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<title>Coastal Concierge Medicine & Aesthetics</title>
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<title>Understanding Botox and Botulinum Toxin</title>
<link>https://nmbdoc.com/2021/09/botox-and-botulinum-toxin/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Thu, 02 Sep 2021 22:07:19 +0000</pubDate>
<category><![CDATA[Life Hints and Tips]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=4103</guid>
<description><![CDATA[<p>What you need to know about botox Botox is a brand and is commonly used synonymously for all injections of the neurotoxin botulinum toxin by the general public. While practitioners do not usually refer to their injections as neurotoxin botulinum toxin, Botox is the most commonly known agent by consumers. Allergen’s Botox is not the only […]</p>
<p>The post <a href="https://nmbdoc.com/2021/09/botox-and-botulinum-toxin/">Understanding Botox and Botulinum Toxin</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<style>/*! elementor - v3.21.0 - 18-04-2024 */
.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}</style><h2 class="elementor-heading-title elementor-size-default">What you need to know about botox</h2> </div>
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<style>/*! elementor - v3.21.0 - 18-04-2024 */
.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}</style> <p><span style="color: #000000;"><span style="font-family: Arial, sans-serif;">Botox is a brand and is commonly used synonymously for all injections of the <strong>neurotoxin botulinum toxin</strong> by the general public. While practitioners do not usually refer to their injections as neurotoxin botulinum toxin, Botox is the most commonly known agent by consumers. Allergen’s Botox is not the only brand of medication available, there are several more on the market. Each brand has its own place and use.</span></span></p> </div>
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<h3 class="elementor-heading-title elementor-size-default">How does Botulinum Toxin Type A (BTX-A) Injections Work?
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<p>This type of medication paralyzes the muscles. More specifically, it prevents the <b>neurotransmitter acetylcholine</b> from being released from one neuron to activate the next. It is like putting a piece of plastic between your plug and electrical socket – nothing gets through. If you are into medical science, here is a good article to read: <em><b>Walker TJ, Dayan SH. Comparison and overview of currently available neurotoxins. J Clin Aesthet Dermatol</b>. 2014;7(2):31-39.</em></p><p>Right now, the most common BTX-A products are the “Big 4”. <b>Botox, Dysport, Jeuveau, and Xeomin</b>. Each of these is slightly different from one another and is used in slightly different ways. All have their niches and their specific uses. Some work quickly, others take time. Some cover larger areas, some for smaller areas. There is even an alternative one if you are allergic to the other BTX-A agents. Each practitioner uses them in a different way. Normally, experience is the guide for the practitioner, because each patient will respond a little differently to each product.</p><p>If you have any further questions or are interested in these or other cosmetic products or procedures, feel free to call the office for a consultation.</p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/09/botox-and-botulinum-toxin/">Understanding Botox and Botulinum Toxin</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>What You Need to Know – CoViD Vaccine Booster</title>
<link>https://nmbdoc.com/2021/08/what-you-need-to-know-covid-vaccine-booster/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Wed, 25 Aug 2021 18:27:43 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<category><![CDATA[Medical Alerts]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=4083</guid>
<description><![CDATA[<p>What you need to know about getting a covid booster shot So now you are being bombarded with the CoViD Vaccine Booster and you may have many questions. Misinformation is much more prevalent than good information. Politics are everywhere. Experts who work as underwater basket weavers have much more experience than seasoned physicians. Much of […]</p>
<p>The post <a href="https://nmbdoc.com/2021/08/what-you-need-to-know-covid-vaccine-booster/">What You Need to Know – CoViD Vaccine Booster</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<h2 class="elementor-heading-title elementor-size-default">What you need to know about getting a covid booster shot</h2> </div>
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<p><span style="font-weight: 400;">So now you are being bombarded with the </span><b>CoViD Vaccine Booster and</b><span style="font-weight: 400;"> you may have many questions. Misinformation is much more prevalent than good information. Politics are everywhere. Experts who work as underwater basket weavers have much more experience than seasoned physicians. Much of the medical information out there has been corrupted by bad information and politics. How do people get through that? </span><b>What do you do?</b></p><p><b>Listen to people who care and work at giving good information.</b></p><p><span style="font-weight: 400;">First, let us start with some disclaimers. Medicine is an art. Doctors preach science. Physicians take science and apply it to life. There are no absolutes in medicine. We take what we think is right, and present it in a balanced, educational way.</span><b> I am going to attempt to do that here.</b></p><p><span style="font-weight: 400;">Second, it is absolutely okay to disagree with me. This is my interpretation of the data and information that we have up to this point. The information is constantly changing. Over time, the information we thought was correct might turn out to be wrong. Some research is manipulated to say one thing, rather than another. This is where judgment, wisdom, and education come in. One of my favorite sayings is that my medical degree beets your internet degree. I don’t know how long you have been alive, but I went through this with a </span><b>novel new virus called</b> <b>HIV</b><span style="font-weight: 400;"> a few decades ago.</span></p> </div>
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<h3 class="elementor-heading-title elementor-size-default">So, let's delve into the research</h3> </div>
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<p><span style="font-weight: 400;">The research is showing that people who have a non-robust immune system start to lose their resistance after </span><b>about 8 months of being vaccinated.</b><span style="font-weight: 400;"> This is especially true for people with moderate to severe immunocompromise – </span><b>like diabetics, people with immune disorders, or cancer patients.</b><span style="font-weight: 400;"> Not only are the immunocompromised affected by this, but the research is also starting to point toward healthy older people and people with other medical conditions. These individuals do not completely lose their immune response, it just weakens them so the virus can make you sicker the next time it happens.</span></p><p><span style="font-weight: 400;">In addition, there are new strains of the virus popping up. This was expected. The proteins on the virus change to try to get away from the immune response. Again, expected. </span><b>This is just like the Flu and how we need to take a vaccine every year to fight it.</b></p><p><span style="font-weight: 400;">Another point is that a vaccine does not prevent you from getting sick. It keeps you from getting really sick and possibly preventing severe side effects or even death. If you have been vaccinated, have a strong immune system, and get the CoViD virus – </span><b>you will still get sick,</b><span style="font-weight: 400;"> but just not so sick you are stuck in the hospital, or worse. Also, being vaccinated means that if you get sick again, you will not spread the virus as easily yourself or not spread it at all.</span></p><p><span style="font-weight: 400;">Notice, in all of this information, there is a good deal of variability. Nothing is absolute in medicine. We try to cover 98% of people, but there are always extreme cases.</span></p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Looking at the future</h2> </div>
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<p><span style="font-weight: 400;">Okay, so we have an immune response that putters out, a virus that changes, and everyone responds a little differently. </span><b>Think of the flu, people!</b><span style="font-weight: 400;"> We will have a yearly vaccine, or booster if you will, based on what is out there. This might also happen when our immune system starts to unwind because we are not seeing the virus enough.</span></p><p><span style="font-weight: 400;">Now, some good news. There is research and testing on a </span><b>new vaccine that will give long-lasting immunity</b><span style="font-weight: 400;">. I don’t want to say permanent, but long-lasting. We will see where that goes.</span></p><p><span style="font-weight: 400;">These are the basic facts we are presented with. Here is what I am suggesting to our patients:</span></p><p><span style="font-weight: 400;">If you have any medical conditions or are over the age of 50, </span><b>I suggest a booster.</b><span style="font-weight: 400;"> We are using the J&J Vaccine as the booster because it is the best match to the new variants coming out. If you want a Maderna or Pfizer, that is fine too.</span></p><p><span style="font-weight: 400;">You need to wait about </span><b>6 to 8 months since your last injection.</b><span style="font-weight: 400;"> Otherwise, it overlaps, does not help as much, and makes you feel horrible.</span></p> </div>
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<h2 class="elementor-heading-title elementor-size-default">So where do you get the raw information?</h2> </div>
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<p><span style="font-weight: 400;">Unfortunately, unless you are a more senior physician, know the politics and how research can be manipulated, </span><b>it is very difficult</b><span style="font-weight: 400;">. Everyone is trying to push an idea, or agenda, or way of life right now. Take what you read with a grain of salt. Absolutes do not exist, other than death and taxes.</span></p><p><span style="font-weight: 400;">Try to use good, reputable websites. Remember; </span><b>Google, Facebook, Twitter, and many other platforms are owned companies</b><span style="font-weight: 400;"> that may have a political agenda. Unfortunately, even information from trusted sources could be not-so-trusted due to the political environment. Ask people in the know who are not jaded and are looking at all sides of the argument.</span></p><p><b>We will do the best we can to get through this together.</b></p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/08/what-you-need-to-know-covid-vaccine-booster/">What You Need to Know – CoViD Vaccine Booster</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>Immigration exams – 2021 Update</title>
<link>https://nmbdoc.com/2021/06/immigration-exams-2021-update/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Tue, 22 Jun 2021 16:06:06 +0000</pubDate>
<category><![CDATA[Immigration Exams]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=3910</guid>
<description><![CDATA[<p>What’s all the fuss? Dr. Weitzman feels it is his duty, and honor, to help people become legal residents and citizens of the United States of America. At our office, we strive to make this process as easy, transparent, inexpensive as possible and move as quickly as possible. The full instructions are from the US […]</p>
<p>The post <a href="https://nmbdoc.com/2021/06/immigration-exams-2021-update/">Immigration exams – 2021 Update</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<h2 class="elementor-heading-title elementor-size-default">What’s all the fuss?
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<p>Dr. Weitzman feels it is his duty, and honor, to help people become legal residents and citizens of the United States of America. At our office, we strive to make this process as <b>easy, transparent, inexpensive as possible and move as quickly</b> as possible.</p><p>The full instructions are from the <b>US Citizenship and Immigration Services</b> and the <b>Centers for Disease Control and Prevention</b> (known as the CDC for short). That website is:</p><p><a href="https://www.cdc.gov/immigrantrefugeehealth/exams/ti/index.html">https://www.cdc.gov/immigrantrefugeehealth/exams/ti/index.html</a></p><p>For our office, here is how it works.</p> </div>
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<h3 class="elementor-heading-title elementor-size-default">Section 1, The Basics</h3> </div>
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<p>Every person must have the following for the appointment:<u></u></p> </div>
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<p><strong>1)</strong> Passport or Federal acceptable ID (Like a driver’s license with a Real ID star);</p><p><strong>2)</strong> Their immunization records, or we will substitute for that (see below)*;</p><p><strong>3)</strong> Their address, home and cell number (can be the same), email;</p><p><strong>4)</strong> marriage certificate or name change certificate if this has happened since the last filing;</p><p><strong>5)</strong> A letter from their primary care if they have chronic medical conditions. Ie: Hypertension, diabetes, etc, noting they are under routine care and compliant with treatment. This includes any psychological conditions too, such as anxiety or depression.<u></u></p> </div>
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<p><strong>USCIS Requirements:</strong> If the applicant cannot read, speak, and write English, they must have an interpreter with them for the initial visit with the doctor, and must return at signing to sign the forms.<u></u></p> </div>
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<p>*If no immunization records, we have to test or boost – based on what is least expensive:</p> </div>
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<p><strong>If you have insurance, and your own doctor</strong> – best to get it done before you come in. It can save you a lot of money.</p><p>There have been some changes over the last year or so from the Federal Government for immunizations. <strong>Varicella</strong> (Chicken Pox), and the <strong>MMR</strong> (measles, Mumps, Rubella). If you do not have your records, a booster series is initiated. Normally 2 shots about 1 month apart. You only need the first shot to have the forms signed off on. The applicant pays the pharmacy or health department directly, not us. This saves you money.</p><p>For the TDaP and Influenza, <strong>a single injection is needed</strong> – you will pay the pharmacy or health department directly.</p><p>For children,<strong> it is a lot more complicated.</strong> It is best to have your pediatrician have the child reviewed for immunizations.</p><p>Anyone who wants to know what immunizations they need can go to the following website:</p><p><u>https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html</u></p><p>and the chart:</p><p><u>https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html#tbl1</u></p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Section 2, The Labs:</h2> </div>
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<p><strong>1) Standard Labs:</strong> test for STDs and important public health diseases. These are mandatory and set by the Federal Government. This goes to the lab.</p><p><strong>2) Special Testing:</strong> This gets added on for several reasons. Mostly due to a random selection or a special evaluation request. It can be a drug urine screen, or Hemoglobin A1C for a diabetic if not up to date, Ect. The patient pays our cost, which is way less than paying at the lab. But you are welcome to pay at the lab directly too.</p> </div>
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<p>If your Tuberculosis testing is reactive, <strong>you will need a chest X-ray.</strong> We will arrange for one at a center that does low-cost testing. You will pay that directly to the radiology center.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Section 3, The Exam:
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<p>Just a good once over. Includes a psychological component. <strong>You may need to see a psychologist</strong> for a formal evaluation, but that is rare.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Section 4, Info Gathering:
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<p>After everything is in, we assemble a packet of information, <strong>take the applicant’s supplied info, and fill out the I-693.</strong></p> </div>
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<p>Once everything is complete, and the forms are filled out, <strong>the applicant returns to sign the form.</strong> If you engaged an interpreter, they must be there to sign. If an attorney needs to sign, they must fill out their section, sign it, and send it to us.</p><p>We give them the form in a sealed envelope. We also supply an unofficial copy.</p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/06/immigration-exams-2021-update/">Immigration exams – 2021 Update</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>To Mask or Not To Mask, That is the Question</title>
<link>https://nmbdoc.com/2021/03/to-mask-or-not-to-mask-that-is-the-question/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Thu, 11 Mar 2021 17:26:21 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=3876</guid>
<description><![CDATA[<p>Whether ’tis nobler in the mind to mask The vaccine is out there. Some people are fully immunized and some people will never put that government stuff in their veins. Hysteria and brainwashing are in full swing. The world is divided into extremes with common sense thrown out the window. So what about those mask […]</p>
<p>The post <a href="https://nmbdoc.com/2021/03/to-mask-or-not-to-mask-that-is-the-question/">To Mask or Not To Mask, That is the Question</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<p><strong>The vaccine is out there.</strong> Some people are fully immunized and some people will never put that government stuff in their veins. Hysteria and brainwashing are in full swing. The world is divided into extremes with common sense thrown out the window.</p> </div>
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<p>The CDC has released new guidelines for wearing masks pre and post-vaccination. <strong>Let’s keep it simple.</strong></p><p>If you have completed your vaccine series <strong>two weeks ago</strong>: you may go without a mask. As long as you are in a relatively low-risk environment, you may go au naturale without the mask. If you are working in the CoViD ward, you may still want to wear one. Also, if you intend to lick anyone who currently has CoViD, the mask will also prevent this!</p><p>If you have taken your first Pfizer or Moderna Vaccine, or it has been<strong> less than two weeks</strong> after your second shot – mask up baby! You might be covered but with this bug, it’s better safe than sorry.</p><p>If you have taken the Johnson & Johnson (J&J) vaccine – <strong>give it 6 weeks after your shot.</strong> It should not take that long, but it’s better safe than sorry. For some people, it will take much longer for their immune systems to adapt and fully mature.</p> </div>
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<h3 class="elementor-heading-title elementor-size-default">What if I had CoViD before?</h3> </div>
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<p>If you have had CoViD, this becomes a bit tricky. Here is what we are doing in my practice: <strong>We test for immunity.</strong> If the person has IgG antibodies, it is the same as being immunized. <strong>No need for a mask!</strong></p><p>What about a vaccine for those who have had CoViD? Just one shot, thank you. You will only need a single booster of<strong> any of the three available vaccines.</strong> Fair warning – you are going to feel like you have a viral infection for a day or two after the shot. You are not sick, it is just your immune system getting worked up over the vaccine – and that is a good thing.</p><p>This is just a personal guideline and this is what we are telling our patients at our office. We practice personalized medicine, so each person could be a little different. Only check with your doctor. Remember, most medical degrees will trump Google / Twitter / Internet / Friend degrees…</p><p>And get ready for those funny looks from the Mask Police! When asked, just start singing “A Change Would Do You Good”.</p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/03/to-mask-or-not-to-mask-that-is-the-question/">To Mask or Not To Mask, That is the Question</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>CoViD Variant, Vaccine Facts, and The Future in Layman Terms</title>
<link>https://nmbdoc.com/2021/02/covid-variant-vaccine-facts-and-the-future-in-layman-terms/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Mon, 08 Feb 2021 22:09:23 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=3866</guid>
<description><![CDATA[<p>Keeping it simple Full disclaimer, this is written for people whom are not trained in medicine. So everyone who has a Medical Doctor (MD or DO) degree, a PHD or Masters Degree, or think they are a doctor, this is too basic for you. CoViD Variants There are new CoViD variants being discovered weekly now. […]</p>
<p>The post <a href="https://nmbdoc.com/2021/02/covid-variant-vaccine-facts-and-the-future-in-layman-terms/">CoViD Variant, Vaccine Facts, and The Future in Layman Terms</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<p>Full disclaimer, this is written for <strong>people whom are not trained in medicine</strong>. So everyone who has a Medical Doctor (MD or DO) degree, a PHD or Masters Degree, or think they are a doctor, this is too basic for you.</p> </div>
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<h3 class="elementor-heading-title elementor-size-default">CoViD Variants
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<p>There are new CoViD variants being discovered weekly now. Do not be alarmed or surprised. <strong>It is very normal for this type of virus to shuffle it’s genes to try to improve.</strong> Sometimes it works, sometimes it does not. There most likely have been many variants that have come, gone, and are not discovered. What is more surprising is that the experts have been caught off guard by this. The cCorna Viruses have been known to do this for decades.</p><p>There are variants now that escape (or are not covered by) the current Pfiser and Moderna vaccine. That is because these two vaccines attack a single spot on the virus surface that has changed. The multitarget vaccines (some attack 5 or more places) are covering the changes. <strong>These vaccines will be in the market soon.</strong></p><p>In the long run, we will be handling this just like the flu. Every year, the medical experts will be trying to figue out what cocktail of targets to put in the vaccine to try to match up for what is coming. Stay tuned…</p> </div>
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<h3 class="elementor-heading-title elementor-size-default">The Vaccine</h3> </div>
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<p><strong>Every vaccine out there has two basic components:</strong></p> </div>
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<p>1) A part that presents the new parts of the virus to the immune system; and</p><p>2) something that turns on the immune system.</p> </div>
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<p>I prefer to say there is something that pisses off and wakes up your immune system, and then parts of the virus for your body to make antibodies against.</p><p>The immune system <strong>only makes antibodies when it feels that the infection or threat is significant enough</strong> that a bunch of energy needs to be spent. That this what #2 does. It turns on the immune system enough to wake it up. Kind of like poking a sleeping bear with a big stick.</p><p>Once awake, that bear is going to be looking for something that woke it up. That is when those foreign virus parts will be picked up; <strong>then wham-o – immunity with antibodies.</strong></p> </div>
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<h3 class="elementor-heading-title elementor-size-default">The Bottom Line
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<p>So, keep doing what I have been saying, and the experts have been saying. First and foremost – <strong>ignore people speaking as experts who really are not.</strong> Wash those paws, keep it clean, don’t lick things you shouldn’t be. Masking helps. Fresh air helps. Breathing stale air with lots of people you don’t know is bad Juju. Not washing your hands before you eat or touch your face is also not a good idea.</p><p><strong>Expect this to roll into a yearly vaccine.</strong> Expect some people to try to make noise about what is bad and how everyone needs to listen to them. In other words, expect hysteria and people to speak without fully understanding and thinking. Then ignore them. Focus on the current, future, and positive. It will keep you sane.</p><p>Until next week – be safe, be sane, call if you need us.</p><p><strong>Dr. Dave</strong></p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/02/covid-variant-vaccine-facts-and-the-future-in-layman-terms/">CoViD Variant, Vaccine Facts, and The Future in Layman Terms</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>The CoViD Disease, Vaccine, and Variants Update</title>
<link>https://nmbdoc.com/2021/01/the-covid-disease-vaccine-and-variants-update/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Mon, 25 Jan 2021 17:28:28 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=3787</guid>
<description><![CDATA[<p>Here is a very simple update about what is currently going on. 1) The Variants. The media is reporting 3 variants in the virus. There are actually more than this, with possibly four variants alone in the United States. That does not include the United Kingdom (UK) Variant that is in the US now. 2) […]</p>
<p>The post <a href="https://nmbdoc.com/2021/01/the-covid-disease-vaccine-and-variants-update/">The CoViD Disease, Vaccine, and Variants Update</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><p><strong>1)</strong> The Variants. The media is reporting 3 variants in the virus. There are actually more than this, with possibly four variants alone in the United States. That does not include the United Kingdom (UK) Variant that is in the US now.</p><p><strong>2)</strong> Why are there Variants, and what does it mean. New variants come about by the virus evolving. There are changes in proteins. Some work and make the virus better. Some don’t, and the virus does not survive. This is part of nature and the evolution of viruses. The new variants are either as virulent or more so than the original. The new variants are more “sticky” to the receptor, and for a number of reasons, more virulent.</p><p><strong>3)</strong> The vaccine, does it still work? The vaccines we currently are using in the US (Pfizer and Moderna) both are directed at this spike protein and still cover the variants, just not as well. When we say ‘not as well’, it just means it takes more of the immune cells and antibodies produced to clear the virus.<a href="https://www.mdlinx.com/news/new-sars-cov-2-variant-could-evade-antibodies/1YLdeHofsuDTzHzTMkNaFG?show_order=2&utm_campaign=All+SP+1%2F24%2F2021+Morning+Alert&ipost_environment=m3usainc&utm_medium=email&utm_source=iPost&iqs=9z2zrq76idnc39l92bf7ureug6jpoq30a6pl7b97hs8" target="_blank" rel="noopener"> Here is a more scientific explanation if you are interested.</a></p><p><strong>4)</strong> If the Virus keeps changing, can we keep covering it? Yes. We do the same thing with the flu vaccine every year. Some of the vaccines are easily modifiable and can be changed quickly to keep up. Some will be more difficult to change. Each will be adjusted in a way to handle the variants that may need to be taken into account.</p></div></div></div></div> </div>
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<h3 class="elementor-heading-title elementor-size-default">Remember to take care of yourself and others</h3> </div>
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<p>The most important thing is to take care of yourself, and try to take care of those around you. Mask when you need too, wash your paws, and don’t lick anything you shouldn’t – that includes frozen flag poles.</p><p>Stay safe, and we will let you know when our office has the vaccine. – Dr. Dave</p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/01/the-covid-disease-vaccine-and-variants-update/">The CoViD Disease, Vaccine, and Variants Update</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>CoViD-19, Vaccine, and the new Variant.</title>
<link>https://nmbdoc.com/2021/01/covid-19-vaccine-and-the-new-variant/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Tue, 05 Jan 2021 18:40:16 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=3735</guid>
<description><![CDATA[<p>What does it mean to you? The latest hysterics blaring from the TV is about a new virus in the United Kingdom (UK). Presented in a way meant to cause anxiety and with very limited information, it is the media’s way to keep you glued to the channel for the next commercial break. I am […]</p>
<p>The post <a href="https://nmbdoc.com/2021/01/covid-19-vaccine-and-the-new-variant/">CoViD-19, Vaccine, and the new Variant.</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><p>The latest hysterics blaring from the TV is about a new virus in the United Kingdom (UK). Presented in a way meant to cause anxiety and with very limited information, it is the media’s way to keep you glued to the channel for the next commercial break. I am going to attempt to break down this new virus, and the vaccine in very simple terms.</p></div></div></div></div> </div>
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<p>CoViD-19: Corona Virus Disease 19. First discovered in the city of Wuhan, China, caused by a unique (new) virus. We consider this location the epicenter of the disease.<br /><br /><strong>SARS-Cov-2:</strong> Severe acute respiratory syndrome – Coronavirus – 2. The official name for the Virus discovered in Wuhan, China.<br /><br /><strong>Vaccine:</strong> Something put into your body to cause an immune response. The idea is that if your immune system has seen something before, it can quickly get involved when you see the same thing again. The faster your immune system kicks in, the faster you clear the disease – and the less sick you get.<br /><br /><strong>Hapten:</strong> This is what the antibodies attack.<br /><br /><strong>Virulence:</strong> How many infectious particles does it take to get you sick.<br /><br /><strong>Variant:</strong> In infectious disease, it is an infectious particle (virus, bacteria, ect.) that is basically the same as the original, but changes the covering around the particle. This is done as part of evolution. To become more infectious, get away from the immune system, grow better in different environments, etc.</p> </div>
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<h3 class="elementor-heading-title elementor-size-default">The Variant Virus</h3> </div>
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<p>The new variant in the United Kingdom is not a new virus. Simply, there was a single change in one of the proteins on the outside lining of the virus. This is not the first variant to emerge, but may be the first important one. Now, this can be a very big deal, or not a big deal at all. With this info being so new, we are trying to figure this out. Right now, it looks like it is a mixed bag.<br /><br />All the vaccines have one thing in common, they all get the immune system to attack the virus at a specific point. This target, is a protein on the membrane of the virus. Think of it as a specific type of tree sticking out of the ground. Change the leaves on the tree, and it looks different. If it looks like a Pin Oak, they attach. If it looks like a White Pine, they leave it alone. This is the virus’s hapten.<br /><br />This variant changed the tree. Not enough to fool the vaccine. The vaccine, and your antibodies, will still see this virus. Your body will still see this as the same SARS-CoV-2 virus that needs to be cleared. Good news!<br /><br />Now the not-so-good-news. The change made these trees attach to your cells a lot better. Think about it as sticking to your cells so the virus can get in. The ACE-2 Receptor is where this virus attaches, then gets pulled into your cells. This new variant really holds on a great deal better, and can get into the cell easier and in larger numbers.<br /><br />This is part of virulence. So people whom are already at risk. Those are people whom have Diabetes, are older than 60, have multiple medical conditions, etc; all have increased numbers of these ACE-2 Receptors. They need lower number of viruses to become very sick.<br /><br />Unfortunately, everything is too new to assume anything else on what this variant will do. But as a comparison, this is what the Influenza A and B virus do each year.</p> </div>
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<p>Want to know what is in the vaccine? Here is the lists. Basically, it is the Hapten, which is a modified piece of RNA that the antibodies go after, some lipids to activate the immune system, (or more vulgar – it pisses off the immune system to get it going) and buffering agents to make it not hurt your body when it goes in. Here they are!</p><p><strong>Pfiser:</strong></p><p>1) A nucleoside-modified messenger RNA (modRNA) encoding the viral spike glycoprotein of <a href="https://www.sciencealert.com/coronavirus" target="_blank" rel="noopener">SARS-CoV-2</a> (this is what makes the shot work)</p><p>2) Lipids (which turns on the immune system): (4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 2-[(polyethylene glycol)-2000]-N, N-ditetradecylacetamide; 1,2-distearoyl-snglycero-3-phosphocholine, and cholesterol.</p><p>3) Buffers / Stabilizers: Monobasic potassium phosphate, Sodium chloride (salt), Dibasic sodium phosphate dihydrate, Sucrose (sugar).</p><p><strong>Moderna:</strong></p><p>1) Messenger ribonucleic acid (mRNA)</p><p>2) Lipids: SM(sphyngomyelin)-102, Polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC], and cholesterol</p><p>3) Buffers / Stabilizers: Tromethamine, Tromethamine hydrochloride, Acetic acid, Sodium acetate, Sucrose (sugar), & Potassium chloride.</p> </div>
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<p>Please, don’t listen to the media. That sounds horrid, but unfortunately in the United States, they have every reason to be treated with mistrust and condemnation. On my site, I try to give good, concise, non-political information. But I am not the end-all, and information constantly changes. Use good information to make your own decisions. Not Facebook, or Twitter, or “journalistic web sites”. Go to the sources. Universities, the <a href="https://covid19.nih.gov/" target="_blank" rel="noopener">National Institutes of Health</a>, the <a href="https://www.cdc.gov/coronavirus/2019-ncov/index.html" target="_blank" rel="noopener">Centers for Disease Control</a>. Yes, they are political – but you can read right through that.</p><p>Best of luck. For our patients, call with questions. If you want to become our patient, just call the office and we will get you set up.</p> </div>
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<p>Sources: <a href="https://nmbdoc.com/wp-content/uploads/2021/01/1609601357623Tang_J_Infect_2020.pdf">Journal of Infection</a></p> </div>
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<p>The post <a href="https://nmbdoc.com/2021/01/covid-19-vaccine-and-the-new-variant/">CoViD-19, Vaccine, and the new Variant.</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>Immigration exams – Whats all the fuss.</title>
<link>https://nmbdoc.com/2020/11/immigration-exams-whats-all-the-fuss/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Wed, 04 Nov 2020 21:25:06 +0000</pubDate>
<category><![CDATA[Immigration Exams]]></category>
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<description><![CDATA[<p>what can you expect? Congratulations if you are getting your immigration exam. Dr. Weitzman feels it is his duty, and honor, to help people become legal residents and citizens of the United States of America. AT out office, we strive to make this process easy, transparent, and move as quick as possible. The full instructions […]</p>
<p>The post <a href="https://nmbdoc.com/2020/11/immigration-exams-whats-all-the-fuss/">Immigration exams – Whats all the fuss.</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<h2 class="elementor-heading-title elementor-size-default">what can you expect?</h2> </div>
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<div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><p>Congratulations if you are getting your immigration exam. Dr. Weitzman feels it is his duty, and honor, to help people become legal residents and citizens of the United States of America. AT out office, we strive to make this process easy, transparent, and move as quick as possible.</p><p>The full instructions are from the US Citizenship and Immigration Services and the Centers for Disease Control and Prevention (known as the CDC for short). That web site is:</p><p><a href="https://www.cdc.gov/immigrantrefugeehealth/exams/ti/index.html" target="_blank" rel="noopener">https://www.cdc.gov/immigrantrefugeehealth/exams/ti/index.html</a></p></div></div></div></div> </div>
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<h3 class="elementor-heading-title elementor-size-default">Section 1, The Basics</h3> </div>
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<p>Every person must have the following for the appointment:</p><p><strong>1)</strong> Passport or Federal acceptable ID (Like a driver’s license with a Real ID star);</p><p><strong>2)</strong> Their immunization records, or we will substitute for that (see below)*;</p><p><strong>3)</strong> Their address, home and cell number (can be the same), email;</p><p><strong>4)</strong> marriage certificate or name change certificate if this has happened since last filing;</p><p><strong>5)</strong> A letter from their primary care if they have chronic medical conditions. Ie: Hypertension, diabetes, etc, noting they are under routine care and compliant with treatment. This includes any psychological conditions too, such as anxiety or depression.</p> </div>
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<p>*If no immunization records, we have to test or boost – based on what is least expensive:</p> </div>
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<p><strong>USCIS Requirements:</strong> If the applicant cannot read, speak, and write English, they must have an interpreter with them for the initial visit with the doctor, and must return at signing to sign the forms.</p> </div>
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<p>If you have insurance, and your own doctor – best to get it done before you come in. It can save you a lot of money.</p><p>For <strong>Varicella</strong> (Chicken Pox), and the <strong>MMR</strong> (measles, Mumps, Rubella), we normally test. There is a draw fee set by the lab. If these tests say immune, we are done. If they say not immune, a booster series is initiated. Normally 2 shots about 1 month apart. If the test says low, but not immune, then only 1 booster is needed. The boosters are about the same cost of testing, maybe a little more. The applicant pays the pharmacy or health department directly, not us. This saves you money.</p><p>For the <strong>TDaP</strong> and <strong>Influenza</strong>, it is much less expensive and harmful to get the immunization – so they go to the pharmacy for that, and pay the pharmacy or health department directly.</p><p>For children, it is a lot more complicated. It is best to have your pediatrician have the child reviewed for immunizations.</p><p>Anyone who wants to know what immunizations they need can go to the following web site:</p><p><a href="https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html" target="_blank" rel="noopener">https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html</a></p><p>and the chart:</p><p><a href="https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html#tbl1" target="_blank" rel="noopener">https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/vaccination-civil-technical-instructions.html#tbl1</a></p><p>The patient can look this up.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Section 2, The Labs:</h2> </div>
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<p><strong>1)</strong> Standard Labs: test for STDs and important public health diseases. These are mandatory. This goes to the lab.</p><p><strong>2)</strong> Special Testing: This gets added on for several reasons. Mostly due to a random selection or a special evaluation request. It can be a drug urine scree, or Hemoglobin A1C for a diabetic if not up to date, Ect. Patient pays our cost, which is way less than paying at the lab. But you are welcome to pay at the lab directly too.</p> </div>
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<p>Just a good once over. Includes a psychological component. You may need to see a psychologist for a formal evaluation, but that is rare.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Section 4, Info Gathering:
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<p>After everything is in, we assemble a packet of information, take the applicant’s supplied info, and fill out the I-693.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Section 5, The Signing:
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<p>Once everything is complete, and the forms are filled out, the applicant returns to sign the form. If you used an interpreter, they must be there to sign. If an attorney needs to sign, they must fill out their section, sign it, and send it to us.<br /><br />We give them the form in a sealed envelope. We also supply an unofficial copy.</p> </div>
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<p>The post <a href="https://nmbdoc.com/2020/11/immigration-exams-whats-all-the-fuss/">Immigration exams – Whats all the fuss.</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>The CoViD Update: Mid September 2020</title>
<link>https://nmbdoc.com/2020/09/the-covid-update-mid-september-2020/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Mon, 21 Sep 2020 18:32:57 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<category><![CDATA[Life Hints and Tips]]></category>
<category><![CDATA[Medical Alerts]]></category>
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<description><![CDATA[<p>Welcome to the Covid-19 Testing Program! We are so pleased you have dropped by for COVID testing, for your own health and the health of all those around you. Below you will find information about the COVID test we will be using, and some useful information about the Virus and COVID disease progression. First, some […]</p>
<p>The post <a href="https://nmbdoc.com/2020/09/the-covid-update-mid-september-2020/">The CoViD Update: Mid September 2020</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<h2 class="elementor-heading-title elementor-size-default">Welcome to the Covid-19 Testing Program!</h2> </div>
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<div class="page" title="Page 1"><div class="section"><div class="layoutArea"><div class="column"><p>We are so pleased you have dropped by for COVID testing, for your own health and the health of all those around you. Below you will find information about the COVID test we will be using, and some useful information about the Virus and COVID disease progression.</p></div></div></div></div> </div>
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<p><strong>1)</strong> We work very hard to keep ALL politics out of these updates. When you go through this, please do not feel the need to be offended by information in here. This information is purely scientific and health-focused only. There is a significant amount of politics and brainwashing going on outside; we want no part of that.</p><p><strong>2)</strong> If you want to be removed from the email updates, please just call the office. Heather’s number is (<strong>843) 491-3007.</strong> She will be happy to help you.</p><p><strong>3)</strong> If you need your CoViD test results, please call Heather Pitts in the Lab. Their direct number is <strong>(843) 957-6740.</strong></p><p><strong>4)</strong> If you need a Travel Clearance Form, please call Heather Pitts, at the Lab number.</p><p><strong>5)</strong> If you need a followup telemedicine visit for CoViD because of questions, please call the office number.</p><p><strong>6)</strong> We are still seeing patients in-house if you need us.</p> </div>
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<p>This medical practice has been <strong>deeply involved in the greater Grand Strand community</strong> since arriving here and we feel that it is important for us, as physicians, to personally contribute to our communities to make them better places. Our new community COVID-19 testing program arises from our firm belief of making our community a better place.</p><p>We feel that anyone who wants to know their current or past status, should have easy access to COVID testing. Testing helps everyone know where they are in the process of this outbreak. <br /><br />You could be: <strong>Uninfected-so-still-at-risk; Infected-but-pre-symptomatic or -asymptomatic</strong> (possible virus spreader, quarantine, and watchful waiting); <strong>Infected-and-need-to begin-medical-care; OR Was-infected</strong>, need watchful care for Post-COVID-complications and actions to avoid post-COVID virus spreading.<br /><br />We believe that the more information we have about your health, the better it is for you and everyone in the community to fight COVID!</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">The Virus</h2> </div>
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<p>Accurate scientific information regarding this COVID virus is a political hot mess in the US, so it is difficult for people to understand or believe what they are reading and hearing from politicians and medical experts.</p><p>Here, to the best of our knowledge today (we will adjust if that changes), are the<strong> FACTS</strong>:</p><p>This <strong>SARS2 Virus</strong> started as a small local outbreak in the industrial city of Wuhan, China sometime in the <strong>November-December 2019</strong> time-frame. The socially acceptable name for this virus is <strong>SARS-CoV2</strong>. The virus hopped to humans in Wuhan after passing through a series of other animals – we may never know which ones – and the only reason we even care is that we would like to put a lid on that source.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">The Covid Infection and Your Body’s Response to it:</h2> </div>
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<p>The US has invested <strong>billions of dollars</strong> researching and trying to understand this disease. To date (late June 2020) there have been <strong>28,000 papers published in the six months</strong> since this disease emerged – and we are still learning as we go! Right now, here is what we think the facts are:</p><p><strong>A)</strong> The virus enters the body via <strong>the mucous membranes</strong> (wet surfaces) of your upper and lower airways (nose, mouth, and lungs), your digestive tract, and your eyes. Like HIV, it can <strong>probably</strong> also enter through your vagina and rectum during some types of sex. VERY importantly, this virus cannot enter your body through intact skin, so just touching it with your hands or body is not dangerous – unless you then touch any of the above mucous membranes. <strong>Don’t touch your face</strong> until you have washed your hands very well!</p><p><strong>B)</strong> Based on the number of viruses that first get into you (your viral exposure load) – and your personal ability to fight the virus that particular day (which changes) – it takes about<strong> 3-5 days</strong> for our high sensitivity nasopharyngeal swab <strong>‘PCR</strong>’ test should show positive. This means you have the virus growing (replicating) in you.</p><p><strong>C)</strong> About <strong>7-15 days</strong> after the virus begins to replicate – the timing is based on <strong>YOUR PERSONAL</strong> immune system and how the battle goes – your white blood cells will slowly begin making its first <strong>IgM antibodies</strong>, and our IgM blood test (serology) will begin to turn positive.</p><p><strong>D)</strong> About <strong>7 days after that</strong>, if still needed, your white blood cells will <strong>SWITCH</strong> to making the more powerful and virus-specific <strong>IgG type</strong> of antibodies, and our IgG blood test will slowly begin to turn positive.</p><p><strong>E)</strong> While you are recovering from COVID, your <strong>IgM levels</strong> (and the cells making it) will peak and then very rapidly disappear, followed by a an even bigger IgG peak – which will then gradually drop over the next <strong>3 months to 30 years</strong> – depending on YOUR individual immune system and how severe the COVID affected YOU.</p><p><strong>F)</strong> This is your IgG immunity. There is another important part of this story, concerning other white blood cells (immune cells) in your body. These cells fought the virus and cleaned up the battlefield afterward, and some of them go into a ‘veteran’s retirement home’ where they will remember how they fought the COVID Battle of 2020. <br /><br />The more of these memory cells that you make, and the better their retirement home conditions, the better and longer will be your long-term immunity to the virus – a flash-in-the-pan-catch-it again-next-year cure or a semi-permanent immunity.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">How to read our COVID tests:</h2> </div>
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<p><strong>1.) Virus swab +, IgM/IgG negative:</strong> You are infected and can be infectious to other people around you.</p><p><strong>2.) Virus swab +, IgM +, IgG negative:</strong> You are infected, you are likely getting better, but you ARE infectious to other people.</p><p><strong>3.) Virus swab +, IgM +, IgG +:</strong> You are infected, you are VERY likely infectious to other people, but you are well on your way to getting over this.</p><p><strong>4.) Virus swab -, IgM +, IgG +:</strong> You are clearing, or have cleared, the VIRUS, you <u>probably</u> aren’t infectious from your respiratory system. <strong>CAUTION!:</strong> However, if the virus infected your kidneys, guts or testes – you might still be putting out (shedding) virus that could infect others, so you need to practice safe behaviors for at least 6 weeks – the longest time MOST shedders have been tracked. There is always the oddball who sheds longer, it is best to stay on the side of caution as you get better.</p><p>Virus swabs and blood PCR tests are negative, IgM test is negative, serology tests are positive for strongly virus-killing (neutralizing) IgG antibodies: You are well into your COVID recovery phase, you have good immunity now. You are <strong>PROBABLY</strong> not infectious, but see the <strong>CAUTION</strong> above.</p> </div>
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<p>This means that if you see this exact virus again, your body will be ready for it – and you will have <strong>little or no outwards symptoms</strong> from your next encounter. For now, we believe most mild-to-severe COVID survivors will easily clear any near-future CoViD-19 infection with relative ease, <strong>without having noticeable symptoms</strong>. If you have only weak symptoms or are entirely asymptomatic, your risk of a future Covid RE-infection is <strong>much higher</strong>. <br /><br /><strong>How high?</strong> – We don’t know yet. What if the virus changes, will I still be immune? We don’t know yet, but for sure it will be a person-specific, virus-change-specific answer when we get it. So, yes, there is immunity. We are getting this put in a logical way to present it, and will post / send it out as soon as I have the info from the CoViD committee.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">So, the real numbers:</h2> </div>
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<p>As of 9/19/2020, in Horry county, there is on average of <strong>32 new cases a day</strong>, which has dropped significantly.</p><p>For people whom have symptoms of CoViD and are being testing, t<strong>he positive loads are about 8.4%</strong>. That means if someone is sick with CoViD symptoms, about only <strong>1 in 11 actually have the disease.</strong></p><p>Unfortunately, there have been <strong>195 deaths</strong> in our county as of 9/19/2020, where CoViD is involved. That does not mean they died from the disease, simply they had CoViD some time during their illness, and the patient passed. These are mostly <strong>much older adults with pre-existing medical conditions</strong>. The average age is <strong>74</strong> but someone with multiple medical conditions whom was <strong>25 year old</strong> also passed.</p><p>Compared to other states, our area and South Carolina has one of the highest cumulative rates in the country. Again, our number are skewed by visitors being tested, but this is an important distinction. Many of our residents have had the disease, and are now over the infection. Most of which will form some type of immunity.</p><p>Our goal is to keep as many people from dying as possible so we can get a vaccine out to the population.</p><p><strong>Washing your hands, don’t touch your face, etc:</strong> The most important thing you can do. Virus cannot get through intact skin. Keep it clean babies!</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Masks</h2> </div>
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<p>The feeling is that if everyone wears a mask, whether or not they are immune or sick, we could help slow the disease. However, <strong>this does not help those who are immune to the disease</strong>. The idea is that facial masks may help reduce the level of exposure you breathe in from other infected people or breathe out to others if you yourself might be infected. The feeling is that your chances of being infected will go down if you have a lower “<strong>Viral Load Exposure</strong>”</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Social distancing</h2> </div>
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<p>The feeling is that the more distance you are away from someone the less you will be exposed to concentrations of the virus. With a lower “<strong>Viral Load Exposure</strong>”, there is a belief that your chances of getting infected will decrease.</p><p>Please be safe, take care of each other, and I will see, hopefully, everybody on the other side of this, safe and sound.</p><p><strong>Still have questions?</strong> Call the office for a telemedicine appointment. Or you can come by for the appointment and have a cup of coffee with me.</p><p><strong>Your Doctor at the Beach, </strong><br /><strong>Dr. Dave Weitzman</strong></p> </div>
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<p>The post <a href="https://nmbdoc.com/2020/09/the-covid-update-mid-september-2020/">The CoViD Update: Mid September 2020</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<title>The CoViD Update: September 2020</title>
<link>https://nmbdoc.com/2020/09/the-covid-update-september/</link>
<dc:creator><![CDATA[Web Admin]]></dc:creator>
<pubDate>Wed, 02 Sep 2020 21:52:23 +0000</pubDate>
<category><![CDATA[Corona Virus]]></category>
<category><![CDATA[Life Hints and Tips]]></category>
<category><![CDATA[Medical Alerts]]></category>
<guid isPermaLink="false">https://nmbdoc.com/?p=3450</guid>
<description><![CDATA[<p>The current situation Thank you for being patient with us, whether you were tested for COVID-19 or just wanted to be kept up to date. This practice works hard to keep everyone in our community well-informed. First, some housekeeping: 1) We work very hard to keep ALL politics out of these updates. When you go […]</p>
<p>The post <a href="https://nmbdoc.com/2020/09/the-covid-update-september/">The CoViD Update: September 2020</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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<h2 class="elementor-heading-title elementor-size-default">The current situation</h2> </div>
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<p>Thank you for being patient with us, whether you were tested for COVID-19 or just wanted to be kept up to date. This practice works hard to keep everyone in our community well-informed.</p> </div>
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<h3 class="elementor-heading-title elementor-size-default">First, some housekeeping:</h3> </div>
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<p><strong>1)</strong> We work very hard to keep ALL politics out of these updates. When you go through this, please do not feel the need to be offended by information in here. This information is purely scientific and health-focused only. There is a significant amount of politics and brainwashing going on outside; we want no part of that.</p><p><strong>2)</strong> If you want to be removed from the email updates, please just call the office. Heather’s number is <strong>(843) 491-3007</strong>. She will be happy to help you.</p><p><strong>3)</strong> If you need your COVID-19 test results, please call Heather Pitts in the Lab. Their direct number is <strong>(843) 957-6740</strong>.</p><p><strong>4)</strong> If you need a Travel Clearance Form, please call Heather Pitts, at the Lab number.</p><p><strong>5)</strong> If you need a followup, telemedicine visit for COVID-19 because of questions, please call the office number.</p><p><strong>6)</strong> We are still seeing patients in-house, if you need us.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">So, the real numbers.</h2> </div>
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<p>In Horry county, a little over <strong>2% of the population</strong> has either been or is currently infected with the disease as estimated by the DHEC. On average, there are <strong>100 new cases daily</strong> with all the testing we are doing.</p><p>For people who have symptoms of COVID-19 and are being tested, we are seeing about <strong>18% positive results</strong>. That means if someone is sick with COVID-19 symptoms, there is a chance that only <strong>1 in 5 of these people</strong> actually have the disease. Right now, it appears to be <strong>0.3%</strong> of the population or <strong>3 in 1000</strong> people have the disease.</p><p>Unfortunately, there have been <strong>186 deaths</strong> in our county as of September 2nd, 2020 as a result of COVID-19. This does not mean that they died from the disease, only that they had COVID-19 at some point during their illness and the patient had passed on. In most of these cases, these were much older adults with pre-existing medical conditions, roughly around the average age of 74-years-old. In a much rarer case, there was a 25-year-old with multiple medical conditions who unfortunately died due to complications with COVID-19.</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">How our state is doing</h2> </div>
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<p>Compared to other states, South Carolina has one of the highest cumulative rates in the country. Again, our numbers are skewed by the incoming visitors being tested, but this is an important distinction from our local residents. Many of our current residents have already had the disease and are now clear of the infection. Most of these people will form some type of immunity against COVID-19.</p><p>Right now, our goal is to keep as many people from dying as possible, until we get a vaccine available to the population.</p><p>Remember, washing your hands, not touching your face, and staying healthy are the most important things you can do. The virus cannot get through your skin without an open wound. Keep it clean babies</p> </div>
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<h2 class="elementor-heading-title elementor-size-default">Masks and social distancing</h2> </div>
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<p><strong>Masks:</strong> The feeling is that if everyone wears a mask, whether or not they are immune or sick, we could help slow the disease. However, this does not help those who are immune to the disease. The idea is that facial masks may help reduce the level of exposure you breathe in from other infected people or breathe out to others if you yourself might be infected. The feeling is that your chances of being infected will go down if you have a lower “Viral Load Exposure”.</p><p><span style="font-weight: 400;"><strong>Social distancing:</strong> The feeling is that the more distance you are away from someone the less you will be exposed to concentrations of the virus. With a lower “Viral Load Exposure”, there is a belief that your chances of getting infected will decrease.</span></p><p><span style="font-weight: 400;">Please be safe, take care of each other, and I will see, hopefully, everybody on the other side of this, safe and sound.</span></p> </div>
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<p>The post <a href="https://nmbdoc.com/2020/09/the-covid-update-september/">The CoViD Update: September 2020</a> appeared first on <a href="https://nmbdoc.com">Coastal Concierge Medicine & Aesthetics</a>.</p>
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