Measles and Vaccination

One of patient requested this information. Patient was worried about the measles outbreak in a country she is visiting.

For those who do not know, there is a measles outbreak in New Zealand, parts of France and some locations in Europe at this time.

Measles is a highly infectious viral illness that can be very unpleasant and sometimes lead to serious complications. It's now uncommon in the US because of the effectiveness of vaccination.

Anyone can get measles if they have not been vaccinated or have not had it before, although it's most common in young children.

The infection usually clears in around 7 to 10 days.

Symptoms of measles

The initial symptoms of measles develop around 10 days after you're infected.

These can include:

  • cold-like symptoms, such as a runny nose, sneezing and a cough
  • sore, red eyes that may be sensitive to light
  • a high temperature (fever), which may reach around 40C (104F)
  • small greyish-white spots on the inside of the cheeks

A few days later, a red-brown blotchy rash will appear. This usually starts on the head or upper neck before spreading outwards to the rest of the body.

When to see us 

You should contact us as soon as possible if you suspect that you or your child may have measles.

It's best to phone us before so that we can make arrangements to reduce the risk of spreading the infection to others.

You should also see a us if you have been in close contact with someone who has measles and have not:

  • been fully vaccinated with 2 doses of the MMR vaccine
  • had the infection before

You should do this even if you do not have any symptoms.

 

How measles can be prevented

Measles can be prevented by having the measles, mumps and rubella (MMR) vaccine.

This is given in 2 doses as part of the childhood vaccination schedule.

The first dose is given when your child is around 13 months old, and a second dose is given at 3 years and 4 months.

What if you are not vaccinated and traveling to an area where there is measles

Please get your vaccination done at least one month prior to the travel date. Since this is two dose with at least one month between them, you must get your first dose two months before the travel date, followed by second dose one month before travel date.

Where can I get MMR vaccine?

MMR Vaccine is available at Tricounty Health clinic at the location below on Tuesdays and Thursdays (from 1 to 3 pm only) on walk in basis. 

Aurora Office
15400 E. 14th Place
Aurora, CO 80011

MMR vaccine when we checked last at this location cost $80.

 

Whiplash

Common symptoms of whiplash include:

  • neck pain and tenderness
  • neck stiffness and difficulty moving your head
  • headaches 
  • muscle spasms
  • pain in the shoulders and arms

Less common symptoms include pins and needles in your arms and hands, dizziness, tiredness, memory loss, poor concentration and irritability.

It can take several hours for the symptoms to develop after you injure your neck. The symptoms are often worse the day after the injury, and may continue to get worse for several days.

If you are injured in accident and suspect a whiplash injury, please book an appointment. We may be able to diagnose using imaging and create treatment plan with physical therapy and braces. 

Warts And Verrucas

Warts and verrucas are caused by a virus. They can be spread to other people from contaminated surfaces or through close skin contact. You're more likely to spread a wart or verruca if your skin is wet or damaged.

It can take months for a wart or verruca to appear after contact with the virus.

If you have a wart you can get it checked at the clinic. We may be able to freeze the wart (Cryosurgery) to prevent further spread. 

Anticoagulant Therapy

If a blood clot blocks the flow of blood through a blood vessel, the affected part of the body will become starved of oxygen and will stop working properly.

Depending on where the clot forms, this can lead to serious problems such as:

  • strokes or transient ischaemic attacks ("mini-strokes")
  • heart attacks
  • deep vein thrombosis (DVT)
  • pulmonary embolism

Treatment with anticoagulants may be recommended if we feel you're at an increased risk of developing one of these problems. This may be because you've had blood clots in the past or you've been diagnosed with a condition such as atrial fibrillation that can cause blood clots to form. Please consult Dr. Kamat if you have this condition.

DILI

We recently diagnosed a patient with DILI(Drug Induced Liver Injury)

The patient is a young male with pattern baldness. His liver tests came back high (3 times the ULN); We started trending the results and started our work up. 

Patient denied taking any alcohol. He was also tested for ferritin and we also did serology tests for various other diseases which can elevate the liver function tests. 

We watched the results trend up during the next two visits and had no answers on why this was happening.

Later when we realized that patient was on a supplement for hair growth we asked the patient to bring the bottle of the supplement to the clinic.  Patient brought the supplement bottle during the next visit and we  realized that the supplement had Finasteride. Many patients start getting high ALT when they are on Finasteride. 

The patient also had a genetic condition that made Finasteride more extensively metabolized in the liver.  

Once the cause of the higher ALT is known we switched the patient to a different treatment for hair loss. 

This is a reminder to all of us that drugs can cause liver injury. It is essential to get correct medications at correct dosage and follow up with your primary care.  We were able to catch this early and prevent harm from Drug Induced Liver Injury. 

 

Please check the list of medications that can cause the liver injury.  (The links open the LiverTox database maintained by NIH)

 

 

 

 

Information

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.