Suicidal ideation

If you're feeling like you want to die, it's important to tell someone.

Help and support is available right now if you need it. You don't have to struggle with difficult feelings alone.

Phone a helpline

These helplines are there to help when you're feeling down or desperate.

Unless it says otherwise, they're open 24 hours a day, every day.

National suicide prevention lifeline 1-800-273-8255.
Metro crisis line 888-885-1222.
Call 911 and go to the nearest emergency room

Talk to someone you trust

Let family or friends know what's going on with you. They may be able to offer support and help keep you safe.

There's no right or wrong way to talk about suicidal feelings – starting the conversation is what's important. 

Tips for coping right now

Try not to think about the future, just focus on getting through the day.

Stay away from drugs and alcohol.

Get yourself to a safe place like a friends house.

Be around other people.

Do something you enjoy such as spending time with your pets.




What is acne?

Acne is a skin condition that causes spots, oily skin and sometimes skin that's hot or painful to touch.

Why do I have acne? 

Familial, hormones, Cosmetic products, medications,Smoking

How is Acne diagnosed and treated?

Your healthcare provider will perform a skin exam, and determine if it is mild, moderate or severe acne.
Topical gel, cream, lotion, oral antibiotics, Oral contraceptive pills, vitamin A Derivatives can be prescribed.

What can I do to make my symptoms better?

Do not wash affected areas of the skin, more than twice a day.

Wash the affected area with mild soap and lukewarm water.

Do not squeeze the blackheads or spots.

Avoid using too much makeup and cosmetics.

Completely remove makeup before going to bed.

For dry skin, use fragrance free emolient.

Shower as soon as possible after finishing exercise.

Wash hair regularly, avoid letting your hair fall across the face.


Acne with oily skin

Image result for acne



What is osteoarthritis?

it is a type of arthritis which affect the joints. Arthritis is a general term which means inflammation of the joints.

Osteoarthritis is the common type. It often occurs with advanced age. Common locations are joints in the fingers, knee joints and hip joints.

The tips of the bones in the joints are covered with soft cartilage. When osteoarthritis sets in, the soft cartilage begins to break down.

The hard bones start to rub each other which cause symptoms of osteoarthritis.

What are the symptoms of osteoarthritis?

Pain in the joint.

Stiffness in the joint.

Swelling in the joint.

Popping, cracking sounds in the joint.

How is osteoarthritis diagnosed and treated?

Please see your healthcare provider if you have joint problems.

Your healthcare provider will talk to you about your symptoms, perform a physical exam.

If it is determined necessary, they will order blood tests, imaging tests.

There are many ways of treating osteoarthritis.

Medicines are prescribed to relieve your pain.

Supportive therapy is prescribed to make everyday activities easier.

In a few cases, surgery is recommended.

What can I do to improve my osteoarthritis?

Exercise: Your physical activity should include exercises to strengthen your muscles and general fitness.

With daily exercise, you are able to build up muscle, and strengthen the joints.

Exercise also is good for losing weight, improving the posture, relieving the stress, which make you feel better with the symptoms of osteoarthritis.

Talk to your healthcare provider about appropriate exercises for your condition.

Losing weight: Being overweight or obese makes arthritis worse. It puts extra pressure and strain on the joints.

Make a plan with your healthcare provider for weight loss.

Medicines for pain relief: Please talk to your healthcare provider.

Hot or cold packs

Assistive devices.


Osteoarthritis affecting the knee.

Image result for osteoarthritis knee



What is Lupus?

Systemic lupus erythematosus (SLE) – lupus – is a long-term condition causing inflammation to the joints, skin and other organs. There's no cure, but symptoms can improve if treatment starts early.

It is an autoimmune condition, where the immune system decide to attack your own body cells and damage it.

Common symptoms are joint pain and stiffness, extreme tiredness, skin rash over the nose and cheeks, weight loss, swollen glands, sensitivity to light, poor circulation in hands and toes.

What are the symptoms of lupus?

People with lupus can experience the following.

Tired, fatigued, weak

weight fluctuation



Butterfly shaped rash on the nose and cheeks after exposure to the sun.

Hair loss.

Chest discomfort.

Shortness of breath.

Bruising easily.

Swelling, discomfort in the joints.

Swelling in the hands, feet, belly

Abnormal color of the urine, Foamy appearing urine.

Sores in the mouth.

Change in color of the skin on the fingers and toes

Unable to think clearly, anxiety, feeling sad

How is Lupus diagnosed and treated?

Consult your health care provider.

Your healthcare provider will ask you questions about your health, perform physical exam.

They will order blood tests, imaging tests.

There are many treatments available

Medicines to treat joint pain, medicines, which can decrease the symptoms of lupus, medicines like steroids which can suppress the immune system.

What can I do to make my symptoms better?

Eat a healthy diet full of fruits and vegetables.

Stay active. Exercise daily.

Always inform your healthcare provider about lupus, certain medicines can make the lupus worse 

Please see your healthcare provider if you have joint problems.

Your healthcare provider will talk to you about your symptoms, perform a physical exam.

If it is determined necessary, they will order blood tests, imaging tests.

 In a few cases, surgery is recommended.

What can I do to improve my Lupus?

Eat a healthy balanced diet.

Try to stay active, try walking or swimming.

Get plenty of rest.

Try relaxation techniques to manage stress.

Avoid harsh sunlight, use sunscreen with SPF 50.

Wear a wide brim hat

Do not hesitate to ask help from family, friends and healthcare professionals.It's

DO NOT do the following

Do not smoke.

Do not sit in direct sunlight or prolonged exposure to florescent lights.




What is gastroenteritis?

Common causes are infection with a stomach bug, food poisoning. Common symptoms of nausea, vomiting, diarrhea.

What should I do if I have gastroenteritis?

Please see your healthcare provider.


Self-care is for mild symptoms only. Please see your healthcare provider if your symptoms worsen.

Things you should do.

Stay at home and get plenty of rest,

Drink lots of fluids, water, squash. Take small sips you feels sick.

Continue breast-feeding, bottle feeding the baby. Try frequent small feeds.

Continue formula or solid foods, with small sips of water between feeds.

Start eating when you feel you're able to.

Use as needed Tylenol.

Do NOT do the following:

Do not have fruit juice or fizzy drinks.

Do not make baby formula beaker.

Do not give medicines to stop diarrhea for children under 12 years.

What other things I should do at home?

Wash your hands with soap and water frequently.

Wash any clothing, bedding that is contaminated with vomit or diarrhea. Wash it separately with disinfectant detergent on hot wash setting.

Clean toilet seats, flush handles, faucets, doorknobs or any surfaces that are contaminated with bleach.

Do not prepare food for other people.

Do not share towels, cutlery, utensils, washcloth.

Do not use swimming for for 2 weeks after your symptoms have stopped.

When should I go to the emergency room?

A child under five years, with signs of dehydration. Fewer wet diapers or Not urinating as frequently.

When you're extremely sick and unable to keep any fluids down and dehydrated.

If you have blood in the diarrhea, or bleeding from the anus.

Vomiting blood, or if the vomit has coffee grounds appearance (Brown chunks)

Bright green or yellow vomit.

If you have swallowed poison 

High grade fever.

If you have certain headache, stomach ache, stiff neck. 

Please consult your healthcare provider if you have any worrisome symptoms.


At the time of office visit, please present your insurance card.  We bill your visit to the insurance card you present. 

In the event of an error in your insurance, please let our front office staff know.

We are in network with most insurances. However individual plans may vary and not known till a claim is adjudicated.

We are a smoke free facility.

We need every patient to finish all the forms online and check in online if possible. 

Most visits start on time, so please plan to be at the office, fifteen minutes before your appointment.

Habitual no show patients are terminated from the patient panel.

We charge a no show fee.

If you are not able make the commute, or take time off for commute , explore tele medicine available now.