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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

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Say No To Alchol During Pregnancy. Prevent Fetal Alchol Spectrum Disorder(FASD): a very serious group of conditions that can occur in a person whose mother drank alcohol during pregnancy.These effects can include physical problems and problems with behavi

Posted on 21 August, 2015 at 1:18 Comments comments (180)
Drinking alcohol can cause a group of conditions called fetal alcohol spectrum disorders (FASDs).  Among their symptoms, children with FASD may grow less quickly than other children, have facial abnormalities and have problems with their central nervous systems, including  mental retardation.

A person with an FASD might have physical and behavioral problems such as trouble with:
  • Learning and remembering
  • Understanding and following directions
  • Controlling emotions
  • Communicating and socializing
  • Daily life skills, such as feeding and bathing
  • Poor reasoning and judgment skills
  • Sleep and sucking problems as a baby
  • Vision or hearing problems
  • Problems with the heart, kidneys, or bones

The truth is, drinking alcohol while pregnant is risky. 

  • There is no known safe amountof alcohol use during pregnancy. Yet, many pregnant women who drink­to­moderate amounts of alcohol think it cannot harm their babies. 

  • There is no safe typeof alcohol to use during pregnancy: A bottle of beer, a glass of wine, home brew, a“forty,”hard lemonade, or “alcopops”*—even some energy drinks—all carry the same risk as drinking a shot of hard liquor or a mixed drink made with liquor. They all contain about the same amount of alcohol.

  • There is no safe time to drink alcohol during pregnancy. Drinking alcohol at any time during pregnancy can permanently damage the fetal brain and other parts of the body. Some research indicates that the brain is especially vulnerable to alcohol during the first few weeks of fetal development.

Because most pregnancies are unplanned,women and girls usually are not aware that they have become pregnant and may continue to drink alcoholic beverages. Data on past month alcohol use among women in the United States, indicate that:

  •  12.2 percent of pregnant women (about one in eight) drank alcohol. This rate remained stable over the 15­year period 1991–2005.  

  • 19 percent drank alcohol during their first trimester; 7.8 percent in the second trimester; and 6.2 percent in the third trimester.

A pregnant woman or girl who drinks alcoholic beverages can cause damage to her baby, possibly including fetal alcohol spectrum disorders. Different terms are used to describe FASDs,depending on the type of symptoms No one treatment is right for every child. Good treatment plans will include close monitoring, follow-ups, and changes as needed along the way.

If you used alchohol or any unprescribed drugs, during pregnancy, Talk with your health care provider about it"as soon as possible." Get your child the help he may need before it is too late. 


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August is National Immunization Awareness Month. Immunization helps prevent dangerous and sometimes deadly diseases. Protect your Child with Measles and other diseases preventable Vaccines.

Posted on 10 August, 2015 at 5:19 Comments comments (119)
Immunization protects all of us so don’t wait-vaccinate! 

Vaccines are used to boost your immune system and prevent serious, life-threatening diseases.  Vaccination is important because it not only protects the person receiving the vaccine, but also helps prevent the spread of diseases to others-especially those who are most vulnerable to serious complications, such as infants and young children, the elderly, and those with chronic conditions and weakened immune systems.

It’s important to know which shots you need and when to get them.  Talk to your doctor or nurse, get a list of recommended immunizations and inquire whether you and your loved ones are up-to-date, make sure that everyone in your family gets the shots they need, it is the safest and most effective way to protect yourselves against some diseases.

Vaccines are needed throughout our life time.Vaccines are an important step in protecting against serious and sometimes, deadly diseases.  Get immunized and stay protected against serious illnesses like the flu, measles, and pneumonia. 

Two of the most common Vaccine preventable diseases are Measles & Flu.

  • Measles is caused by a virus. Measles is extremely contagious, and is spread through the air by coughing, sneezing, and even breathing. It can lead to ear infection, pneumonia, seizures (jerking and staring), brain damage, and death. Everyone  who is not protected against measles is at risk of getting infected. 

  • Influenza (Flu) Flu is a seasonal illness, occurring mainly during the winter. It causes fever, sore throat, cough, headache, chills and muscle aches, and can lead to sinus infections, pneumonia, inflammation of the heart, and death. Flu causes more deaths each year than any other vaccine preventable disease. Most of these deaths are among the elderly, but flu also kills children. Hospitalization rates are high among children, especially those under 1 year old. 

DTap/Tdap and MMRV boosters, protects against several serious diseases, 

  • DTap or Tdap:tetanus, diphtheria and pertussis (whooping cough)

  • MMR or MMRV:measle, mumps, rubella, and chicken pox

Talk with your doctor about whether you need special immunizations because you:
  • Are in close contact with people who have an infectious disease.
  • Have planned international travel, especially to developing countries.
  • Live with or visit a pregnant woman or baby.
  • Live with someone who has an impaired immune system

Current recommendations are available at the CDC website:

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Legionnaires' Disease Outbreak In South Bronx:Legionnaires' disease is a severe form of pneumonia — lung inflammation usually caused by infection.

Posted on 3 August, 2015 at 13:51 Comments comments (282)
Importance: High

For staff working in the Bronx, who may be concerned about the Legionnaires' disease outbreak, you may want to share the following information:

Legionnaires' disease is caused by the Legionella bacteria. The Legionellabacteria are found naturally in the environment, usually in water. The bacteria grow best in warm water, like the kind found in
  • Hot tubs
  • Cooling Towers
  • Hot water tanks
  • Large plumbing systems
  • Decorative fountains

There have been more 45 cases of Legionnaires' disease reported over the past 2 weeks in the South Bronx, resulting in 2 deaths. Both deaths were individuals in their 50s with other underlying medical problems.

Health officials are urging New Yorkers, particularly in the South Bronx, presenting with respiratory symptoms, such as fever, cough, chills and muscle aches,to seek prompt medical attention.

Additional symptoms include: headache, fatigue, loss of appetite, confusion and diarrhea. Symptoms usually appear two to 10 days after significant exposure to Legionella bacteria.

Legionnaires' disease cannot be spread from person to person. One becomes infected by inhaling mist/water vapor that is contaminated with the Legionella bacteria.

Most cases of Legionnaires' disease can be traced to whirlpool spas, hot tubs, humidifiers, hot water tanks, cooling towers, and evaporative condensers of large air-conditioning systems.

The New York City water supply does not pose a risk and Commissioner of Health, Mary Bassett, urged people to feel confident in drinking tap water to stay cool during this period of hot weather

.Who is at Risk?:

  • Groups at high risk for Legionnaire's diseaseinclude people who are middle-aged or older; especially cigarette smokers, people with chronic lung disease or weakened immune systems, and people who take medications that weaken their immune systems (immunosuppressive drugs).

  • Those with symptoms should call their doctor and ask about testing for Legionnaire's disease.

The investigation has now identified (2) cooling towers in the Bronx that have tested positive for Legionella, one at Lincoln Medical Center and one at the Concourse Plaza Mall.

  • Those towers are being disinfected and flushed.Testing will be done to determine if the strains of Legionella in these cooling towers are the same strains that have caused illness in 45 people.

If these cooling towers are the source of the outbreak, the numbers of new cases should begin to decline.

The key to preventing legionellosis is maintenance of the water systems in which Legionella grow. There are no vaccines that can prevent legionellosis. Persons at increased risk of infection may choose to avoid high-risk exposures, such as being in or near a hot tub.

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Chills & Fever : Chills are feelings of coldness accompanied by shivering Chills can be a symptom of a serious or life-threatening infection or hypothemia. Fever is the body's normal and healthy reaction to infection and other illnesses, both minor and se

Posted on 27 July, 2015 at 3:44 Comments comments (111)
Chills and fever are signs that something is wrong. If you treat your chills and fever but they persist, you should see your doctor to determine the underlying cause. Chill is a sensation of cold, with convulsive shaking of the body, accompanied by an elevation of temperature in the interior of the body; usually a symptom of an infectious disease.  

Chills can occur after exposure to a cold environment. They also occur as a response to a bacterial or viral infection that causes a fever.

Chills are often related to fever; Every one of you may have experienced the wave of chills and exhaustion that a fever causes. When the brain increases the body's temperature set-point, the rest of the body gets confused and feels like it needs to meet that higher temperature.You feel cold because technically you are colder than your body's new set-point. In turn, the body works to generate heat to warm itself by contracting and relaxing muscles, hence the shivering.

  • Viral infections , such as colds and flu, and bacterial infections, such as a urinary tract infection or pneumonia, often cause a fever. 

  • Fever is a symptom, not a disease. When you have a fever, your other symptoms will help you determine how serious your illness is. 

  • Chills are an important symptom with certain diseases such as Malaria

  • Chills is also  a common sign of anxiety, but it is NOT something you need to live with forever. The right anxiety cures can prevent this constant feeling of fear PERMANENTLY.

Although a fever is easy to measure, determining its cause can be hard. See your Doctor if you are experienceing any of the following:

  • Stiffness of the neck,confusion, irritability, or sluggishness.
  • A bad cough, shortness of breath, abdominal pain or burning, or frequent urination.
  • A temperature of 101°F or more, in a child younger than 3 months.
  • A child between 3 months and 1 year has a fever that lasts more than 24 hours.
  • A fever  that remains above 103°F after 1-2 hours of home treatment.
  • A fever does not improve after 3 days, or has lasted more than 5 days.

Treatments vary depending on the cause of the fever.

  • The most common treatments for fever include over-the-counter drugs such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs such ibuprofen (Advil, Motrin) and naproxen (Aleve). Children and teens should not take aspirin because it's linked to condition called Reye’s syndrome.

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Nosebleeds Nosebleeds are due to the bursting of a blood vessel within the nose.Nosebleeds aren't usually serious. However, frequent or heavy nosebleeds may indicate more serious health problems, such as high blood pressure or a blood clotting disorder.

Posted on 10 July, 2015 at 11:34 Comments comments (7)
Consult a doctor for a nosebleed if bleeding cannot be stopped, there is a large amount of blood lost, or you feel weak or faint.

Nosebleeds (epistaxis, nose bleed) can be dramatic and frightening. Most often they are considered to be a nuisance and not a true medical problem but, they can be both.  Nosebleeds are divided into two types, Anterior and Posterior.

1. Anterior nosebleeds The bleeding usually comes from a blood vessel at the very front part of the nose. Anterior nosebleeds are usually easy to control, either by measures that can be performed at home or by a doctor

2 .Posterior nosebleeds:  The bleeding usually comes from an artery in the back part of the nose. These nosebleeds are more complicated and usually require admission to the hospital and management by an otolaryngologist (an ear, nose, and throat specialist).

Nosebleeds are fairly common and most people will experience them every now and again. Anyone can get nosebleedsThe cause of most nosebleeds are unknown, but they may also result from trauma, medication use, tumors, or nasal/sinus surgery.  Common causes of nosebleed include:

  • Dry, heated, indoor air, which dries out the nasal membranes and causes them to become cracked or crusted and bleed when rubbed or picked or when blowing the nose..

  • Colds (upper respiratory infections) and sinusitis, especially episodes that cause repeated sneezing, coughing, and nose blowing.

  • Vigorous nose blowing or nose picking

  • The insertion of a foreign object into the nose

  • Injury to the nose and/or face

  • Allergic and non-allergic rhinitis (inflammation of the nasal lining)

  • Use of drugs that thin the blood (aspirin, non-steroidal anti-inflammatory medications, warfarin, and others)

  • High blood pressure

  • Facial and nasal surgery

Many nosebleeds can be treated at home, but some do require medical careHolding pressure, nasal packing, chemical cautery, and use of nasal decongest sprays represent the first line of treatment for a majority of nasal bleeding. 

Here what you can do when there's a nosebleed!

  • Have the person sit up straight and lean forward slightly. Don't have the person lie down or tilt the head backwardBy remaining upright, you reduce blood pressure in the veins of your nose. Sitting forward will help you avoid swallowing blood, which can irritate your stomach.

  • With thumb and index finger, firmly pinch the nose just below the bone up against the face. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for five to 10 minutes.Pinching sends pressure to the bleeding point on the nasal septum and often stops the flow of blood.

  • Apply pressure for 5  to 10 minutes. Time yourself with a clock.

  • If bleeding continues after 5 minutes, repeat the process. Once the bleeding stops, DO NOT bend over; strain and/or lift anything heavy; and DO NOT blow, rub, or pick your nose for several days.

Gently applying Vaseline or other ointment to the front of the nose with a Q-tip on a daily basis helps to moisturize the nose and prevent nose bleeds due to dryness. It is also very important to avoid any trauma to the nose after a nose bleed by picking healing scabs or blowing the nose too aggressively.

Consult a doctor for a nosebleed if bleeding cannot be stopped, there is a large amount of blood lost, or you feel weak or faint.

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Protect your baby from group B strep. If you have GBS, your baby can get very sick and even die if you are not tested and treatedGetting screened for GBS late in pregnancy – and receiving antibiotic treatment during.

Posted on 3 July, 2015 at 3:05 Comments comments (191)
Do You Know What is group B streptococcus?

  • Group B strep (GBS) is a kind of bacteria that many people harbor in their intestinal tracts. The bacteria may also inhabit (or "colonize") your vagina as well, and be passed on to your baby during labor and birth.

While GBS is generally harmless in healthy adults, it may cause stillbirth and serious infections in babies. Getting screened for GBS late in pregnancy – and receiving antibiotic treatment during labor if you're a carrier –  greatly reduces your baby's risk of becoming infected. .

What Does Being a GBS Carrier Mean?

  • Being a carrier for GBS bacteria does not mean you have an infection. It only means you have these bacteria in your body. You would not feel sick or have any symptoms. These bacteria are usually not harmful to you—only to your baby during childbirth or soon after being born.

Carrying GBS bacteria also does not mean that you are not clean, and it does not mean that you have a sexually transmitted disease. The bacteria are not spread from food, sex, water, or anything that you might have come into contact with. These bacteria can come and go naturally in the body. 

The group B strep test is done during pregnancy to identify women who carry this common bacterium.
What are the consequences of early-onset GBS disease?

  • Early-onset GBS disease can causesepsis (an infection in the blood),pneumonia, and, less frequently, meningitis. Some of these babies, particularly thosewith meningitis, will have long-term health problems such as:
  •  hearing or vision loss
  •  cerebral palsy, or developmental disabilities
  •  and about 5 percent won't survive. 

If you're pregnant, your health care provider will likely recommend a group B strep test during the third trimester. Because you can test positive at certain times and negative at other times, you'll need to repeat the group B strep test each time you're pregnant.
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June is Men's Health Awareness Month: Talk to your doctor about your risk of prostate cancer and whether you need screening testsProstate Cancer is the second leading cause of death from cancer in men..

Posted on 29 June, 2015 at 3:24 Comments comments (11)

Once males get over the age of 40, their prostates grow --it's known as "benign prostate enlargement.The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum.  An enlarged prostate has been linked to a number of metabolic diseases such as diabetes and cardiovascular disease but the exact cause is not yet discovered.

There are often  no noticeable symptoms of prostate cancer while it is still in the early stages, making the PSA test a critical screening tool. Screening can help find many prostate cancers early.Screening refers to testing to find a disease such as cancer in people who don’t have symptoms of that disease. Prostate cancer screening consists of two examinations: 

  1.  (PSA),Testing the amount of prostate-specific antigen in a man’s blood. Annual PSA test screening should start at age 50 for the general population, but the right age to start the PSA test depends on the individual's level of risk.

  1. A digital rectal exam (DRE) is a screening test that helps find cancer and other health problems in the lower rectum, pelvis, and lower belly. 
  • During a DRE, the doctor gently inserts a lubricated, gloved finger into the rectum to feel for lumps, soft or hard spots, and other abnormalities; additional tests may be needed if an area of concern is found.
  • No special preparation is needed before a DRE, and you can go back to your usual activities right after.

    The common symptoms include:
    • slow urinary stream or a sudden urge to go to the bathroom.

    In more advanced stages, symptoms may include:
    •  difficult or frequent urination, 
    • blood in the urine or bone pain. 

    The effects of body weight, physical activity, and diet on prostate cancer risk are not clear, but there are things you can do that might lower your risk, such as:

    • Eating at least 2½ cups of a wide variety of vegetables and fruits each day.

    • Being physically active.

    • Staying at a healthy weight.

    Prostate cancer  can often be treated successfully. Prostate cancer treatment includes surgery, chemotherapy, cryotherapy, hormonal therapy, and/or radiation. In some instances, doctors recommend "watchful waiting."

    GET YOUR ANNUAL Prostate Cancer Screening TODAY!
    • A primary care physician can do both the PSA test and physical examination.
    • If you cannot afford a doctor visit; call a local hospital or clinic to learn about free screening.

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    June is Cataract Awareness Month: One way to protect our vision is to make a commitment to take care of our eyes today, including getting a dilated eye exam, so we can help protect our sight for the future not just from cataract, but other eye diseases as

    Posted on 1 June, 2015 at 3:33 Comments comments (81)
    Cataract is a clouding of the eye’s lens which blocks or changes the passage of light into the eye.   It is the leading cause of blindness worldwide. Unlike many eye diseases, however, vision loss due to cataract can be restored.

    Cataract is probably caused by multiple factors acting together; even genetics, but there are many risk factors that can be controlled or eliminated through prevention and lifestyle changes. 

    Some of these risk factors are: 
    • Intense heat or long-term exposure to UV rays from the sun
    • Smoking
    • Diabetes
    • Long-time steroid use
    • Eye injuries

    Even though cataracts are so prevalent, they are very simple to treat. 

    • Cataracts can be detected during a thorough eye examination. The affected lens in your eye can be seen by the doctor while performing a variety of tests using specialized viewing instruments.

    •  The doctor will also perform a thorough examination of the eye to ensure any vision loss is not due to other eye problems, such as diabetes or glaucoma. 

    The most common symptoms of a cataract includes:
    • Cloudy or blurry vision.
    • Lights seem too dim for reading or close-up work, or you are "dazzled" by strong light.
    • Colors seem faded.
    • Glare. Headlights, lamps, or sunlight may appear too bright. A halo may appear around lights.
    • Poor night vision: Difficulties reading or driving at night
    • Double vision or multiple images in one eye. (This symptom may clear as the cataract gets larger.)
    • Frequent prescription changes in your eyeglasses or contact lenses.
    • These symptoms also can be a sign of other eye problems. 
    If you have any of these symptoms, check with your eye care professional.

    If you or a loved one has been diagnosed with cataracts, please request an appointment for your cataract surgery consultation.
    • Cataract Surgery is now one of the most commonly performed procedures in the United States and has a 95 percent success rate.

    One way to protect our vision is to make a commitment to take care of our eyes today, including getting a dilated eye exam, so we can help protect our sight for the future not just from cataract, but other eye diseases as well.


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    May is Mental Health Month 2015. Mental health is an integral part of health; indeed, there is no health without mental health.

    Posted on 24 May, 2015 at 22:11 Comments comments (177)
    Many people have mental health concerns from time to time. But a mental health concern becomes a mental illness when ongoing signs and symptoms cause frequent stress and affect your ability to function.  A mental illness can make you miserable and can cause problems in your daily life, such as at work or in relationships.

    There are some biological causes of mental disorders including genetic factors which contribute to imbalances in chemicals in the brain. Poor mental health is also associated with rapid social change, stressful work conditions, gender discrimination, social exclusion, unhealthy lifestyle, risks of violence, physical ill-health and human rights violations. 

    Millions of persons  live with various types of mental illness and mental health problems, such as:
    •  social anxiety, 
    • obsessive compulsive disorder, 
    • drug addiction, and 
    • personality disorders. 

    Everyone requires a social network to satisfy the human need to be cared for, accepted, and emotionally supported, particularly in times of stress. Mental health can be regarded as a vital concern of individuals, communities and societies throughout the world. 

    If you think you are suffering from a mental disorder , visit your doctor, Tell him how you feel also let him about your medical history; family history; information about allergies; other medications, supplements or herbal remedies you take; and other details about your overall health.

    Remember, mental health conditions are not only common, they are treatable. There is a wide variety of treatment options for mental illnesses ranging from talk therapy to medication to peer support, and it may take some time for you to find the right treatment or combination of treatments that works best for you. But when you  do, the results can be truly amazing and life changing.

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    May is National High Blood Pressure Education Month. High blood pressure makes your heart work too hard and increases your risk of heart disease and stroke.The goal of hypertension treatment is to lower harmful high pressures and protect important organs,

    Posted on 11 May, 2015 at 3:13 Comments comments (95)
    IT IS VERY IMPORTANT TO GET YOUR BLOOD PRESSURE CHECKED EVEN IF YOU ARE FEELING FINEHigh Blood Pressure is a silent Killer you can have it for years without knowing it, during this time,  HBP can damage your heart, blood vessels, kidneys, and other parts of your body. Making healthy changes to your lifestyle and knowing your blood pressure numbers will help you maintain, control and prevent High Blood Pressure (HPB).

    Blood pressure readings have two numbers, for example 140/90mmHg.

    • If your top number is 140 or more - then you may have high blood pressure, regardless of your bottom number.
    • if your bottom number is 90 or more - then you may have high blood pressure, regardless your top number.
    • If your top number is 90 or less - then you may have low blood pressure, regardless of your bottom number.
    • If your bottom number is 60 or less - then you may have low blood pressure, regardless of your top number

    While BP can change from minute to minute with changes in posture, exercise, stress or sleep, it should normally be less than 120/80 mm Hg (less than 120 systolic AND less than 80 diastolic) for an adult age 20 or over.

    • The top number, which is also the higher of the two numbers, measures the pressure in the arteries when the heart beats (when the heart muscle contracts).
    • The bottom number, which is also the lower of the two numbers, measures the pressure in the arteries between heartbeats (when the heart muscle is resting between beats and refilling with blood).

    (top number)
     (bottom Number)

    less than 120

    Less Than 80


    High Blood Pressure:

    Stage 1

    Stage 2

    160 or Higher

    100 or Higher

    • If your blood pressure reading is higher than normal, your doctor may take several readings over time and/or have you monitor your blood pressure at home before diagnosing you with high blood pressure.

    • High blood pressure (HBP) is best treated with lifestyle changes and medicines. Everyone should be encouraged to make lifestyle modifications, such as eating a healthier diet, quitting smoking, Losing weight if you are overweight or obese, limiting alcohol to two drinks a day for men, one drink a day for women,  and getting more exercise.

    Please seek your doctor's advice on your specific condition.  Treating high blood pressure usually is a lifelong effort. Your doctor will give you a blood pressure goal that is based on your health.

    If your answer is yes to any or both of the following questions  below you shouldcall your doctor right away or seek immediate medical attention.

    Is your blood pressure is much higher than normal?  (such as 180/110 or higher).

    Do you think your high blood pressure is causing symptoms, such as:
    • Severe headache.

    • Blurry vision.
    • Nausea or vomiting.

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