Hypertension Explained
Hypertension is persistently high blood pressure that a person can have without showing noticeable symptoms. When arteries are narrowed and blood is forced through at a high pressure, over time there can be damage to the artery walls. This can lead to serious medical conditions, such as heart disease. Often, the only way to know if you have hypertension is to have your blood pressure checked. At Medco ER & Urgent Care of Plano, we check all of our patients’ blood pressure to screen for any signs of hypertension.
“There are times a patient comes in for something minor like stitches and then we discover a more urgent concern with his blood pressure levels,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “We highly recommend an annual blood pressure checkup to watch for any early signs of hypertension.”
What kind of health conditions can be caused by hypertension1?
- Heart attack
- Heart failure
- Stroke
- Vision loss
- Kidney failure
- Sexual dysfunction
What do the numbers mean?
When you have your blood pressure checked, two numbers are recorded: the systolic and diastolic measurements. The systolic, or first number, measures the pressure of the blood in your arteries while the heart beats. The second number is the diastolic measurement. It tells you what the pressure is like when your heart rests between beats. If the systolic measurement is 120 and the diastolic is 80, it is reported to be “120 over 80.”
What is a normal blood pressure reading?
According to the CDC, a normal blood pressure rate would be less than 120/80 mmHg. An elevated rate would be 120 to 129 over 80. And a hypertension rate would be 130 or higher, and higher than 80 diastolic.
A hypertensive crisis requiring immediate medical care would be a reading higher than 180/120.
“If you’re taking your blood pressure at home and you find it is in a hypertension stage, come in to Medco ER & Urgent Care right away,” said Dr. Khan. “We will check your blood pressure again and will give you a complete examination.”
How do I check my blood pressure at home?
You can easily obtain a digital blood pressure machine at most stores. Take your blood pressure consistently twice a day, such as at the same time in the morning and evening. Do not eat, drink or smoke for 30 minutes before taking your blood pressure and don’t exercise. Be quiet for 5 minutes before taking it.
Sit straight at a table with your feet flat on the floor and your arm resting on the table with the upper arm at the height of your heart. Place the blood pressure cuff on your bare arm just above the elbow. Don’t talk while you take the reading. Wait one minute and take another reading to compare. Record your measurements on a sheet of paper with the time and date, or a log.
Treatment for hypertension
“Take your blood pressure every day, twice a day and keep a log,” said Dr. Khan. “Make sure you are under a doctor’s supervision. Your physician may prescribe medication to manage your blood pressure. Also, you can start to make some lifestyle changes that can help lower your blood pressure.”
Lifestyle changes we recommend:
- Regular exercise
- Diet low in sodium – under 1,500 mg a day
- Lose weight / maintain a healthy weight
- Eat healthier – low fat, more fruits and vegetables
- Limit alcohol
- Don’t smoke
- Get plenty of sleep
What will Medco ER & Urgent Care do for me?
If your blood pressure is too high or perhaps even too low, we can evaluate it and examine you to determine the best course of action. If you take a reading at home and it is in the hypertension range, come in and we will examine you and craft a treatment plan that’s right for you. We are open 24/7 every day of the year to make sure you have easy access to top quality medical care.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.heart.org/en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure
An Expert’s Guide to Nausea & Vomiting
If you or your child ever awakened in the night with a sudden bout of upset stomach, nausea or an urge to vomit, you have probably wondered what caused it. Nausea and vomiting are symptoms of an underlying condition which could be anything from a common infection to an intestinal obstruction or even appendicitis. While nobody wants to suffer from intractable nausea and vomiting, you can be assured that the board-certified physicians at Medco ER & Urgent Care of Plano are highly experienced at diagnosing and treating these conditions using a thorough history & physical exam as well as use of the advanced lab tests and imaging tools.
“Nausea and vomiting are indicators of an underlying distress in the body,” said Medco ER & Urgent Care’s Medical Director, Dr. Tariq Vora. “We need to perform a complete evaluation to pinpoint the exact cause, which could vary widely from patient to patient. We may need to follow it up with blood tests and a CT scan. In the end, we will be able to construct a treatment plan that’s appropriate for the patient.”
What are the causes of nausea and vomiting?
There are many causes of nausea and vomiting. Some of the most common ones encountered in the Urgent Care & ER setting are as follows:
- COVID-19
- Food poisoning
- Viral gastroenteritis – commonly called stomach flu
- Pregnancy – morning sickness
- Migraine
- Intestinal obstruction
- Appendicitis
- Alcohol consumption
- Diabetes
- Gallstones
- Irritable bowel syndrome
- Heart attack
- Intestinal intussusception in young children
- Meningitis
- Concussion
- Kidney stone
- Cancer
- Motion sickness
What are some of the symptoms that can accompany nausea and vomiting?
- Dizziness and vertigo
- Stomach pain
- Abdominal cramps
- Fever
- Headache
- Dehydration – sunken eyes, chapped lips, dry mouth, rapid pulse, rapid breathing, decreased urine output, dark colored urine, strong smelling urine, sunken fontanelle (soft spot on infant’s head)
What are signs of an emergency?
If your nausea and vomiting are accompanied by any of these symptoms, you need to immediately go to the nearest emergency room.
- Chest pain
- Stiff neck and high fever
- Abdominal pain or cramping
- Confusion
- Loss of consciousness
- Sharp pain
- Uncontrolled dehydration
- Blood in stool
- Blood in urine
- Blood, green color or something like coffee grounds in vomit
- Fecal odor in vomit
Treatment options
Simple treatment options at home include the importance to pushing hydration and drinking fluids. Carbonated and sweet liquids can sometimes soothe the stomach better than water. Mint tea is also quite helpful for certain conditions. Rehydrate with an electrolyte-ready solution or drink. Stay home and rest. Avoid triggers such as perfumes, odors, lights, driving and heat. A few hours after vomiting, try bland foods like toast, crackers or gelatin. Keep your head elevated.
There are different types of medications that are used in the clinical setting depending on the various conditions and age group. Our physicians at Medco ER do not just provide prescriptions but they can make you feel better quickly with IV medications and IV fluids right on the spot and help you go home feeling great.
When should I go to the ER?
As a rule of thumb, if your vomiting has lasted for longer than 24 hours, seek medical attention at Medco ER & Urgent Care. We are open 24/7, and happy to help anytime you want to come see us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (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.
What Your Doctor Knows About Lacerations
Whether you’re fishing on your day off, enjoying a hobby, building something new, playing outside or even just preparing a meal, cuts, scrapes or lacerations can happen unexpectedly. The board-certified physicians at Medco ER & Urgent Care are experienced in treating wounds of all kinds and are standing by to help.
“When you experience a deep cut or laceration, or a scraped area of skin, the sooner you can get here, the better we are able to fight off infection that could be settling in the wound,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “We can treat it quickly and relatively painlessly. We use topical anesthetics to help reduce the sensation during treatment and we can make sure all the dirt and foreign bodies are removed properly before creating a proper seal.”
Do I need stitches?
When a laceration occurs, most people wonder whether or not they really need stitches. Sometimes it is very obvious that medical attention is needed, but other times it is not as clear. As a rule of thumb, if you can see layers of fat, muscle, tendons or bone in the wound, you will probably need stitches by a medical professional.
“Having one of our physicians treat your laceration can accomplish three things,” said Dr. Vora. “One: it will reduce the possibility of infection by properly sterilizing and sealing the wound. Two: it will stop severe bleeding. Three: it will speed healing by keeping the wound closed and stabilized. Treating a deep laceration at home is not advisable because of the risk of infection and inefficient healing. A wound may heal unevenly and leave a rough area that has reduced or deadened sensation.”
What about afterwards?
After you’ve received stitches, we can remove them in 5-14 days, depending on the location and size of the wound.
What about road rash, scratches or bites?
If your wound was caused by a skidding motion that peeled or scraped away a patch of skin, it is important to make sure all the dirt is removed from the area. “Scrapes or abrasions caused by falling off a bike or skidding across pavement are notoriously hard to clean at home,” said Dr. Vora. “Plus, they are extremely painful because they involve a large area of pain receptors. We can reduce the pain with topicals and can make sure all the dirt and gravel is removed to speed healing.”
If you had trouble with an animal and have scratches or bites, it is important to receive medical attention even if the wounds don’t appear to be too deep. Animal-related wounds are notorious for becoming infected, and a tetanus shot may be needed. Be prepared to identify the animal so your doctor can discover if there is a risk of rabies and so the animal can be contained, if necessary.
Do I need a Tetanus shot?
It is extremely important that you are up to date on your Tetanus booster anytime you experience a laceration or open wound. Tetanus is caused by bacteria and is almost always fatal if contracted through the skin. A Tetanus booster is usually good for 5-10 years.
If you don’t remember your last Tetanus shot, it’s crucial to get one in case of an open injury. At Medco ER, we can provide you a Tetanus booster in order to avoid a potentially deadly infection.
What to do on the way to the ER
Apply a clean cloth to the laceration and keep pressure on it to slow the bleeding. A gentle pinching pressure to pull the sides together could stem the bleeding on the way to Medco ER. Have someone else drive you so you can keep the wound elevated above the heart. If the wound is severe and blood loss is prominent, call 911 immediately or have someone take you to the nearest ER.
Get help fast at Medco ER & Urgent Care
At Medco ER, we have the imaging equipment, IVs, labs and supplies needed to treat any lacerations or wounds that you or your loved ones may experience. We are open 24/7 to provide you with some of the best medical care available to speed you on your way to healing.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
10 Signs of Dehydration
As the heat index ramps up and we become more active, it’s easy to forget to drink enough fluids to stay well-hydrated. If you’ve ever wondered if you may be dehydrated, there are some quick and easy ways to know. Once you’ve determined that you’re suffering from dehydration, you can start taking some steps towards remedying it.
However, bringing your body back into a state of healthy hydration isn’t always as easy as grabbing a glass of water. That’s why, we’re always ready at Medco ER & Urgent Care to bring the needed hydration and electrolyte balance back into your system to help you start to feel better again.
“Dehydration can lead to the more serious heat-related illnesses and should be treated immediately,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “If you can’t get on top of your dehydration right away, we have the treatment readily available.”
Here are 10 warning signs of dehydration:
Fatigue
If you’re exhausted and you don’t know why, dehydration may be the culprit. Try drinking water while resting.
Headache
The first thing you should do when you have a headache is drink some water. If the problem is dehydration, you should experience some relief soon.
Muscle cramps
An imbalance in minerals can cause muscle cramps and pain. Try drinking electrolyte-balanced hydration packets or drinking water and eating a banana for a potassium boost.
Constipation
Since your body absorbs much of its liquid from the passage of food and water in the intestines, your stool may become dry and immobile if you aren’t drinking enough. Get some water into your system and even some healthy oils or prunes to help.
UTI
A urinary tract infection can be the result of dehydration. An excess of bacteria can build up and multiply in the tract if it isn’t flushed out regularly by trips to the bathroom. If you’re experiencing difficulty urinating, painful urination or blood in the urine, come to Medco ER & Urgent Care immediately for treatment.
Dark-colored urine
The color of your urine could tell a lot about you. If it is dark yellow or orange, you may be dehydrated. Vitamins and certain vegetables can also taint your urine color, so consider that when determining if you are dehydrated or not.
Dry skin and lips
If you’re experiencing chronic chapped lips or dry, cracked skin, you may not be getting enough to drink. In addition to drinking water, try some moisturizers or natural oils to feel better.
Brain fog
If your cognitive processes are slowing down and you’re struggling to think, your brain may be stressed from dehydration. Try to get 80 ounces of water each day and see if it helps to make you feel better.
Dizziness
An imbalance in the electrolytes and minerals can lead to dizziness. If a sports drink doesn’t help within 20 minutes, a trip to the ER might be a good idea.
Confusion
One of the most serious indicators of advanced dehydration, confusion should always be taken seriously. “If you or someone you love is struggling to communicate, confused or just seems out of it, it is important to seek medical attention immediately,” said Dr. Vora. “Whether it’s dehydration or something else, it’s a cause for prompt evaluation by a qualified emergency medical provider.”
Where can I get medical help for dehydration symptoms?
For any of your urgent medical needs, Medco ER & Urgent Care is open day and night to serve you. We have the rapid labs and the IV fluids ready to diagnose and to treat your dehydration. Come on into our Plano location which is open 24/7 for your convenience.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
Is it Safe to Come to the ER Now?
Like many others, you may be wondering about the wisdom of coming to the ER during the COVID-19 pandemic. Your safety and health are our #1 priority at Medco ER & Urgent Care. We feel it is a privilege to serve you with extensive safety measures in place. Providing quality healthcare round-the-clock is our passion, and we do it with an eye to excellence.
You’ve probably heard the stories of people who have stayed home with serious medical conditions—like heart attack, stroke, pneumonia or diabetic crisis—rather than “risk” going to the emergency room. “We strongly discourage the idea of not going to the ER because of the chance of catching coronavirus,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “With stringent sanitizing practices and carefully thought-out safety precautions in place at Medco, there’s no reason to fear going to the emergency room when you need it.”
Negative Pressure Room
When it comes to treating patients safely in a sterile environment, preparation is key. And Medco ER has been prepared for infection control using some of the most advanced technology. One example of this is our specialized Negative Pressure Room, which helps to prevent airborne diseases (such as Flu and COVID-19) from escaping the room and infecting other people.
Here’s a peek at some of the other protocols we’ve implemented to ensure you will receive top quality care in a sanitized, safe and secluded environment.
Clean entrance
As soon as you walk in the freshly sanitized, touch-free door, you will find a secure processing center complete with hand sanitizers, masks and an intake specialist who will screen you for fever and symptoms.
Safe waiting area
If you have a non-COVID-19 related health concern, you may be seated in our clean waiting area arranged to help you distance from other patients. If possible, you may be escorted to your newly sanitized exam room to wait instead.
Separated areas
We have a protocol for separating any cases that are suspected to be COVID-19 related. If you enter with a non-COVID condition, you can be assured that you will be kept completely separated from any other cases and that every precaution will be taken to ensure your health and safety. Our rigid infection control practices follow the highest standards possible to maintain the safety of everyone in the clinic.
Sanitized exam room
Each patient will have access to a freshly cleaned exam room. In your sanitary, enclosed environment, you can finish filling out the paperwork and be seen by your board-certified physician. If diagnostic tests are needed, you can wait in your room for the rapid results and then speak to your physician about treatment options.
Personal protective equipment (PPE)
Our team of caring professionals has access to the personal protective equipment needed to keep us and our patients safe from the spread of contagion. We are practicing the recognized guidelines for safe measures including masks, gloves and eye protection, when needed.
Should I come in just for a common condition like a UTI or dehydration?
If you are suffering from a common medical condition and need to see a doctor right away, Medco ER & Urgent Care is open day or night to serve you. We are here to apply our experience to all kinds of medical concerns. Our Plano location has easy access and is open 24/7. You can trust us with your healthcare needs.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.