Author Archives: Joe Hilbert

  1. Walking Pneumonia: Understanding the Illness, Treatment, Prevention, and Impact

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    Walking pneumonia is a milder form of lung infection that often allows individuals to continue their daily activities without significant disruption. Unlike typical pneumonia, which can cause severe symptoms and may require hospitalization, walking pneumonia presents with less intense manifestations.

    What Is Walking Pneumonia?

    Walking pneumonia is commonly caused by the bacterium Mycoplasma pneumoniae. This pathogen spreads through respiratory droplets when an infected person coughs or sneezes. The infection typically develops gradually over one to four weeks, leading to symptoms that are often mistaken for a common cold or mild respiratory infection.

    Symptoms of Walking Pneumonia

    Individuals with walking pneumonia may experience:

    • Persistent dry cough
    • Low-grade fever
    • Sore throat
    • Fatigue
    • Headache
    • Mild chest discomfort

    These symptoms are generally mild, allowing many to remain active, hence the term “walking” pneumonia.

    Diagnosis and Treatment

    Diagnosing walking pneumonia involves a clinical evaluation of symptoms and may include a chest X-ray to confirm the presence of an infection. Blood tests or sputum cultures can identify the specific causative agent.

    Treatment typically involves antibiotics, as Mycoplasma pneumoniae is a bacterial pathogen. Commonly prescribed antibiotics include macrolides (such as azithromycin), tetracyclines, or fluoroquinolones. Over-the-counter medications can help alleviate symptoms like fever and cough. Rest, hydration, and avoiding irritants like smoke are also recommended to support recovery.

    Who Is Affected?

    Walking pneumonia can affect individuals of all ages but is more prevalent among children, teenagers, and young adults. Environments where people are in close contact, such as schools, college dormitories, and military barracks, can facilitate the spread of the infection.

    Prevention

    Preventive measures include practicing good hygiene, such as regular handwashing, covering the mouth and nose when coughing or sneezing, and avoiding close contact with infected individuals. While there is no vaccine specifically for Mycoplasma pneumoniae, maintaining overall health and staying up-to-date with vaccinations for other respiratory infections can help reduce the risk.

    Statistics: National and New Jersey Data

    According to the Centers for Disease Control and Prevention (CDC), Mycoplasma pneumoniae infections are common, with an estimated 2 million infections occurring each year in the United States. However, the true number of people affected annually is unknown, as there is no national reporting or dedicated surveillance system to track these infections.

    In New Jersey, the Department of Health has observed an increase in reports of pneumonia. The proportion of patients discharged from emergency departments with a diagnosis of Mycoplasma pneumoniae-associated pneumonia has been increasing across the state. This trend aligns with national observations, indicating a broader rise in cases.

    New Jersey Department of Health

    In summary, walking pneumonia is a mild form of pneumonia caused by Mycoplasma pneumoniae, presenting with symptoms that are less severe than typical pneumonia. It is treatable with antibiotics and supportive care, and preventive measures can help reduce the risk of infection.

    The contents of this article have been reviewed by Manolito Cadacio, MD with Shore Physicians Group’s Primary Care office located at 401 Bethel Road in Somers Point, NJ. To schedule an appointment with Dr. Cadacio, call 609.365.6200.

  2. Climb Your Way to Fitness: The Truth About Treadmill Inclines for Midlife and Beyond

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    Walking on an incline setting on a treadmill is an excellent way to boost your fitness, and it’s particularly effective and safe for people in their 40s, 50s, and beyond. This low-impact exercise can enhance cardiovascular health, strengthen muscles, and help with weight management without putting undue stress on joints. But to get the most out of this workout, it’s essential to understand the right incline, pace, and how to avoid potential pitfalls.

    The Benefits of Incline Walking

    1. Cardiovascular Boost: Walking on an incline increases heart rate, improving heart health and endurance.
    2. Enhanced Calorie Burn: Incline walking burns more calories than walking on a flat surface, making it a great option for weight management.
    3. Muscle Toning: This exercise targets your calves, hamstrings, quadriceps, glutes, and core, helping build strength and stability.
    4. Joint-Friendly: Unlike running, walking—especially on a cushioned treadmill surface—is gentle on knees and hips, making it ideal for older adults.

    Risks and Red Flags

    1. Too Steep an Incline: A steep incline can strain muscles, joints, and your lower back. If you’re leaning heavily on the treadmill bars for support, it’s a clear sign the incline is too high. While light holding for balance is acceptable, gripping tightly compromises posture and reduces the effectiveness of your workout.
    2. Shin Splints: Walking on an incline can overstress the shin muscles, leading to discomfort or injury, especially if you’re unaccustomed to the motion or if you increase intensity too quickly.
    3. IT Band Syndrome: Sometimes walking on an incline can increase tension on your IT band which can cause pain on the outside of your knee. Tight glute and leg muscles can increase this tension as well.

    How to Find the Right Settings

    Incline: Start small—1-3% is enough for beginners. As you build strength and confidence, you can increase it gradually. For most people in their 40s and 50s, an incline of up to 8-10% is effective without overexertion.

    Pace: Your walking pace should challenge you without leaving you breathless. A moderate pace where you can speak in short sentences is ideal. If you feel winded or experience muscle fatigue too quickly, slow down or lower the incline.

    Preventing and Managing Shin Splints

    1. Gradual Progression: Avoid sudden jumps in incline or speed. Let your body adapt over time.
    2. Proper Footwear: Invest in supportive walking or running shoes to cushion your steps and reduce impact.
    3. Stretch Regularly: Incorporate stretches for your calves and shins before and after workouts.
    4. Listen to Your Body: If shin splints develop, taking time to rest is important. Also, icing the affected area can help, and you should lower your incline settings until symptoms improve.

    Preventing and Managing IT Band Syndrome

    1. Gradual Progression: Avoid sudden jumps in incline or speed. Let your body adapt over time.
    2. Stretch Regularly: Incorporate stretches for your glutes, quadriceps, and hamstrings before and after workouts.
    3. Strengthening Exercises: It is important to strengthen your IT band, core, glutes, and hip abductors.
    4. Listen to Your Body: Prolonged IT Band Syndrome can lead to patellofemoral syndrome or “Runner’s Knee”

    A Perfect Fit for Midlife Fitness

    Incline walking on a treadmill is not only safe but also an effective way to stay active in your 40s, 50s, and beyond. Just remember, balance is key—keep the incline manageable, your pace steady, and avoid relying too much on the bars. With the right approach, you can enjoy a safe, energizing, and results-driven workout!

    The contents of this article have been reviewed by Dr. Dante Marconi with Shore Physicians Group. Dr. Marconi treats patients at Shore Physicians Group’s Orthopaedic Division offices located at 710 Centre Street, 2nd Floor in Somers Point, NJ and 4450 East Black Horse Pike, Mays Landing, NJ. To schedule an appointment with Dr. Marconi, call 609-365-6280.

  3. Could Your Prediabetes Actually Be Type 1 Diabetes?

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    A diagnosis of prediabetes typically sets off a familiar course of action with your doctor: weight loss, exercise, and lifestyle changes to prevent the progression to type 2 diabetes. But what if there’s more to the story? According to Shore Physicians Group Endocrinologist Dr. Matthew Corcoran, some cases of prediabetes may actually be early stages of type 1 diabetes, an autoimmune condition that requires entirely different management.

    This distinction matters more than ever because, for the first time, there’s a therapy available that can delay the progression of type 1 diabetes. Identifying the correct diagnosis early through screening is critical for ensuring patients receive appropriate care and can potentially benefit from this groundbreaking treatment. If you’ve been diagnosed with prediabetes, it’s important to have a discussion with your doctor to see if you should be screened for type 1 diabetes.

    Type 1 vs. Type 2 Diabetes: Why It’s Not Always Obvious

    One of the biggest challenges in adult endocrinology is that type 1 diabetes often seems to masquerade as type 2 diabetes. In fact, Dr. Corcoran sees about 25-30 patients a year who have been treated for type 2 and aren’t responding, only to discover they actually have type 1.

    “Type 1 diabetes is often thought of as a disease diagnosed primarily in children, but about 30% of people with type 1 are diagnosed after the age of 25,” says Dr. Corcoran. “Adults with type 1 progress more slowly than children, so they don’t always present with the dramatic symptoms we associate with the disease,” Dr. Corcoran explains. “They may still make some insulin for years, which can mask the true diagnosis.”

    There are red flags that can help primary care doctors and patients diagnosed with prediabetes or type 2 diabetes identify when it’s time to dig deeper:

    • Family History: Having a first-degree relative (parent, sibling, or child) with type 1 diabetes increases your risk 15-fold.
    • Other Autoimmune Conditions: Conditions like thyroid disease, rheumatoid arthritis, or celiac disease can raise the likelihood of type 1 diabetes.
    • Lack of Response to Treatment: Patients who aren’t responding well to standard treatments for type 2 diabetes should consider further evaluation.

    The Role of Antibody Testing

    The key to identifying early type 1 diabetes lies in a simple blood test for specific antibodies. These antibodies indicate an autoimmune attack on the pancreas, which is characteristic of type 1 diabetes.

    “I screen patients for type 1 about 5 to 10 times a week, and most are antibody negative, but about 5-10 percent are positive for at least one antibody. That’s when they need the help of an endocrinologist,” Dr. Corcoran says.

    Type 1 diabetes usually presents in the following three stages, and the first two typically don’t have any symptoms.

    • Stage 1: Antibody-positive, with normal glucose levels.
    • Stage 2: Antibody-positive with an A1C between 5.7 – 6.4%, and fasting glucose of 100 to 125.
    • Stage 3: Symptomatic type 1 diabetes requiring insulin, with a fasting glucose over 125 or hemoglobin A1C greater than 6.5%. (Currently, these patients are not a candidate for the new therapeutic.)

    “By identifying type 1 early, we can help delay progression to stage 3 with a new immunotherapy that can delay type 1 diabetes onset by two years or more.”

    What This Means for Patients and Providers

    For patients, this highlights the importance of being aware of the possibility it could be type 1 and asking your doctor the right questions:

    • “Is my prediabetes definitely type 2, or could it be early-stage type 1?”
    • “Should I be tested for antibodies, especially given my family history or other autoimmune conditions?”

    For primary care providers, it’s a call to action to include antibody testing when prediabetes or diabetes presents alongside risk factors like family history, autoimmune conditions or lack of response to treatment.

    Dr. Corcoran emphasizes the importance of collaboration between primary care and endocrinology. “If we catch these cases early, we can prevent mismanagement and ensure patients are on the right treatment path.”

    If you or a loved one have been diagnosed with prediabetes or type 2 diabetes and you have risk factors for type 1 diabetes, talk to your doctor about antibody testing. It’s a small step that could make a big difference.

    Dr. Matthew Corcoran is an endocrinologist with Shore Physicians Group’s Division of Endocrinology, located at 18 W. New York Ave., Somers Point, NJ. Board-certified in Endocrinology, Diabetes, and Metabolism, he trained at Georgetown University School of Medicine and the University of Chicago hospitals. A leading expert in diabetes and exercise, Dr. Corcoran founded Diabetes Training Camp, a nonprofit focused on empowering individuals with type 1 diabetes through fitness and education. He has been recognized as a “Game Changer” by the American Diabetes Association and named a “Top Doctor” by Philadelphia Magazine from 2019–2021. To learn more about Dr. Corcoran and schedule an appointment, click here.

  4. Shore Physicians Group Urologist Dr. Carl Gjertson Now Performing Transperineal Prostate Biopsies at Shore Medical Center

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    Shore Physicians Group proudly announces that Dr. Carl K. Gjertson, a renowned urologist with expertise in robotic surgery, is now offering transperineal prostate biopsies to patients. This advanced procedure not only enhances diagnostic accuracy but also significantly reduces the risk of infection, providing patients with a safer and more effective option for prostate cancer diagnosis.

    Traditional Prostate Biopsy: Understanding the Risks

    The typical prostate biopsy method involves a transrectal approach, where the biopsy needle is passed through the rectum to reach the prostate. While effective, this method carries a 3-4% risk of severe infection due to bacteria present in the rectum, which can enter the bloodstream during the procedure. To mitigate this risk, patients require three days of prophylactic antibiotics. Despite these precautions, some patients may still experience infections or even sepsis, a serious condition defined as a life-threatening organ dysfunction caused by the body’s response to infection.

    Transperineal Prostate Biopsies: A Safer Approach

    Dr. Gjertson’s introduction of transperineal prostate biopsies eliminates the need to go through the rectum, reducing the risk of infection substantially. In this procedure, the biopsy needle is inserted through the perineum (the area between the scrotum and anus), bypassing the rectum entirely. This method not only minimizes infection risk but also enhances the ability to reach difficult-to-access areas of the prostate, potentially improving the diagnostic accuracy for prostate cancer.

    Meet Dr. Carl K. Gjertson, a Leader in Urologic Care

    Dr. Gjertson brings a wealth of knowledge and experience to Shore Physicians Group. A graduate of Columbia University’s College of Physicians and Surgeons, he also holds an undergraduate degree in Molecular Biophysics and Biochemistry from Yale University. He has been a key figure in the field of urology, serving as an Assistant Professor of Surgery in the Division of Urology at the University of Connecticut Health Center since 2007 and leading the Urology Division at Saint Francis Hospital from 2014 to 2019.

    Board-certified by the American Board of Urology, Dr. Gjertson completed his urology residency and a fellowship in laparoscopy, robotics, and endourology. His expertise and dedication to urologic care are reflected in his numerous accolades, including being named a “Top Doctor” in Connecticut and Hartford publications for over a decade. Beyond clinical practice, he has made substantial contributions to urologic research and education, authoring many peer-reviewed publications and presenting at national conferences.

    Accessing Advanced Urological Care with Shore Physicians Group

    Dr. Gjertson is now seeing patients at Shore Cancer Center, conveniently located across from Shore Medical Center. His addition to the Shore Physicians Group team ensures that patients in the region have access to leading-edge diagnostic and treatment options in urology, including robotic surgery for prostate cancer and now, safer transperineal prostate biopsies.

    For more information or to schedule an appointment with Dr. Carl Gjertson, please call Shore Physicians Group at 609-365-6239.

  5. Exercise Smart: How Proper Warm-Ups and Cool-Downs Safeguard Your Joints and Muscles

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    By Dante Marconi, MD, Orthopaedic Surgeon

    Whether you’re a seasoned athlete or just starting your fitness journey, taking care of your body before and after exercise is essential. One of the most overlooked aspects of injury prevention is the warm-up and cool-down routine. As an orthopaedic surgeon, I’ve seen countless injuries that could have been prevented with just a little extra preparation. Here’s why warming up and cooling down matters—and how you can integrate these steps into your workout to stay healthy and active.

    Why Warm-Ups Are Essential

    Warming up isn’t just about loosening your muscles—it’s a process that prepares your entire body for exercise. A proper warm-up gradually increases your heart rate, breathing, and blood flow to muscles, which helps reduce strain and lowers the risk of injury.

    Think of your muscles like a rubber band. If you try to stretch a cold rubber band, it can snap easily. But if you warm it up first, it becomes more flexible. The same principle applies to your muscles and tendons—they become more elastic and prepared for movement when warmed up, minimizing the chance of strains, sprains, and other injuries.

    Key Components of a Warm-Up

    Light Cardio: Start with 5–10 minutes of low-intensity aerobic activity, like brisk walking, jogging, or cycling. This boosts your heart rate and circulation.

    Dynamic Stretching: Follow with stretches that involve controlled movements through your full range of motion—like leg swings, arm circles, or walking lunges. Dynamic stretching enhances muscle flexibility and joint mobility, improving your performance during exercise.

    Sport-Specific Movements: If you’re preparing for a sport or activity, include movements that mimic what you’ll be doing, such as dribbling a basketball or doing practice swings if you’re playing tennis.

    Why Cooling Down Is Just as Important

    Many people finish their workout and rush to the next part of their day, but cooling down is critical for recovery and reducing soreness. A proper cool-down gradually slows your heart rate and helps your muscles relax, minimizing the risk of post-exercise stiffness or injury. Skipping the cool-down can cause blood to pool in your muscles, leading to dizziness or even fainting.

    Key Components of a Cool-Down

    Light Cardio or Movement: After intense exercise, keep moving at a slower pace for 5–10 minutes to allow your heart rate and breathing to return to normal.

    Static Stretching: Now that your muscles are warm, it’s time for static stretching—holding stretches for 20–30 seconds. Focus on the muscle groups you used during your workout, such as hamstrings, quads, or shoulders. Stretching post-workout improves flexibility, reduces stiffness, and promotes long-term joint health.

    Hydration and Recovery: Drink water or an electrolyte-rich drink to replenish fluids lost through sweat. This aids in muscle recovery and prevents cramps.

    The Risks of Skipping Warm-Ups and Cool-Downs

    Without a proper warm-up, your body isn’t fully prepared for the physical demands of exercise. This increases your risk of muscle strains and tears, joint injuries such as sprains, and tendonitis (inflammation of tendons). Similarly, neglecting a cool-down can result in muscle tightness and soreness, dizziness or lightheadedness from sudden blood pooling, and reduced flexibility and mobility over time.

    The Bottom Line

    Injury prevention starts with respecting your body’s needs—and that means committing to a proper warm-up and cool-down every time you exercise. These routines don’t need to be long, but they are invaluable for your performance, recovery, and long-term joint health. As an orthopaedic surgeon, I can’t stress enough how small habits, like warming up and cooling down, can make a big difference in keeping you active and injury-free.

    So, the next time you lace up your shoes, take a few extra minutes to warm up your body and cool it down after. Your muscles, joints, and future self will thank you!

    Dante Marconi, MD is a board-certified orthopaedic surgeon with Shore Physicians Group, specializing in Sports Medicine and Shoulder Surgery. He treats both sports-related and non-sports-related injuries, offering procedures like shoulder, elbow, hip, and knee arthroscopy and joint replacements. Dr. Marconi emphasizes minimally invasive techniques for faster recovery and overall bone and joint health. He practices at Shore Physicians Group Orthopaedic Surgery Division, 710 Centre Street, 2nd Floor, Somers Point, NJ, and he also sees patients in Mays Landing on Tuesdays at Shore Physicians Group in the Festival at Hamilton. To schedule an appointment, call 609-365-6280.

  6. Shore Physicians Group Presents: “What You Need to Know About Diabetes” Health Education Event, Nov 20

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    Shore Physicians Group announced it will host a health education event titled, “What You Need to Know About Diabetes,” on Wednesday, November 20 at The Village at St. Peter’s, 21 W. Black Horse Pike, in Pleasantville. Experts from Shore Physicians Group will share important information about diabetes management, treatments, and new technology.

    The presentations will be delivered in Spanish from 10am-11am, and in English from 11am-12noon. All presentations will be followed by a question-and-answer session.

    Attendees will enjoy presentations from three Shore Physicians Group healthcare professionals. The first speaker will be Dr. Maria Cerna, who is a primary care doctor at Shore Physicians Group’s Northfield location. Dr. Cerna will discuss what diabetes is and how it affects the body.

    The next two speakers, Diabetes Educator Nicholas Kundrat and Dietitian and Diabetes Educator Tiffany Rios, RD, CDE, treat patients in Shore Physicians Group’s Endocrinology office in Somers Point. They will discuss managing diabetes through technology, medications, nutrition, and lifestyle adjustments, showing how these can support a healthier life.

    Bagels, coffee, and sugar-free cupcakes will be served. To RSVP, email wellness@shoremedicalcenter.org or call 609.365.5257.

  7. Avoiding the Post-Thanksgiving Burn: Your Guide to Antacids and Heartburn Relief

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    Thanksgiving is a time for family, gratitude, and, of course, delicious food. But for some, indulging in a holiday feast can lead to an uncomfortable side effect: heartburn. As we savor those rich dishes, understanding how antacids work can help manage occasional acid reflux and indigestion not only during the holidays but all year round. Here’s a look at how antacids work, why they’re effective, and a few important considerations for safe use.

    How Do Antacids Work?

    When we eat, our stomach produces acid to break down food. For those who experience heartburn, this acid can flow back into the esophagus, causing an uncomfortable burning sensation in the chest and throat. Antacids work by neutralizing this stomach acid, bringing immediate relief. The active ingredients in most antacids—such as calcium carbonate, magnesium hydroxide, or aluminum hydroxide—are alkaline, which counteracts the acid and provides quick but temporary relief by reducing acidity in the stomach and esophagus.

    Why Antacids Are Effective

    Antacids are effective because they act quickly. Within minutes, they can alleviate heartburn, sour stomach, and mild indigestion by neutralizing the acid that’s causing irritation. They’re especially helpful for those who only experience heartburn occasionally, perhaps after a large meal or certain types of foods—like those found on a Thanksgiving table: rich casseroles, creamy mashed potatoes, and spicy stuffing.

    For occasional heartburn, antacids can be a safe, short-term solution, helping you enjoy your favorite foods without pain or discomfort. However, it’s important to remember that antacids are not designed to treat chronic heartburn or gastroesophageal reflux disease (GERD), which require different treatments and may need medical attention.

    Ingredients to Be Mindful Of

    Different types of antacids contain different active ingredients, each with its benefits and potential drawbacks. Here’s a quick overview:

    1. Calcium Carbonate: This is commonly found in many over-the-counter antacids and is effective for quick relief. Calcium carbonate is generally safe but may lead to constipation if used too frequently.
    2. Magnesium Hydroxide: Known for its fast-acting relief, magnesium hydroxide can help with heartburn but may cause diarrhea in some people if taken in high doses.
    3. Sodium Bicarbonate: Sodium bicarbonate is effective but high in sodium, which can raise blood pressure and may not be ideal for people on low-sodium diets or those with hypertension.
    4. Aluminum Hydroxide: This ingredient provides effective acid neutralization but can lead to constipation and, with prolonged use, potentially disrupt mineral balance in the body.

    When to Use Caution

    While antacids are generally safe, they are intended for occasional, short-term use. Overuse can lead to side effects, such as constipation, diarrhea, or even “acid rebound electrolytes disturbance,” where the stomach produces more acid in response. Additionally, antacids can interfere with certain medications, including antibiotics and heart medications, so it’s important to consult a doctor or pharmacist if you’re taking other prescriptions.

    Whether it’s Thanksgiving or any other indulgent meal, having a balanced understanding of antacids can help you manage occasional heartburn effectively. Enjoy the holiday table, and remember that taking a mindful approach to antacid use can provide safe and effective relief throughout the year

    The contents of this article have been reviewed by Dr. Ahmed Nashat, Family Medicine provider with Shore Physicians Group. Dr. Nashat treats patients at Shore Physicians Group’s office located at 401 Bethel Road in Somers Point. To schedule an appointment with Dr. Nashat, call 609-365-6200.

  8. Understanding Strep Throat: Symptoms, Treatment, and What You Need to Know

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    Strep throat is a common bacterial infection that primarily affects the throat and tonsils, causing pain, swelling, and irritation. Caused by Streptococcus pyogenes bacteria, also known as group A streptococcus, strep throat can spread easily, especially among children and in close-contact environments like schools and workplaces. Here’s a comprehensive look at what strep throat is, how it’s transmitted, and what short-term and long-term effects it can have on your health.

    What is Strep Throat?

    Strep throat is an infection of the throat and tonsils caused by the group A streptococcus bacteria. This bacterial infection can cause sore throat, red and swollen tonsils, fever, and difficulty swallowing. The pain in the throat is often severe, with some people experiencing white patches on the tonsils, swollen lymph nodes, and headaches. Strep throat can sometimes be mistaken for a viral sore throat, but it’s important to distinguish between the two because strep throat requires specific antibiotic treatment.

    How is Strep Throat Spread?

    Strep throat is highly contagious and spreads through respiratory droplets when an infected person coughs, sneezes, or talks. It can also spread through shared items like utensils or surfaces if touched and then introduced to the mouth or nose. People are often contagious even before symptoms appear, which makes preventing the spread challenging.

    Contagion Period and Short-Term Effects

    Once infected, a person is contagious roughly two to five days before symptoms appear and can continue to spread the bacteria until 24 hours after starting antibiotic treatment. During the contagious period, symptoms like sore throat, fever, body aches, and fatigue are common. In children, strep throat may also lead to vomiting or stomach pain, but symptoms generally begin to improve within a few days after starting antibiotics.

    Long-Term Effects of Strep Throat

    If strep throat is diagnosed and treated promptly, most people recover fully without complications. However, if left untreated, strep throat can lead to more severe health issues, including rheumatic fever, which can cause permanent damage to the heart and joints. Untreated strep throat can also lead to a condition called post-streptococcal glomerulonephritis, an inflammatory kidney disease. These long-term effects are rare but underscore the importance of seeking treatment.

    How Does Strep Throat Affect Different Age Groups?

    Strep throat is most common in children between 5 and 15 years old, but adults can get it too, especially those frequently exposed to children. Younger children may experience more severe symptoms, such as high fever and stomach upset, while adults may experience more classic sore throat symptoms. Older adults are less likely to get strep throat but may face more complications if the infection occurs.

    Treatment and Prevention

    Strep throat is typically treated with antibiotics, usually penicillin or amoxicillin, which can relieve symptoms quickly and reduce the duration of contagiousness. It’s crucial to complete the full course of antibiotics even if symptoms improve, as this ensures the infection is entirely eradicated and reduces the risk of complications. Over-the-counter pain relievers can also help manage symptoms.

    Can Strep Throat Lead to Other Infections?

    If untreated, strep throat can lead to secondary infections like sinusitis, ear infections, or abscesses around the tonsils (peritonsillar abscess). These complications can be serious and require additional medical treatment, which is why early diagnosis and antibiotics are essential.

    Strep throat is a common yet serious bacterial infection that spreads easily and can lead to severe complications if not treated. While children are most frequently affected, adults are also susceptible, especially in high-contact settings. By recognizing symptoms early and seeking prompt treatment, you can prevent the spread and reduce the risk of long-term health effects.

    The contents of this article have been reviewed by Katie Worthington, MSN, RN, FNP-C with Shore Physicians Group. Katie Worthington treats patients at Shore Physicians Group’s Margate office. To schedule an appointment with Katie, call 609.822.4800.

  9. Cholesterol Control: Tips for a Heart-Healthy Life

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    Cholesterol is a fatty, waxy substance found in your blood and is necessary for building healthy cells and hormones. However, having too much cholesterol can pose serious health risks, primarily related to heart health. When excess cholesterol circulates in the bloodstream, it can contribute to plaque buildup in arteries, leading to conditions like atherosclerosis, heart disease, and stroke.

    Good vs. Bad Cholesterol: What’s the Difference?

    Cholesterol isn’t all the same; it’s divided into two types—LDL (low-density lipoprotein) and HDL (high-density lipoprotein). LDL, or “bad” cholesterol, contributes to plaque buildup, narrowing arteries and increasing the risk of heart issues. HDL, known as “good” cholesterol, helps remove LDL cholesterol from the arteries, reducing health risks.

    A healthy cholesterol level varies by age, but for most adults, total cholesterol should stay under 200 mg/dL, with LDL below 100 mg/dL and HDL at 40 mg/dL or higher. If your cholesterol levels are higher than these ranges, it may be time to take action to lower them.

    Five Tips to Lower Cholesterol

    Managing cholesterol often requires a mix of lifestyle adjustments and healthy habits. Here are five tips that can help lower cholesterol:

    • Eat More Fiber: Soluble fiber, found in oats, beans, fruits, and vegetables, can reduce the absorption of cholesterol in the bloodstream, lowering LDL levels.
    • Choose Healthy Fats: Replace saturated fats (found in red meat and full-fat dairy) with healthy fats like those in olive oil, avocados, and nuts. This shift can reduce LDL cholesterol without affecting HDL.
    • Increase Physical Activity: Regular exercise helps raise HDL levels while lowering LDL and triglycerides. Aim for at least 30 minutes of moderate activity, like brisk walking or cycling, on most days of the week.
    • Limit Cholesterol-Rich Foods: While dietary cholesterol isn’t as harmful as saturated or trans fats, limiting foods high in cholesterol, such as organ meats, egg yolks, and shellfish, may help some individuals manage their cholesterol levels better.
    • Quit Smoking: Smoking lowers HDL cholesterol and can damage blood vessels, making it easier for LDL to stick to artery walls. Quitting smoking can improve HDL levels and benefit overall heart health.

    Foods to Avoid for Cholesterol Management

    To maintain heart health, try to limit or avoid foods high in saturated and trans fats. This includes fatty cuts of meat, fried foods, pastries, and processed foods with hydrogenated oils. High-sugar foods and beverages should also be limited, as sugar contributes to high triglyceride levels, which can worsen cholesterol profiles.

    Monitoring Cholesterol Levels

    Knowing your cholesterol levels starts with a simple blood test, often called a lipid panel, which measures your total cholesterol, LDL, HDL, and triglycerides. This test helps provide a full picture of your heart health and can indicate if lifestyle changes are necessary.

    How a Primary Care Doctor Can Help

    Your primary care doctor plays a crucial role in managing cholesterol. They can assess your levels, recommend lifestyle adjustments, and, if necessary, prescribe medication to help keep your cholesterol in check. Doctors can also guide you in setting realistic health goals and monitoring progress, ensuring a proactive approach to heart health.

    Cholesterol management is essential for long-term health, but it doesn’t have to be overwhelming. By making intentional lifestyle choices and regularly consulting with a healthcare provider, you can effectively control your cholesterol levels and enjoy a healthier life.

    The contents of this article have been reviewed by Rosario Alfaro, APN with Shore Physicians Group. She treats patients at Shore Physicians Group’s Northfield office. To schedule an appointment with Rosario Alfaro, call 609-365-5300.

  10. Shore Physicians Group Welcomes Orthopedic Surgeon Dr. John Avallone to Its Division of Orthopaedic Surgery & Sports Medicine

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    Shore Physicians Group announced that John A. Avallone, DO, FAOAO, an accomplished orthopedic surgeon with more than 30 years of experience, has joined its Division of Orthopaedic Surgery & Sports Medicine located at 710 Centre Street in Somers Point. Dr. Avallone specializes in treating fractures, joint replacements, and sports injuries, with a focus on helping patients regain mobility and quality of life.

    A lifelong resident of the region, Dr. Avallone earned his B.S. in Biology from Delaware Valley College in Doylestown, PA, and his D.O. from the Philadelphia College of Osteopathic Medicine. He completed his orthopedic surgery residency at Community General Osteopathic Hospital in Harrisburg, PA.

    Dr. Avallone’s career includes serving at St. Mary’s Orthopedic Group, Trenton Orthopedic Group, and Makefield Orthopaedic, PC, where he honed his expertise in hip, knee, and shoulder replacements. He is certified by the American Osteopathic Board of Orthopedic Surgery and is a member of several professional organizations, including the American Association of Hip and Knee Surgeons and the American Osteopathic Association. In addition to his clinical work, Dr. Avallone served as a Clinical Instructor in the Department of Surgery, Division of Orthopedics, at the Philadelphia College of Osteopathic Medicine, where he contributes to educating the next generation of orthopedic surgeons.

    “I practice orthopedics and joint replacement surgery because of the challenge and reward they offer,” said Dr. Avallone. “I find it very gratifying to be able to help relieve patients’ pain and assist them in restoring normal function so they can return to their active lives.”

    Dr. Avallone is now accepting new patients at Shore Physicians Group in Somers Point. For more information or to schedule an appointment, or call 609-365-6280.

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