Don’t Be Sidelined by an Asthma Attack

When your chest is tight, you can’t catch your breath, and you are wheezing and coughing, it could be an asthma condition flaring up. Asthma is a long-term disease that is not curable but can be managed or controlled. It affects 25 million people in the United States.1 Asthma can restrict your airways and increase mucus production, causing breathing difficulties. When asthma gets out of control, it’s good to know the physicians at Medco ER in Plano, TX, are standing by to help.
Risk Factors for Asthma
You may be at risk for asthma if someone in your immediate family has been diagnosed with it. Allergies can contribute to asthma. Common triggers can cause an asthma attack. Environmental exposure to smoke, mold, dampness, dust mites, wood dust, chemicals, and air pollution can also increase your risk of developing asthma.2 If you have a history of viral respiratory infections, your chances of developing asthma increase. Also, obesity increases the risk of asthma.3
Diagnosing Asthma
Asthma can be detected by examining your family history and by running breathing tests such as spirometry, peak flow test, pulse oximetry and nitric oxide measurement.4 A chest or sinus X-ray may be ordered, and a blood test and allergy tests may be used to diagnose asthma.1
Types of Asthma
Asthma is a condition that can be categorized into different types. Knowing your particular type of asthma can determine the kind of treatment and management plan needed. The different types include:5
- Allergy asthma
- Aspirin-induced asthma
- Cough asthma
- Exercise-induced asthma
- Nighttime asthma
- Steroid-resistant asthma
- Occupational asthma
Emergency Room Visits
If you experience any of the following symptoms, seek immediate medical help at the nearest Medco ER or emergency room.
- Persistent shortness of breath
- Blue tinged lips or fingernails
- Straining to breathe
- Tightness of chest
- Coughing a lot
- Changing posture to try to breathe
- Difficulty speaking
- Feeling confused or agitated
- Loss of consciousness
“If you are having trouble breathing and your medication isn’t helping, come to see us right away,” said Medco ER’s Medical Director, Dr. Nasir Khan. “We’re here 24/7 to help with your asthma attack.”
Treatment may include medications such as short-acting beta agonists, oral corticosteroids, bronchodilator, intubation, and oxygen. You may be kept for observation for a few hours to ensure your asthma is under control.6
Prevention Tips for Asthma Management
“See your doctor regularly for a plan of action that includes medications and management skills to help prevent flare-ups,” said Dr. Khan.
Controlling or managing your asthma requires a consistent plan of action. Take your medication consistently, even when you don’t have asthma symptoms.2 You can consider your asthma well controlled if you need your inhaler less than 3 times per week, do not wake up in the night with an asthma attack, and can go about your daily activities and exercise with few to no symptoms.7
Get Help Fast at Medco ER
When asthma attacks happen, you can find fast help at Medco ER. Our board-certified physicians are experienced in treating asthma and are ready to respond immediately to your condition.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
2 https://www.cdc.gov/asthma/faqs.htm
4 https://www.mayoclinic.org/diseases-conditions/asthma-attack/diagnosis-treatment/drc-20354274
5 https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/learn-about-asthma/types
6 https://www.mayoclinic.org/diseases-conditions/asthma-attack/diagnosis-treatment/drc-20354274
7 https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma
Burns – Types & Treatments

A burn can occur in a split second. Burns can be caused by scalding water, hot burner, open flame, electrical connection, chemical spill, radiation, or even too much time in the sun that results in painful or even debilitating burns. Each year, 1.1 million people are treated for burn injuries.1 At Medco ER & Urgent Care in Plano, TX, our board-certified physicians are here all day and night to provide quality care for burns and other injuries.
“Burns are especially painful and can be hard to judge the severity at home,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “That’s why we recommend you come in and have us evaluate the injury and provide rapid treatment to try to help reduce the pain and speed recovery.”
Types of Burns
First degree burns are the least severe and involve only the outer layer of skin, or epidermis and will cause redness and possibly minor blisters. Sunburns, grease spatters and coffee spills are examples of causes of first degree burns. They can be very painful but usually heal within several days without going to the doctor. If these burns cover more than 3 inches, consult with a physician.
Second degree burns involve both the epidermis and the next layer, the dermis. These burns swell rapidly and have more blistering and redness than first degree burns. They also can look glossy or weep fluid. Seek immediate medical attention for these burns.
Third degree burns are serious burns that require immediate medical attention. They involve the epidermis, dermis and fat layer. The burn area can look dry and leathery and tan, white, red or black in color. The skin may look charred. These burns are so deep that the patient may not feel how serious it is. Take the person to the nearest ER for emergency treatment.
Treatment of Burns
At home: Clothing and jewelry should be immediately removed from the injured area since burns swell quickly and circulation or breathing could be restricted. Cool water or compresses can give some pain relief. Elevate the wound.
At the ER: your physician will treat the burn with antibiotics and follow protocol to keep the body supplied with hydration and concentrated nutrients needed for healing. Your physician may discuss how to start the process of receiving skin grafts and a splint may be added to keep the area from moving during early treatment. Later, hyperbaric oxygen therapy and other therapies may be recommended to encourage healing.
Burn Safety
Prevention is key when considering injuries as painful and serious as burns. Children and older adults are at greater risk for being injured by burns or scalds. That’s why it’s important to spend some time considering how to best use safety precautions in your home. Practice safety measures when cooking, carrying hot liquids, filling bathtubs and serving food to children. Adjust the hot water heater to safe temperatures. Keep matches and lighters out of reach and be careful with candles and cigarettes.3
Teach children fire safety basics, such as Stop-Drop-and Roll, and practice your evacuation plan. Most fire stations have workshops for children to learn fire safety practices.
Keep hot irons, hair straighteners, etc., out of the reach of children. Cover outlets and put away electrical cords not in use. Keep children away from grills, outdoor fires, radiators and space heaters.
Enjoy taking the family to city fireworks and avoid doing fireworks at home. Install working fire alarms and fire extinguishers.
Get fast help at Medco ER & Urgent Care
Even with the best precautions in place, burns still happen. When someone receives a burn injury, come immediately to Medco ER & Urgent Care for quality care. We’re always open and ready to help when you need it.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.cdc.gov/masstrauma/factsheets/public/burns.pdf
2 https://www.mayoclinic.org/first-aid/first-aid-burns/basics/art-20056649
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
Bacterial vs. Viral Respiratory Infections

When a common cold or flu spirals out of control, or when a virus morphs into a secondary, bacterial infection, the sinuses, trachea, bronchial tubes or lungs may become infected with a respiratory infection. Most people have experienced a respiratory tract infection in their lifetime, and springtime often creates conditions that are ripe for the outbreak of these kinds of infections. At Medco ER & Urgent Care of Plano, TX, we commonly diagnose and treat seasonal respiratory conditions.
“Pollen can be an irritant that sets off allergies and escalates respiratory conditions,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “We also see a lot of colds and flus this time of year, even with our current focus on social distancing, masks and handwashing. Respiratory infections often develop in the aftermath of colds and flus and need medical intervention.”
What is a respiratory infection?
A respiratory infection occurs when a virus or bacteria takes over the sinuses, throat, airway or lungs. As you may have guessed, a viral respiratory infection is caused by a virus while a bacterial respiratory infection is caused by bacteria. This is usually the result of a secondary infection that takes place after a viral infection.
Bacterial infections can be treated with antibiotics. Viral infections cannot be treated with antibiotics, but there are some antiviral drugs that can be used to treat viruses if the outbreak is treated within the first 24 hours.
Respiratory infections are classified as upper and lower. Upper respiratory tract infections affect the sinuses, throat, pharynx and larynx. Lower respiratory tract infections affect the trachea, bronchioles and lungs.
Symptoms of a respiratory infection
Different respiratory infections have different symptoms, but most include some of these:
- Fever, chills
- Muscle aches
- Headache
- Sinus drainage
- Congestion
- Cough – dry or wet
- Shortness of breath
- Painful breathing
- Sore throat
- Wheezing
- Difficulty breathing
- Bluish tinge to skin
- Hoarseness
- Fatigue
Is a respiratory infection contagious?
“Many kinds of respiratory infections are highly contagious,” said Dr. Khan. “An example would be SARS that originated in China and spread rapidly to scan the globe. It is a good idea to treat any kind of respiratory infection as contagious and to try to keep it from spreading from airborne particles or through contact.”
Treatment for respiratory infections
Depending on the severity of the respiratory infection, over-the-counter fever reducers and pain relievers are often the starting point. If your rapid-results lab at Medco ER determines the infection is bacterial, then an antibiotic may be prescribed. Oxygen supplementation may also be used.
Get help fast at Medco ER & Urgent Care
With the convenience of a freestanding ER and little-to-no wait, Medco ER & Urgent Care offers some of the best medical care for respiratory infections. Our board-certified physicians are experienced in diagnosing and treating a range of respiratory conditions. With our help, you can soon be on the path to breathing easy again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
Top Reasons to go to the ER Even During COVID-19 Pandemic

For many people, the coronavirus pandemic has caused concerns about receiving safe medical treatment. However, visiting the ER in times of need is quite appropriate and safe. At Medco ER & Urgent Care, we made extra efforts to adhere to the safety guidelines recommended by the Center for Disease Control (CDC) during the height of COVID-19. We have also taken extraordinary measures to make sure our patients have safe medical care and efficient access to top quality care in a timely fashion.
“We pride ourselves on our excellent, safe medical care, even during unusual times of pandemic,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “If you have an urgent medical condition, don’t hesitate to come in and be seen by one of our board-certified physicians. You can be confident anytime in the care you receive here.”
What conditions are considered an emergency?
Any type of serious symptoms such as shortness of breath, numbness, abdominal pain, chest pain, loss of consciousness, and/or atypical headache are some common reasons to seek immediate medical attention at the nearest emergency room.
Medical problems we commonly treat at Medco ER include:
- Chest pain
- Abdominal pain
- Broken bone
- Sprains and strains
- Lacerations, scrapes or cuts
- Upper respiratory infection
- Respiratory distress
- Back pain
- Migraines
- Infections
- Foreign object in body
- Circulation concerns
- Pregnancy complications
- Burns or wound care
- Contusions
- Diabetes complications
- Renal failure
- Blood in urine or stool
- Concussion
- High blood pressure
- Mental and behavioral health concerns
- Flu or virus
- Pneumonia
- Allergic reactions
- Uncontrolled diarrhea and vomiting
- Animal bites
Additionally, anyone suffering with symptoms of COVID-19 should seek safe medical care. Symptoms vary but can include: fever, chills, cough, shortness of breath, fatigue, muscle aches, neck ache or stiffness, headache, loss of taste or smell, sore throat, congestion, nausea, vomiting, or diarrhea.
COVID-19 symptoms considered an emergency by the CDC include:
- Trouble breathing
- Persistent pain or pressure in chest
- New confusion
- Inability to wake or stay awake
- Bluish lips or face
“We are always here for you,” said Dr. Vora. “If you are unsure about a medical emergency or even something minor, we can perform a preliminary examination and determine the next steps in terms of diagnostics and treatment. With advanced imaging equipment and lab tests, we’re prepared to safely treat both medical emergencies and minor conditions with expert care.”
Negative Pressure Room
Using some of the latest technology, we have an exam room that is designed with negative pressure environmental controls. This helps contain any viruses, bacteria or airborne contaminants and keeps them from spreading throughout the facility.
Other safety protocols
In our continued, aggressive response to COVID-19, we have safety protocols in place to make sure our patients are protected against viruses and germs as best as possible. Here are some of our safety measures:
- N95 masks and room sanitization in the facility
- Personal protective equipment (PPE) for the entire staff
- Aggressive screening measures right at the entrance
- Regular staff screening with daily bodily temperature recording
- Clean waiting areas for patients & visitors
- Social distancing
- Designated areas for patients presenting for COVID-19 screening
- Rigorous cleaning and disinfection protocols
Come Right Away to Medco ER & Urgent Care
If you or people you love are experiencing symptoms of an urgent medical condition, don’t hesitate to come in for fast and expert help at Medco ER & Urgent Care. We’re open 24-hours a day to make sure you can get the medical care you need with little or no waiting time.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000