Category Archive: Uncategorized

  1. Men’s Health the Focus of Shore Physicians Group’s Nov. 13 “Be Well Connected” Education Breakfast

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    In honor of Men’s Health Awareness Month, also known as Movember, Shore Physicians Group (SPG) is dedicating its November “Be Well Connected” education breakfast at Greate Bay Country Club to the topic of men’s health. The event will be held from 10 am to noon and will include a light breakfast. Greate Bay Country Club is located at 901 Somers Point-Mays Landing Rd., Somers Point, NJ. All guests who attend will be entered to win a complimentary haircut and close shave gift basket, valued at $100, from Gas Up Barber Shop & Shave Co. in Somers Point.

    According to the National Center for Health Statistics, men die on average five years earlier than women and are more prone to chronic illness. With greater awareness of the causes of this health disparity and more diligent attention to their health, men can potentially live longer, healthier lives.

    Leading the program is SPG primary care physician Dr. Ulices Perez, who will focus on the unique health needs of men. Following Dr. Perez is SPG endocrinologist Dr. Matthew Corcoran, who will talk about low testosterone, which affects 1 in 4 men over age 30. Closing the event will be a discussion with Mike Costello of Gas Up Barber Shop & Shave Co. on men’s grooming.

    To RSVP, please contact Jessica Giles at 609-653-3986 or jgiles@shorephysiciansgroup.com.

  2. Can Some Fats be Good for Your Diet?

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    Are you afraid of fats? Until recently, fat in foods has been vilified in America. For decades, we were told that cutting even healthy fats out of the diet would help us get the body we want. This couldn’t be further from the truth. Our bodies need fat—more specifically, they need healthy fats. The truth is, according to Registered Dietitian and Certified Diabetes Educator, Tiffany Rios of Shore Physicians Group, “good” fats can lower cholesterol levels, reduce inflammation, promote satiety, and boost brain function. These healthy fats mostly come from unprocessed sources that are high in unsaturated fats as well as omega-3 fatty acids, such as avocados, extra virgin olive oil, nuts, seeds, and wild caught salmon.

    Not all fats are the same
    The rap on fat is that it will add inches to your waistline, raise cholesterol and lead to a long list of health problems. Fat is a type of nutrient, and just like protein and carbohydrates, your body needs some fat for energy, to absorb vitamins, and to protect your heart.

    “Bad” fats, such as artificial trans fats and saturated fats, are guilty of the unhealthy things all fats have been blamed for—weight gain, clogged arteries, and an increased risk of certain diseases.

    “Healthy fats are an essential component of a healthy diet. In fact, they are required in order to properly absorb fat soluble vitamins A, D, E, and K,” said Rios. “What’s more, our bodies synthesize many fats but there are two types of fatty acids that your body is unable to synthesize: linoleic acid (omega-6 fatty acid) and alpha-linolenic acid (omega-3 fatty acid). These are called ’essential fatty acids’ because, unlike other fats, our bodies cannot create them and we must get them from our diet.”

    The bad and even some good about cholesterol
    It helps to understand the difference between good and bad fats and how to include healthier fats in your diet and reduce the bad fat. Dietary fat also plays a major role in cholesterol levels. Cholesterol by itself is not bad. It is a fatty, wax-like substance that the body needs to function properly. But too much of it can have a negative health impact. As with dietary fat, there are good and bad types of cholesterol.

    High density lipoproteins or HDL cholesterol is the “good” kind of cholesterol found in blood. The HDL cholesterol is good because it carries cholesterol from other parts of the body back to the liver. The liver then removes cholesterol from the body. According to Harvard Health, an HDL cholesterol of 60 mg/dL or higher gives some protection against heart disease.

    Low density lipoproteins or LDL cholesterol is the “bad” kind. Patients with elevated LDL levels may have cholesterol clogged arteries and may have an increased cardiovascular risk. The key is to keep LDL levels low and HDL high, which may protect against heart disease and stroke.

    Fats influence cholesterol levels
    Rather than the amount of cholesterol you eat, the biggest influence on your cholesterol levels is the type of fats you consume. So instead of counting cholesterol, it’s important to focus on replacing bad fats with good fats. When Rios is creating a dietary plan for her patients, she includes some fats.

    “As part of a heart healthy dietary plan I recommend a diet high in unsaturated fats and moderate in healthy types of saturated fats. Avocados, nuts and seeds are mainly unsaturated while fats like coconut oil are saturated. Despite its saturated association, coconut oil is also classified as a medium chain triglyceride and the method in which it processes through the liver does not allow for it to be stored like most saturated fats, making it a healthy alternative to some more saturated oils.”

    While every dietary plan that Rios creates for her patients is individualized, the registered dietitian has some go-to saturated fats that have worked well, including grass fed beef, coconut oil, 85% dark chocolate, pasture-raised eggs and chicken.

    To make an appointment with Tiffany Rios RD, CDE for a personalized dietary plan or healthy assistance managing your diabetes, call 609-365-5300. The office is located at 2605 Shore Road in Northfield..

  3. Can Joint Injections Keep Patients Out of Surgery?

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    Chronic knee, hip, ankle or shoulder pain does not necessarily mean your next step is into the operating room. For many patients who have sports-related injuries, osteoarthritis, and a family history of OA or who may be overweight and suffer with joint pain, delaying that joint replacement may be an option. Physical therapy and injections into the knee, shoulder, elbow, ankle, wrists, hip bursa, and even some hand injections are possible to combat joint pain according to Shore Physicians Group Orthopedic Surgeon, Dr. Tuan Mickey Bui. “The idea is to delay joint replacement as long as possible while still being bearable,” said Dr. Bui.

    Why there is joint pain

    All of the body’s joints have their own shock absorbing system. The joint cartilage has special molecules of aggrecan and hyaluronic acid that together provide a hydrated gel structure that gives cartilage load-bearing properties. Dr. Bui says over time those built-in shock absorbers will begin to thin out and break down. “As we age, these molecules degrade. A thinner cartilage is more prone to damage,” said Dr. Bui. “Ironically, when there is ‘full thickness’ area of damage in the cartilage, fluid seeping out from the bone can cause extra fluid in the joint. All of these events increase inflammation in the joint and are the ingredients to make arthritis.”

    The body is a great machine with different categories of joints including synovial joints where the bones join together in a cartilage lined cavity filled with fluid. There are pivot, hinge, saddle, plane, condyloid and ball and socket synovial joints. The knee, elbow and fingers are all hinge joints. The neck and vertebrae are pivot joints and the larger ball and socket joints include the hip and shoulder.

    Where to start

    Before beginning any treatment Dr. Bui said it is first determined where the patient’s joint pain is coming from. “We make sure your pain is due to cartilage damage and not due to anything else in your knee (or other joint). We can prescribe anti-inflamatories, which are stronger versions of what is available over the counter. There are also other types of nerve medications that have shown promising results,” said Dr. Bui.

    Physical therapy is another option open to patients experiencing joint pain. “Strengthening the right muscles allows your joints to operate with minimum stress on them. It is like getting a wheel alignment on your car which can lengthen the life of your tires,” said Dr. Bui.

    There is help for that pain

    Dr. Bui explained that hyaluronic acid used in the injections, also called viscosupplimentation, helps to draw fluid back into the cartilage and helps to restore the joints shock absorbing properties as well as act as a lubricant of sorts. There are a number of different blends of hyaluronic acid, some are made from roosters and the physician said anyone with an allergy to eggs should advise their doctor prior to receiving their injection as there are other formulations available.

    Cortisone steroids serve as an anti-inflammatory. (It is not the same as body builders use). Dr. Bui said that reducing the inflammation will reduce the pain. He said his office also gives the hyaluronic acid or viscosupplimentation injections. “In my office, we can give a combination shot of both using only one needle to give the patient the maximum benefit with a minimum of needles,” said Dr. Bui. The normal course of injections is one a week for three or four weeks.

    How long can surgery be delayed

    There is no set number of times a patient can receive the joint injections before they will need surgery. Dr. Bui said, “There is no limit to the number of times a patient is able to receive the viscosupplimentation but I normally recommend joint replacement when relief from the injections last less than six to eight weeks before the pain returns,” said Dr. Bui. “There are many factors in the decision to have surgery through, and this should be discussed with an orthopedic surgeon.”

    To set up an appointment and consultation with Dr. Bui, call Shore Physicians Group-Orthopedic Surgery, 609-365-6280.

    Dr. Bui’s specializes in hip and knee pain, minimally invasive knee replacement, unicondylar knee replacement, anterior or posterior hip replacement, anatomic and reverse total shoulder replacement, long bone fractures in fingers and hands, carpel tunnel, trigger fingers, sport related injuries and bursitis of elbow, sport related injuries of the foot and ankle, cortisone injections and viscosupplimentation.

  4. Shore Physicians Group to Host Education Event on Joint Replacement Surgery & Recovery Sept. 25

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    New SPG Orthopedic Surgeon Dr. Mickey Bui to Keynote the Event

    In September, Shore Physicians Group will welcome orthopedic surgeon Dr. Mickey Bui to its Surgical Division making him the first orthopedic surgeon to join the practice group. Bui will be the lead speaker at Shore Physicians Group’s community education breakfast on Joint Replacement Surgery & Recovery on Wednesday, Sept. 25 from 10 am to noon at Greate Bay Country Club in Somers Point. The event is a continuation of Shore Physicians Group’s popular “Be Well Connected” education series.

    Bui received his Doctor of Medicine from Northeast Ohio Medical University and completed his residency at Hahnemann University Hospital. In addition to general orthopedics and surgical treatments of the shoulder, hip and knee, he is also passionate about helping people with sports injuries and recently completed a Fellowship in Sports Medicine.

    Joining Bui is Erin Bennis, PT, DPT, of Shore’s Center for Outpatient Rehabilitation, who will share different techniques used in physical therapy for patients with total hip and knee replacements. Shore Emergency Department Social Worker Tracy Fooks, LCSW, LCADC, will speak on managing post-operative pain, and the appropriate use of pain medication.

    The event includes a free continental breakfast, question and answer session, and information on additional resources. To RSVP, call 609-653-3986.

  5. Help for Varicose Veins

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    If you have varicose veins, you may feel a little uncomfortable about showing off your legs. You may also feel pain, discomfort and swelling along with tired and achy legs. It is a myth that varicose veins are a problem only women will have; men can suffer from varicose veins as well, according to Dr. Leonard Galler MD, Board Certified General Surgeon with Shore Physicians Group and Chairman of the Dept. of Surgery at Shore Medical Center.

    How veins work

    The body has what amounts to a system of conduits or tubes that allow for oxygen-rich blood to flow from the heart throughout the body. The blood flows from the heart via arteries and the oxygen depleted blood is carried back to the heart to be reoxygenated through veins. The veins work efficiently by utilizing a series of valves that keep the blood moving. According to Dr. Galler, when those valves do not perform the job they were designed for, blood may leak back. This can weaken the vein walls, cause veins to bulge and may result in swelling or even blood pooling in the lower extremities, according to Dr. Galler. He advised that anti-inflammatory drugs along with other medications may be given to the patient to help reduce the swelling, inflammation and pain.

    How varicose veins normally develop

    Dr. Galler explained that in the legs soft vessels with minimal muscle can collapse over time. “The veins can get dilated,” said Dr. Galler. “There can be a number of other reasons for the veins to dysfunction and lead to the development of varicose veins. There could be a genetic predisposition to varicose vein development. Galler indicated that if parents have varicose veins, their offspring is likely to manifest varicose veins in their lifetimes. There could be damage to the deep system of veins from trauma or surgery that can lead to vein dysfunction. Often after a blood clot, deep vein thrombosis (DVT), varicose veins can develop because of physiological changes.

    Contributing factors for some patients can be obesity, pregnancy, chronic straining and constipation.

    Cosmetics and Symptomatic

    “Most patients do not like how varicose veins look and seek solutions for cosmetic reasons. Many patients have symptomatic varicose veins. They complain of aching legs that are often accompanied by swelling, burning and itching symptoms which can be severe enough to seek help. There are also patients who have developed severe swelling and edema with ulcers who need surgical care. These patients are at risk for infections and significant morbidity. Dr. Galler added that there are multiple recommendations that can be offered from a vascular surgeon to help all these patients regain quality of life.

    Important first steps

    Dr. Galler explained the importance of finding the causes of the varicose veins by ultrasound studies to determine vein anatomy and functionality. The ultrasound will determine blood clots and reflux from the values which will guide treatment.

    Compression stockings are the first line of treatment and often advised by surgeons. Dr. Galler said the compression stockings will help with the swelling by compressing the dilated veins, removing the pressure gradient and reducing weeping of fluid from the veins. Using the stockings along with medication to help with the swelling is beneficial to many patients.

    Treating Symptoms of Varicose Veins and Spider Veins

    Dr. Galler explained that there are several procedures that he performs frequently and that have proven to be very beneficial to his patients. These range from sclerotherapy of veins and spiders veins, laser ablation of veins and sealing of incompetent superficial veins with radiofrequency energy, and surgical removal of veins with minimal invasive techniques. Each of the procedures have their roles with benefits.

    Help Yourself

    There are a number of things someone suffering with varicose veins can do to gain relief of symptoms and help with cosmesis. If simple maneuvers such as exercise, weight reduction and support hose is not effective, it is then best to discuss options with a vascular surgeon such as Dr. Galler who would perform a full evaluation and direct a treatment plan.
    To learn more about what might be the best course of action to help with varicose veins, spider veins, and more or to make an appointment with Dr. Leonard Galler call 609-927-8550.

  6. What is Brain Freeze & Why Do We Get It?

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    Few things taste better on a hot, steamy summer day than an ice cold frozen treat like tall, sweet water ice or a great big ice cream cone. But in the excitement of that delicious treat-in-hand, too much of a good thing too fast can cause sphenopalatine ganglioneuralgia, better known as a “brain freeze.” It is a short-term headache typically linked to the rapid consumption of ice cream, water ice, ice pops, or very cold drinks.

    Brain Freeze Causes
    What happens when we experience that brief, yet quite uncomfortable brain freeze is the quick cooling of capillaries in the sinus and oropharyngeal area resulting in vasoconstriction or narrowing of the blood vessels. The rapid changes near the sensitive nerves in the palate create that sensation of a brain freeze.

    According to research done at Harvard Medical School led by Dr. Jorge Serrado there are several possible reasons for the sudden onset of pain. One theory is that it’s a relationship with the trigeminal nerve, which runs through the upper palate of the mouth. When something cold hits it, it may directly increase blood flow to the brain. Another theory is that a huge gulp of an ice-cold drink cools the blood; body’s quick attempt to warm up again is what causes the pain.

    Dr. Serrado said it is hard to study headaches in a laboratory because it is difficult to recreate what triggered the headache but it is pretty straightforward to recreate what leads to a brain freeze. The researcher said he hopes to take some of the lessons learned from inducing a brain freeze to do further study on headaches in the lab. This explains at times, rare headache disorders, according to Neurologist Dr. Joshua Daniel of Shore Physicians Group.

    The Brain Freeze Cure
    It may hurt, but that pain is brief. Take it slow: These annoying aches happen when there is a rush of cold hitting the palate or roof of mouth at one time, so the key is to pump the brakes and take it easy when licking a frozen treat. This will allow the body to acclimate to the sudden cold temperature as well as let it warm up just a bit.

    Pass on the straw. Sipping from a straw sends the chill straight to the roof of the mouth, just where it needs to go to set off that brain freeze. Press your tongue to the roof of your mouth, it may shorten the duration of the brain freeze by warming the area. There is some research that suggests caffeine prior to indulging in something cold may cut the risk of having a brain freeze due to the slight reduction in blood flow associated with the caffeine.

    To learn more about managing headaches or to make an appointment with Dr. Daniel call 609-365-6206.

  7. Migraine Treatments Show Promising Results

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    A pounding head and blinding headache, loss of production at work, and family time lost are very real for people who battle migraines. The pain is severe and may last from three hours to three days and can be debilitating. But migraine patients of Neurologist, Dr. Joshua Daniel of Shore Physicians Group are having very promising results from new treatments available.

    Dr. Daniel is utilizing a number of treatment options for patients suffering from migraines with very successful outcomes such as Emgality, a calcitonin gene-related peptide targeted therapy along with several others in that class. Dr. Daniel said the therapy is working great for his patients and added that he uses it as a preventative medication, It is also sometimes used as an abortive treatment, adding that it can shorten the duration as well as the severity of the headache.

    What Is a Migraine?

    A migraine is a headache with throbbing pain that is often severe enough to hamper daily activities and may last from four hours to three days if untreated. Migraine is one of the most prevalent diseases in the world, affecting more than 30 million American adults, according to Dr. Eric Pearlman, Senior Medical Director of Lilly Pharmaceuticals. It is three times more common in women than men. Foods, stress, and hormones can be migraine triggers, according to the American Migraine Foundation. Some patients seek the help of a neurologist for their migraines as well as cluster headaches, a less common and different kind of migraine.

    Migraines vs Cluster Headaches

    Migraines and cluster headaches, although both debilitating, feel and act differently, according to Dr. Daniel. While they are both headaches, migraines and cluster headaches have a different mechanism and pathology. People with migraines may experience nausea, sensitivity to light, and vomiting, whereas those with a cluster headache, which is generally felt on one side of the head, experience watery eyes and a runny nose. Some people who experience migraines can predict the onset because it’s preceded by an “aura,” or visual disturbances — flashing lights, zigzag lines, or a temporary loss of vision, for instance. By contrast, cluster headaches come on suddenly, are almost always one-sided and can be confused with sinus headaches. The pain is distinct and can feel like a hot poker in the patient’s eye, according to the American Migraine Foundation. While a classic migraine can be lengthy in duration, a cluster headache can arrive and depart swiftly over a period of time.

    Managing Migraines

    One very effective weapon in the war against migraine is calcitonin gene-related peptide targeted therapy. As explained by Dr. Pearlman, when a person is experiencing a migraine, the levels of CGRP increases and results in a cascade of pain and unpleasant symptoms.

    Dr. Pearlman explained that as a CGRP inhibitor, Emgality binds to CGRP and interferes with its activity, therefore getting rid of or lessening the effects of the migraine. Even more positive news for migraine sufferers is that there is not just one treatment, rather there are other options as well. When asked if there is a lot of encouraging news for people suffering from migraines and other debilitating headaches, Dr. Daniel said, “Absolutely, we have so many treatments now available. I started Shore Medical Center’s migraine infusion center and do probably the most Botox treatments for migraines in the area and now can offer all of these new migraine medications. We are finding success with not only meds but we utilize devices for migraines as well.”

    Migraines are individualized and vary patient to patient there is no one-size-fits-all treatment plan. Dr. Daniel treats strokes, headaches, seizures, neuropathy and other neurological conditions. He is also fluent in Urdu and Punjabi.

  8. Sixty Percent of People with Thyroid Disease Don’t Know They Have it: Are You One of Them?

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    The thyroid is a small but mighty hormone-producing gland in your neck that influences the activity of cells and tissue throughout the body, regulating metabolism and energy. Endocrinologist Dr. Vijay Balakrishnan of Shore Physicians Group says normal functioning of the thyroid is vital to metabolism. It plays a major role in the growth and development of the human body and helps to regulate many body functions by constantly releasing amounts of thyroid hormones into the blood stream. When your regulator is out of kilter, understanding the symptoms and getting the right treatment is key to getting the body’s system back on track and helping you feel your best.

    Thyroid statistics

    When things in your body are off and you can’t explain why, thyroid problems could be the culprit. The number of people whose thyroid has gone awry are rather staggering. According to the American Thyroid Association, more than 12 percent of the U.S. population will develop a thyroid condition at some point in their life. Although no one is immune to thyroid problems, including men and children, the vast majority of those with thyroid issues are women who run a risk five to eight times greater than men of experiencing thyroid problems in their lifetime. Sixty percent of the people with thyroid disease or its symptoms are not aware of it.

    Common symptoms

    Are you dragging and fatigued after a good night’s sleep or feel like your brain is in a fog? Maybe you gained weight but have not changed your diet, you have the chills, your heart is racing or there is more hair stuck in the hairbrush than normal. These are signs that something is off and it could be that your thyroid is misfiring.

    Other symptoms that there may be thyroid-related problems include: dry skin, brittle nails, numbness or tingling of the hands, constipation, muscle weakness or trembling hands, abnormal or irregular menstrual periods, diarrhea or vision problems.

    Hypothyroidism and Hyperthyroidism

    An unexplained change in weight is one of the most common signs of a thyroid disorder. Underactive thyroid, called hypothyroidism commonly presents symptoms like fatigue, weight gain and constipation. On the flip side, an overactive thyroid, which is called hyperthyroidism is associated with weight loss, palpitations, tremors and anxiety.

    According to Dr. Balakrishnan, the most common cause for hypothyroidism is an autoimmune disorder or after thyroid surgery. The physician said the most common cause of hyperthyroidism is Graves’ disease and viral thyroiditis.

    Thyroid Nodules

    Thyroid disorders also include thyroid nodules and goiter, which means the enlargement of the thyroid gland. According to Dr. Balakrishnan, “the majority of times thyroid function is normal with a thyroid nodule and the need to evaluate is essentially to rule out cancer.” A patient may need a biopsy of the thyroid nodule which will depend on multiple factors like the size of the nodule, the imaging characteristics on thyroid ultrasound and associated pressure symptoms.

    To learn more or to make an appointment with Endocrinologist Dr. Vijay Balakrishnan of Shore Physicians Group located at 18 West New York Ave in Somers Point call 609-365-5300.

  9. Tick Tock- June is Prime Tick Season

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    Frank Sinatra meant it lovingly when he sang “I’ve Got You under My Skin” in 1946 but when summer breaks out, there can be something a lot less desirable getting under your skin, like a tick. Spring and summer are prime tick season and Dr. Gregory Carson, Medical Director for Shore Urgent Care in Northfield said they are currently treating patients for tick bites. He added that more rural areas such as in Ocean County are seeing more tick related patients.

    According to the Center for Disease Control says ticks do not hibernate but are normally dormant in the winter months. Extended below freezing temperatures will kill off some but not all species of ticks. Information from the CDC indicates that many varieties of ticks will take shelter during the winter months in leaf debris and become quite active in the spring. They warn that while it is simple enough to come in contact with ticks while hiking or camping, many people will get bitten by a tick in their own back yard.

    Dr. Carson said visits to urgent care for possible tick bites more often than not will be from the patient’s property. “Tall grass is really where the ticks like to be and they can easily attach to clothing or get on pets, people just need to be aware and to be vigilant about checking themselves and their children and pets for ticks when they come in the house,” said Dr. Carson.

    Standard treatment for tick bites
    When a patient comes to urgent care with the tick still on the skin it will be removed and standard procedure will put the patient on a regiment of antibiotics. Dr. Carson said often patients will come into the Shore Urgent Care Center and do not realize they have been bitten by a tick but are experiencing the symptoms of a tick related illness. Patients may be fatigued, suffering with flu-like symptoms and if they have been in an area where ticks are likely they may be tested for Lyme disease. The physician added that a blood test taken too soon after the possible tick bite can give a false negative reading so they normally wait several days before drawing a blood for Lyme disease. “Though we may wait to draw blood for Lyme disease, we do not wait to see if the traditional bull’s eye rash appears,” said Dr. Carson. “That could put them several days to several weeks behind in recovering from the bite if we waited. Our normal standard of care is that we will normally prescribe doxycycline or amoxicillin and then instruct the patient to follow up with their primary care physician.” Dr. Carson said it may take 3 to 30 days for a rash to appear.

    Proper tick removal
    Dr. Carson said it is very important to get the tick out from the skin. “I tell patients to use tweezers and to go as close to the edge of the skin as possible. The motion should be straight up; do not twist or jerk or it will break off, possibly leaving the head under the skin,” said Dr. Carson. “Clean the area with rubbing alcohol and never try to crush the tick.” According to Dr. Carson, if the patient wishes to have the tick evaluated for disease, they may do so by taking the tick to the County Health Department for evaluation, but he added that the tick must still be alive for the health department to test.

    Brown Recluse Spiders
    Ticks are not the only thing around to bug you this time of year, Dr. Carson said patients have come into Urgent Care with suspicion of being bit by a brown recluse spider. “A bite from the brown recluse spider can be pretty nasty and the patient can develop a cellulitis in the surrounding tissue. We normally will prescribe a topical cream for the affected area.” The brown recluse spider is normally found around wood piles and its bite can make a person quite sick.

    CDC recommendations
    The CDC suggests caution when returning to the home from a possible tick infested area, First-check clothing for ticks. Ticks may be carried into the house on clothing. Any ticks that are found should be removed. Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on dry clothing. If clothes need laundering, hot water is recommended. Cold and medium temperature water will not kill ticks.

    Next examine any gear and pets. Ticks can catch a ride into the house on anything but especially on pets so carefully examine pets, coats, and back packs. Shower soon after being outdoors. Showering within two hours of coming indoors has been shown to reduce your risk of getting Lyme disease, according to the CDC and may be effective in reducing the risk of other tick-borne diseases.

    Check your body for ticks after being outdoors. Conduct a full body check upon return from potentially tick-infested areas, including your own backyard. Use a hand-held or full-length mirror to view all parts of your body. Check these parts of your body and your child’s body for ticks:

    • Under the arms
    • In and around the ears
    • Inside belly button
    • Back of the knees
    • In and around the hair
    • Between the legs
    • Around the waist

    For more information on the Shore Urgent Care Center located at 2605 Shore Road in Northfield click here.

  10. Shore Physicians Group Welcomes Certified Diabetes Educator and Dietitian Tiffany Rios to its Endocrinology Practice

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    With the right lifestyle changes, people with prediabetes and diabetes can prevent or manage the disease and vastly improve their quality of life and longevity – but making those changes without support can be difficult. That’s why Shore Physicians Group (SPG) is proud to welcome Certified Diabetes Educator and Registered Dietitian Tiffany Rios, RD, CDE, who was recently hired to help patients with diabetes or at risk of developing it to make those necessary lifestyle changes. Rios is seeing patients at SPG’s Endocrinology office located at 2605 Shore Road in Northfield.

    Rios, who is bilingual, comes to Shore Physicians Group with more than 12 years of experience as a dietitian, health coach and diabetes educator for various healthcare organizations, including Sharp Healthcare in San Diego and most recently with Virtua Healthcare, where she served a multicultural community in Camden providing screenings, assessments and education for diabetes self-management.

    In her role with Shore Physicians Group, Rios will provide an array of community nutrition education services including diabetes education for individuals and groups; ongoing weight management programs, lectures, and screening programs; coordination of nutrition-based community projects; and assistance in the delivery of additional community health programs.

    Mark Stephens, Chief Administrative Officer of Shore Physicians Group, says Rios complements the SPG Endocrinology team, which consists of Dr. Matthew Corcoran and Dr. Vijay Balakrishnan, and diabetes educator and advanced nurse practitioner Denyse Gallagher.

    “Atlantic County has one of the highest rates of diabetes in the state, with a higher prevalence especially among the Hispanic and African American communities. Tiffany has a proven track record of helping people with diabetes make lifelong behavior changes, especially those populations who are at greatest risk. We’re fortunate to have her on board serving not only SPG’s patients, but anyone in need of her care. We look forward to the difference she will make in helping people with prediabetes and diabetes conquer their disease and lead healthier lives,” Stephens said.

    Rios received her undergraduate degree in Nutritional Science – Dietetics from Rutgers University and her registered dietitian certification from South Jersey Healthcare System (now Inspira). She has won several awards for excellence, and has a record of success partnering with other community health organizations to reach those in need.

    “From the moment I met the SPG endocrinology team I knew they were passionate, caring, and aligned with my mission to help patients thrive. My goal is to provide patients with compassionate service, as well as the Nutrition education and tools needed to enhance their health and wellness.”

    To learn more, contact the Endocrinology office at 609-365-5300.