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    Sandeep Jain, MD

    Signs Of A Concussion
    How To Tell If You Have A Concussion 1000 667 Sandeep Jain, MD

    How To Tell If You Have A Concussion

    A concussion is an injury to the brain. A concussion results from a sudden hit or a blow to the head. Concussions can also occur when the head suddenly jolts back and forth. Up to 3.8 million concussions occur each year in the United States. The most common causes of these injuries include car accidents, sports injuries, and falls.

    The signs of a concussion may not be visible at first. Signs may not appear until up to 48 hours later. It is possible to experience a concussion and not know it. Many people believe that a concussion involves unconsciousness, however, that is not always true. In fact, most concussions do not involve a loss of consciousness.

    Not recognizing the signs of a concussion can have serious consequences. The damage from a concussion is sometimes still present 30 years or later.


    How To Tell If You Have A Concussion

    Are you wondering how to tell if you have a concussion? Here are some signs that you should never ignore.



    Experiencing confusion or feeling as though one is in fog is a serious symptom of a concussion. If you or someone you love seems confused after a fall or hit to the head, then it is important to seek medical help right away.


    Trouble Walking

    Balance problems or difficulty walking is another sign of a concussion that you should not ignore. These problems occur in about 30 percent of people who suffer a concussion.



    Many people experience nausea and vomiting following a concussion. However, this could be the sign of a more serious neurological injury. Therefore, you should always take vomiting serious after a head injury.


    Unusual Behavior

    It is important to be on the lookout for strange or bizarre behavior after a head injury. If a person becomes agitated or restless after being hit in the head or suffering an accident, then it is important to get concussion testing right away.


    Severe Headache

    Headaches are quite common with head injuries. They usually begin within seven days after an injury and can last months. Usually, these get better with rest. A severe headache should be checked out right away especially if the headache is worsening.


    Convulsions or Seizures

    Convulsions or seizures are a sign of a serious head injury. A seizure could indicate bleeding in the brain. Therefore, you should never ignore seizures. If you’ve had a seizure after suffering from a head injury, get concussion testing right away.


    What To Do For A Concussion

    It is important to get medical help for a head injury even if it does not seem serious. Ignoring the signs of a concussion can lead to memory and other problems down the road. Getting help quickly can also rule out more serious neurological problems.

    Most people fully recover from concussions. However, the quicker you get treatment, the better the chance of a full recovery. At Statcare, we provide BrainScope EEG concussion testing. BrainScope concussion tests measure brain function after a head injury. BrainScope has received more than $32 million dollars by the United States Department of Defense for research. The company has also received awards from the NFL and GE.

    Most insurance plans cover concussion screening tests at Statcare. If you are wondering how to tell if you have a concussion, visit one of our locations today or schedule your appointment online.

    How Long Does A Typhoid Vaccine Last
    How Long Does A Typhoid Vaccine Last? 1000 667 Sandeep Jain, MD

    How Long Does A Typhoid Vaccine Last?

    If you are traveling to certain parts of the world, then you might need a typhoid vaccine.  Find out how long typhoid vaccines last.

    Typhoid fever is a serious — and potentially deadly disease that is common in many developing countries. More than 21 million people get typhoid fever every year. The disease is rare in the United States, but travelers who visit certain countries are at risk for contracting it. Typhoid fever is fatal about 25 percent of the time.

    Fortunately, there is a vaccine for typhoid fever. The vaccine can help prevent the disease. If you are traveling to countries where typhoid fever commonly occurs, then you should protect yourself with this vaccine.

    What Causes Typhoid Fever?

    The bacteria Salmonella typhi causes typhoid fever. People most often get typhoid fever when they drink water or eat food that the bacteria lives on. After you ingest the food or water, the bacteria will then enter the small intestine and invade the bloodstream. White blood cells carry the bacteria throughout the bloodstream.  It then multiplies and infects other tissues and organs. The bacteria then causes various symptoms, such as fever, poor appetite, diarrhea, and headaches.

    Some people become carriers of typhoid fever even though they never have any symptoms. People who are carriers may be the source of new outbreaks of the disease for many years.

    Without treatment, typhoid fever is fatal in about 25 percent of cases. Fortunately, this disease is treatable with antibiotics and supportive therapy. If you have symptoms of headache, diarrhea, high fever, and abdominal pain, and you have recently traveled outside of the U.S., then you should visit one of our travel clinics right away.

    Where Is Typhoid Fever Prevalent?

    If you are traveling to an area where typhoid fever is common, then you should get a typhoid vaccine.  Wondering where typhoid vaccines are required? The highest risk for contracting typhoid fever is in South Asia. However, the Centers For Disease Control and Prevention (CDC) recommends typhoid vaccinations for all travelers outside the U.S. Here are some of the countries where typhoid fever is especially prevalent:

    •  Africa
    •  Asia
    •  Caribbean
    •  Central America
    •  South America

     When To Get A Typhoid Fever Vaccination

    The CDC recommends getting your vaccinations at least a month before traveling to a high-risk area.

    Can I Get The Typhoid Fever Vaccine Outside The United States?

    According to the CDC, it is not recommended that you receive the vaccine outside of the U.S. To get the full protection of the vaccine, you must have it at least a week before you travel. Additionally, vaccines in other countries may not be up to the same standards as those given in the U.S. Consequently, they may not be as effective.

    If you are trying to save money on the cost of the vaccine, visit Statcare. We offer affordable travel vaccinations.

    How is Typhoid Fever Vaccine Administered?

    There are two different vaccinations for typhoid fever — a single injection or an oral medication.

    •  Injection – The injection is an inactivated vaccine that must be taken at least two weeks before travel.
    •  Oral – The oral version is a weakened, live vaccine that consists of four tablets. You must take the tablets every other day and finish them at least a week before travel.

    How Long Does The Typhoid Vaccine Last?

    How long the vaccine lasts depends on the vaccine. If you have the typhoid pill (inactivated) vaccine, then you will need a booster every two years. For the live vaccine (injection), a booster is needed every five years.

    Where Can I Go To Get A Typhoid Fever Vaccine?

    Are you wondering where to find typhoid vaccine locations? At Statcare in NYC, we offer typhoid vaccines. We are open seven days a week, 365 days a year, including major holidays and weekends. To save time when you come into the clinic, schedule an appointment online.

    Commercial Driver attempting DOT Physical exam
    What Is A DOT Physical Exam? 1000 665 Sandeep Jain, MD

    What Is A DOT Physical Exam?

    In order to drive a commercial truck, a DOT physical exam is needed. Learn what to expect and find DOT medical examiner locations.

    Driving a semi truck can be a physically challenging job. Consequently, the Department of Transportation requires a (DOT) physical examination for anyone who operates a commercial truck in the United States. In order to obtain a commercial driver’s license (CDL), you must pass this exam. It ensures that you are physically able to operate a large truck. Learn more about the DOT exam and find DOT medical examiner locations.

    The DOT Physical Exam

    A qualified examiner must perform the DOT physical exam. The examiner will ask questions about your medical history, including medications that you take. They will also:

    • Check your vision. Truck drivers must have 20/40 vision in each eye.
    • Perform a blood pressure test. Blood pressure must be at or below 140/90 with or without medication to be a truck driver for a 2-year certification.
    • Do a hearing test. This test ensures that your hearing is okay.
    • Check your movement. The DOT medical examiner will check for things that could impair your movement, such as spinal deformities.
    • Listen to your lungs. The doctor will assess your lung function during the physical. If you have asthma or another respiratory condition, you may need a separate pulmonary function test.
    • Perform a neurological exam. An important part of the DOT physical exam is the neurological portion. During this part of the test, the examiner will check your reflexes and coordination. The purpose is to look for neurological problems that could affect your ability to operate a large vehicle. If you have epilepsy or another seizure disorder, you will be disqualified from getting a DOT medical examination.

    Is A Urine Test Required?

    During the DOT physical exam, you will also give a urine sample for a urine test.  This test helps look for underlying issues that could affect your ability to drive a commercial vehicle, for example, kidney disease or diabetes.  To clarify, your urine will not be tested for recreational drugs. The urine test only tests for underlying diseases.

    Frequently Asked Questions (FAQs) About DOT Exams

    • What should I bring to the appointment? When you come in for your exam, you will need to have a list of your current doctors and medications. Have your medical history handy too. If you wear a hearing aid or prescription glasses or contacts, then wear those to the exam.
    • If I don’t have a medical insurance plan, can I still get a DOT physical? Yes, you do not need medical insurance to get a DOT physical.
    • What things do I need to disclose during a DOT exam? Tell the doctor about all of your medical conditions and the medications that you take. Not disclosing medical conditions during the exam can result in you not getting a DOT medical card. Additionally, you might have to pay fines.
    • What if I’m on blood pressure medication? Taking blood pressure medications will reduce your DOT medical certificate to one year. Your blood pressure must be controlled and be below 140/90 mm Hg at the time of your DOT exam. Also, it is very helpful to have a note from your primary care physician stating that you are being treated for hypertension and that the medication is effective.
    • Do I need glasses with 20/25 vision for a DOT Physical? No, you do not require glasses with 20/25 vision in both eyes for a DOT physical.
    • Can I wear contact lenses to do the vision test? Yes, you are permitted to wear contact lenses for the DOT exam.
    • Can I get a DOT medical card if I use a hearing aid? Yes, the hearing test can be done with hearing aids.
    • Can I get a DOT medical card if I have a defibrillator? A defibrillator is a disqualifier for interstate driving.
    • Are DOT physicals and CDL physicals the same? Yes, they are the same.

    How Often Do I Need A DOT Physical Exam?

    Most DOT medical cards are good for two years. However, if you have certain medical conditions, like high blood pressure, you may have to get a DOT physical exam more often.

    What Is The Cost Of A DOT Physical Exam?

    Are you wondering what the cost is to have a DOT physical? At $85, our DOT physical exams are very affordable. This cost includes both your urine test and vision check.

    How Do I Schedule A DOT Physical Exam?

    We have DOT medical examiner locations in Long Island, Queens, Brooklyn, and the Bronx. Call (917) 310-3371 to schedule an appointment. With multiple medical exam locations available, you can get your DOT physical any day of the week. You can also schedule an appointment online using this convenient form. Our $85 DOT exams include the vision screening and urine test.

    Can Strokes Be Prevented? 1000 667 Sandeep Jain, MD

    Can Strokes Be Prevented?

    May is National Stroke Awareness Month and we’d like to shine the spotlight on stroke prevention. A common question that patients ask us is “can a stroke be prevented?”

    Stroke, also known as a cerebrovascular accident (CVA), is currently the fifth leading cause of death in the United States. It is a medical emergency. What is surprising is that most strokes are preventable. In fact, according to the Centers for Disease Control and Prevention (CDC), as many as 80 percent of all CVAs can be prevented with the right lifestyle changes.

    Risk Factors

    The first step in preventing cerebrovascular accidents is to know the risk factors. There are certain things that make a person more likely to have a stroke, such as:

    • Genetics. If your parent, brother, or sister had a CVA, you are more likely to have one too.
    • Age. The risk increases as you age.
    • Diet. Diets that are high in saturated fats and cholesterol increase the risk of stroke as they raise blood cholesterol levels. Cholesterol is a fatty substance in the blood that clogs arteries. The buildup of cholesterol in the arteries blocks blood flow to the brain resulting in a CVA. Consequently, eating a diet low in saturated fat and cholesterol can reduce the risk.
    • Smoking. The nicotine and carbon monoxide present in cigarette smoke damage the cardiovascular system — hence, smokers have an increased risk of CVAs.
    • Using birth control pills. Taking certain kinds of birth control pills increases the risk of stroke. As a matter of fact, the risk is highest for women who take birth control pills and smoke.
    • Physical inactivity. A lack of physical exercise is linked with an increased risk of stroke.
    • Obesity. Obesity is related to other risk factors that likewise increase the risk of cerebrovascular accidents, such as elevated cholesterol and high blood pressure. Therefore, people who are obese are more likely to have a cerebrovascular accident.

    Signs Of A Stroke

    The next step in preventing strokes is to be aware of the signs. Some of these symptoms can occur with other illnesses, as well. If you are experiencing any of the below symptoms, it is important to call 911 or seek medical treatment right away. Acting quickly is the key to recovery from a CVA. Here are some signs to be on the lookout for:

    • Speech problems – Slurred or garbled speech.
    • Sudden confusion that comes on quickly – Trouble understanding what others are saying.
    • Trouble seeing or dimming – Vision problems that arise quickly in one or both eyes.
    • Difficulty walking – Difficulty walking, dizziness, or a loss of coordination.
    • Severe headache – A bad headache that occurs for no reason.
    • Numbness or weakness – Weakness or numbness on one side of the body only.

    Why Acting Quickly Is Important

    Getting treatment immediately for a stroke can help save lives. Treatments have improved greatly over the last several decades. Researchers now know that the brain can recover after a stroke. However, time is the key. Waiting too long to get help reduces the likelihood of recovery and diminishes the long-term prognosis greatly. Therefore, see a doctor even if you are in doubt about the symptoms.

    Schedule an appointment or visit an urgent care near me to talk to a doctor about your risk today. We can help you identify ways to lower the likelihood of a cerebrovascular accident. Always remember to go to the emergency room or call 911 if you believe that you are having a stroke.

    Find out how to get relief from allergic reactions.
    Beat Seasonal Allergies With These Urgent Care Tips 1000 667 Sandeep Jain, MD

    Beat Seasonal Allergies With These Urgent Care Tips

    Fight Seasonal Allergic Reactions With These Urgent Care Tips

    Find out how to get relief from allergic reactions.

    Spring allergy season is in full bloom, which means that allergen levels are through the roof right now. Pollen levels peak in the northeast part of the U.S. during April and May. If you are allergic to grass pollen, things will only get worse as the weeks go on. That means that your allergy symptoms — the itchy eyes, sneezing, and sniffling could stick around for months

    If you suffer from a runny nose, itchy eyes and other hay seasonal allergy symptoms, you are not alone. More than 50 million Americans have allergies. Unfortunately, for the millions of allergy sufferers, springtime is the worst time of the year for allergic reactions.

    Before you start any treatment, visit an urgent care center like Statcare to be sure that allergies are causing your troubles. Many other illnesses share the same symptoms as allergies. So, you really need to be sure that your symptoms are due to an allergic reaction so that you can get the appropriate treatment. Save a trip to the emergency room! Statcare has multiple urgent care locations and is open 7 days a week.

    If you have seasonal allergies, make sure you seek treatment, as hay fever can trigger other common allergic reactions, such as:

    •   Asthma – Seasonal allergies can exacerbate asthma symptoms. Exposure to pollen can trigger deadly asthma attacks. In fact, a British teen died after suffering an asthma attack. His parents said that an allergic reaction to pollen was partially to blame for the asthma attack.
    •   Eczema/Atopic dermatitis – Hay fever is a common cause of this skin condition. Pollen is a known trigger for eczema.
    •   SinusitisHay fever can cause prolonged nasal congestion, which can cause sinusitis, an infection of the membrane that lines the sinuses.
    •   Hives. This allergic skin rash can stem from various allergens.
    •   Conjunctivitis. Allergic reactions can cause eye inflammation, and itchy, watery eyes. Allergic conjunctivitis cases often increase during hay fever season.

    Signs Of An Allergic Reaction

    Here are some of the signs of seasonal allergies. Get medical care right away if you are experiencing these symptoms.

    •  Watery, itchy eyes
    •  Runny nose
    •  Sneezing
    •   Sore throat
    •  Coughing
    •  Fatigue
    •  Dark circles under the eyes

    Allergy Do’s

    •   Visit an urgent care center like Statcare. If you have any of the above symptoms, come in for an allergy test. Most insurance plans cover blood work for seasonal allergies.
    •   Use air conditioning. Although spring might seem like a great time to open the windows, resist the temptation to do so. Using the air conditioning will help keep allergens out of your home.
    •   Stay inside when pollen levels are high. Check out the New York pollen forecast and avoid outdoor activities when the pollen counts are high.

    Allergy Don’ts

    •   Ignore the symptoms. Allergy symptoms can be more than a nuisance  — they can be deadly. Exposure to pollen can cause severe allergic and asthma reactions. Therefore, never ignore these symptoms.
    •   Automatically reach for over-the-counter remedies. Although there are plenty of OTC allergy medications available, visit Statcare before taking these medications to make sure that seasonal allergies are to blame for your symptoms. Also, a doctor can help you select the best treatment for your particular symptoms. There are many options and not all of them are right for everyone.

    For more health tips and advice, sign up for our newsletter. Schedule your appointment for seasonal allergy treatment in New York. Contact us today or find a walk-in clinic near me.


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