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Mary Caldwell, Alzheimer’s Association of Georgia

December 23, 2021 by John Ray

Alzheimer's
North Fulton Studio
Mary Caldwell, Alzheimer's Association of Georgia
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Alzheimer'sMary Caldwell, Alzheimer’s Association of Georgia (Episode 67, To Your Health with Dr. Jim Morrow)

On this edition of To Your Health, Dr. Morrow welcomed Mary Caldwell, Helpline and Early Stage Program Manager for the Alzheimer’s Association of Georgia, to discuss Alzheimer’s disease. Mary described its features, diagnosis, treatments, available resources such as The Georgia Memory Net, and much more. Dr. Morrow also addressed the current Omicron variant of Covid-19. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

The Alzheimer’s Association, Georgia Chapter

The Alzheimer’s Association leads the way to end Alzheimer’s and all other dementia by accelerating global research, driving risk reduction and early detection, and maximizing quality care and support.

The Alzheimer’s Association, Georgia Chapter, is Georgia’s leading volunteer health organization in Alzheimer’s disease care, serving 159 counties in Georgia with offices in Atlanta, Augusta, Columbus, Dalton, Macon, Savannah, and Tifton. The chapter has been serving Georgia communities since 1982 by providing care and support such as care consultation, support groups, education, and social engagements for those with a diagnosis and their care partners. They also fund research globally and right here in Georgia.

Currently there are 150,000 Georgians living with Alzheimer’s and another 330,000 unpaid caregivers.

Website| LinkedIn| Facebook| Twitter

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

Omicron, My Omicron

  • The variant is rapidly taking over as the most common cause of Covid in the US.
    • Most cases are already caused by Omicron and while a lot of these cases are mild,
      • this still causes a tremendous threat to those who are most susceptible.
  • The good news is that the mRNA vaccines are looking really good at preventing serious disease and death from Omicron and the other variants of the SarsCoV2 virus.
  • It’s an important distinction to make in this regard that the virus is not mutating.
    • Genetic code mutates.
    • That is NOT what is happening here.
    • The genetic code of this virus is the same in ALL these variants.
      • What is changing is the protein sequence in the spike protein of the virus.
    • See, viruses are composed of NOTHING but protein and genetic material.
      • They are not alive.
      • They are merely pieces of genetic code and amino acids,
        • which when lined up or connected in a certain way form protein molecules.
      • So, when you hear people talk about mutations, they are not informed correctly.
        • This is probably splitting hairs, but I believe it is important for people to understand that the virus is not mutating,
          • it is just having some changes in the amino acid sequence in the spike protein
          • and none of these changes have made it resistant to the vaccine to this point.

And About Treatments

  • Some people tried to drag me into an argument about treatments on social media again yesterday.
    • I do love it (air quotes here) when people say to me, “I got Covid and I took hydroxychloroquine and it cured me.
    • As if they were not going to be cured at all if they did not take it.
    • Just because you or someone you know took a substance and did not die, that does not mean that the substance worked.
    • I know people who got Covid and chewed bubble gum and did not die.
    • Does that mean that the bubble gum cured them?
      • I hope not and if you do not understand that, then I’ll just have to let Darwin sort that out.
      • And if you don’t get that reference, you have no business in this discussion anyway.

 

Alzheimer’s Disease

The Alzheimer’s Association works to end Alzheimer’s and all other dementia —

o          by accelerating research,

o          driving risk reduction and early detection,

o          and maximizing quality care and support.

Questions for Mary

  • What is the difference between Alzheimer’s and dementia?
  • What are some of the signs of Alzheimer’s?
  • Where are we with early detection?
  • What should people do if they notice a loved one is showing signs of Alzheimer’s?
  • What’s happening with treatment?
  • What should you expect if you or a loved one gets diagnosed with Alzheimer’s or another form of dementia?
  • What are some of the resources that the Alzheimer’s Association has for caregivers and people living with Alzheimer’s?
  • How can people get involved with the Alzheimer’s Association?

 

Tagged With: Alzheimer's Association Georgia Chapter, Alzheimers, alzheimers association, Caregivers, COVID-19, dementia, Dr. Jim Morrow, Mary Caldwell, Omicron Variant, To Your Health With Dr. Jim Morrow, Village Medical

Dr. Clive Fields, Co-Founder and Chief Medical Officer, Village Medical

June 2, 2021 by John Ray

Village Medical
North Fulton Studio
Dr. Clive Fields, Co-Founder and Chief Medical Officer, Village Medical
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Village Medical

Dr. Clive Fields, Co-Founder and Chief Medical Officer, Village Medical (Episode 57, To Your Health with Dr. Jim Morrow)

Dr. Clive Fields, Co-Founder and Chief Medical Officer of Village Medical, joined Dr. Morrow to discuss the Village Medical model of care which utilizes state of the art technology, providing the best care for patients and keeping them well and out of the hospital. “To Your Health” is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

Village Medical

Village Medical believes healthcare should be personal, accessible, and coordinated.

At Village Medical, the patient’s relationship with their primary care provider is the foundation to their health. Their doctors and staff partner with patients to understand their needs, and work together to focus not just on treatment, but also education and preventative care.

We combine the tools, technology, and people needed to help create healthier, happier patients. More connected care means more complete care.

With Village Medical at Home, they provide at-home visits designed to give eligible patients the attention they need, in a way that’s best for them and their caregivers.

At Village Medical, the future of healthcare is more personal than ever.

Company website | Facebook | Instagram | Twitter

Clive Fields, Co-Founder and Chief Medical Officer, VillageMD

Village Medical
Dr. Clive Fields, Founder and CMO, VillageMD

Dr. Fields is the co-founder and Chief Medical Officer of VillageMD. He has been a practicing primary care physician in the Houston area since 1991.

Dr. Fields has been recognized by Modern Healthcare as one of the country’s 50 Most Influential Clinical Executives and has received the American Academy of Family Practice’s Robert Graham Award for Physician Executive of the Year.

Dr. Fields oversees the clinical model at VillageMD.

LinkedIn

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 the area of 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.

Tagged With: Dr. Clive Fields, Dr. Jim Morrow, Morrow Family Medicine, preventative care, To Your Health With Dr. Jim Morrow, Village Medical, VillageMD

Matt Foltz, Champion Physical Therapy

April 30, 2021 by John Ray

Champion Physical Therapy
North Fulton Studio
Matt Foltz, Champion Physical Therapy
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Champion Physical Therapy

Matt Foltz, Champion Physical Therapy (Episode 55, To Your Health with Dr. Jim Morrow)

Matt Foltz, owner of Champion Physical Therapy, joined Dr. Jim Morrow to discuss his award-winning practice, why patients with back and neck pain make up such a sizable proportion of his business, newer therapies such as needling and cupping therapy, swing assessment for golfers, and much more.  “To Your Health” is brought to you by Morrow Family Medicine, which brings the care back to healthcare.

Champion Physical Therapy

Champion Physical Therapy, a locally owned private practice, services the North Atlanta region with two offices in Alpharetta and Cumming.

Injuries and pain can keep individuals from what they enjoy and keep them sidelined in sports and life. Champion Physical Therapy’s mission is to deliver the most up-to-date therapeutic care by highly trained caring physical therapists. They utilize treatments such as dry needling, manual techniques, therapeutic exercises, and advanced devices such as mild hyperbaric oxygen therapy, isokinetics, anodyne therapy, and anti-gravity treadmill.

Champion Physical Therapy will get its patients back in the game, whether they are pro athletes, weekend warriors, or someone who wants to enjoy life again. Live, play, and rehab like a Champion.

Company website | LinkedIn | Facebook

Matt Foltz, CEO, MPT, Champion Physical Therapy

Champion Physical Therapy
Matt Foltz, CEO, Champion Physical Therapy

Matt is a native of Roswell, Georgia, and has been practicing physical therapy for over 25 years in the Atlanta/North Metro, specializing in orthopedics and sports medicine.

Matt received his undergraduate degree in Exercise Sports Science from the University of Georgia and his Master of Physical Therapy degree from Emory University in Atlanta, Georgia. He received his Dry Needling Certification in 2011 from the American Dry Needling Association in Boulder Colorado.

During Matt’s 25 years in the field of physical therapy, he has assisted in numerous sports medicine venues including the SEC football championship, SEC basketball championship, ACC basketball championship, SEC gymnastics championship, World Wrestling Entertainment, Peach Bowl, Sarazen PGA tournament and area high school programs. Matt previously served as a vice president of operations of one of the nation’s largest outpatient rehabilitation corporations.

When Matt is not working, he is serving in his community and continually active with his family.

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 the area of 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.

Tagged With: Champion Physical Therapy, Champion PT, Dr. Jim Morrow, dry needling, Matt Foltz, Morrow Family Medicine, physical therapy, sports medicine, To Your Health With Dr. Jim Morrow, Village Medical

The Patient Experience at Morrow Family Medicine

March 24, 2021 by John Ray

Patient Experience
North Fulton Studio
The Patient Experience at Morrow Family Medicine
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Patient Experience

The Patient Experience at Morrow Family Medicine (Episode 53, To Your Health with Dr. Jim Morrow)

Excellence in patient care is the primary concern at Morrow Family Medicine. On today’s show, host Dr. Jim Morrow shares how communication is the foundation of their practice. He also shares the family recipe for ” The Best Homemade Vanilla Ice Cream EVER!” “To Your Health” is brought to you by Morrow Family Medicine, 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 the area of 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

The Patient Experience at MFM, a part of VM

  • We enjoy our work –
    • it’s a fun environment.
    • People get along and look out for each other.
    • Very collegial and family atmosphere.
  • Expectations –
    • We try to keep in mind what patients expect when coming to the doctor.
    • We know that many times you are not at your best,
      • you are sick or anxious or upset or something other than how you’d prefer to be,
        • or where you’d prefer to be.
        • So, it falls to the front desk and medical assistants to begin the process of making you feel better,
        • at least no worse for having come to the doctor.
  • Communication –
    • I built this practice by telling people that “we will respond to you in what YOU feel is a timely manner”,
      • and if we do not please tell us so that we can fix it.
      • I have been in practices where this was not a priority
      • and I was determined when I started MFM that this would be different and I believe that it still is.
      • We are not perfect.
        • But we try to be.
  • Listen to the patient –
    • listening doesn’t mean telling the pt what they want to hear.
      • Many times, in the exam room,
        • I will just roll away from the desk and lean back and listen.
        • You have to listen.
          • Let the patient take the time they need to tell you their story.
          • You need to know the story to make them better so listening then is critical.
  • Quality Measures – mammogram, colonoscopies, a1c –

This is how I met Village MD.

  • They have helped us with this for over three years.
  • Insurance companies have imposed upon practices the need to have patients get mammograms, colonoscopies, A1C tests (for diabetics).
  • Doing these will help us to prevent illness.
    • That’s a whole different aspect of medicine from what has been practiced since Hippocrates.
  • Utilizing advanced practice providers –
    • I have been blessed to work with many great PAs, NPs, etc. in my time in family medicine.
      • Currently, at MFM, we have the best group of these that I have ever seen under one roof.
        • They see patients independently, utilizing myself or Dr. Kindregan when needed,
          • we all talk as a group,
          • chat as a group,
          • consult as a group,
          • but they have patients who will ONLY see them.
        • Jaime Kutter, Mariann Simpson, and Emily Downs, our physician assistants, are incredibly bright, well-trained and women who have honed their skills over a total of probably 55 years or so.
        • And Jessica Kuhn, our nurse practitioner, brings an angle of care that is typical of nursing and clinical care, again seeing her own patients who request to see her.
  • Population Health –
    • refers to the health status and health outcomes within a group of people rather than considering the health of one person at a time.
      • For public health practitioners, improving population health involves understanding and optimizing the health of a population broadly defined by geography.
        • Components are:
          • Emphasis on primary care
          • Careful data-driven environment
          • Physician leadership
          • Off–the-radar disease management
          • Innovation
          • Portal
          • Village at Home
          • Digital marketing
          • Reviews

As we get closer to the warmer times, I want to share with everyone The Morrow’s favorite recipe:

The Best Homemade Vanilla Ice Cream EVER!

Ingredients:

1 Tbsp vanilla extract

1 – 14 oz can sweetened condensed milk

2 – 12 oz cans evaporated

2 cups white sugar

4 eggs

Whole milk

Salt

Ice

In an electric mixer, cream eggs and sugar. Add evaporated milk, condensed milk, and vanilla.  Beat well. Pour into an electric ice cream churn. Add whole milk to the fill line. Insert dasher. Assemble churn. Fill 1/3 with ice. Add a layer of rock salt. Repeat layering with ice and salt until full. When churn starts to labor, turn off. Fill with more ice and cover with a towel for 45-60 minutes. Remove ice cream to freezer containers and freeze for 4-5 hours. And enjoy!

 

Tagged With: Dr. Jim Morrow, Morrow Family Medicine, patient experience, To Your Health With Dr. Jim Morrow, Village Medical

Exercise in a Pandemic, with Andrew Abernathy, Focal Fitness – Episode 50, To Your Health with Dr. Jim Morrow

February 12, 2021 by John Ray

Focal Fitness
North Fulton Studio
Exercise in a Pandemic, with Andrew Abernathy, Focal Fitness - Episode 50, To Your Health with Dr. Jim Morrow
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Focal Fitness

Exercise in a Pandemic, with Andrew Abernathy, Focal Fitness – Episode 50, To Your Health with Dr. Jim Morrow

Focal Fitness Owner Andrew Abernathy is welcomed by host Dr. Jim Morrow to discuss exercise and physical fitness challenges and solutions for a pandemic. Dr. Morrow also offers a Covid-19 update on the new vaccines and the latest information on Covid-19 mutations. “To Your Health” is brought to you by Morrow Family Medicine, which brings the care back to healthcare.

Andrew Abernathy, Owner, Focal Fitness

At Focal Fitness their goal is to inspire people to change their lives by becoming passionate about their health, having a positive attitude, and implementing fitness into their everyday lives.

Andrew Abernathy is the owner and operator of Focal Fitness. He grew up in Gainesville, GA, and attended the University of Georgia where he received a B.S. in Exercise Science. Andrew is a certified Personal Trainer with extensive work with post rehab, sports specific, and weight reduction clients. He also is a certified Super Slow© instructor. Andrew’s intensive academic study of anatomy, exercise physiology, kinesiology, biomechanics, fitness screening and testing, training principles and techniques, sports injury, and motivation, allow him to offer clients highly researched and tailored fitness programs.

Andrew chose to become a trainer because he has a passion for educating and helping people achieve healthy, active lifestyles, and creating real and lasting change. This work is the culmination of a life of athletic training, a tailored college education, and his entire work experience. Some of his objectives are to encourage people to make exercise a part of their lifestyle, through motivation, teaching correct technique and improving strength, coordination and balance. The professional challenge of creating effective workout routines that fit in with a person’s unique lifestyle, schedule, and needs is what he strives to achieve for each client.

Outside of Focal Fitness, Andrew enjoys running, camping, hiking, golf, Univ. of Georgia football, just about anything on water or in water, and socializing with friends and family. Andrew and his wife Melissa live in Cumming GA, located in beautiful Forsyth County. They have a daughter, Tatem, son, Myles, and one dog, “Neo”. They both attend Mountain Lake Church.

Focal Fitness Company website

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 the area of 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.

 

Show Notes

Covid-19 Vaccines and Mutations 

Why does the coronavirus change?

  • Variants of viruses occur when there is a change (mutation) to the virus’s genes. 
    • it is the nature of RNA viruses such as the coronavirus to evolve and change gradually. 
  • Mutations in viruses — 
    • including the coronavirus causing the COVID-19 pandemic — 
      • are neither new nor unexpected. 
      • All RNA viruses mutate over time, some more than others. 
      • For example, flu viruses change often, 
      • which is why doctors recommend that you get a new flu vaccine every year.
  • We are seeing multiple variants of the SARS-CoV-2 coronavirus that are different from the version first detected in China
  • one mutated version of the coronavirus was detected in southeastern England in September 2020. 
    • That variant, now known as B.1.1.7, quickly became the most common version of the coronavirus in the United Kingdom, accounting for about 60% of new COVID-19 cases in December. 
    • Other variants have emerged in South Africa, Brazil, California and other areas.

COVID-19 Variants: How are they different?

  • There are 17 genetic changes in the B.1.1.7 variant from England. 
  • There’s some preliminary evidence that it’s more contagious. 
    • Scientists noticed a surge of cases in areas where the new strain appeared.
  • some of the mutations in the B.1.1.7 version seem to affect the coronavirus’s spike protein, 
    • which covers the outer coating of SARS-CoV-2 and give the virus its characteristic spiny appearance. 
    • These proteins help the virus attach to human cells in the nose, lungs and other areas of the body, causing COVID-19 illness.
  • Researchers have preliminary evidence that some of the new variants, including B.1.1.7, seem to bind more tightly to our cells
    • This appears to make some of these new strains ‘stickier’ due to changes in the spike protein. 
    • Studies are underway to understand more about whether any of the variants are more easily transmitted.

Is there a new variant of the coronavirus that is more dangerous?

  • so far, the news is somewhat reassuring. 
    • Although mutations may enable the coronavirus to spread faster from person to person, 
      • and more infections can result in more people getting very sick, 
      • overall, there is not yet clear evidence that any of these variants are more likely to cause severe disease or death. 
  • it may be more advantageous for a respiratory virus to evolve so that it spreads more easily. 
    • On the other hand, mutations that make a virus more deadly may not give the virus an opportunity to spread efficiently. 
      • If we get too sick or die quickly from a particular virus, the virus has less opportunity to infect others. 
  • One of the main concerns is whether any of the variants could affect treatment and prevention. 
    • Mutations may allow the coronaviruses to escape the antibodies in currently available therapies and those induced by vaccines. 
      • More data are needed to investigate this possibility.

Will there be more new variants of the coronavirus?

  • Yes. 
    • As long as the coronavirus spreads through the population, mutations will continue to happen. 
      • in 2020, several mutations caught researchers’ attention and raised concern, but further study revealed no major changes in how the coronavirus behaves.
  • New variants of the SARS-CoV-2 virus are detected every week
    • Most come and go — some persist but don’t become more common; some increase in the population for a while, and then fizzle out. 
    • When a change in the infection pattern first pops up, 
      • it can be very hard to tell what’s driving the trend: 
        • changes to the virus, 
        • or changes in human behavior. 
        • It is worrisome that similar changes to the spike protein are arising independently on multiple continents.”

Will the COVID-19 vaccine work on the new strains?

  • There is new evidence from laboratory studies that some immune responses driven by current vaccines could be less effective against some of the new strains.
  • Whether that means that people who have gotten the COVID-19 vaccines could get sick with the new variants is not yet known. 
    • The immune response involves many components, 
      • and a reduction in one does not mean that the vaccines will not offer protection.”
  • People who have received the vaccines should watch for changes in guidance from the CDC ,and continue with coronavirus safety precautions to reduce the risk of infection, such as mask wearing, physical distancing and hand hygiene.”
  • “We deal with mutations every year for flu virus, and will keep an eye on this coronavirus and track it,” says Bollinger. “If there would ever be a major mutation, the vaccine development process can accommodate changes, if necessary, but we’re not yet at the point when we need to consider that,” he explains.

Regarding coronavirus variants, how concerned should we be?

  • “Most of the genetic changes we see in this virus are like the scars people accumulate over a lifetime — incidental marks of the road, most of which have no great significance or functional role,” Ray says. “When the evidence is strong enough that a viral genetic change is causing a change in the behavior of the virus, we gain new insight regarding how this virus works.”
  • “As far as these variants are concerned, we don’t need to overreact,” Bollinger says. “But, as with any virus, changes are something to be watched, to ensure that testing, treatment and vaccines are still effective. The scientists will continue to examine new versions of this coronavirus’s genetic sequencing as it evolves.”
  • “In the meantime, we need to continue all of our efforts to prevent viral transmission and to vaccinate as many people as possible, and as soon as we can.”

Source:  Johns Hopkins

Tagged With: Andrew Abernathy, athletic training, COVID-19, Covid-19 vaccines, Dr. Jim Morrow, Exercise, Fitness, Focal Fitness, Morrow Family Medicine, To Your Health With Dr. Jim Morrow, Village Medical

Better New Year’s Resolutions – Episode 48, To Your Health With Dr. Jim Morrow

January 14, 2021 by John Ray

Better New Year's Resolutions
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Better New Year’s Resolutions – Episode 48, To Your Health With Dr. Jim Morrow

All of us make New Year’s resolutions, but what are the better New Year’s resolutions we should make for 2021 (or any year, for that matter).  The ideas Dr. Morrow shares in this episode of “To Your Health” for more healthy living can be started anytime! “To Your Health” is brought to you by Morrow Family Medicine, which brings the CARE back to healthcare.

About Morrow Family Medicine and Dr. Jim Morrow

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 Morrow Family Medicine one that will remind you of the way healthcare should be.  At Morrow Family Medicine, we like to say we are “bringing the care back to healthcare!”  Morrow Family Medicine 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.

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 the area of 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

Better New Year’s Resolutions

  1. Eat more whole foods
  • One of the easiest and most sustainable ways to improve overall health is to eat more whole foods.
  • Whole foods, including vegetables, fruits, nuts, seeds, whole grains, and fish, contain a plethora of nutrients that your body needs to function at an optimal level.
  • Research shows that following a whole-foods-based diet may significantly reduce heart disease risk factors, body weight, and blood sugar levels, as well as decrease your risk of certain diseases, such as type 2 diabetes
  • What’s more, adding more whole foods to your diet can be done slowly and consistently.
    • For example, if you’re not used to eating vegetables, start by adding one serving of your favorite veggie to your diet every day.
  1. Sit less and move more
  • Whether it’s due to having a sedentary job or simply being inactive, many people sit more than they should. Sitting too much can have negative effects on health. In fact, it may be linked to an increased risk of overall mortality
  • Making a resolution to sit less is an easy and attainable resolution that can be tailored to fit your lifestyle.
  • For example, if you have a desk job that requires long periods of sitting, make a resolution to go for a 15-minute walk at lunch or to get up and walk for 5 minutes every hour.
  1. Cut back on sweetened beverages
  • Cutting back on sweetened beverages is a smart idea considering that sugary drinks are linked to an increased risk of obesity, fatty liver, heart disease, insulin resistance, and cavities in both children and adults
  • Though quitting sweetened beverages cold turkey is always an option, gradually minimizing your intake may help you kick your sugary drink habit for good.
  1. Get more quality sleep
  • Sleep is an essential part of overall health, and sleep deprivation can lead to serious consequences. For instance, lack of sleep may increase your risk of weight gain, heart disease, and depression
  • There are many reasons why people don’t get enough sleep, so it’s important to focus on your schedule and lifestyle to determine the best ways to improve sleep quantity and quality.
  • Decreasing screen time before bed, reducing light pollution in your bedroom, cutting back on caffeine, and getting to bed at a reasonable hour are some simple ways to improve sleep hygiene.
  1. Find a physical activity that you enjoy
  • Every New Year, people purchase expensive memberships to gyms, workout studios, and online fitness programs in hopes of shedding excess body fat in the year to come. Though most people start strong, the majority don’t make their new routine into a lasting habit.
  • Still, you can increase the chances of making your fitness resolutions stick. To get started, choose an activity  based on enjoyment and whether it fits into your schedule.
  • For example, taking a half-hour walk, jog, or bike ride before work, or swimming at a gym that’s on your way home, are simple and sustainable exercise resolutions.
  • Then, set an attainable goal, such as planning to walk a few specific days per week instead of aiming for every day.
  • Making a more realistic goal can enhance the chances of making your new routine last, especially if you’re new to working out.
  1. Take more ‘me time’ and practice self-care 
  • Taking time for yourself is not selfish. In fact, it’s imperative for optimal health and wellbeing. This is especially true for those in caretaker roles, such as parents and healthcare workers
  • For people with busy schedules and limited time, making a resolution to engage in self-care may take some planning. However, it’s well worth the time investment.
  • Self-care doesn’t have to be elaborate or time-consuming. It can simply mean taking a bath every week, attending your favorite weekly yoga class, preparing a healthy meal for yourself, going for a walk in nature, or getting an extra hour of sleep.
  1. Cook more meals at home
  • Research shows that people who cook more meals at  home have better diet quality and less body fat than people who eat more meals on the go
  • In fact, a study in 11,396 adults found that those who ate 5 or more home-cooked meals per week were 28% less likely to be overweight, compared with those who ate fewer than 3 home-cooked meals per week
  • Start by making one meal a day, then increase the frequency over time until you’re making the majority of your meals and snacks at home.
  1. Spend more time outside
  • Spending more time outdoors  can improve health by relieving stress, elevating mood, and even lowering blood pressure
  • Making a better New Year’s resolutions to spend more time outside every day is a sustainable and healthy goal that can benefit most everyone, no matter where you live.
  • Taking a walk outside during your lunch break, hiking on weekends, going camping with friends, or simply soaking in the beauty of your backyard or local park are all ways to incorporate nature into your daily routine.
  1. Limit screen time 
  • Many people depend on their phones and computers for work and entertainment. However, spending too much time on electronic devices — particularly on social media — has been linked to depression, anxiety, and loneliness in some studies
  • Setting a resolution to cut back on the time you spend scrolling through social media, watching TV, or playing computer games may help boost your mood and enhance productivity.
  1. Try meditation
  • Meditation is an evidence-based way to promote mental well-being. It may be particularly helpful for people who have anxiety or depression
  • Trying out this practice is part of better New Year’s resolutions because there are many ways to meditate, and it’s easy to find books, podcasts, and apps that teach you how to start a meditation practice.
  1. Rely less on convenience foods 
  • Many people rely on convenience foods, such as packaged chips, cookies, frozen dinners, and fast food, for a quick meal or snack. Though these items may be tasty and readily available, they can have detrimental effects on your health if eaten too often.
  • For example, frequent fast food intake is associated with poor overall diet quality, obesity, and an increased risk of numerous conditions, including heart disease and diabetes
  • To cut back on your consumption of convenience foods, make a resolution to prepare more meals at home using healthy ingredients.
  1. Rethink dieting 
  • Chronic dieting is harmful to both physical and mental health. Plus, most people who lose weight through restrictive dieting regain up to two-thirds of the weight lost within 1 year
  • Dieting can also make it harder to lose weight in the future.
  • Rather than setting a New Year’s resolution to lose weight by using restrictive measures, such as a fad diet, try a healthier, more sustainable method of weight loss by focusing on increasing physical activity and  eating healthier foods. 
  1. Go grocery shopping regularly 
  • Having a well-stocked pantry and fridge is necessary to prepare healthy, home-cooked meals.
  • If you’re not used to going grocery shopping, make a New Year’s resolution to go to the supermarket or farmer’s market more regularly to stock up on nutritious ingredients.
  • Depending on your schedule, it may be helpful to designate 1 day each week as your day to shop. Ensuring that you have time to buy the groceries you need to make tasty, nourishing meals is a savvy way to improve your diet quality.
  1. Use healthier household products 
  • It’s obvious that what you put into your body can significantly impact your health. However, what you choose to put onto your body and what products you use in your home matter, too
  • Make this part of your better New Year’s resolutions:  purchase more natural beauty products, household cleaners, laundry detergents, and personal care products to create a healthier environment for yourself and your family.
  1. Add more produce to your diet 
  • Adding more cooked and raw vegetables and fruits to your diet can go a long way towards improving your health in the new year.
  • Numerous studies have shown that eating a diet rich in produce helps protect against various illnesses, such as diabetes, heart diseases, certain cancers, and obesity, as well as overall
  1. Cut back on alcohol 
  • Though alcohol can certainly fit into a healthy diet, imbibing too often can negatively affect your health. What’s more, drinking alcohol frequently may keep you from reaching your health and wellness goals (32Trusted Source).
  • If you think cutting back on alcohol may be helpful for you, set a reasonable goal to keep yourself on track, such as limiting drinking to weekend nights only or setting a drink limit for the week.
  • If you need a non-alcoholic beverage idea to replace your usual cocktail of choice, try fruit-infused sparkling water, kombucha, or one of these fun mocktails.
  1. Be more present
  • Research shows that being more present may improve life satisfaction by decreasing negative thoughts, which may thereby improve psychological health
  • Making this part of your better New Year’s resolutions:  be more mindful and present may help you feel more content in your everyday life.
  • Spending less time on your phone, stopping to notice your environment, and listening intently to others are simple ways to be more present.
  1. Take a vacation
  • Taking a vacation — even a short one — may have significant and immediate positive effects on stress levels and may enhance well-being
  • In the new year, make a resolution to take a vacation with friends or family members, or on your own. Whether you travel to an area you’ve always wanted to visit or simply plan a staycation at home, taking some time for rest and relaxation is important for health.
  1. Try a new hobby
  • It’s common for adults to let once-loved hobbies fall by the wayside as they get older due to busy schedules or lack of motivation.
  • However, research shows that partaking in a hobby that you love can help you live a longer, healthier life
  • Make a resolution to try out a hobby that you’ve always been interested in — or pick back up a hobby that used to bring you joy.
  1. Stop negative body talk
  • Talking negatively about your body can lead to feelings of body shame. In fact, research shows that engaging in and hearing negative body talk is associated with higher levels of body dissatisfaction and decreased self-esteem in both women and men
  • Make a healthy New Year’s resolution to engage in positive self-talk regularly and reduce negative body talk. This may not only help improve your relationship with your own body but also encourage others to stop talking negatively about themselves.
  1. Visit your doctor 
  • Getting examined regularly by your healthcare practitioner is important for many reasons. Having regular blood work and necessary screenings can help spot potential problems before they turn into something more serious.
  • Though your pace of doctor’s visits depends on many things, including the type of medical care, your age, and your medical history, most experts recommend seeing your primary care physician at least once a year for a checkup.
  1. Take care of your teeth 
  • Maintaining your oral health is a New Year’s resolution idea that can and should be sustained for life.
  • Brushing and flossing your teeth regularly can help prevent oral conditions like gum disease and bad breath
  • What’s more, some research suggests that gum disease may be associated with serious health conditions, such as Alzheimer’s and heart disease, making oral care all the more important
  • In addition to regular brushing and flossing, most dentists recommend a checkup and cleaning at least once a year
  1. Create a sustainable, nourishing diet
  • You may be making a resolution to eat healthier or lose weight year after year because you’re prioritizing short-term changes over long-term health benefits.
  • Instead of making a plan to follow yet another restrictive fad diet, this New Year, make a better New Year’s resolution to break the dieting cycle and create a sustainable, nourishing eating pattern that works for you.
  • The healthiest diet is one that’s rich in whole, nutrient-dense foods and low in heavily processed, sugary products. A healthy, long-term diet should not only be nutritious but also adaptable, meaning you can follow it for life — no matter the circumstances.
  • A sustainable eating pattern can be maintained on vacation, during holidays, and at parties because it’s unrestrictive and suited to your lifestyle.
  • Check out this beginners’ guide to healthy eating to get started.

The bottom line

  • Though most New Year’s resolutions are only kept for a short period, the better New Year’s resolutions listed above are sustainable ways to improve your physical and emotional health that can be followed for life.
  • Creating a healthier relationship with food and taking better care of your body and mind can drastically improve your health in various ways.
  • This New Year, try out a few of the better New Year’s resolutions in this article to help make this year — and the years that follow — the healthiest and happiest possible.

Thank you to healthline.com

Tagged With: Cumming, Dr. Jim Morrow, Happy New Year, Milton, Morrow Family Medicine, new years resolutions, To Your Health, To Your Health With Dr. Jim Morrow

The Status of Covid-19 Vaccines – Episode 45, To Your Health With Dr. Jim Morrow

November 30, 2020 by John Ray

Covid-19 Vaccines
North Fulton Studio
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The Status of Covid-19 Vaccines – Episode 45, To Your Health With Dr. Jim Morrow

Three different Covid-19 vaccines are in late stage development, and the companies who have developed them may be seeking approval for distribution very soon. On this edition of “To Your Health,” Dr. Morrow examines each of these vaccines and discusses whether they are safe and effective. “To Your Health” is brought to you by Morrow Family Medicine, which brings the CARE back to healthcare.

About Morrow Family Medicine and Dr. Jim Morrow

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 Morrow Family Medicine one that will remind you of the way healthcare should be.  At Morrow Family Medicine, we like to say we are “bringing the care back to healthcare!”  Morrow Family Medicine 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.

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 the area of 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

How Vaccines Work

  • The Immune System—
    • To understand how vaccines work, it helps to first look at how the body fights illness.
    • When germs, such as bacteria or viruses, invade the body, they attack and multiply.
    • This invasion, called an infection, is what causes illness.
    • The immune system uses several tools to fight infection.
    • Blood contains red blood cells, for carrying oxygen to tissues and organs, and white or immune cells, for fighting infection.
      • These white cells consist primarily of macrophages, B-lymphocytes and T-lymphocytes:
        • Macrophages are white blood cells that swallow up and digest germs, plus dead or dying cells.
          • The macrophages leave behind parts of the invading germs called antigens.
          • The body identifies antigens as dangerous and creates antibodies to attack them.
        • B-lymphocytes are defensive white blood cells.
          • They produce antibodies that attack the antigens left behind by the macrophages.
        • T-lymphocytes are another type of defensive white blood cell.
          • They attack cells in the body that have already been infected.
        • The first time the body encounters a germ, it can take several days to make and use all the germ-fighting tools needed to get over the infection.
          • After the infection, the immune system remembers what it learned about how to protect the body against that disease.
          • The body keeps a few T-lymphocytes, called memory cells, that go into action quickly if the body encounters the same germ again.
          • When the familiar antigens are detected, B-lymphocytes produce antibodies to attack them.

Current State

  • In the United States, there is not yet an authorized or approved vaccine to prevent coronavirus disease 2019 (COVID-19).
    • The federal government, through Operation Warp Speed, has been working since the pandemic started to make one or more COVID-19 vaccines available as soon as possible.
    • Although CDC does not have a role in developing COVID-19 vaccines,
      • CDC has been working closely with health departments and partners to develop vaccination plans for when a vaccine is available.
    • With the possibility of one or more COVID-19 vaccines becoming available before the end of the year, here are some things you need to know about where those plans currently stand.
      • The safety of COVID-19 vaccines is a top priority.
        • The U.S. vaccine safety system ensures that all vaccines are as safe as possible.
      • Many vaccines are being developed and tested, but some might be ready before others—CDC is planning for many possibilities.
      • At least at first, COVID-19 vaccines might be used under an Emergency Use Authorization (EUA) from the U.S. Food and Drug Administration (FDA).
      • There may be a limited supply of COVID-19 vaccines before the end of 2020, but supply will continually increase in the weeks and months that follow.
        • The goal is for everyone to be able to easily get a COVID-19 vaccine as soon as large quantities are available.
          • The plan is to have several thousand vaccination providers available, including doctors’ offices, retail pharmacies, hospitals, and federally qualified health centers.
        • If there is limited supply, some groups may be recommended to get a COVID-19 vaccine first.
        • Experts are working on how to distribute these limited vaccines in a fair, ethical, and transparent way.
      • At first, COVID-19 vaccines may not be recommended for children.
        • In early clinical trials for various COVID-19 vaccines, only non-pregnant adults participated.
          • However, clinical trials continue to expand those recruited to participate.
          • The groups recommended to receive the vaccines could change in the future.
        • Cost will not be an obstacle to getting vaccinated against COVID-19.
          • Vaccine doses purchased with U.S. taxpayer dollars will be given to the American people at no cost.
            • However, vaccine providers will be able to charge administration fees for giving or administering the shot to someone.
            • Vaccine providers can get this fee reimbursed by the patient’s public or private insurance.

The Possibilities

  • Pfizer and Moderna used the same basic design to build their vaccines. Both vaccines contain a genetic molecule called messenger RNA, which is wrapped in an oily bubble. The bubble can fuse to a muscle cell and deliver the RNA. Encoded in that molecule are instructions for building a single coronavirus protein called spike protein. When a vaccinated cell releases copies of the spike protein, the immune system learns to make antibodies against it.
  • While scientists have investigated mRNA vaccines for years, no vaccine has yet been licensed as safe and effective to use in people. When Moderna and other vaccine makers began designing mRNA vaccines for coronaviruses, skeptics wondered how well they would work. The two preliminary reports from both Moderna and Pfizer suggest this type of vaccine may work very well. Neither trial has uncovered serious side effects from the vaccines, although studies on their safety are continuing.

 Moderna Vaccine

  • Covid-19 can lead to a mild illness, or it can lead to a severe case that requires hospitalization and oxygen support. Out of the 95 people who got sick in the Moderna study, 11 experienced severe disease. None of those 11 people were vaccinated. In other words, the five vaccinated people who got sick experienced only mild symptoms, and all of the severe cases were participants from the placebo group.
  • “It couldn’t be a more favorable split,” said Natalie Dean, a biostatistician at the University of Florida.
  • The split suggests that Moderna’s vaccine doesn’t just block the virus in most cases, but also shields the people who do get sick from the worst outcomes of the disease. It also eases concerns that a vaccine for Covid-19 may make the disease worse, not better.
  • Moderna took a billion dollars from Operation Warp Speed.
  • Pfizer did not take money from OWS, but they do have a distribution agreement with the government.

Pfizer – BioNTec Vaccine

  • The drug maker Pfizer said on Wednesday that its coronavirus vaccine was 95 percent effective and had no serious side effects — the first set of complete results from a late-stage vaccine trial as Covid-19 cases skyrocket around the globe.
  • The data showed that the vaccine prevented mild and severe forms of Covid-19, the company said. And it was 94 percent effective in older adults, who are more vulnerable to developing severe Covid-19 and who do not respond strongly to some types of vaccines.
  • Pfizer, which developed the vaccine with its partner BioNTech, said the companies planned to apply to the Food and Drug Administration for emergency authorization“within days,” raising hopes that a working vaccine could soon become a reality.
  • The trial results — less than a year after researchers began working on the vaccine — shattered all speed records for vaccine development, a process that usually takes years.

Astra Zeneca – Oxford Vaccine

  • AstraZeneca’s vaccine is a different type. It uses a virus from chimpanzees, an adenovirus, to carry protein into the cells to make them produce spike proteins.
  • Developed by the University of Oxford, this vaccine is effective at stopping people developing Covid-19 symptoms, a large trial shows.
  • Interim data suggests 70% protection, but the researchers say the figure may be as high as 90% by tweaking the dose.
  • The results will be seen as a triumph but come after Pfizer and Moderna vaccines showed 95% protection.
  • However, the Oxford vaccine is far cheaper, and is easier to store and get to every corner of the world than the other two.
  • So, the vaccine will play a significant role in tackling the pandemic, if it is approved for use by regulators.

The Bottom Line

  • A vaccine is on the way.
    • It will be safe when released and
    • apparently will be much more effective than we first thought it might be.
    • People need to have an open mind about this and realize that politicians did not make these vaccines.
    • When the time comes, and you are offered the vaccine, TAKE IT!

Source:  www.cdc.gov

Tagged With: Astra Zeneca, BioNTec Vaccine, COVID-19, Covid-19 vaccine, Covid-19 vaccines, Dr. Jim Morrow, Moderna vaccine, Morrow Family Medicine, Oxford Vaccine, Pfizer, To Your Health With Dr. Jim Morrow, vaccines

Pancreatic Cancer- Episode 44, To Your Health With Dr. Jim Morrow

November 12, 2020 by John Ray

pancreatic cancer
North Fulton Studio
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Pancreatic Cancer – Episode 44, To Your Health With Dr. Jim Morrow

Popular “Jeopardy” host Alex Trebek just passed away from complications caused by pancreatic cancer. On this edition of “To Your Health,” Dr. Morrow covers pancreatic cancer, its possible causes, including genetic factors, and the limited effective treatment options. Dr. Morrow also offers a Covid-19 update which includes advice on how to handle family visits for Thanksgiving. “To Your Health” is brought to you by Morrow Family Medicine, which brings the CARE back to healthcare.

About Morrow Family Medicine and Dr. Jim Morrow

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 Morrow Family Medicine one that will remind you of the way healthcare should be.  At Morrow Family Medicine, we like to say we are “bringing the care back to healthcare!”  Morrow Family Medicine 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.

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 the area of 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

Overview

  • Pancreatic cancer begins in the tissues of your pancreas —
    • an organ in your abdomen that lies behind the lower part of your stomach.
    • Your pancreas releases enzymes that aid digestion and produces hormones that help manage your blood sugar.
  • Several types of growths can occur in the pancreas,
    • including cancerous and noncancerous tumors.
    • The most common type of cancer that forms in the pancreas begins in the cells that line the ducts that carry digestive enzymes out of the pancreas (pancreatic ductal adenocarcinoma).
  • Pancreatic cancer is seldom detected at its early stages when it’s most curable.
    • This is because it often doesn’t cause symptoms until after it has spread to other organs.
  • Pancreatic cancer treatment options are chosen based on the extent of the cancer. Options may include surgery, chemotherapy, radiation therapy or a combination of these.

Symptoms

  • Signs and symptoms of pancreatic cancer often don’t occur until the disease is advanced.
  • They may include:
    • Abdominal pain that radiates to your back
    • Loss of appetite or unintended weight loss
    • Yellowing of your skin and the whites of your eyes (jaundice)
    • Light-colored stools
    • Dark-colored urine
    • Itchy skin
    • New diagnosis of diabetes or existing diabetes that’s becoming more difficult to control
    • Blood clots
    • Fatigue

·      When to see a doctor

  • See your doctor if you experience any unexplained symptoms that worry you.
  • Many other conditions can cause these symptoms,
    • so your doctor may check for these conditions as well as for pancreatic cancer.

Causes

  • It’s not clear what causes pancreatic cancer.
    • Doctors have identified some factors that may increase the risk of this type of cancer,
      • including smoking
      • and having certain inherited gene mutations.

Understanding your pancreas

  • Your pancreas is about 6 inches (15 centimeters) long
    • and looks something like a pear lying on its side.
    • It releases (secretes) hormones,
      • including insulin, to help your body process sugar in the foods you eat.
      • And it produces digestive juices to help your body digest food and absorb nutrients.

How Pancreatic Cancer Forms

  • Pancreatic cancer occurs when cells in your pancreas develop changes (mutations) in their DNA.
    • A cell’s DNA contains the instructions that tell a cell what to do.
    • These mutations tell the cells to grow uncontrollably
      • and to continue living after normal cells would die.
    • These accumulating cells can form a tumor.
      • When left untreated, the pancreatic cancer cells can spread to nearby organs and blood vessels and to distant parts of the body.
  • Most pancreatic cancer begins in the cells that line the ducts of the pancreas.
    • This type of cancer is called pancreatic adenocarcinoma
      • or pancreatic exocrine cancer.
    • Less frequently, cancer can form in the hormone-producing cells or the neuroendocrine cells of the pancreas.
    • These types of cancer are called
      • pancreatic neuroendocrine tumors,
      • islet cell tumors or
      • pancreatic endocrine cancer.

Risk factors

  • Factors that may increase your risk of pancreatic cancer include:
    • Smoking
    • Diabetes
    • Chronic inflammation of the pancreas (pancreatitis)
    • Family history of genetic syndromes that can increase cancer risk,
      • including a BRCA2 gene mutation,
    • Family history of pancreatic cancer
    • Obesity
    • Older age, as most people are diagnosed after age 65
  • A large study demonstrated that the combination of
    • smoking,
    • long-standing diabetes
    • and a poor diet
    • increases the risk of pancreatic cancer beyond the risk of any one of these factors alone.

Complications

  • As pancreatic cancer progresses, it can cause complications such as:
    • Weight loss.
      • A number of factors may cause weight loss in people with pancreatic cancer.
      • Weight loss might happen as the cancer consumes the body’s energy.
      • Nausea and vomiting caused by cancer treatments or a tumor pressing on your stomach may make it difficult to eat.
      • Or your body may have difficulty processing nutrients from food because your pancreas isn’t making enough digestive juices.
    • Pancreatic cancer that blocks the liver’s bile duct can cause jaundice.
    • Signs include yellow skin and eyes,
      • dark-colored urine,
      • and pale-colored stools.
      • Jaundice usually occurs without abdominal pain.
    • A growing tumor may press on nerves in your abdomen,
      • causing pain that can become severe.
      • Pain medications can help you feel more comfortable.
      • Treatments, such as radiation and chemotherapy, might help slow tumor growth and provide some pain relief.
    • In severe cases, your doctor might recommend a procedure to inject alcohol into the nerves that control pain in your abdomen (celiac plexus block).
      • This procedure stops the nerves from sending pain signals to your brain.
  • Bowel obstruction.
    • Pancreatic cancer that grows into or presses on the first part of the small intestine (duodenum) can block the flow of digested food from your stomach into your intestines.

Treatment

  RESECTABLE LESIONS

  • Surgical resection is the only potentially curative treatment for pancreatic ductal adenocarcinomas.
    • Approximately 15% to 20% of patients have resectable disease,
      • but less than 20% of patients who undergo surgery survive five years.
    • Although immediate postoperative mortality is less than 5%,
      • the median survival is about 12 to 19 months.
    • Studies support the recommendation that pancreatic resections should be performed at high-volume institutions,
      • generally those that complete at least 15 pancreatic resections annually.
    • Higher-volume centers have reported
      • decreased mortality rates,
      • shorter hospital stay,
      • and lower overall cost compared with low-volume institutions.
  • The classic surgery for resection of a carcinoma of the head of the pancreas is a pancreaticoduodenectomy,
    • also known as a Whipple procedure.
      • In this surgery, the gallbladder, common bile duct, second portion of the duodenum, and the head of the pancreas are resected.
  • Tumors involving the body or tail of the pancreas are rarely resectable.
    • They are usually advanced at diagnosis and cause symptoms late in their development.
  • There is no standard for providing adjuvant treatment of pancreatic ductal adenocarcinomas postoperatively.
    • Chemotherapy improves survival by two to three months compared with observation alone.

UNRESECTABLE LESIONS

  • More than 80% of patients present with disease that is not surgically resectable.
  • Although a histologic diagnosis is not necessary before surgery,
    • it is required for treatment of locally advanced,
      • unresectable,
      • or metastatic disease.
      • Some studies have addressed the use of chemoradiation with or without chemotherapy to convert unresectable disease status to resectable.
      • Postresection, these patients have survival rates similar to those with disease initially determined to be resectable.

LOCALLY ADVANCED LESIONS AND METASTASIS

  • The primary goals of treatment for advanced pancreatic cancers are palliation and improved survival.
    • In some patients who have good performance status (i.e., adequate nutrition and pain control),
      • some effect on survival may be achieved.
  • The National Comprehensive Cancer Network recommends
    • systemic chemotherapy
      • followed by chemoradiation therapy as a treatment option.

PALLIATIVE CARE

  • Very often, when this is diagnosed, there is already nothing that can be done for the patient. It is just that bad a disease.

Prevention

  • You may reduce your risk of pancreatic cancer if you:
    • Stop smoking.
      • If you smoke, try to stop.
      • Talk to your doctor about strategies to help you stop, including support groups, medications and nicotine replacement therapy.
      • If you don’t smoke, don’t start.
    • Maintain a healthy weight.
      • If you are at a healthy weight, work to maintain it.
      • If you need to lose weight, aim for a slow, steady weight loss — 1 to 2 pounds (0.5 to 1 kilogram) a week.
      • Combine daily exercise with a diet rich in vegetables, fruit and whole grains with smaller portions to help you lose weight.
    • Choose a healthy diet.
      • A diet full of colorful fruits and vegetables and whole grains may help reduce your risk of cancer.
  • Consider meeting with a genetic counselor if you have a family history of pancreatic cancer.
    • He or she can review your family health history with you and determine whether you might benefit from a genetic test to understand your risk of pancreatic cancer or other cancers.

Tagged With: Cancer, Dr. Jim Morrow, Morrow Family Medicine, pancreatic cancer, To Your Health With Dr. Jim Morrow

Your Weight and How to Deal With It- Episode 42, To Your Health With Dr. Jim Morrow

October 14, 2020 by John Ray

weight and how to deal with it
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Dr. Jim Morrow, Morrow Family Medicine

Your Weight and How to Deal With It- Episode 42, To Your Health With Dr. Jim Morrow

On this episode of “To Your Health,” Dr. Morrow discusses weight and how to deal with it, including the genetic and lifestyle factors that influence it. He also talks about how our weight has been impacted by the life changes made during the pandemic. “To Your Health” is brought to you by Morrow Family Medicine, which brings the CARE back to healthcare.

About Morrow Family Medicine and Dr. Jim Morrow

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 Morrow Family Medicine one that will remind you of the way healthcare should be.  At Morrow Family Medicine, we like to say we are “bringing the care back to healthcare!”  Morrow Family Medicine 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.

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 the area of 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

Complications of Covid-19

  • Acute Respiratory Failure
  • Pneumonia
  • Acute Respiratory Distress Syndrome (ARDS)
  • Acute Liver Injury
  • Acute Cardiac Injury
  • Secondary Infection
  • Acute Kidney Injury
  • Septic Shock
  • Disseminated Intravascular Coagulation
  • Blood Clots
  • Multi-system Inflammatory Syndrome in Children
  • Chronic Fatigue
  • Rhabdomyolysis

Your Weight and How to Deal With It 

  • For years, I have explained to patients about their weight using a term called Ideal Body Weight.
    • It’s a terrible number, an almost unreachable number.
    • Especially in the state of Georgia.
      • The obesity rate in Georgia is close to the highest in the country, about 11th highest when last counted.
    • However, I am not one to preach to people that they need to get down to a certain level. Because it is so dog gone hard.
    • These days the usual way to determine if a person is “obese” is using their Body Mass Index, or BMI.
      • BMI, unlike ideal body weight, takes into consideration the person’s height.
      • To determine your BMI, multiply your height by 703. Divide that number by your height in inches. Divide that number again by your height in inches.

 

·      BMI·      Category·      What it means
·      Below 19·      Underweight·      You might need to gain some weight. Talk to your doctor.
·      19 to 24·      Healthy·      You are at a healthy weight. Try to maintain this weight.
·      25 to 29·      Overweight·      Don’t gain any more weight. You may need to lose weight. Check with your doctor.
·      30 or higher·      Obese·      You probably need to lose weight. Talk to your doctor about the best ways to lose weight.

 

  • So… according to this, if your BMI is over 25, you are overweight
    • and if it is over 30 you are obese.
    • If it is above 35, you are considered morbidly obese.
    • If that is the case, then the conversation in my exam room will likely be slightly different form if the number is closer to 30-32.
  • I see people every day who are upset about their weight.
    • I mean, I live in Georgia right.
    • When I do see one who is thinner than average,
    • I will tell them that if they plan to stay in Georgia,
    • they’re going to have to lose some weight.
  • The visit where weight comes up might be with a man or a woman.
    • If it is a man, there is usually woman who has forced him to bring it up.
  • Men are very fortunate.
    • When they put their minds to it,
      • they can, at nearly any age, lose weight.
      • Woman have a MUCH harder time losing weight.
      • And here’s the thing that patients really hate to hear me say:

If you are a post-menopausal woman,

you are incredibly unlikely to really lose weight.

  • It’s just so hard. And there are two primary reasons for this:
    • Genetics:
      • When I go to a family reunion, there is a room full of people there who look just like me.
      • I love these people, but we all share the same genes and some of those genes make us bigger than others.
      • It is just the way it is.
      • And you can’t change anything about this.
      • You can work really hard to exercise as much as you can.
      • You can try to be as active as you can.
      • But you are not going to change the impact that genetics has on your weight.
        • Period.
          • You just aren’t.
  • Lifestyle:
    • This is the one that really gets people.
    • Sure, you can change your lifestyle.
    • You can start doing things differently.
    • You can join a gym,
      • you can start running (although another thing that people hate to hear me say is that if you are over 40 you are too old to run).
    • Back in the 80’s I wrote a diet booklet to give to patients.
      • It had a substitution diet in it, like a diabetic diet,
        • with various plans for different calorie intakes each day.
        • It said two things that are still important today:
      • The word diet has two definitions:
        • It is the food you eat on a regular basis
        • It is a plan you begin in an effort to lose weight.
      • The problem is that what people are thinking about is the second definition.
        • They think, and heaven knows I have done this more times than I could ever count,
          • “Man, I can’t wait to get to my goal weight so I can get off this damn diet!”
  • Years ago I did Weight Watchers, for the first time.
    • I went to meetings.
    • I counted points.
    • I was religious about it.
    • It was one of those times when I had just had it with my weight.
      • Finally, after several months, I hit my goal weight and at that meeting they made such a big deal out of me doing that and me receiving my Lifetime Membership Award.
      • It felt so much like “graduation” that I basically graduated from WW that night.
      • And I never looked at points again.
        • Having lost 42 pounds, I gained 50 in less than a year.
      • I have probably lost a thousand pounds in my life.
      • So… what does this mean for you?
      • Here is the way I feel about this.
  • If you are overweight or obese,
    • you should be a lot more concerned about not gaining weight year after year, than trying to lose weight.
    • If you are a youngster, sure go ahead and try to get down to where you feel you should be.
    • But if you are one of those post-menopausal women I see, or a man over 55 – 60, pay more attention to not gaining weight.
  • If you come for a physical every year, like you should,
    • and you gain five pounds, be careful.
      • A month ago, I saw a gentleman for his yearly physical.
      • He asked about this weight and when I said he had gained five pounds, he was so happy.
      • Pumped his fist and said “YES! YES!”.
    • I said, slow your roll there big guy, you have said that 7 years in a row.
      • So, quick math, he had gained 35 pounds since we started seeing him 7 years earlier.
    • I admire anyone who is interested in making themselves healthier.
      • It is what we should all be doing.
      • But when I see people who are devastated by their inability to lose weight, it concerns me.
      • Often these are people who would otherwise be perfectly happy in their lives.
      • But instead they are depressed or at a minimum upset about their weight.
    • Bottom line in this for me is:
      • Be who you are.
      • Try to be happy with who you are, and be the healthiest version of who you are that you can be.

Tagged With: Dr. Jim Morrow, Morrow Family Medicine, obesity, overweight, pandemic, To Your Health With Dr. Jim Morrow, weight

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