Author: Kenneth Hawkins

Taming the Tension Headache

What the Experts Say About Fractures

If you’re like most people, you spend little time thinking about your bone health. However, all it takes is one split-second accident, fall, sports injury or poor decision and your bone could fracture, or break. Or, what appeared to be a minor injury can lead to a fracture of the weakened bone down the road.¹ At Medco ER, we want you to have a basic understanding of fractures and how to correctly apply first aid on your way to our Plano, TX, facility. Let’s take a closer look at the two kinds of fractures and how to respond to them.

Simple Fracture

Also called a “closed fracture,” this kind of injury means the bone is broken but not protruding through the skin.

Compound Fracture

Also called an “open fracture,” this kind of break causes a fragment of bone to pierce the skin, thus, opening the skin into an external wound.

“In the event of a compound fracture,” said Medco ER’s Medical Director, Dr. Nasir Khan, “You should be careful not to touch it or allow any contaminants into the wound. The open skin is prone to infection so cover with something sterile, if possible. Don’t get overly involved in wrapping the wound, however. Just bring the patient to Medco ER right away. Our board-certified physicians can quickly respond to these kinds of emergencies.”

Symptoms of a Fracture

While it is not always easy to know if the bone is fractured or just bruised or the muscles sprained, there are some key symptoms you can look for such as:

• Sharp pain
• Guarding the area, not wanting anyone to touch it
• Misshapen area
• Swelling
• Warm to the touch
• Bruising or redness
• Protrusion and bleeding
• Numbness
• Inability or difficulty in moving the limb

Fracture First Aid

“Fractures need immediate medical attention, but you should first work to keep the patient calm,” said Dr. Khan. “Check their vitals. Are they breathing? Are they injured in other ways? Are they showing signs of shock? If possible, immobilize the wounded area with a makeshift splint, such as rolled up newspapers and strips of cloth. You can apply ice packs to reduce the swelling and try to keep the injury elevated as you come to the ER. For shock, keep the patient covered, calm and lying down. Bring the patient to Medco ER right away.”

How Can I Strengthen My Bones?

Wanting to prevent a potential fracture? There are some simple things you can do to build up bone density and strength.

• Eat a balanced diet with plenty of fruits and vegetables. It is especially important to get vitamin D and calcium in your diet.
• Get plenty of sunlight – at least 15 minutes each day on your skin – to replenish your vitamin D.
• Get help to stop smoking. Smoking increases your risk of fractures and delays healing.
• Drink milk not alcohol. Alcohol increases your risk of osteoporosis while calcium helps build up bones.
• Do simple, weight-bearing exercises to strengthen bones and build up density. The more active you are, the lower your risk of osteoporosis.²

Get Help Fast at Medco ER 

Fractures are a part of life, and at Medco ER, we’re here to help you or your child when accidents happen. Our facility is open 24/7 and we have imaging equipment, such as X-ray and CT scan, and treatments at the ready to take good care of you.

Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

• Call us @ 469-747-0370

¹ https://medlineplus.gov/fractures.html

² https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/bone-health/art-20045060

2 Diabetic Emergencies You Should Not Ignore

If living with diabetes is the new norm for you—as it is for 37 million Americans¹—your routine can make it easy to overlook changes and to make dietary mistakes that can quickly turn into diabetic emergency conditions that require medical care. Left untreated, these conditions can deteriorate into coma, seizures, or even death. Here are two diabetic-related emergency conditions that you absolutely cannot ignore and what you need to do when they happen.

Emergency #1 – High blood sugar

Hyperglycemia—or blood sugar that is too high—can be caused by illness, not eating enough, or low insulin. This condition can lead to diabetic ketoacidosis (DKA) in patients with Type 1 diabetes or nonketotic hyperosmolar syndrome in Type 2 diabetics. DKA can cause dehydration, abdominal pain, frequent urination, and dangerously low blood pressure.

Symptoms of DKA: patient may show confusion, fatigue, excessive thirst, fast breathing, nausea and vomiting. Patient may exhibit signs of shock including weakness, fast heart rate, sweating, dry skin, dry mouth, fruity breath, flushed face, headache, anxiety and disorientation. Left untreated, patient will lose consciousness and eventually die.

What to do for DKA: test your urine for high ketones using a test kit strip.² If the ketones are high, call your primary care physician immediately or come to Medco ER. Treatment may include fluid replacement, electrolyte replacement and insulin.³

“If you are experiencing high blood sugar, it is important to stop any physical activity,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Exercise elevates ketones and that is the opposite of what you need to happen when you’re in this position. Come to Medco ER right away for expert help stabilizing your blood sugar.” 

Emergency #2 – Low blood sugar

Hypoglycemia—or low glucose in the blood—can be caused by improper nutrition, illness, too much exercise, alcohol, heat or humidity, high altitude, or too much insulin. This diabetic emergency can lead to convulsions or seizures if left untreated.

Symptoms of low blood sugar: symptoms can vary but may include pale skin, lightheadedness, shaking, sweating, headache, fatigue, irritability, fast heart rate, confusion, difficulty speaking or eating, weakness, hunger, anxiety, or blurred vision.⁴

What to do for low blood sugar: text your blood sugar. If it is below 54mg/dL, you will be close to fainting.⁵ If someone is with you, try injecting glucagon from a kit provided by your physician. If no glucagon is available or if it isn’t enough to revive you and normalize your blood sugar levels in 15 minutes, call 911 or come to Medco ER right away.⁶

“If you don’t have glucagon or if you are still confused and your numbers are low, come to Medco ER right away,” said Dr. Khan. “We can help raise your blood sugar to get you out of the danger zone and back to feeling better again.”

Get Help Fast at Medco ER 

Don’t wait to the point of fainting or seizures before you respond to these two potential diabetic emergencies. Come in right away to the nearest Medco ER. No need to call ahead—we’re open 24/7 every day of the year and our board-certified physicians are experienced in responding to insulin-related crises. You’ll get top quality care at Medco ER.

• Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-747-0370

• Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006

Call us @ 469-840-4600

¹ https://www.diabetes.org/about-us/statistics/about-diabetes

² https://search.cdc.gov/search/?query=diabetic%20coma&dpage=1#results

³ https://www.mayoclinic.org/diseases-conditions/hyperglycemia/diagnosis-treatment/drc-20373635

⁴ https://www.mayoclinic.org/diseases-conditions/diabetic-hypoglycemia/symptoms-causes/syc-20371525

⁵ https://www.cdc.gov/diabetes/basics/low-blood-sugar.html

⁶ https://www.cdc.gov/diabetes/basics/low-blood-sugar-treatment.html

3 Myths About Dehydration that Could Hurt You

Summertime can be the busiest time of the year. Not only are you getting all your projects done, but you’re also squeezing in all the fun you can. This extra running, combined with our excessive Texas heat, can result in dehydration if you’re not careful with your water intake. Left unchecked, dehydration can quickly become serious.

Dehydration Explained

Dehydration is the lack of sufficient water for your body’s needs. Symptoms can begin with even as little as 1.5% fluid loss.¹

When the body is low on water, several adverse things begin to happen.

• Your heart must work harder to pump blood²
• Your muscles don’t move efficiently
• Your feet and hands may swell as your body retains fluid
• You start to feel really sick: dizzy, headache, dry mouth, pounding heart, shaky

Dehydration can be caused by not getting enough water and by exercising, drinking alcohol, taking certain medications, unrelenting hot weather, or by being sick with vomiting or diarrhea.

But many of us are used to living with a certain level of dehydration and we tell ourselves it will be ok because we’ve pushed the envelope before. Here are 3 common myths that need to be debunked when it comes to protecting yourself from the adverse effects of dehydration.

Myth #1 – Drink when you’re thirsty and you’ll be fine

“Waiting to drink water when you are thirsty is not the best plan of action against dehydration,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Your body will already be struggling to get back to a comfortable hydration point, especially if countering the effects of hot weather or exercise. Also, as you age, your thirst indicator becomes less noticeable and, thus, less reliable.” 

Pro Tip: Drink before you notice thirst and keep up the water intake throughout the day.

Myth #2 – Drinking a lot of water quickly will take care of it

Drinking excessive amounts of water at one time is not the best way to remain hydrated all day. Your body will rapidly purge more and retain less, leaving you still dehydrated as you keep working or the heat remains an issue.

Pro Tip: Drink small amounts of water throughout the day to make sure you are getting plenty.

Myth #3 – Dehydration is unpleasant but not dangerous

“Dehydration can quickly become dangerous and even deadly,” said Dr. Khan. “We treat patients all the time with IVs and electrolyte intervention to try to restore them to health. It’s not something to take lightly.”

Additionally, it can contribute to an imbalance of electrolytes—or hypernatremia—which can make you very sick. Another complication that is made worse by dehydration is low fluid levels in the cells of the body, or hypovolemia. Over time, liver and kidney damage can occur. Most of these complications can be alleviated with proper hydration habits.

Pro Tip: Help educate those around you and establish good hydration habits in their lives.

Symptoms of Dehydration³

• Dark-colored urine
• Strong-smelling urine
• Less frequent urination
• Muscle cramps
• Lightheadedness, dizziness
• Rapid heartbeat
• Fever, chills
• Drowsiness, fatigue
• Irritability
• Thirsty, dry mouth
• Confusion
• Weakness, shaking

Get Help Fast at Medco ER 

Babies, children, and seniors are among the highest risk group for dehydration. If you or someone you love is suffering from dehydration, come in right away to the nearest Medco ER, open all day and night. You will be met by a board-certified physician who is experienced in treating mild to severe dehydration.

• Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-747-0370

• Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006

Call us @ 469-840-4600

¹ https://my.clevelandclinic.org/health/treatments/9013-dehydration

² https://www.heart.org/en/healthy-living/fitness/fitness-basics/staying-hydrated-staying-healthy

³ https://www.mayoclinic.org/diseases-conditions/dehydration/symptoms-causes/syc-20354086 

Are Energy Drinks Really Bad for You?

A late morning or an early afternoon slump may have you reaching for an energy drink to boost your energy and power up for the rest of the day. Packaged in attractive and portable cans, these drinks seem like little more than a soda designed to give you wings. But regular consumption can actually result in a quick trip to the emergency room or a fast track to a chronic health condition like hypertension.¹

Marketed to youth, energy drinks are consumed mostly by children, teen and young adults. “While the American Academy of Pediatrics warns that children and adolescents should not consume energy drinks, there still are many who do,” said Medco ER’s Medical Director, Dr. Nasir Khan. “They seem mostly unaware of the risk they are taking in spiking their hormone levels, overdosing on caffeine, and gambling with exacerbating a latent condition they may not even know they have, such as a heart arrhythmia.” 

What’s in an energy drink? 

The main source of energy in an energy drink comes from caffeine. While caffeine content varies, energy drinks generally have three to six times the amount of caffeine as coffee does. Also, considering how quickly a can could be consumed, that could be comparable to drinking six cups of coffee in 30 minutes.

There are five basic components most energy drinks share.

• Caffeine – a legally addictive substance. Too much caffeine increases heart rate and blood pressure and causes insomnia and anxiety.²
• Taurine – an amino acid that possibly stimulates brain activity and increases physical performance.² A ban on taurine has made many energy drinks illegal in other countries.
• Sugar – most people don’t realize that energy drinks contain as much or more sugar than regular sodas. That’s a whopping amount of sugar to consume regularly and can result in unhealthy weight gain.
• Guarana – from a tropical plant from South America, these seeds contain a high caffeine content.³
• Glucuronolactone – claimed to be a caffeine-like stimulant, there is no scientific evidence to support its use.³

What does your energy drink do to your body? 

Caffeine triggers a supercharging of receptors which then release norepinephrine, dopamine and serotonin in the brain.¹ Additionally, there is an increased risk of caffeine intoxication which causes a myriad of bad side effects and potentially lasting damage.

“Energy drinks can easily lead to caffeine overdoses which can lead to seizures, heart problems and death,” said Dr. Khan. “When combined with alcohol, the effects can be masked which can cause a person to not realize how much damage they are doing to their body.”

What are common symptoms of an energy drink-related emergency?

• Seizures
• Heart complications – irregular heartbeat, racing heart, heart failure
• Hypertension
• Hypotension
• Dehydration
• Anxiety
• Insomnia

How can I get an energy boost without the risk of energy drinks?

Eating a well-balanced diet rich in fruits and vegetables can help you get the vitamins and minerals needed to keep your energy at an even keel. Protein can give you long-lasting energy burns. Low-to-no caffeine teas or coffee can also be substituted for energy drinks. Sports drinks have a lot of additives but can be researched and considered as an alternative to energy drinks.

Getting plenty of water will help your body operate at its peak. Milk and 100% fruit juice should be offered in place of manufactured drinks.⁴ Sales of these drinks should take the place of energy drinks in schools and colleges.⁵

Get Help Fast at Medco ER 

If you are experiencing any adverse symptoms from energy drink consumption or alcohol mixed with energy drinks, come in right away to the nearest Medco ER. We are open 24/7 every day of the year and our board-certified physicians are experienced in diagnosing and treating these conditions.  

• Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

Call us @ 469-747-0370

• Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006

Call us @ 469-840-4600

¹ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083152/

² https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/taurine/faq-20058177

³ https://fherehab.com/learning/energy-drink-overdose

⁴ https://www.cdc.gov/healthyschools/nutrition/energy.htm

⁵ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320741/

When IBS is an Emergency

Top 10 Reasons to Go to the ER

Healthcare today gives you more choices than ever before. You can go to the doctor’s office, urgent care clinic, telehealth visit or emergency room. Even with all these choices, some choose to stay home and tough it out. But there are times when the emergency room is absolutely the right choice. The board-certified physicians at Medco ER in Plano, TX, have compiled ten reasons when going to the ER is your only option.

“If you’re wondering whether or not to go to the ER, ask yourself if it is not getting better over time, if pain has you sidelined, or if there is one of the warning signs of a serious condition,” said Medco ER’s Medical Director, Dr. Nasir Khan. “If you answer yes to any of those points, it’s best to come immediately and let us examine you.”

Blood Loss

Whenever the body is losing blood, a trip to the ER is the right thing to do. This could include any of the following:

• Coughing blood
• Vomiting blood
• Passing blood in the stool
• Excessive bleeding from a laceration
• Bleeding from a fracture
• Uncontrolled bloody nose

Fracture or Tear

If you have an injury and you’re not sure whether it is broken, fractured, torn or just bruised, your doctor at Medco ER can help. We can X-ray the area, apply a brace, or refer you to a specialist when needed.

Warning signs include: numbness or cold in the extremity that is injured, pain when moving the limb, bleeding accompanying the fracture, bone protruding, or misalignment of the limb. For any of these symptoms, go to Medco ER immediately.

Breathing Difficulties

If you or someone you love is struggling to breathe, pulling hard at each breath, making a wheezing sound with a breath, showing blueish discoloration around the mouth or fingertips, or has chest tightness, go to the nearest ER immediately. Whether it is a complication of COVID-19, an asthma attack, COPD or another cause, breathing difficulties must be addressed as an emergency.¹

Chest Pain

Sudden or growing pain in the chest, jaw, neck, arm or back could indicate a heart problem that is an emergency. Other symptoms could include:²

• Tightness in chest
• Uncomfortable fullness feeling
• Heartburn
• Squeezing feeing in chest
• Pain in one or both arms
• Cold sweat
• Nausea
• Dizziness
• Shortness of breath

Stroke Symptoms

Symptoms of a stroke can come on suddenly and unexpectedly. If someone exhibits these symptoms, call 911 immediately.² Every minute counts.

• Confusion or disorientation
• Arm weakness
• Partial paralysis or difficulty moving
• Unexplained drowsiness
• Difficulty speaking
• Change in vision
• Face drooping

Loss of Consciousness

Any time someone has lost consciousness, whether for a short time or is unresponsive, take them to the nearest ER or call 911. Loss of consciousness accompanied by seizures should also be seen by a physician immediately.

Head Injury

If you have fallen and hit your head, been hit in the head by an object, or had a severe shaking of the head, you might sustain a head injury or a concussion. Here are some warning signs³ that require a visit to the ER:

• Pain from the injury
• Confusion or disorientation
• Loss of consciousness
• Ringing of the ears
• Sudden drowsiness or fatigue
• Vision changes
• Nausea or vomiting
• Slurred speech

Burns

If you are suffering from a burn, consider the severity. Just going by pain level alone isn’t enough since minor burns often hurt worse than major burns.⁴ If it covers a large area, has penetrated deep, has discolored the skin, has swollen the area or has caused blisters, a trip to Medco ER is a good idea.

Abdominal Pain

Pain in the abdomen can indicate one of several conditions. All of them require immediate medical intervention. “If you’ve experienced abdominal pain for any length of time, it’s a good idea to come in and let us check you out,” said Dr. Khan. “It could be anything from a bleeding ulcer to gallbladder stones to a cyst. With a thorough examination and imaging scan, we should be able to diagnose the problem.”

Extreme Pain

If you’re experiencing extreme pain that isn’t responding to over-the-counter medication and isn’t getting better with time and rest, your body is trying to tell you something. It’s time to go to Medco ER.

• Migraine or headache
• Back pain
• Shooting pain
• Chest pain
• Pain when eating
• Pain that takes away your appetite
• Throbbing pain
• Eye pain
• Toothache
• Stomach pain

What to Expect at Medco ER

When you go to Medco ER, you can expect to receive fast, quality healthcare with little-to-no wait time. Open 24/7 every day of the year, Medco ER gives you fast access to a board-certified physician and much of the same imaging equipment found in a hospital emergency department. Our in-house pharmacy carries rapid results labs and medications needed to treat many conditions. Try one of our two convenient locations for rapid response healthcare.

• Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-747-0370

• Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006 

            Call us @ 469-840-4600

¹ https://www.mayoclinic.org/symptoms/shortness-of-breath/basics/definition/sym-20050890

² https://www.heart.org/en/about-us/heart-attack-and-stroke-symptoms

³ https://www.mayoclinic.org/diseases-conditions/concussion/symptoms-causes/syc-20355594

⁴ https://my.clevelandclinic.org/health/diseases/12063-burns

Weight Loss Safety Tips

Like many Americans, you may have decided that this year was the year you would lose weight and get in shape. If your New Year’s resolution sounded something like that, the physicians at Medco ER in Plano, TX, are here to help you achieve your weight loss goals in a safe and lasting way.

“The fields of diet, nutrition, fitness and even bariatric surgery have evolved rapidly in the past ten years,” said Medco ER’s Medical Director, Dr. Nasir Khan. “While there are, arguably, more ways we can impede our own health with poor eating, drinking and lifestyle choices, weight loss and fitness goals are more attainable today than ever before in the past. But still, many people are attracted to fast, glamorous diets that do more harm than good.”

Tips for Safely Losing Weight

To help you on your weight loss journey, we’ve put together these weight loss tips that put safety first.

• Get your head in the right space. Paid programs are readily available that work on cognitive behavioral therapy to help you retrain your brain to critically examine what you eat. There may also be free help available. If you are already a member of a fitness center, check there for weight loss help that is already included in your membership. Additionally, expect to be in it for the long haul. Gradual and safe weight loss should be your goal.
• Make your app work for you. You can choose a calorie-counting app, a healthy eating app or a workout app to help keep you on track.
• Get a health coach. Tap into the recent onslaught of scientific advancements by hiring a health coach to help you understand nutrition and weight loss.
• Focus on nutrition. Make it a weekly goal to shift from empty calories, processed foods and high carbs to dense nutrients and filling whole foods. Preparing a plan before you go shopping will help. If you don’t buy it, you won’t be tempted to eat it. Small changes add up over time and can make a big impact on your overall health.
• Fruit and veggies come first. Start subbing out how much cereal, pasta and starches you are consuming by adding more fruits and vegetables to the bowl. Make veggies the largest portion on your dinner plate. Reach for fruits for a filling, tasty snack.¹
• Be patient. If you’re making a major lifestyle change, such as switching from soda to carbonated flavored water, give yourself plenty of time to adjust. It may take a couple weeks, but eventually you won’t miss the refined sugars and will feel good when you drink the healthy beverage. Keep up the positive outlook and know you are doing something great for your body.
• Add activity. Increase your activity level steadily throughout the year. Start small with something attainable, like walking 3 times a week. Keep increasing your activity until you are doing something physical every day.

Before You Start

“Before you begin any weight loss program you should first consult with your physician,” said Dr. Khan. “Your doctor will have ideas that can help you. Also, it is good to have that physician oversight. Fad diets can be especially harmful to your health, so we are here to help prevent problems before they start.”

Dangerous Diets

Fad diets that promise rapid and radical results can be dangerous to your health. Crash diets often lower the metabolic rate which then doesn’t return to normal after weight increases.²

Here are some other ways fast diets can be dangerous and harmful to your health:

• Sacrifice a healthy balance of foods for fast results
• Loss of muscle instead of fat because of low protein intake
• Promote an unhealthy view of food, possibly even encouraging eating disorders
• Promote an unrealistic view of different body types
• Suppress immune system with poor nutrition
• Cause heart palpitations or irregular heartbeat
• Cause abdominal distress from a concentration of one kind of food
• Cause fatigue, weakness and dizziness
• Cause depression
• Trigger gallstones
• Reduce metabolism

Medco ER is available 24/7

Ready to get started on your weight loss and fitness goals? Try a telehealth visit with one of our board-certified physicians before you begin. To get a full medical workup before starting any new weight loss plan, stop by one of our two convenient locations.

If your diet has caused physical problems, or if you are experiencing unexpected weight loss or weight gain, come in right away for an assessment.

• Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-392-4000

• Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006 

¹ https://www.cdc.gov/healthyweight/healthy_eating/fruits_vegetables.html

² https://lindnercenterofhope.org/blog/why-dieting-can-be-harmful/

Is it COVID or is it Flu?

Today, if you wake up with a headache, fever, sore throat, cough and body aches, you probably will spend significant time wondering if it is the flu or COVID. In the past, you may have spent a few minutes running down a list of people you’d been around who had the flu, but now you have to worry about exposure to COVID-19. As the threat of the new Omicron variant looms large, we have to be especially vigilant with ourselves and our children. So how do you know if it’s Influenza A or if it’s COVID? At Medco ER & Urgent Care in Plano, TX, our board-certified physicians are here to help you answer that dilemma.

“The difficulty is in the shared symptoms,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “Both influenza and COVID can present with fever, chills, muscle soreness, and cough. Some people experience diarrhea and vomiting with either condition. So, short of getting tested, it is hard to know whether it’s flu or COVID.”

Shared symptoms

There are many similarities between flu and COVID-19, though the severity can vary. People may experience very mild cases of either condition, or they can experience severe cases and even need hospitalization. Either flu or COVID can result in secondary infections, such as pneumonia, and require advanced treatment.

Here’s a list of the common symptoms¹ that can occur in either condition:

• Fever
• Chills
• Headache
• Body aches
• Fatigue
• Cough
• Congestion
• Runny nose
• Sore throat
• Nausea
• Vomiting

Unique symptoms

“One of the most prominent symptoms that may help you know the difference is the classic loss of the senses of taste and smell. Usually, that is a good way to realize you probably have COVID and should come in and get tested right away,” said Dr. Khan. “Additionally, if you have difficulty breathing or shortness of breath, that is another indicator of COVID, but it could also mean you’re moving into a chest condition with the flu. But that should be looked at right away by one of our qualified physicians.”

How it is spread

Both the flu and COVID are highly contagious, though they are caused by completely different viruses. They are both spread through contact with other people who are infected with the germs. Coughs and sneezes can transmit microscopic droplets laden with the virus, or even just talking can transmit the virus. When these droplets are inhaled or enter through the eyes or mouth, the virus then spreads to that person.²

Medco ER & Urgent Care is ready to help

If you are unsure if you have the flu or COVID, come to Medco ER & Urgent Care right away for a Rapid Antigen Test with one swipe swab. Results are ready in 15 minutes, so you will know right away if you have the flu or COVID. Not ready to come in? Try a telehealth visit and get fast advice from one of our board-certified physicians.

• Book a Rapid Antigen Test at Plano:

3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-392-4000

• Book a Rapid Antigen Test at Carrollton:

2745 E Belt Line Road, Carrollton, TX 75006 

¹ https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm

² https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-vs-flu/art-20490339

8 Tips for a Healthy Holiday

Looking forward to the elaborate holiday feasts but dreading your blood sugar swings, exhaustion and weight gain? At Medco ER & Urgent Care in Plano, TX, our board-certified physicians have put together 8 tips to help you make the best choices for a home run healthy, happy holiday season.

“The holidays are fraught with tension, extra work and poor eating choices,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “But with a bit of planning, you can reduce your stress and feel better as you spend time with loved ones.”

Avoid feast or famine

It’s easy to skip a meal or two in advance to get ready for a big holiday feast, and then pile it on once you get to the table. This is a sure way to make your blood sugar swing wildly. Instead, eat a small snack before going to the party and watch your portions once you get there.

Make it count

While you don’t have to rigidly count calories at your family gatherings, it is advisable to be judicial in choosing where you are willing to spend the most calories. Choose your favorite foods and take smaller portions of them.¹

Drink more not less

Stay hydrated by drinking plenty of water. But go easy on the rest of the drinks. Remember that egg nog, punch, soda and alcoholic drinks can pack a whopping amount of calories where a fruited water spritzer has none. Also, alcohol makes you hungrier and reduces your ability to make healthy choices.¹

Say goodbye to stress

Knowing that stress levels will be high during the holidays, you can make a plan now for ways to reduce it. Simplify your expectations to center on the most important people and traditions. Plan breaks for yourself.² Choose shortcuts for the month, such as preparing freezer-ready meals in advance. Get plenty of rest. Eat well and exercise.

Slower is better

Remembering that it takes up to 20 minutes for your brain to get the signal that your stomach is full, take longer between courses and go slow on second helpings. A side benefit is less heartburn from not overeating.

Green is good

If you are a snacker, make sure there are plenty of fresh vegetables to grab. Avoid standing next to the snack table where it is tempting to grab more chips. Make sure you put plenty of veggies on your plate during the feast, too.³

Sneak in the substitutions

Don’t be afraid to look for healthier options for traditional foods. No one will mind that there is Monkfruit sweetener in the pies, chicken broth with only a bit of butter in the stuffing, hummus for raw veggies or yogurt dip for the fruit tray. Healthy choices like fanciful pear-pomegranate-pistachio salads with raspberry vinaigrettes can joyfully replace traditional butter-swamped or mushroom soup-covered hot vegetables.

Avoid the allergens

If you suffer from food allergies or are sensitive to things like gluten or monosodium glutamate (MSG), keep that in mind before diving into the dips, cookies and other scrumptious-looking treats. Russian tea cakes have ground up nuts and flavored chips and dips often have MSG.

Medco ER & Urgent Care is here when you need us

Since medical concerns don’t care if it’s the holidays or if it’s the middle of the night, Medco ER & Urgent Care is open all day and night, every day of the year, to provide you with the quality healthcare you need. If you or your loved ones aren’t feeling well, come in right away for an expert evaluation and treatment plan.

• Plano location:

3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-392-4000

¹ https://www.health.harvard.edu/blog/12-tips-for-holiday-eating-201212242506

² https://www.heart.org/en/healthy-living/healthy-lifestyle/stress-management/holiday-stress-try-our-top-5-tips-for-a-healthy-holiday-season

³ https://www.cdc.gov/diabetes/library/features/holidays-healthy-eating.html