ibs

IBS: Don’t Be Embarrassed About This Common Disorder

From the time we’re little kids, any mention of bowel habits can trigger giggling embarrassment. We’re not sure why that is, because the intestine is simply another organ in the body. Nevertheless, our concierge primary care doctors in Jupiter know that talking about bowel disorders can be uncomfortable for our patients.

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omicron news

What We’ve Learned About the Omicron Variant

As we’ve just passed the second-year anniversary of the SARS-CoV-2 pandemic, our concierge primary care doctors in Jupiter think we should take a moment to reflect on how far we’ve come in dealing with this often-deadly disease.

It may not seem like it, because we still have to wear masks many places and haven’t fully returned to pre-pandemic life, but we have made progress.

For instance, we know more about how it spreads (through the air, especially in enclosed spaces), and how to protect ourselves (safe, effective vaccines and high-quality masks). And even though we’re still in the grip of of this still-relatively new coronavirus, and we’ve also found effective ways to treat it (monoclonal antibodies and anti-viral drugs).

Omicron a good thing?

And, believe it or not, the omicron variant of the virus may have turned out to be relatively good news, even though over 2,000 Americans a day are still dying from it.

But because it appears less lethal than its predecessors, omicron may make the pandemic more manageable.

The Centers for Disease Control and Prevention (CDC) released the results of a study late last month showing that the omicron variant—which is now the dominant variant both here in the U.S. and around the world—causes less severe illness, fewer hospitalizations, and requires less time in isolation following exposure.

This is partly due to the large numbers of people who have been vaccinated and/or infected with COVID-19, as well as to the fact that the virus appears to concentrate its effects in the upper airways instead of settling deep in the lungs.

The downside is that omicron is far more transmissible than earlier variants or the original virus. This is why so many people are catching it, and why—due to the sheer numbers of infections— hospitals are still being overwhelmed and an average of 2,200 people a day are still dying from the coronavirus.

Light at the end of the tunnel?

But an NBC News analysis of COVID-19 case numbers at the end of January showed that Florida is one of the many states where omicron is no longer surging.

And chief White House medical advisor Anthony Fauci said in an interview with ABC’s “This Week” that he expects the wave to subside in “most” states by the end of February.”

“As we get into February . . . it is very likely that most of the states in the country will have turned around with their peak and are starting to come down with regard to cases and then obviously hospitalizations,” he said.

While cautioning that “our work is not done,” Hans Kluge, regional director of the World Health Organization (WHO) for Europe, released a statement two weeks ago that offered a glimmer of hope to a pandemic-weary world.

“The pandemic is far from over, but I am hopeful we can end the emergency phase in 2022 and address other health threats that urgently require our attention,” he said in a statement.

“This pandemic, like all other pandemics before it, will end, but it is far too early to relax,” he added.

Effective weapons

One recent setback in the fight against SARS-CoV-2 was the finding from the CDC, confirmed by the drugs’ manufacturers, that two of the most common monoclonal antibodies used to keep at-risk individuals out of the hospital do not work against the omicron variant.

But again, there’s good news on that front, as well, because one monoclonal antibody—sotrovimab—is effective, and is still available at most hospitals even though Florida’s outpatient centers have closed.

Those who have mild to moderate symptoms of COVID-19 (fatigue, cough, loss of smell or taste, fever) or have underlying risk factors (those over 65, diabetes, obesity, kidney, heart, or lung disease or those who are immunocompromised) can check with area hospitals to see whether they’re offering this treatment.

In addition, other effective weapons in the arsenal against COVID-19 include the intravenous antiviral treatment remdesivir and the newly authorized oral antiviral drugs, Paxlovid or molnupiravir.

Still work to do

Two years in, we still don’t have all the answers, and until more people in this country and around the world are fully vaccinated, SARS-CoV-2 will not be fully manageable.

Each person who remains unvaccinated not only puts themselves at risk, but others around them, as well. And each infection offers the virus another chance to mutate.

Speaking of mutations, you may have heard of another new mutation of the omicron virus that some are calling “son of omicron” or “stealth omicron” because it’s so difficult to detect in PCR tests.

The new variant, designated BA.2 (omicron is BA.1), was first reported in California in November. It has since been seen in isolated cases in Texas as well as other countries. However, while remaining cautious, at this point most virologists don’t think it’s more dangerous or more transmissible than omicron BA.1. We’ll let you know if we learn otherwise.

monoclonal antibodies

Why You Need to Know About Monoclonal Antibodies

In the fight against COVID-19, the top weapon in our arsenal is the vaccine, which has been proven safe and effective. But when people refuse vaccination, or experience a breakthrough infection despite having received the vaccine, one extremely effective treatment is the use of monoclonal antibodies to stave off serious disease.

Our primary care doctors at MD 2.0 in Jupiter are surprised, however, at how few people are aware of this potentially lifesaving treatment. Florida opened a number of clinics where those not sick enough for hospitalization can receive monoclonal antibodies. We want to let you know what this treatment is and what it can do.

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tea good health

Tea Leads to Good Overall Health

To our concierge family practice doctors in Jupiter, Florida, tea is the second-best beverage you can drink for good health. It comes as a close second, of course, to drinking water.

The practice of brewing leaves appears to go back at least 5,000 years, but its actual origins are hazy. The most persistent legend concerns a Chinese emperor who drank a bowl of hot water that was boiled for sanitary purposes. He was in his garden when a few leaves fell into his bowl, surprising him with the resulting pleasant flavor.

But a great deal of recent research has found there’s far more to be found in a cup of tea than a soothing drink.

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Heartburn at Home

Heartburn: How to Handle the Heat

Whoever dubbed the searing pain of acid indigestion “heartburn” got it right. The (usually) benign phenomenon can come on suddenly and have you wishing for an internal fire extinguisher to make it stop. Fast.

An estimated 60 million Americans experience heartburn at least once a month. Because it’s so common, our concierge doctors in Jupiter, Florida, want to explore the causes of heartburn, ways to prevent and treat it, and when you should be concerned about it.

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best face mask

Which Type of Face Mask Is Best?

We’ve been living with the coronavirus pandemic for a year now. Our concierge doctors are seeing more and more claims regarding special types of face masks that will supposedly offer more protection from the virus.

We’re also getting more questions from our patients on this subject. Especially now that at least three variants (mutations) of the coronavirus have been identified as circulating in this country.

So we thought we’d tell you what we know to date on how to find the best face mask.

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mental health pandemic

Mental Health Still a Pandemic Challenge

It’s no surprise that mental health issues have soared due to pandemic stress in recent months. Between the loneliness resulting from the pandemic isolation to worrying about us or our loved ones contracting COVID-19 to financial concerns, people are suffering.

One survey by the CDC found 40 percent of respondents were experiencing mental health issues. These mental health issues reportedly arose from the pandemic, anxiety about the coronavirus itself and the containment measures related to it.

Our concierge doctors have seen this first hand from our patients, as well. In fact, it would be surprising if everyone wasn’t feeling stress to some degree. Especially if you consider all the stressors our nation has experienced over the last few months.

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best diet

The Best Diet for You

The start of a new year is traditionally the time to turn the page on the bad habits and disappointments of the previous year.

Usually near the top of the list of New Year’s resolutions that people make is the decision to lose weight. And from a health perspective, our concierge doctors certainly applaud that one.

Overweight or obesity is responsible for a host of chronic diseases, from type 2 diabetes to backaches to joint pain. So you want to achieve and maintain a healthy body weight, right? But which diet is best?

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