How to survive a worse-than-usual allergy season!

Allergy sufferers dread hearing the following words: “It’s going to be the worst allergy season ever!”

So, how is spring 2013 shaking out? Unfortunately, it’s true. This likely will be one the worst allergy seasons to date due to an explosion of powerful pollens brought on by climate change and increased greenhouse gases.

This means allergy sufferers will endure a double-blow this spring as the pollen season is already here, and will last four weeks longer, into mid-fall. Additionally, since many were exposed to early tree pollens this winter (because it was so mild), we all have to be “re-introduced” to those pollens this spring as the weather warms up.

This can mean more significant itchiness, sneezing and stuffiness associated with seasonal allergies.

What does all this mean for you? How can you be pro-active in this pre-allergy season?

To fight allergies, the best defense is a good offense.  Follow these seasonal allergy survival tips to get you ready for the onslaught of pesky pollens about to visit your eyes and nasal passages.

• Start early. Many allergy medications work best when started before the symptoms begin.

• Know the pollen count. During peak pollen periods, stay inside if you can. Use air conditioning as a weapon – it can help filter out allergy busting pollens.

• Be a ‘movie star.’ Wear oversized sunglasses to block airborne seasonal pollens and molds from entering your eyes and lids that cause uncomfortable redness, itchiness, watery eyes, and puffiness, too.

• Wear a hat. Preferably a wide-brimmed one.  This will block out pollen, and for extra safety, skip the hair gel and spray. These act like a “pollen magnet,” especially when planning extended periods of time outdoors on high-pollen days.

• Stay clean. By showering nightly, you’ll rinse pollen from your hair and skin to get a good night’s sleep.  Also, change your clothing before entering the bedroom to reduce pollen transfer into your personal “breathable” space.


By: Dr. Clifford Bassett

Woman Pregnant After Uterus Transplant

The first woman to receive a uterus from a dead donor is now pregnant, her doctors announced in Turkey.

Doctors waited 18 months after Derya Sert’s uterus transplant in August 2011 before they implanted an embryo on April 1 using Sert’s own egg.  Sert, a 22-year-old homemakers, is now about two weeks pregnant, her doctors at Akdeniz University Hospital in Antalya  announced Friday.

“She is doing just fine at the moment,” Dr. Mustafa Unal said in a written statement to Agence France-Presse. The baby will be born  through  cesarean section, according to the news agency.

Sert was born without a uterus, but her ovaries were intact, according to a hospital press release. The condition affects one in 5,000 women, according to the hospital.

Dr. Jennifer Ashton, a senior medical contributor at ABC News, said doctors could detect the pregnancy early because they closely monitor the pregnancy hormone,  human chorionic gonadotropin, or hCG, in in-vitro fertilization patients. When  hCG  rises to  a certain level, it indicates pregnancy, she explained.

Although Sert’s ovaries provide hormones, she may need additional “hormonal support,” Ashton said, but it’s not exactly clear what Sert can expect in the coming months.

“Since there is scant medical literature on this, the risks for pregnancies is unknown,” she said.

Source: ABC News

Breast Cancer Treatment Takes Toll on Heart

Radiation therapy has value in breast cancer, but the benefit comes at the price of an increased risk of ischemic heart disease later, researchers reported.

In a population-based case control study, the risk of major coronary events rose after radiation therapy by a mean of 7.4% for every gray (Gy) of exposure to the heart, with no apparent threshold, according to Sarah Darby, PhD, of the Clinical Trial Service Unit in Oxford, England, and colleagues.

The increase in risk was greatest in the first 5 years after radiotherapy but persisted for at least 2 decades, Darby and colleagues reported in the March 14 issue of the New England Journal of Medicine.

In addition, women with preexisting cardiac risk factors had greater absolute increases in risk, the researchers reported.

“Clinicians may wish to consider cardiac dose and cardiac risk factors as well as tumor control when making decisions about the use of radiotherapy for breast cancer,” Darby and colleagues concluded.

The study – among 2,168 breast cancer survivors in Sweden and Denmark — is a wake-up call for physicians, commented Jean-Bernard Durand, MD, of the MD Anderson Cancer Center in Houston.

“We have to be extra vigilant with women, making sure we assess them. We make sure they’re on correct medicines and we make sure they gain all of the benefits from surviving breast cancer,” he told MedPage Today.

Durand noted that in the U.S., women are much less likely than men to receive preventive cardiovascular care; changing that would help to mitigate the risk highlighted by Darby and colleagues.

“Follow their cholesterol, watch for diabetes, manage their blood pressure – all those things can be done to lower their risk of a cardiovascular event,” he said.

The study also highlights the importance of good post-cancer follow-up, he said.

Doctors “have an opportunity to intervene in a young woman and really change the course of her life rather than wait for an event and try to change the course of her life when she’s older,” Durand said.

Radiotherapy for early-stage breast cancer has been shown to reduce both recurrence and death, the researchers noted, but the effect of incidental exposure to the heart has not been clear.

They looked at women with breast cancer who had radiotherapy between 1958 and 2001, including 963 women with major coronary events and 1,205 controls.

Case patients had no recurrence of the breast cancer or incidence of any other cancer before they suffered a major coronary event, defined as myocardial infarction, coronary revascularization, or death from ischemic heart disease.

Controls were matched for country of residence, age at diagnosis, and year of diagnosis, and also had not had a recurrence of their breast cancer or any new malignancy.

Of the major coronary events among women in the study, 44% occurred less than 10 years after the breast cancer diagnosis, 33% occurred in the next decade, and the remaining 23% occurred still later.

The average dose to the heart was 6.6 Gy for women with left breast tumors, 2.9 Gy for those with cancer in the right breast, and 4.9 Gy overall.

While the rate of events rose by 7.4% per Gy of exposure, the rate varied with time — 16.3% in the first 5 years after exposure, 15.5% in the second 5 years, 1.2% in the second decade, and 8.2% in later years.

The only tumor characteristic that significantly affected the risk was location, as women with left breast tumors were more significantly likely to be case patients (P<0.001).

The rate ratio for women who had a history of ischemic heart disease, compared with those who did not, was 6.67 (95% CI from 4.37 to 10.18). Rate ratios were also elevated for women with other circulatory diseases, diabetes, or chronic obstructive pulmonary disease, as well as smokers.

The researchers cautioned that few of the women in the study were under 40, so the results may not apply directly to that age group.

In an accompanying editorial in the journal, Javid Moslehi, MD, of Brigham and Women’s Hospital in Boston commented that the findings may be the “tip of the iceberg.”

“In addition to ischemic cardiac disease,” he wrote, “radiation therapy has been associated with other cardiac conditions, including pericardial disease, peripheral vascular disease, cardiomyopathy, valvular dysfunction, and arrhythmias.

Those diseases were not part of the study, nor were those associated with some forms of chemotherapy, he noted.

One implication for practice, he argued, is that the time to look at cardiovascular issues is at the time of breast cancer diagnosis and before treatment starts.

Source: written by Michael Smith, North American Correspondent, MedPage Today

Published: March/2013
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner
Interview with Dr. Jean-Bernard Durand of the MD Anderson Cancer Center in Houston.

This will make it all better

It’s been awhile since we last talked so I am going to bring you up to date on what’s new at Doctors Clinic Houston. For those of you that are feeling dizzy and woozy (not silly) Doctors Clinic Houston has a specialist in to treat Vertigo. and for those of us that are suffering with stress, pain in your arms or legs, high blood pressure, shortness of breath, chest pain, fatigue, high cholesterol, asthma; if you are a smoker or ex-smoker, or noticing swelling in the lower extremities, we are offering Cardio-Pulmonary Test. So come on in or call for direction 713.981.8184.

Well, just maybe it’s not what you’re eating

Have you ever had one of those months when no matter what exercise you did or how many miles you walked, the pounds did not melt away? Well, maybe it’s not only the amount of calories; the carbohydrates, or the fats that are in the foods you are eating, you may need some medical assistance. We have 6 weight loss nurses available to answer your questions so call us today or make an appointment to visit with one of our doctors…and see how jealous your friends will become when you lose the weight.

What does Immigration Physicals include at DCH?

At Doctors Clinic Houston complete Houston Immigration Physicals are provided by a qualified medical physician.

Tuberculin (TB) skin test are required if patient is two years of age or older.

Serologic (blood) test for HIV and for syphilis are administered to patients that are 15 years of age and older. Patients under the age of age 15 can be tested for HIV or syphilis if there is reason to suspect the possibility of infection.

Vaccinations: Depending on your age, medical history and current medical condition our physician will determine which of the listed vaccinations are medically appropriate for you:

• Hepatitis A
• Hepatitis B
• Influenza
• Influenza type b (Hib)
• Measles
• Meningococcal
• Mumps
• Pneumococcal
• Pertussis
• Polio
• Rotavirus
• Rubella
• Tetanus and diphtheria toxoids
• Varicella

What are the Diabetes Symptoms and Diabetes Causes?

What are the Diabetes Symptoms and Diabetes Causes? As an employee of Doctors Clinics I have access to the best Houston medical clinic in the surrounding areas. Recently while working at the Southwest location I began to feel exhausted, bloated, thirty and weak; Dr. Anita Beneke, MD took one look at me and insisted that I have a Houston well woman exam and lab work. Well now we know that I have hypertension and diabetes type 2.
Dr. Beneke provided priceless information and education relating to the hows and whys of hypertension and Diabetes Care. If you want a Houston family doctor that cares about your health and the health of your family come to Doctor’s Clinic Houston… we care.
Although we have six locations my personal physicians are located at Southwest Freeway (713) 981-8184 and Gulf Freeway (713) 643-0600

Houston Medical Clinic – Six (6) Locations

Need a Houston Medical Clinic? Welcome to Doctors Clinic Houston. We provide many different services for Houston in the areas of Family & Internal Medicine (immunizations, Well Woman, flu shots), Occupational Medicine (drug screening, employment physicals, immigration physicals), Urgent Care (minor injuries), Skin Rejuvenation (laser hair removal and botox treatments), and most forms of Chiropractic Medicine!

We have a wonderfully trained staff who is eager to help you with the Houston Medical Services that you need! Call Today for an appointment or just stop by and see what we have to offer.

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