Dr. Phillip L. Sanchez

Possible infection and/or dehydration.

They can but treatment should be based on a good ear exam.

As the coronavirus outbreak rages on in China, at least 110 people in the United States are undergoing testing for the new respiratory illness, the Centers for Disease Control and Prevention reported Monday.

Five people in the U.S. have been hospitalized with confirmed cases of the coronavirus: one in Washington, one in Illinois, one in Arizona and two in California.

All of those patients had traveled to Wuhan, China, the epicenter of the outbreak. Cases in China have now surpassed 2,700, and at least 80 deaths have been reported. People most severely affected have generally been older adults with underlying health conditions.

So far, early reports shows it is a respiratory infection with a 20% severe/critical state and 10% mortality.

Step to decease acquiring food born infectious diarrhea:

Purchase

Do not buy already-cooked food that is stored next to raw food, even if it is stored on ice.
Do not buy food in cans that are dented, cracked, or have a bulging lid.

Storage

Make sure meat and poultry products are refrigerated when bought.
Use plastic bags to keep juices from meat and fish from touching other foods.
Store perishable items (that can go bad quickly) in the refrigerator within an hour of buying.
Keep refrigerator temperature between 32 and 40°F (0 and 4°C) and freezer temperature at or below 0°F (-18°C).
Freeze meat and poultry that will not be cooked within 48 hours.
Freeze tuna, bluefish, and mahi-mahi that will not be cooked within 24 hours. Other fish can be stored in the refrigerator for 48 hours.
Do not store eggs on the refrigerator door (since that is the warmest part of the refrigerator).
Put leftovers in the refrigerator within 2 hours of cooking them.
Divide leftovers into parts and store in small containers.
Reheat leftovers to 165°F (74°C) before eating.

Preparation

Wash hands with soap and water before cooking and after handling raw meat, poultry, fish, or raw eggs.
Thaw frozen meats and fish in the refrigerator or microwave, not by leaving them out.
Marinate foods in the refrigerator, not at room temperature.
Avoid contact of cooked foods with forks, spoons, knives, plates, or areas that might not be clean.
Wash forks, spoons, knives, plates, and cutting areas with soap and water after they have touched raw meat, poultry, fish, or eggs.
Avoid letting the juices from uncooked meat, poultry, or fish touch cooked foods or foods that will be eaten raw.
Carefully wash all fresh fruits and vegetables.
Avoid recipes that include raw eggs.

Cooking

Use a meat thermometer.
Cook beef, veal, and lamb (steaks, roasts, chops) to 145°F (63°C) and rest for 3 minutes.
Cook ground beef, pork, veal, and lamb to 160°F (71°C).
Cook poultry (chicken, turkey) to 165°F (74°C).
Cook fresh pork (roasts, chops, ham that is not precooked) to 145°F (63°C) and rest for 3 minutes.
Cook precooked ham to 140°F (60°C).
Cook fish until the flesh is firm and separates easily with a fork.
Cook shellfish until the flesh is firm.
Cook eggs until the yolk and white are firm.
Boil juices from raw meat or fish before using on cooked food.

Serving

Serve cooked foods on clean plates with clean forks, spoons, and knives.
Keep hot foods at 140°F (60°C) and cold foods below 40°F (4°C).
Never leave foods at room temperature longer than 2 hours, or 1 hour if the room is hotter than 90°F (32°C).
Use coolers and ice packs to take perishable foods (that might go bad) away from home.

Yes. Cough is first to come and last to go. Usually 2-4 weeks. See the doctor or nurse right away if your child:

●Is younger than 4 months old
●Is having trouble breathing, has noisy breathing, or is breathing very fast
●Gets a cough after he or she choked on food or another object, even if he or she choked on the object days or weeks ago
●Is coughing up blood, or yellow or green mucus
●Refuses to drink anything for a long time
●Has a fever and is not acting like him- or herself
●Is coughing so hard that he or she vomits
●Has had the cough for more than 3-4 weeks and is not getting any better

Abdominal pain is one of the most common complaints in childhood and one that frequently requires urgent evaluation in the office or emergency department. Although the cause is typically a self-limited, minor condition, such as constipation, gastroenteritis, or viral syndrome, When you have a stomach ache, you have pain or discomfort in your belly. Sometimes that's the only symptom you have. Other times, you can have other symptoms such as:

●Burning in your chest known as heartburn
●Burping
●Bloating (feeling as though your belly is filled with air)
●Feeling full too quickly when you start eating

Most people do not need to see a doctor or nurse for a stomach ache. But you should see your doctor or nurse if:
●You have bloody bowel movements, diarrhea, or vomiting
●Your pain is severe and lasts more than an hour or comes and goes for more than 24 hours
●You cannot eat or drink for hours
●You have a fever higher than 102°F
●You lose a lot of weight without trying to, or lose interest in food

-Extreme fatigue that doesn't go away with rest
-Joint pain, stiffness, and swelling in two or more joints
-Fever over 100°F
-Muscle pain
-Hair loss
-Skin sores and rashes (which may occur in a butterfly-shaped pattern across the cheeks and nose)
-Nose or mouth sores (usually painless)
-Skin rashes after sun exposure

Depending on the lab, one to seven days.

By airborne respiratory droplets (coughs or sneezes).
By skin-to-skin contact (handshakes or hugs).
By saliva (kissing or shared drinks).
By touching a contaminated surface (blanket or doorknob).

Doubtful anything doing with the bites. Large number of respiratory viruses this time of year. Just treat symptoms. If high concern should see your pediatrician. Happy thanksgiving.

Often the vaccine causes no side effects. When it does cause side effects, it can cause:

●Redness, mild swelling, or soreness where you got the shot (if you got a shot)

●A mild fever

●A mild rash

●Headache or body aches

Vaccines also sometimes cause more serious side effects, such as severe allergic reactions. But serious side effects are rare.

The flu vaccine does not cause the flu. People sometimes feel sick after getting the vaccine, but this is often because they were already starting to get sick with the flu or another virus before they had the vaccine.

I have received the vaccine every year for the last 61yas well as my 5 children and 3 grandchildren since they were 1y old

Yes, in many years it reaches epidemic criteria as tracked by CDC, and you can follow this on their website weekly. It can also become pandemic as in 1918 and 2009.

Epidemiologists are public health professionals who investigate patterns and causes of disease and injury in humans. They seek to reduce the risk and occurrence of negative health outcomes through research, community education and health policy

Treatment involves cleaning the area well and taking medicines if needed. Depending on your symptoms, your doctor or nurse might recommend:
●Medicine for pain, such as ibuprofen(sample brand names: Advil, Motrin)

●Medicines to treat muscle spasms, called benzodiazepines

●A tetanus shot – Tetanus is a serious infection that causes muscle spasms and stiffness. It is caused by bacteria that can get in your body through a cut, scrape, or bite.

●Antibiotics – If there are signs of infection (such as a fever, red skin, or pus coming from the bite), a doctor will prescribe antibiotics. But most spider bites do not get infected.

People who have dead tissue because of a bite sometimes need surgery to remove the dead tissue.

If wound gets worse or does not show improvement in 48h should see a physician my take a month to heal

With symptoms of pinkeye, from irritated and red-looking eyes, to overall general discomfort, you can use warm or cool compresses to help with relief. Clean the eye carefully, especially around the edges of the eyelids, to remove any discharge before applying disposable or washable compresses. It is advisable to contact your health care practitioner at the first signs of pinkeye. While it may not always be conjunctivitis, it is important to see your doctor for diagnosis in order to contain pink eye and to rule out something more serious.

Zika, mostly spread by the bite of an infected mosquito, continues to be a problem in other parts of the world, but is no longer considered the threat it was in South Florida only two years ago when the virus swept across the area. If still concerned can review with your physician if a blood test is warranted.

Ivermectin lotion, 0.5% was approved by the FDA in 2012 for treatment of head lice in persons 6 months of age and older. It is not ovicidal, but appears to prevent nymphs (newly hatched lice) from surviving. It is effective in most patients when given as a single application on dry hair without nit combing.

Nasal irrigations with anti-fungal medicine are generally the way to treatthese types of infections. Sometimes oral steroids are needed and possible sinussurgery. Nasal rinses with antifungal medicine like Amphotericin and Sporanox are most often used

Follow with your primary to do some cultures and imaging studies