?

  • Studies show that Shingrix is safe.
    • The vaccine helps your body create a strong defense against shingles.
    • As a result, you are likely to have temporary side effects from getting the shots.
    • The side effects may affect your ability to do normal daily activities for 2 to 3 days.
  • Most people got a sore arm with mild or moderate pain after getting Shingrix,
    • and some also had redness and swelling where they got the shot.
    • Some people felt:
      • tired,
      • had muscle pain,
      • a headache,
      • shivering,
      • fever,
      • stomach pain,
      • or nausea.
      • About 1 out of 6 people who got Shingrix experienced side effects that prevented them from doing regular activities.
      • Symptoms went away on their own in about 2 to 3 days.
      • Side effects were more common in younger people.
    • You might have a reaction to the first or second dose of Shingrix, or both doses.
      • If you experience side effects, you may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen.
    • If you experience side effects from Shingrix, you should report them to the Vaccine Adverse Event Reporting System (VAERS).
      • Your doctor might file this report,
      • or you can do it yourself by calling 1-800-822-7967.
    • If you have any questions about side effects from Shingrix, talk with your doctor.
    • The shingles vaccine does not contain thimerosal (a preservative containing mercury).

 

When Should I See a Doctor Because of the Side Effects I Experience From Shingrix?

  • In clinical trials, Shingrix was not associated with serious adverse events.
    • In fact, serious side effects from vaccines are extremely rare.
    • For example,
      • for every 1 million doses of a vaccine given,
      • only one or two people may have a severe allergic reaction.
    • Signs of an allergic reaction happen within minutes or hours after vaccination and include:
      • hives,
      • swelling of the face and throat,
      • difficulty breathing,
      • a fast heartbeat,
      • dizziness,
      • or weakness.
      • If you experience these or any other life-threatening symptoms, see a doctor right away.
    • Shingrix causes a strong response in your immune system,
      • so it may produce short-term side effects more intense than you are used to from other vaccines.
      • These side effects can be uncomfortable,
        • but they are expected and usually go away on their own in 2 or 3 days.

 

How Can I Pay For Shingrix?

  • There are several ways shingles vaccine may be paid for:
  • Medicare
    • Medicare Part D plans cover the shingles vaccine,
    • but there may be a cost to you depending on your plan.
    • There may be a copay for the vaccine,
    • or you may need to pay in full then get reimbursed for a certain amount.
  • Medicare Part B does not cover the shingles vaccine.
  • Medicaid
    • Medicaid may or may not cover the vaccine.
    • Contact your insurer to find out.

·       Private health insurance

    • Many private health insurance plans will cover the vaccine,
    • but there may be a cost to you depending on your plan.
    • Contact your insurer to find out.

·       Vaccine assistance programs

    • Some pharmaceutical companies provide vaccines to eligible adults who cannot afford them.
    • You may want to check with the vaccine manufacturer, GlaxoSmithKline, about Shingrix.

  •   Regardless of the cost, I can assure you that if in the future you were to contract shingles, you would pay three times any amount to have them go away. They are brutal and can be life-altering.

Source: CDC

Medication Errors and How to Avoid Them

by

Medication Errors
North Fulton Studio
Medication Errors and How to Avoid Them
Loading
/

Medication Errors

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics, and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Covid-19Vaccine Booster Update

What is a third dose of the coronavirus vaccine?

• A third dose of the mRNA COVID-19 vaccines (Pfizer or Moderna) is identical to the first two doses.

o It can help protect people with weakened immune systems who did not have a strong enough response to the first two doses of one of the mRNA vaccines.

o Such people can get a third dose as soon as 28 days after a second dose.

o The FDA has authorized, and the CDC recommends, that those with

certain medical conditions that suppress the immune system get a third dose of the same brand of COVID-19 vaccine that they initially received.

Who can get a third dose of a COVID-19 vaccine?

Based on CDC recommendations, third vaccine doses are available now for people who are considered moderately or severely immunosuppressed. These would include those who:

  • Receive active cancer treatment for tumors or cancers of the blood.
  • Received an organ transplant and are taking medicine to suppress the immune system.
  • Have either had a stem cell transplant within the last two years or are taking medicine to suppress the immune system.
  • Were diagnosed with DiGeorge syndrome or Wiskott-Aldrich syndrome.
  • Are diagnosed with HIV and have a high viral load or low CD4 count, or are not currently taking medication to treat HIV.
  • Are taking drugs such as high-dose steroids or other medications that may cause severe suppression of the immune system. If you are not sure whether you fit into any of these categories, please contact your medical provider.

    When can I get a third dose of COVID-19 vaccine?

  • People who have an eligible medical condition that causes a suppressed immune system can receive a third dose of either the Moderna or Pfizer vaccine as soon as 28 days after the second dose.
  • Johns Hopkins Medicine is offering a third dose to those who are eligible. Why is the third shot of a COVID-19 vaccine needed?
  • The CDC recommends a third dose of the two-shot vaccines (Pfizer and Moderna) for people with certain health conditions to help further protect them from getting severely ill or dying due to COVID-19.

o Some people have conditions or take specific medication doses that can cause them to have a decreased immune system.

o Data suggest that two doses of the mRNA COVID-19 vaccine may not have a strong enough response in these individuals and that they may benefit from a third dose.

How do I know if I need a third dose of COVID- 19 vaccine?

  • If you are unsure about whether your health condition or treatment affects your immune system, discuss it with your health care provider, who can help determine if you would benefit from a third dose of COVID-19 vaccine.
  • People eligible for Pfizer’s booster include

o those 65 and older and those who live in long-term care facilities,
o have underlying medical conditions
o or are at higher risk of exposure to the virus because of their jobs or institutional settings, or a group that includes health care workers, teachers and prisoners.

Would a third COVID shot have to be the same brand of vaccine I got originally?

  • Ideally, yes:
    o Your third vaccine dose should be the same type (Pfizer or Moderna) you received when you were first vaccinated.
    § The third shot can be given to you when it has been at least four weeks (28 days) since your second shot if you are considered immunosuppressed based on the criteria determined by the CDC. Can I get an additional COVID-19 shot if I received the Johnson & Johnson vaccine?
  • Data are still emerging as to whether an additional dose is necessary for individuals who received the Johnson & Johnson COVID-19 vaccine.

o There is no current recommendation for an extra dose for people who received the Johnson & Johnson COVID-19 vaccine, even if they have a qualifying medical condition.

o Watch for information from the CDC. www.hopkinsmedicine.org

Medication Errors

I started using electronic health records on December 18, 1998. At the stroke of midnight, pretty much, we made that change. We did it for financial reasons, not quality reasons. If you had asked me, I would have adamantly told you that I was practicing quality medicine, that I was taking great care of all my patients.

Then in a few months, a report was published: The Institute of Medicine’s report “To Err is Human”. Published in 1999

98,000 deaths are attributable to medication errors every year.
Launched the movement to computerized medical records. It was a slow, laborious process.

Started the move to improve care by sharing records with the entire “care team”. It took years to really start making headway.

Multiple people testified to multiple congressional committees, in and around the Washington DC area.

I had started using electronic records in December 1998, and around 2005 was asked to testify to one such committee.

One of the main points in the report, To Err is Human, was about medication errors. Even to this day, this is a huge problem and people die all too often, or have some bad outcomes all too often, because of changes that doctors make in prescribing and those changes are not accurately relayed to the patient or the caregiver.

Doctors might change things like dosage, drug, instructions as to when and how often they are to be taken.

Pharmacies, especially mail-order pharmacies, will purchase the next cheapest drug equivalent they can on any given day so that when a patient receives a refill, the look and size of the pill or capsule is completely different.

Patients become numb to the fact that medications look different from one fill to the next. Therefore, if a doctor changes a medication or a strength of a current medication, the patient might very well NOT realize that change has been made.

And then drug manufacturers change the way their pills or capsules look because they got a better deal on a blue one versus the brown one they have used for years.

And then my recent experience with medication errors . . .

Irritable Bowel Syndrome (IBS)

by

IBS
North Fulton Studio
Irritable Bowel Syndrome (IBS)
Loading
/

IBS

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics, and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Covid-19 Update

“Check my antibodies” – says nothing about immunity – need a vaccine anyway.

Variants – vaccine works well so far against these new and increasingly important viruses. Previous infection does nothing to prevent infection by these variants.

“The vaccine is not a vaccine, it is gene therapy.”

“I don’t want people to get the vaccine if they live with me because then I can get the virus from them.”

HCQ has been in the news again recently. Some REPORTS, not STUDIES, said that it might help those on a ventilator.  So far, All of the SCIENCE says that it does not stop this virus.

What is Irritable Bowel Syndrome (IBS)?

Irritable bowel syndrome (IBS) is a gastrointestinal (GI) disorder. It describes a group of symptoms that affect your large intestine with no known cause. IBS is common and occurs most often in women. People with a family history of IBS are more likely to have it.

Symptoms of Irritable Bowel Syndrome

Common symptoms of IBS include:

  • Abdominal pain and cramping that usually comes and goes, with relief after a bowel movement
  • Bloating and gas
  • Constipation and/or diarrhea
  • Feeling like you need to have a second bowel movement right after finishing one (often with no results)
  • Mucus in your stool

IBS symptoms vary for each person. You may have some or all of the symptoms listed above. You may even have normal bowel movements some days. Most people have mild symptoms, but some symptoms may be severe enough to affect your daily life.

What causes Irritable Bowel Syndrome?

There is no exact cause of IBS. Doctors believe that a mix of problems with your GI tract can lead to IBS. Health problems that are known to cause or worsen IBS include:

  • A breakdown in how your brain sends signals to your intestines
  • Trouble processing food through your GI tract
  • Abnormal nerves in your GI tract that are more sensitive than normal
  • A bacterial infection in your GI tract
  • An increase or change in bacteria in your small intestine
  • Reactions to certain foods or drinks
  • Mental health issues, such as depression and anxiety
  • Extreme stress

How is Irritable Bowel Syndrome diagnosed?

  • There aren’t any tests that detect IBS. However, your doctor can look for a pattern in your symptoms. Also, your doctor can order tests to rule out other problems. These tests may include a blood test, a stool test, a colonoscopy, or X-rays of your lower GI tract.
  • Your doctor will perform an exam of your abdomen. They will check for bloating, pain, tenderness, or unusual sounds. Your doctor will ask you:
  • If your pain improves or gets worse after a bowel movement
  • How often you have a bowel movement
  • What your bowel movements look like
  • You may be diagnosed with IBS if you’ve had symptoms weekly for 3 months and your symptoms started at least six months ago.

Types of IBS

There are three main types of IBS.

IBS with constipation (IBS-C)

On days with at least one abnormal bowel movement, you have:

  • Hard or lumpy stools at least 25% of the time
  • Loose or watery stools less than 25% of the time

IBS with diarrhea (IBS-D)

On days with at least one abnormal bowel movement, you have:

  • Hard or lumpy stools less than 25% of the time
  • Loose or watery stools at least 25% of the time

Mixed IBS (IBS-M)

On days with at least one abnormal bowel movement, you have:

  • Hard or lumpy stools at least 25% of the time
  • Loose or watery stools at least 25% of the time

Can Irritable Bowel Syndrome be prevented or avoided?

Since there isn’t a single cause for IBS, you can’t prevent or avoid it.

Treatment for Irritable Bowel Syndrome

The best way to treat IBS is to make lifestyle changes. Treatment is different for everyone. You may need to try several options to find the one that works for you. Your doctor will guide you in which options to try. They may suggest you:

Visit with a dietitian for tips on foods that are easy to digest. You may need to avoid caffeine, dairy, some fruits and vegetables, spicy and fatty foods, and foods made with gluten. Gluten foods include cereal, pasta, and processed foods.

  • Eat small meals throughout the day.
  • Increase your fiber a little at a time.
  • Reduce your stress level.
  • Get enough sleep.
  • Exercise regularly.
  • Try meditation or therapy.
  • Take medicines. Your doctor will advise you about which ones may work for your type of IBS.

Living with Irritable Bowel Syndrome

IBS is an ongoing problem. It can subside or flare up, based on your lifestyle. IBS does not require surgery, and it won’t shorten your life. If you have IBS, talk to your doctor about how to manage it. Symptoms often get better with treatment.

Dr. Morrow’s Personal Experience with Breakthrough Covid-19 Infection

by

North Fulton Studio
North Fulton Studio
Dr. Morrow's Personal Experience with Breakthrough Covid-19 Infection
Loading
/

Breakthrough Covid

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics, and can be found at www.toyourhealthradio.com.

Our Mission

We help local business leaders get the word out about the important work they’re doing to serve their market, their community, and their profession.

We support and celebrate business by sharing positive business stories that traditional media ignores. Some media leans left. Some media leans right. We lean business.

Sponsor a Show

Build Relationships and Grow Your Business. Click here for more details.

Partner With Us

Discover More Here

Terms and Conditions
Privacy Policy

Connect with us

Want to keep up with the latest in pro-business news across the network? Follow us on social media for the latest stories!

Business RadioX® Headquarters
1000 Abernathy Rd. NE
Building 400, Suite L-10
Sandy Springs, GA 30328