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Dwint Family Health Care NP,  PLLC

1665 Bedford Avenue, STE 2                         111-56 76th Dr. STE, STE UL1

Broo‚Äčklyn, NY 11225                                        Forest Hills, NY 11375

Concierge Health & Wellness Provider

All Inclusive Health 

My Blog


The Importance of Self-Care

Posted on 25 November, 2018 at 14:49 Comments comments ()
Positive Self-care is vitally important in keeping you at your best physically, mentally, emotionally and spiritually. Make sure your medical providers are aware of any family risk factors so that there is a focus on health promotion and disease prevention that is specific to your heath care needs. What does that mean? For example, if the men in your family develop heart conditions in their late 40's and/or early 50's that cause death, that is something you should make your medical provider aware of so that the focus on lifestyle changes can include nutrition, stress management and monitoring of certain blood test.

Update on the flu

Posted on 4 March, 2016 at 19:50 Comments comments ()
So laboratory confirmed flu is up by 55%. Keep watching for updates and contact me with any questions.

CDC recommends that consumers do not eat any Blue Bell brand products, and that institutions and retailers do not serve or sell them.

Posted on 22 April, 2015 at 13:19 Comments comments ()
 On April 20, 2015, Blue Bell Creameries voluntarily recalled all of its products currently on the market made at all of its facilities, including ice cream, frozen yogurt, sherbet, and frozen snacks, because they have the potential to be contaminated with Listeria monocytogenes

Blue Bell announced this recall after sampling conducted by the company revealed that Chocolate Chip Cookie Dough Ice Cream half gallons produced on March 17, 2015 and March 27, 2015 contained the bacteria.

·         CDC recommends that consumers do not eat any Blue Bell brand products, and that institutions and retailers do not serve or sell them.

·         Listeriosis is a life-threatening infection caused by eating food contaminated with the bacterium (germ) Listeria monocytogenes. People at high risk for listeriosis include pregnant women and their newborns, adults 65 and older, and people with weakened immune systems.

·         This is a complex and ongoing multistate outbreak investigation of listeriosis illnesses occurring over several years. Several strains ofListeria monocytogenes are involved in this outbreak. Information indicates that various Blue Bell brand products are the source of this outbreak.

·         As of April 21, 2015, a total of ten people with listeriosis related to this outbreak have been confirmed from 4 states: Arizona (1), Kansas (5), Oklahoma (1), and Texas (3). Three deaths were reported from Kansas.

April is Oral Cancer Awareness Month: GET SCREENED!!! People are dying of oral cancer everyday! Early discovery has many positive impacts, potentially longer life spans, easier treatment and greater chances of a cure.

Posted on 19 April, 2015 at 9:14 Comments comments ()
Oral cancer is the largest group of those cancers which fall into the head and neck cancer categoryOral cancer begins in the mouth, also called the oral cavity. Common names for oral cancers include such things as mouth cancer, tongue cancer, tonsil cancer, and throat cancer

The death rate associated with oral and pharyngeal cancers remains particularly high due to the cancer being routinely discovered late in its development and many who do survive suffer long-term problems such as severe facial disfigurement or difficulties eating and speaking. The earlier the cancer is detected, the easier the treatment and the greater the chance of a cure.

Primary risk factors for developing an oral or oropharyngeal cancer include:
  • Tobacco use in all its forms
  • Excessive alcohol consumption
  • A persistent HPV16 (human papilloma virus #16) oral infection

While smoking and tobacco use are still major risk factors, the  highest increasing number of oral cancer patients is young, healthy, nonsmoking individuals due to the connection to a HPV16 virus. Fortunately their is a readily available  HPV16 vaccine which can be used to to protect our next generation. However, there is no vaccine for adults already exposed.

HPV16 Vaccine -This vaccine, given to young men and women ages 9 through 26, prevents pre-cancerous changes that may become cancer. HPV vaccination is currently recommended by the Centers for Disease Control and Prevention for all boys and girls ages 11 or 12, and for men and women ages 13 through 26 who have not already received the vaccine or have not completed booster shots.

Possible Oral cancer signs and symptoms  includes:
  • An ulcer or sore that does not heal within 2-3 weeks
  • A discoloration on the soft tissues of the mouth that persists. It may be white, red, or even blackish in color
  • A swelling or lump in the mouth that persists. This also applies to a tonsil that is swollen but painless
  • Any abnormality that bleeds easily when touched. (friable)
  • A lump, or hard spot in the tissue. (induration)
  • Tissue raised above that surrounding it, a growth. (exophytic)
  • A sore under a denture, which even after adjustment of the denture, still does not heal.
  • A numb feeling in the mouth or lips
  • Persistent sore throat, hoarse voice, or cough
  • A painless fixated lump felt on the outside of the neck, which has been there for at least two weeks
  • Difficult or painful swallowing, or a painless sensation that when swallowing things are becoming stuck in your throat
  • An ear ache on one side (unilateral) which persists for a protracted period of time

Not having risk factors doesn't mean that you will not get cancer. If you think you may be at risk, you should discuss it with your doctor.

April 2015 is Women’s Eye Health and Safety Month. According to the Women’s Eye Health Task Force, risk factors for premature death due to heart disease or cancer are the same as those for blindness and vision impairment. These factors include

Posted on 12 April, 2015 at 1:04 Comments comments ()
Every woman, especially those who are pregnant, planning to get pregnant or diabetic, should make it a priority to get a comprehensive, dilated eye exam.  
There are a number of health factors and differences between men and women that put women at greater risk of serious vision loss; two-thirds of Americans with vision impairment are women. However, through early detection and treatment vision loss can be lessened.

Regular dilated exams are essential to prevention, early detection of eye disease — and to keeping you and your eyes healthy. So in honor of Women’s Eye Health and Safety Month, schedule a routine eye exam, if it’s been more than a year and encourage the women in your life to do the same also.

Nearsightedness, or myopia, is a very common condition in which nearby objects are visible but faraway objects are out of focus and difficult to see.

Farsightedness, or hyperopia,is a common vision impairment in which you are able to see things that are far away, but have trouble seeing things that are up close.

Risk factors for vision problems in women include:
  • Obesity
  • Smoking
  • Age
  • Poor nutrition

The main Eye-related Health Risks Faced by Women include:

  • Glaucoma is one of the leading causes of blindness in the United States. Glaucoma refers to a number of diseases that damage the optic nerve and can lead to vision loss. It is usually caused by abnormally high pressure inside the eye. Glaucoma can damage your vision so gradually you may not notice any loss of vision until the disease is at an advanced stage.

  • Cataracts-  A cataract is a clouding of the lens of the eye that can impair vision.

  • Dry Eye Syndrome. With this condition, the eyes do not produce enough tears or the tears are poor quality and evaporate quickly. When this happens, the eyes sting or burn, feel scratchy, become irritated or tear excessively.

If you are  experiencing any of the following symptoms, an appointment with an eye care professional should be made immediately:

  • Unusual trouble adjusting to dark rooms.

  • Eye pain /or severe headache

  •  a blank spot or haziness in your central vision and color perception.

  • Swelling (edema) of the eyelids and tissue around the eye

  • A constant stare

  • Eyelid retraction

  • Dry eyes or a sensation of grit or irritation to the eye

  • Watering and redness of the eyes

  • Sensitivity to light

  • A feeling of pressure in the eye sockets

  • Double vision

  • Loss of vision

An eye emergency is when chemicals or a foreign object gets in the eye, or an injury affects the eye area. Emergencies require immediate medical attention to help prevent permanent vision damage.

Eye injuries can be prevented by the use of protective eyewear at work, at home, at school and in sports. You should have your eye health evaluated annually. Recognizing vision problems early may prevent long-term complications and blindness.

Did you know That your bad breath might be because you are dehydrated? If untreated, severe dehydration may cause: Death Permanent brain damage Seizure.

Posted on 6 April, 2015 at 12:01 Comments comments ()
World Health Day is April 7, 2015: It is celebrated to remember the establishment of the World health Organization as well as draw the attention of people towards the major health issues in the world. The body needs water to function. Dehydration occurs when the amount of water leaving the body is greater than the amount being taken in. If you don't replace lost fluids, you will get dehydrated. 

Dehydration is a major health concern:  keeping your body hydrated will help you live a longer healthier life.To keep your body well hydrated (even when you sweat a lot ) does not mean gulping down gallons of water in one go. That might only dilute your blood that has a fine mineral balance, which is risky. The key is wisely drinking fluids that contain some minerals lost in sweat.

Anyone may become dehydrated, but young children, older adults and people with chronic illnesses are most at risk.  While you can usually reverse mild to moderate dehydration by drinking more fluids, Severe dehydration needs immediate medical treatment. It can lead to complications. You can even die from severe dehydration because the blood stops circulating.

Two early signs of dehydration are thirst and dark coloured urine.

  • Other signs includes: Dry or sticky mouth, Not urinating much, Headache, Muscle cramps, Dry, shriveled skin, Irritability or confusion, Dizziness, Rapid Heartbeat, Breathing rapidly, Sunken eyes, Listlessness, Shock (lack of blood flow through the body)Unconsciousness or delirium.

If you notice signs of dehydration and treat it quickly, you should recover completely.

You should also be aware that; 

  • when you become dehydrated, you do not produce as much saliva. The reduced cleaning action of the saliva allows bacteria to grow, causing bad breath.

  • Dehydration can also lead to a loss of strength and stamina. 

  • Dehydration is the main cause of heat exhaustion. 

The best cure for dehydration is prevention.

World Health Day celebration focuses on increasing the life expectancy by adding good health to the lives of people and promoting healthier living habits. Get involved become aware and share.

Abdominal pain may be minor and of no great significance, or it can reflect a major problem involving one of the organs in the abdomen.The characteristics of the pain -- location, timing, duration, etc. are important in diagnosing its cause. Persisting ab

Posted on 27 March, 2015 at 12:46 Comments comments ()
Abdominal pain (Pain in the belly) can be associated with a variety of conditions both within and outside of the abdomen. Abdominal pain can be acute and sudden in onset, or the pain can be chronic and longstanding. 

The cause of abdominal problems can be hard to pinpoint. Sometimes minor and serious abdominal problems start with the same symptoms.  Pain that increases with movement or coughing and does not appear to be caused by strained muscles is more likely to be a symptom of a serious problem.  

Severe abdominal pain is a greater cause for concern. If it starts suddenly and unexpectedly, it should be regarded as a medical emergency, especially if the pain is concentrated in a particular area. 

Whether it's a mild stomach ache, sharp pain, or stomach cramps, abdominal pain can have numerous causes. Fortunately, most abdominal problems are minor, and home treatment is all that is needed. Some serious causes of sudden severe abdominal pain include:

  •  Appendicitis – the swelling of the appendix (a finger-like pouch connected to the large intestine), which causes agonizing pain in the lower right-hand side of your abdomen, and means your appendix will need to be removed.

  • a bleeding or perforated stomach Ulcer – a bleeding, open sore in the lining of your stomach or duodenum (the first part of the small intestine)

  • Acute Cholecystitis – inflammation of the gallbladder, which is often caused by gallstones; in many cases, your gallbladder will need to be removed

  • Kidney stones – small stones may be passed out in your urine, but larger stones may block the kidney tubes, and you'll need to go to hospital to have them broken up

  • Diverticulitis – inflammation of the small pouches in the bowel that sometimes requires treatment with antibiotics in hospital

Some of the more common causes include:
  • Indigestion after eating
  •  Pregnancy, gas,
  • Bladder infections
  • Appendicitis, ulcers, gastritis,
  • parasite infection, 
  • Abdominal muscle injury, 
  • Abdominal hernia, 
  • lactose intolerance, 
  • Food poisoning,
  •  Menstrual cramps,
  •  abdominal organ injury from trauma, and constipation.
  • Abdominal pain can also be a common side effect of medication. When you use certain drugs chronically, it can cause abdominal pain. In some cases this can be solved by switching the medication for similar other drugs

In order for your health care provider to assist you in managing your pain, it is helpful for you to be able to adequately describe your pain. If your abdominal pain lasts longer than 24 hours, or gets worse as time passes, call your doctor right away.

Food Allergy: It is extremely important for people who have true food allergies to identify them and prevent allergic reactions to food because these reactions can cause devastating illness and, in some cases, be fatal.

Posted on 25 January, 2015 at 1:25 Comments comments ()

Food Allergy is an immune system reaction that occurs soon after eating a certain food. Most food-related symptoms occur within two hours of ingestion; often they start within minutes. In some very rare cases, the reaction may be delayed by four to six hours or even longer. 

A food allergy can trigger a severe allergic reaction called anaphylaxis. Emergency treatment is critical for anaphylaxis. Untreated, anaphylaxis can cause a coma or even death.

If you are allergic to a particular food, for example, you may first experience itching in the mouth as you start to eat the food. After the food is digested in the stomach, abdominal symptoms such as vomiting, diarrhea, or pain may start.

  • When the food allergens enter and travel through the bloodstream, they can cause a drop in blood pressure.

  •  As the allergens reach the skin, they can induce hives or eczema, 

  •  When they reach the lungs, they may cause bronchospasm (wheezing or constriction of the lungs).      All of this takes place within a few minutes to an hour.

Not everyone who experiences symptoms after eating certain foods has a food allergy or needs to avoid that food entirely; for instance, some people experience an itchy mouth and throat after eating a raw or uncooked fruit or vegetable. 

The most common food allergy signs and symptoms include:

  • Tingling or itching in the mouth
  • Hives, itching or eczema
  • Swelling of the lips, face, tongue and throat or other parts of the body
  • Wheezing, nasal congestion or trouble breathing
  • Abdominal pain, diarrhea, nausea or vomiting
  • Dizziness, lightheadedness or fainting

Anaphylaxis--In some people, a food allergy can trigger a severe allergic reaction called anaphylaxis.

This can cause life-threatening signs and symptoms, including:

  • Constriction and tightening of airways
  • A swollen throat or the sensation of a lump in your throat that makes it difficult to breathe
  • Shock with a severe drop in blood pressure
  • Rapid pulse
  • Dizziness, lightheadedness or loss of consciousness

Many food allergies are first diagnosed in young children, though they may also appear in older children and adults. Food allergy can strike children and adults alike. While many children outgrow a food allergy, it is also possible for adults to develop allergies to particular foods. Foods, mostly  responsible  for the majority of allergic reactions include:

  • Cow’s milk
  • Soy
  •  Eggs
  •  Fish
  •  Peanuts
  • Shellfish
  • Wheat
  • Tree nuts 
The Food  itself isn't harmful, but the way your body reacts to it is.

To diagnose a food allergy a doctor must first determine if the patient is having an adverse reaction to specific foods. This assessment is made with the help of a detailed patient history, the patient's diet diary, or an elimination diet.

An allergist / immunologist, often referred to as an allergist, is a pediatrician or internist with at least two additional years of specialized training in the diagnosis and treatment of allergies, asthma, immune deficiencies and other immunologic diseases.

"Your feet shouldn’t hurt.". With proper detection, intervention, and care, most foot and ankle problems can be lessened or prevented.

Posted on 21 January, 2015 at 11:53 Comments comments ()
Don't ignore foot problems, avoid serious foot problems that can lead to a toe, foot, or leg amputation?. Good foot care and regular foot checks should be an important part of your health careInvesting a bit of time and thought into caring for your feet now can prevent them causing you pain late.

Podiatrists are the most qualified doctors to care for your feet. They complete four years of training in a podiatric medical school and three years of hospital residency training. Podiatrists can specialize in many fields, including surgery, sports medicine, wound care, pediatrics (children), and diabetic care.

That pain in the foot can be due to many causes, kick off your shoes at your next visit to the doctor, have your physician look over your feet.
Your foot health can be a clue to your overall health:-

  • Joint stiffness: - could mean arthritis
  • Swollen feet:- May be a sign of kidney, heart disease, or high blood pressure.
  • Swollen joints:- May be related to rheumatoid or osteoarthritis.
  • One foot suddenly begins to swell: -Can possibly indicate a blockage of a lymph node or a deep-vein thrombosis.
  • If your toes are also going numb:-this might be a sign of diabetes.

Podiatrists provide preventative care, diagnosis and treatment of a wide range of problems affecting the feet, ankle and lower legs. 

  • Their specialist skills focus on tending infections, ailments, defects and injuries of the foot and lower leg, as well as treating foot and nail conditions related to other major health disorders (e.g. diabetes).

  • They also provide preventative care and advice on improving mobility, independence and the quality of life for their patients.

Proper care and treatment of your feet will relieve pain and help your feet to carry on the duties necessary to living a full and happy life:

  • Keep your feet clean.

  • Apply lanolin or olive oil to dry skin.

  • Avoid using hot water and strong soaps.

  • Dry skin carefully. Do not rub hard with a towel.

  • Avoid if possible athlete’s foot infection, use a mild fungicidal powder.

  • Do not cut corns, callouses or ingrown toe nails.

  • Avoid bruises, burns, cuts, cracks and frostbite. If any of these injuries occur, seek professional advice immediately.

  •  Avoid the use of harsh or strong medications such as antiseptics containing iodine or carbolic acid, etc., corn cures, or chemical compounds and ointments for athlete’s foot.

  • Avoid exposure to cold and dampness.

  • Seek immediate professional care for any ulcer or sore on the foot or leg.

You may want to see a podiatrist for advice and treatment if you have painful feet, thickened or discoloured toenails, cracks or cuts in the skin, growths such as warts, scaling or peeling on the soles or any other foot-related problem.

Alcohol Poisoning Deaths:- Very high levels of alcohol in the body can shutdown critical areas of the brain that control breathing, heart rate, and body temperature, resulting in death.

Posted on 13 January, 2015 at 15:39 Comments comments ()
Alcohol poisoning is caused by drinking large quantities of alcohol in a short period of time. According to CDC On average, 6 people died every day from alcohol poisoning in the US from 2010 to 2012

Good health is not just the absence of disease, but involves healthy lifestyle, healthy mental attitude, and healthy ways of relating to others, Excessive drinking can be very dangerous to everyone's health!

Signs of Alcohol Poisoning include:
  • Mental confusion, stupor, coma, or person cannot be roused.
  • Vomiting.
  • Seizures.
  • Slow breathing (fewer than eight breaths per minute).
  • Irregular breathing (10 seconds or more between breaths).
  • Bluish skin color, paleness.

Make  the best of 2015! Let it memorable! Focus on the things that will keep you healthy and happy. Invest in your gift of life, reduce your alcohol intake or replace it water or a non alcoholic beverage of your choice.

If Alcohol Overdose goes untreated the following could happen:
  • A person could choke on their vomit.
  • Breathing may slow down, become irregular, and stop.
  • Heart may beat irregularly and stop.
  • Hypothermia (low body temperature).
  • Hypoglycemia (low blood sugar), which can lead to seizures.
  • Severe dehydration from vomiting, which can cause seizures, permanent brain damage, or death.

Seek medical help for a friend of family member who has had too much to drink. They may become angry or embarrassed if you call 911, but it's better to have them alive and angry than dead.