Top 3 Summer Health Hazards
It’s summertime and the increase in activity leads to an increase in injuries and medical conditions directly related to summer activities. For many, summer is the best time of year, but it also has some accompanying health hazards that we should know about. At Medco ER & Urgent Care of Plano, TX, we’ve highlighted 3 kinds of health hazards that spike during the summer months. Keep your family and yourself safe and healthy this summer by paying attention to these three health hazards.
Sun Hazards
Leading the pack of summer health hazards are the ones that accompany increased exposure to sun. Heat exhaustion, for example, occurs when the body overheats in high temperatures and high humidity.
Heat stroke takes heat exhaustion one step further and requires immediate medical intervention since it can be a life-threatening condition. Symptoms include hot skin, red skin, dry skin, confusion, feeling cold, and loss of consciousness.
High heat and humidity also creates a constant battle against dehydration. Staying hydrated will help your body stay cool and keeping electrolytes in balance will help your body use water efficiently and keep blood pressure under control.
Sunburn is also a common summer hazard that can be very painful. Over time, sun exposure can cause skin damage and even eye damage. Using moisturizers with sunscreen, using sunscreen outdoors, and wearing hats, UV-rated sunglasses and long sleeves are important preventative measures.
Finally, food poisoning is among the top health hazards in the summertime. Use best food handling practices to keep your family and guests safe this summer.
“Most sun-related health hazards are preventable with a little forethought and preparation,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “But still, it’s hard to beat the effects of the heat. When you get overheated, sick or injured from sun exposure or food poisoning, come to Medco ER right away for our unique no-wait access to quality medical care.”
Water Hazards
Playing in the water is our favorite way of beating the heat during the summer. But increased water activity greatly increases your chances of experiencing a water-related health hazard. Many of these hazards are preventable, but some are not.
Drowning is the biggest concern with water activities and can often be prevented with the use of a life jacket. Sometimes, boating accidents can be less serious if everyone in the boat is wearing a life jacket. Additionally, respiratory distress from water aspiration can manifest hours after children inhale water at the pool or lake.
Germs are also a concern when going to public pools. A good practice is to check a pool’s health score before going.1 Also, while swimmer’s ear seems like a minor inconvenience, it can be a painful medical condition that can be easily treated with a visit to the doctor.
Other water hazards include slip-and-fall injuries from running around the pool’s wet concrete, stepping on nails or wood splinters with bare feet, and becoming dehydrated from not drinking enough water. Alcohol can also cause dehydration as well as diminished judgement when it comes to safety. So try non-alcoholic drinks when enjoying a day at the beach or pool.
Kid Hazards
Kids are much more active in the neighborhood in the summertime, which can set the stage for injuries in traffic and on the sidewalk. Make sure your child has a helmet for biking and a helmet and pads for skating and skateboarding.
Outdoor activity can also pose other risks. If your child has never been stung by a bee, watch them closely after a first sting to make sure there are no adverse reactions.
Young workers have a higher rate of accidents than older workers.1 If your young teen is working a summer job, make sure he or she has the safety equipment and knowledge needed to prevent workplace injuries.
“Kids find a lot of creative ways to be busy in the summer, and sometimes that means a fast trip to the doctor,” said Dr. Khan. “We have appropriate, child-sized equipment and a child-friendly exam room readily available for urgent and emergency situations.”
Get help at Medco ER & Urgent Care
For help with all kinds of health conditions and injuries, the board-certified physicians at Medco ER & Urgent Care are here for you. We’re always open and available to help in diagnostic, treatment and recovery from common summertime health hazards and injuries.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-40001 https://www.cdc.gov/media/releases/2019/p0517-eight-tips-healthy-summer.html
Dry Drowning: Fact or Fiction?
The media has widely spread stories of cases of dry drowning in recent months, but how much of it is true and how much is urban legend? While rare, there have been cases of children who have suffered from respiratory distress hours after being in the water. Medco ER & Urgent Care of Plano, TX, is the first line of defense in diagnosing and treating conditions caused by water aspiration, commonly called “dry drowning.”
What is dry drowning?
Dry drowning is an informal expression that is used outside of the medical profession. While medical professionals take issue with the term “dry drowning,” there can be instances of respiratory distress or, in extreme cases, respiratory failure that occurs after the lungs have struggled for some time after inhaling water.1
Drowning refers to a lack of oxygen in the lungs from being in or under the water. That’s why dry drowning is not a recognized medical term. It is not related to drowning. Instead, it refers to an inflammation of the lungs that is a secondary cause of inhaling water.
“What is commonly considered dry drowning is actually a very rare occurrence,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “Most children do cough and sputter when in the water because water goes up their noses or they swallow or inhale water. That’s a normal part of being in the water and is usually not a cause for undue concern.”
What are the symptoms of dry drowning?
- Skin discoloration
- Fast breathing
- Hard pulling to breathe
- Coughing
- Wheezing
- Vomiting
- Foaming at the mouth
- Fever
- Lethargy
- Irritability
- Disorientation
Warning Signs – Act Fast
Any kind of respiratory dysfunction should be checked out by a medical professional. “If your child has any kind of trouble breathing or a cough, chest pain, vomiting or fever—regardless of how long ago he or she was in the water—come in to Medco ER right away to be checked out by one of our board-certified physicians,” said Dr. Khan.
Also, if your child has had a near-drowning incident, he or she should be taken to the ER to be checked out.
Prevention Measures
While it is impossible to make sure your child hasn’t inhaled any water while swimming, there are some things you can do to make sure he or she is as safe as possible.
- For pools, make sure there are fences and barriers to keep kids out of the pool when not supervised.
- When you are supervising your child in the pool or lake, be 100% present with no cell phone, books or conversations to distract you.
- Supervisors should be designated alcohol-free.
- Make sure your child has had swimming lessons as early as possible and knows how to float on their back.
- Don’t trust floating devices.
- Be close enough to touch when young children are in the water.
- Take frequent breaks with your child to help you stay alert.
- Become trained in CPR.
Get help at Medco ER & Urgent Care
If you suspect your child is experiencing some respiratory reactions from being in the water, come to Medco ER & Urgent Care right away. We’re open 24/7 every day of the year to help your child when delayed symptoms indicate something is not quite right. We’ll work to make sure your son or daughter is breathing easier again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://newsnetwork.mayoclinic.org/discussion/know-the-facts-about-dry-drowning/
5 Red Flags of Diabetes
Dizziness, fatigue and dry mouth may not seem to tie together beyond a mild case of the flu, but if you look at the warning signs of diabetes, they all make sense. At Medco ER & Urgent Care of Plano, TX, we regularly diagnose and treat prediabetes and diabetes and we can help fit the pieces of the puzzle together when you’re not feeling well.
Whether you are experiencing Type 1 diabetes or Type 2 diabetes, by the time you notice the red flags, the condition may already be advanced. That’s why it is important to react promptly by getting medical attention.
Red Flag 1: Skin Changes
Prediabetes or undiagnosed diabetes can cause skin changes.1 If you have noticed an unexplained rash, like raised pimples that turn yellow, or raised, red bumps, you might need to have your physician test you for diabetes. Dry patches of skin, yellow patches around the eyelids and skin tags are all diabetes indicators.
Skin wounds or sores that have trouble healing, blisters and shin spots are also signs that your insulin is imbalanced. Hard patches of skin, discolored patches of skin and dark, velvety patches of skin are also warning signs of diabetes.
“The skin is very telltale in letting you know that your body is experiencing insulin resistance,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “By paying attention to these warning signs, you can have your prediabetes checked before it goes too far.”
Red Flag 2: Increased Thirst, Urination and Hunger
If you find that you are constantly thirsty, but need to pee often during the day and night, you could have undiagnosed diabetes. Excess thirst, hunger and urination are all warning signs that should be reported to your physician. If you are hungry all the time but are experiencing unexpected weight loss, this is also a symptom of diabetes.2
Red Flag 3: Fatigue
“If you are tired even after having rested, and are too worn out to do your daily activities, you might need to have your blood sugar tested,” said Dr. Khan. “Fatigue can also be accompanied by irritability and dizziness. If you are feeling this way, come in to Medco ER and let us check you out to find the answers to your fatigue.”
Red Flag 4: Vision Changes
Any unusual vision changes, such as blurred vision, should be immediately checked out. Your ophthalmologist is able to identify early onset insulin issues if you have retinopathy, a condition of diabetes.3
Red Flag 5: Numbness
Numbness and tingling in the feet and hands can be a warning sign of the onset of diabetes.
Get help at Medco ER & Urgent Care
If you are experiencing any of these red flags, come to Medco ER & Urgent Care to have your blood sugar tested. Since undiagnosed insulin issues can lead to serious medical conditions, warning signs of diabetes should not be ignored. We’re here 24/7 to provide you with rapid results labs, an accurate diagnosis, and a variety of treatment options and recommendations to get you back to feeling better again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.aad.org/public/diseases/a-z/diabetes-warning-signs
2 https://www.cdc.gov/diabetes/basics/symptoms.html
3 https://www.aao.org/eye-health/diseases/what-is-diabetic-retinopathy
Is it a Sprain or a Strain?
A sprained ankle, strained wrist, sprained thumb, twisted knee or pulled muscle can be the result of a slip, fall or trip. It doesn’t take much to roll an ankle – sometimes just a misstep off a path or sidewalk, a slip on a wet rock, or a stumble over an obstacle in your path. Falling can injure your wrist, thumb or fingers. Playing sports can strain a hamstring, arm or hand.1
At Medco ER & Urgent Care of Plano, TX, our board-certified physicians are experienced in diagnosing and treating strains and sprains and making sure the bone wasn’t injured. “Sprains and strains are extremely painful and need medical care to ensure they heal properly,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan.
What’s the difference between a strain and a sprain?
Often used interchangeably, strains and sprains are actually very different because they involve different parts of the joint.
- A strain is an injury to the muscles or tendons around a joint. These can be pulled or torn.
- A sprain is an injury to the ligaments that hold bones together to make a joint stable. Ligaments can be stretched or torn.
Symptoms of sprains and strains
Sprains can exhibit:
- Pain
- Swelling
- Bruising
- Unable to use the joint
Strains can exhibit:
- Pain
- Swelling
- Muscle spasms
- Muscle cramps
- Painful use of joint or inhibited range of motion
Treatment Options
“Most often, sprains and strains are treated with immobility, rest, elevation, ice, compression with bandages or splints, over-the-counter pain relievers, and anti-inflammatories,” said Dr. Khan. “However, some ligament tears or muscle tears can be so severe they require extensive treatment. Surgery, rehabilitation and physical therapy may be needed to stabilize the joint.”
“When you come in to see us at Medco ER & Urgent Care, we can personalize a treatment plan that’s customized to your injury and ensure your healing has started on the right path,” said Dr. Kahn.
Prevention Tips
Preventing a strain or a sprain is crucial if you are playing sports or do a lot of hiking or biking. Pay attention to body mechanics to make sure you don’t overtax an ankle when running or twist a knee with a sudden turn. Use proper lifting techniques.
Here are some other tips that can help keep your joints injury-free: 2
- Choose the right shoes – wear supportive, properly fitting shoes and replace them often
- Choose the right clothes – wear clothes that allow free movement
- Spend time warming up – before you begin your activity, do plenty of stretches, elevate your heart rate, and warm up your joints
- Use a balanced approach to fitness – cross train with cardio, strength, flexibility and endurance
- Use a daily approach to fitness – rather than doing it all on one day, do a little something each day to improve your fitness level
- Stretching is key – after your muscles are warmed up, do slow and careful stretches without bouncing a joint
- Spend time cooling down – walk off the heat from your exercise or activity and allow your joints to stabilize
- Drink water – water supports good joint health and helps keep you from becoming weak and sick from heat exhaustion or heat stroke which can lead to a fall
Get help at Medco ER & Urgent Care
Don’t just try to tough it out if you’ve strained or sprained an ankle, thumb, wrist, knee or other joint. Come to Medco ER & Urgent Care for the proper treatment to help speed healing and prevent reinjury. You’ll be seen within minutes of arrival and our in-house imaging equipment can aid in rapid diagnosis. We’re here 24/7 when you need us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.niams.nih.gov/health-topics/sprains-and-strains#tab-risk
2 https://orthoinfo.aaos.org/en/diseases–conditions/sprains-strains-and-other-soft-tissue-injuries/
Stress Busters That Really Work
What do headaches, stomach upset, insomnia, fatigue, overeating, anger, depression and loss of sex drive have in common? These are some of the symptoms pointing to the possibility of stress. Most would agree that this past year has been particularly stressful. The COVID-19 pandemic, financial strain, civil unrest, election issues, isolation and separation from family and friends—there are plenty of reasons why you may be experiencing stress. And, of course, the holiday season presents its own sets of challenges as well. At Medco ER & Urgent Care, we are available to help when this type of pressure is causing you to experience physical and mental problems.
“If you live a fairly stress-free life, then you’re in the minority,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “We see a lot of patients who have conditions related to an overwhelming amount of stress in their lives. Anything you can do to lessen your stress level is going to benefit your body in the long run.”
What Stress Does To Your Body
When left unchecked, high levels of stress can raise your cortisol levels to an unhealthy level, burn out adrenals, cause high blood pressure and increase the risk of stroke and heart attack.
“Stress is a great motivator in moderation, but too much stress can put undue strain on the body and cause all kinds of problems,” said Dr. Vora. “While it is impossible to eliminate stress completely from our lives, we can start to intentionally practice stress busters to try to help us cope.”
Stress Buster Tips
The #1 tip for relieving stress is exercise. You don’t have to do a full gym regimen to get some helpful exercise. Try going for a walk after a holiday gathering, spend quality time with family & friends, play ball with your kids or chase your pet around the yard. Stretching and flexibility therapies like yoga, tai chi, Pilates or qigong are also solid choices. If you already lead an active life, bump up the conditioning with even more challenging gym options.
Some other tips for relieving stress include:
- Hobbies – sewing, jewelry-making, comic collecting, video games, scrapbooking, book club, reading, cooking
- Art – freestyle drawing, painting, crafts, mandala coloring
- Play – with kids and pets
- Music – listen to favorite tunes, explore new genres, try movement with music
- Nature – birdwatching, hiking, fishing, swimming, picnic, photography, gardening, kayaking
- Friends – meet up for coffee, have a Facebook private group chat, talk
- Bicycle, scooter or skating
- Jokes – collect jokes, cartoons or memes you think are funny and share with others
- Meditation and prayer
When Stress Becomes an Emergency
Even with an arsenal of stress busting tips at hand, it is possible to become overwhelmed by the effects of the pressure. You may wonder if it is ok to come to the ER with stress-related problems. It is important to know that many urgent medical conditions might masquerade as stress but require prompt care. Anxiety is one of the most common reasons for which people visit the emergency room.
Warning signs that require immediate ER attention:
- Chest pains
- Dizziness
- Sweating
- Jaw pain
- Back pain
- Shortness of breath
- Pain radiating down one arm
“Please do come to the ER any time you are feeling emotionally out of control or if you are experiencing physical symptoms that may be due to stress,” said Dr. Vora. “If you are feeling like harming yourself or others, or if you are in pain, we are always here to help. Our physicians and staff are very caring and understanding.”
Fast Help at Medco ER & Urgent Care
When you are feeling the effects of stress, or you aren’t sure what’s making you feel bad, the board-certified physicians at Medco ER & Urgent Care are ready to help. Open all day and night, every day of the year, Medco ER offers fast access to get the answers to your important medical questions.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000
When Abdominal Pain is an Emergency
If you’ve ever suffered sudden, acute pain in the abdomen, a chronic ache in the gut, or a long, drawn out ache in the stomach, you probably wondered when would be the right time to go to the ER. In most cases, the board-certified emergency medicine physicians at Medco ER & Urgent Care recommend coming in for a fast evaluation if you have any doubts about your abdominal pain.
“Abdominal pain is one of the most common complaints that we see often in the Emergency Room setting,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “It could potentially be caused by any of a number of serious medical conditions. Patients require medical evaluation to determine the root cause of pain.”
Causes of Abdominal Pain
Abdominal pain can be acute (coming on suddenly) or chronic (persistent over time). It can come and go, or it can be steady and even pulsating. Everyone suffers from abdominal pain at some point in their lives. Understanding some of the causes can help you know if it’s time to head to the ER. Some of the serious causes of abdominal pain include:
- Appendicitis
- Gallbladder
- Spleen rupture
- Kidney stone or infection
- Bladder inflammation or urinary tract infection
- Heart attack
- Aortic aneurism
- Diabetic ketoacidosis
- Diverticulitis or intestinal blockage
- Stomach flu
- Ectopic pregnancy
- Endometriosis
- Ovarian cyst
- Hernia
- Celiac disease
- Ulcer
- Sickle cell anemia
- Irritable bowel syndrome
- Hepatitis
- Cancer
- Lymphoma
“As you can see, there are a wide array of reasons why a person may be suffering from abdominal pain,” said Dr. Vora. “It’s important to know how long the pain has been going on, if it comes and goes or is steady, if any activity or food seems to trigger it, or if there are any accompanying symptoms.”
Emergency Signs Accompanying Abdominal Pain
Abdominal pain can be an indicator of a life-threatening condition. If your pain is sudden or severe, come to the ER right away. If the pain is in the mid-to-lower right side, come to the ER for evaluation.
Come to the ER immediately if your abdominal pain comes with:
- Fever
- Bloody stool
- Chest pain
- Difficulty breathing
- Tender area that hurts to touch
- Bloated, extended abdomen
- Nausea and vomiting
- Weight loss
- Yellowing skin
- Pink urine or difficulty urinating
“There’s a reason for your abdominal pain and it shouldn’t be ignored. Any time you are suffering from pain or chronic ache, you should be seen by a qualified physician. We have a range of helpful diagnostic tools, such as lab tests, CT scan, ultrasound and X-ray right here for easy access,” said Dr. Vora. “If you are experiencing abdominal pain, come right in and let us help you.”
Treatments for Abdominal Pain
Since there are so many different causes of abdominal pain, the treatment may also vary and possibly include prescription for pain medications and/or antibiotics, regulating diet, initiating immediate surgical intervention or implementing a long-term maintenance plan for chronic conditions.
Fast Help at Medco ER & Urgent Care
When you are experiencing abdominal pain and are suspicious that something’s not right, the emergency physicians at Medco ER & Urgent Care are ready 24/7 to take care of you. Don’t delay coming in for an immediate evaluation. We offer No Wait access to top emergency care physicians and our trained team will go to work fast to help you start to feel better again.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
When To Go To the ER for Back Pain
Crippling back pain can come out of nowhere, sidelining you from all your favorite activities, or it can be a chronic condition that lasts for weeks or even years. When back pain is at its worst, you may wonder if you should head to the ER for help. While it could have been caused by an injury or a muscle spasm and just needs time to heal, there could be something much more serious at the root of your back pain. At Medco ER & Urgent Care, we recommend coming in for a medical evaluation.
“Back pain is a common medical concern and we can evaluate & treat it promptly with a detailed physical exam and various modalities that include x-ray & CT scan, if warranted,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “We can offer several treatment options and therapies that can help the patient feel better quickly. We are also able to refer patients to a pain management or spine specialist for serious and chronic conditions.”
Causes of Back Pain
Over 80% of the population can experience back pain during their lifetime and 25% report having back pain within the last three months1. A common condition, back pain can be caused by any of a number of things such as:
- Inflammation
- Muscle strain or sprain
- Injury – ligaments, vertebrae, muscles, joints or discs
- Herniated disc
- Spinal fracture
- Infection
- Tumor
- Bulging disc
- Arthritis
“Sometimes the cause of your back pain could be completely unrelated to the spine, such as with kidney stones, appendicitis or ulcerative colitis,” said Dr. Vora. “It’s impossible to know for sure without a thorough medical exam and a CT scan.”
Treatments for Back Pain
Early treatments for benign back pain include simple things that can be performed at home. Try to rest, reduce activities, rotate ice and heat pack applications, and take over-the-counter anti-inflammatory such as ibuprofen or Aleve®. These things may provide some relief and give a chance for strained muscles or ligaments to heal.
If pain continues or becomes unbearable, other treatment options are available including:
- Physical therapy
- Surgery
- Steroids
- Neurostimulation therapy
- Prescribed and managed pain medication
Additional therapies may help to relieve your back pain such as chiropractic care, acupuncture, massage, or myofascial release therapy. Muscle strengthening exercises are excellent for relieving pain and yoga-style exercise can also help with ongoing pain control.
When to Come to the ER for Back Pain
There are serious medical emergencies that can first present as back pain. Come immediately to the emergency room if your back pain is accompanied by pain in the shoulder or jaw or numbness in the arm or legs. If you have trouble standing, have lost sensation in the groin or have muscle weakness in your legs, seek immediate medical attention. If bowel or bladder control is lost, that is another emergency indicator. Back pain that is accompanied by a fever, nausea or vomiting also required urgent evaluation.
If your back pain is worse when you lay down, there may be something more serious going on. If you have cancer, HIV/AIDS or are taking immunosuppressant drugs or prolonged steroids, back pain should not be ignored. We can also evaluate patients with back pain caused by motor vehicle accident.
“We’ve got the diagnostic tools to determine the true cause of your back pain,” said Dr. Vora. “Don’t hesitate to come in and let us work to help you start to feel better.”
Fast Help at Medco ER & Urgent Care
When you experience debilitating back pain, the emergency physicians at Medco ER & Urgent Care are standing by to help. Come right in any time, day or night, and we will show you to a private room where you will see your board-certified, emergency medicine physician in a few moments. Our imaging equipment is in-house and ready to use to aid in your diagnosis, if needed. Our goal is to help you soon feel better while on your way to recovery.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
Flu vs. COVID-19
Influenza (commonly known as the flu) and COVID-19 are both highly contagious respiratory illnesses and can easily spread to others. Although the symptoms of COVID-19 and the flu can look similar, the two illnesses are caused by different viruses.
Causes:
COVID-19 is caused by the 2019 coronavirus, also known as SARS-CoV-2.
Flu is caused by any of several different types and strains of influenza viruses.
Symptoms:
Similarities:
- Both illnesses can cause fever, cough, body aches, and sometimes vomiting and diarrhea (especially in children).
- Both can result in pneumonia.
- Both flu and COVID-19 can be mild or severe, or even fatal in rare cases.
Differences:
COVID-19 can sometimes cause a person to suddenly lose their sense of smell (anosmia) or taste (ageusia).
By contrast, flu does not typically affect a person’s sense of smell or taste.
Shortness of breath is quite common with COVID-19 while it is a rare symptom of the flu.
Many people infected with the coronavirus do not feel sick or have any symptoms at all, but they can still transmit the virus to other people. By contrast, most people infected with flu tend to be symptomatic.
So how long does it take for symptoms to appear after exposure and infection?
Differences:
If a person has COVID-19, it could take them longer to develop symptoms than if they had flu.
Flu:
Typically, a person develops symptoms anywhere from 1 to 4 days after infection.
COVID-19:
Typically, a person develops symptoms 5 days after being infected, but symptoms can appear as early as 2 days after infection or as late as 14 days after infection, and the time range can vary.
How do they spread?
- Both the flu and COVID-19 spread in similar ways. Droplets or smaller virus particles from a sick person can transmit the virus to other people nearby. The smallest particles may linger in the air, and another person can inhale them and become infected.
- However, COVID-19 seems to spread more easily than flu and causes more serious illnesses in some people. Another important difference is there is a vaccine to protect against flu. There is currently no vaccine to prevent COVID-19, though research is ongoing.
- Again, it’s important to note that people infected with the coronavirus or the flu may not realize they are sick for several days and, during that time, can unknowingly spread the disease to others before they even feel sick.
What are some complications caused by these illnesses?
Similarities:
Both COVID-19 and flu can result in complications, including:
- Pneumonia
- Respiratory failure requiring supplemental oxygen support
- Acute respiratory distress syndrome (i.e. fluid in lungs), which usually lands people in ICU
- Heart problems
- Multiple-organ failure (respiratory failure, kidney failure, shock) commonly known as sepsis
- Secondary bacterial infections
Differences:
Additional complications associated with COVID-19 can include:
- Blood clots in the veins and arteries of the lungs, heart, legs or brain
Mortality rate:
COVID-19 close to 3%. FLU causes <1% of deaths among the people infected.
Testing Options available:
Influenza or the FLU:
First of all, influenza virus testing is not required to make a clinical diagnosis of influenza in patients with suspected influenza, particularly during periods of increased cases. However, influenza virus testing can inform clinical management when these results may influence decisions such as:
- initiating antiviral treatment
- performing other diagnostic testing
- implementing infection prevention and control measures for influenza
Influenza virus testing is recommended for all patients with suspected influenza who are being admitted to the hospital. Furthermore, during a respiratory illness outbreak in a closed setting (such as long-term care facility or nursing homes), testing for influenza virus infection can be very helpful in determining if influenza is the cause of the outbreak.
There are several diagnostic tests available for detection of influenza viruses in respiratory specimens.
For the purposes of this forum, I would just like to mention the Rapid Influenza Diagnostic tests, which are readily available in outpatient settings, such as the doctors’ office and urgent care clinics. They can detect influenza viral antigens in 10-15 minutes with a reasonable accuracy.
COVID-19
Since COVID-19 is a new disease, information about the tests to detect the disease with high accuracy is still evolving. But here’s what we know now about tests that are currently available to the public:
Diagnostic tests for current COVID-19 infection:
If you want to know if you are currently infected with the COVID-19 virus, there are TWO types of tests:
- Molecular tests
- Antigen tests
Molecular tests (also called PCR tests)
How is it done? Nasal swabs, throat swabs, and tests of saliva or other bodily fluids.
You can get it done at a hospital or in a medical office.
What does the test look for? Molecular tests look for genetic material that comes only from the virus.
How long does it take to get results? It depends on lab capacity. Results may be ready the same day, but usually take at least a day or two. Throughout the pandemic, especially lately, delayed turnaround times of up to a week or two have been reported in many places.
A molecular test using a deep nasal swab is usually the best option, because it will have fewer false negative results than other diagnostic tests or samples from throat swabs or saliva. People who are in the hospital, though, may have other types of samples taken.
Antigen tests
It is also performed using a nasal or throat swab.
It can be obtained at a hospital or doctor’s office or even at home (Quest Diagnostics, costs around $130).
If the test is negative, it should be confirmed by the PCR test which is more specific for COVID-19
Antibody tests:
This is a third type of test that requires a sample of blood. It checks for antibodies in the blood. However, it does not differentiate between the present and past infection.
Moreover, having an antibody test too early can lead to false negative results. That’s because it takes a week or two after infection for your immune system to produce antibodies.
The bottom line:
Unfortunately, getting a test for COVID-19 can be confusing because the options are changing and tests from many companies are being marketed. Despite the current limitations of testing, we’re lucky to have reasonably accurate tests available so early in the course of a newly identified virus.
Getting a flu vaccine this year may be more important than ever to reduce stress on healthcare facilities that are already busy with COVID-19 care.
Emergency care available
If you are having trouble breathing, have chest pain, inability to stay awake, confusion or blue lips or face, come to Medco ER & Urgent Care immediately for help.
If you suspect you have COVID-19, come in for evaluation.
If you think you have COVID-19 and you have a preexisting, chronic medical condition such as diabetes, heart disease, high blood pressure, cancer, kidney disease, asthma, obesity, lung disease or if you are pregnant, come in for evaluation.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
– Dr. Tariq Vora, Medco ER & Urgent Care
What to do When Your Child has a Foreign Object in the Body
Toddlers and children tend to put things in their mouths as they explore and learn about their world. Many parents have at least one story of discovering a penny in a diaper, and most others have swept something out of their baby’s mouth just in time. However, once in a while, a foreign object enters the body—either accidentally or on purpose—and the consequences are much more serious. When this happens, the physicians at Medco ER & Urgent Care are standing by with expert help available.
“We’ve seen young children who have inserted a foreign object into a nostril or ear canal or have swallowed a button battery, but we’ve also seen adults who have accidentally inhaled or swallowed something harmful, or have gotten a shard embedded in their eye,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “In any case, we know exactly what to do to help the patient.”
Dangers of Foreign Object in the Body
If a foreign object remains lodged inside the body, any of a number of dangerous things can occur. The body can go into shock, nearby organs can be damaged, infection can grow, and tissue can be permanently scarred. Occasionally, if left untreated, death can occur.
“It’s common sense to know that you need to have an emergency physician help with an impalement or other obvious foreign object penetration, but especially with little children, it takes a careful diagnosis to discover the problem if it is internal,” said Dr. Vora.
Symptoms of a Foreign Object Lodged Inside the Body
Throat:
If something is stuck in the esophagus, the patient may still be able to swallow, though there will be a burning pain. Even after the object has passed into the stomach, the esophagus may still hurt as if it was still lodged there. When the esophagus is completely blocked, the patient will be unable to swallow saliva and will drool and spit. The saliva may contain blood, which indicates trauma in the throat. There may be a vomit reflex with nothing coming up. The patient will have difficulty breathing. At Medco ER, we are able to resolve the obstruction in the esophagus at times with IV medication or refer to a GI specialist in more complicated situations.
Eye:
Easiest to recognize, a foreign body in the eye causes obvious symptoms. Watery eyes, runny nose and pain when blinking are all symptoms of something in the eye. A tiny sliver of glass, metal or wood in the eye can cause extreme pain. At Medco ER, we have the tools to identify and remove the foreign body from the eye using anesthetic eye drops with pain relief.
Stomach and Intestines:
If there is a foreign body in the stomach or intestines, the patient can experience cramps, pain and bloating. Abdominal cramps and area tenderness may be present. Nausea and vomiting may also occur. Young children may seem lethargic and stop eating. It is important to identify certain types of foreign objects (such as a battery) in the stomach, which require urgent medical attention.
Skin:
Also reasonably easy to diagnose, a foreign object embedded in the skin is often visible. A raised, painful lump that gathers fluid may be the first indication. If the area becomes red and pus is present, there is likely something in the skin. At Medco ER, we can oftentimes remove the foreign object from underneath the skin and treat the infection right away.
Diagnosis
Diagnosis of a foreign object in the body usually includes an imaging tool such as an X-ray, CT scan or endoscopy. Your physician will do a thorough diagnosis to discover the type and location of the offending object.
Treatment
“To remove a foreign object, surgery may be required,” said Dr. Vora. “An endoscopy procedure may be able to retrieve an esophagus or stomach invader without further surgical intervention. A foreign object in the rectum may be able to be removed manually. An object in the eye or skin is usually able to be removed with minimal difficulty.” Once the object is removed and the wound closed, further treatments such as IV fluids, antibiotics or a tetanus shot may be needed to help the body heal.
Fast Help at Medco ER & Urgent Care
When you suspect there’s something wrong with your child, or when someone has an encounter with a foreign object in his or her body, the emergency physicians at Medco ER & Urgent Care are standing by to offer top healthcare services. Our no-wait ER is open 24/7 for all your medical needs. Our highly trained staff respond quickly to determine the severity of each condition and to provide appropriate care to each patient.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
Learn the Signs of a Stroke & Save a Life
A stroke is the interruption of blood flow to the brain, preventing oxygen and nutrients from reaching the brain and causing cells to die. According to the American Stroke Association (ASA), stroke is the #5 cause of death in the United States and is a leading cause of disability. Fast reaction to the first signs of a stroke can make not only the difference between life and death but can determine the amount of disability suffered from the event. The physicians at Medco ER & Urgent Care have compiled the information you need to know to quickly and properly respond to signs of a stroke.
“A stroke usually has noticeable symptoms,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “If you educate yourself and know what to look for, you can respond fast and call 911. EMS and emergency rooms are both set up with a stroke protocol to begin treatment as soon as possible.”
Signs of a Stroke
The 3 classic signs of a stroke can be remembered with the acronym F.A.S.T.
F – Face – one side of the face or mouth is drooping
A – Arms – ask him/her to raise both arms and see if one arm drifts down or is weak
S – Speech – stroke victims will have slurred speech or difficulty talking
T – Time – act quickly and call 911
In addition to these 3 classic signs of a stroke, the patient may experience the sudden onset of other symptoms. The important thing to note is these symptoms will come on suddenly. Here is the list of additional symptoms, according to ASA:
- Numbness – weakness or numbness of face, arm or leg, especially on one side of the body
- Confusion – confusion, difficulty speaking or understanding speech
- Trouble seeing – vision problem in one or both eyes
- Trouble walking – dizziness, loss of coordination and balance
- Severe headache – sudden headache
Risk Facts for Stroke
Factors such as age, race, gender and family history may contribute to your risk of stroke, however many risk factors can be changed or controlled. Some of these factors include a chronic medical condition, overweight, diet rich in fats, smoking or sedentary lifestyle. These factors can contribute to the risk of stroke:
- Diabetes
- Heart disease
- Atrial fibrillation
- Obesity
- Peripheral artery disease
- Carotid artery disease
- Smoking
- High blood cholesterol
- Inactive lifestyle
- Diet high in saturated fats, cholesterol, sodium
- High blood pressure
- Sickle cell anemia
Emergency Care Needed
“A stroke is an emergency and must be treated immediately,” said Dr. Vora. “Call 911 rather than drive the person to the ER since the EMS is equipped to begin treatment on a stroke immediately.”
Time is of utmost importance when it comes to a serious condition such as a stroke.
Kinds of Stroke
There are two main types of strokes:
- Hemorrhagic: Caused by bleeding in the brain; occurs about 20% of the time.
- Ischemic: Caused by a blood clot in the brain; more common, occurs about 80% of the time.
In the emergency setting, it is crucial to find out what type of stroke a person is experiencing. This could be quickly determined by a CT scan of the head.
At Medco ER, we are equipped with advanced imaging equipment and can perform the CT scan in less than 30 minutes from arrival. We also have close contacts with expert Radiologists who can provide a quick assessment of the CT images.
Furthermore, we are affiliated with local hospitals and specialized stroke centers and can quickly reach a Neurologist for an expert opinion to discuss the various types of treatment in a timely fashion.
Find help at Medco ER & Urgent Care
Patients suffering symptoms of a stroke can find fast access to quality medical care at Medco ER & Urgent Care. Our board-certified physicians have the years of experience needed to quickly identify and treat strokes. Our easy-access, freestanding ER has much of the same equipment found in a hospital-attached ER and we are fully ready to treat you 24/7 when the need arises.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.