Top10MD Blog


 3 months ago    Leave a comments (0)

With kids heading off to camp this summer and families headed to the mountains or camping outdoors ticks can be a problem if not a life-long problem if infected with Lyme Disease or other tick related diseases. “It’s a good idea to take preventive measures against ticks year-round, be extra vigilant during the months of April-September when ticks are most active,” says Dr. Jeffery West Ticks transmit over ten diseases to humans and pets. Some of these diseases can be debilitating for the rest of you or your child’s life; it’s important to seek immediate care. Early recognition and treatment decrease the risk of serious complications later on.

Approximately 300,000 people in the United States are diagnosed with Lyme disease yearly; while only 30,000 of these are estimated to be reported to the CDC by state health departments. Ninety-six percent of Lyme disease cases come from 13 states.


  • Avoid direct contact with ticks
  • Avoid wooded and brushy areas with high grass and leaf litter
  • Walk in the center of trails


  • Use repellent that contains 20 percent or more DEET, picaridin, or IR3535 on exposed skin for protection that lasts several hours.
  • Always follow product instructions. Parents should apply this product to their children, avoiding hands, eyes, and mouth.
  • Use products that contain permethrin on clothing. Treat clothing and gear, such as boots, pants, socks and tents with products containing 0.5% permethrin. It remains protective through several washings. Pre-treated clothing is available and may be protective longer.


  • Bathe or shower as soon as possible after coming indoors to wash off and more easily find ticks that are crawling on you.
  • Conduct a full-body tick check using a hand-held or full-length mirror to view all parts of your body upon return from tick-infested areas. Parents should check their children for ticks under the arms, in and around the ears, inside the belly button, behind the knees, between the legs, around the waist, and especially in their hair.
  • Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and day packs.
  • Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on dry clothing after you come indoors.
  • If the clothes are damp, additional time may be needed.
  • If the clothes require washing first, use hot water. Cold and medium temperature water will not kill ticks effectively. If the clothes cannot be washed in hot water, tumble dry on low heat for 90 minutes or high heat for 60 minutes. The clothes should be warm and completely dry.


  • Remove the tick as quickly as possible, do not wait for it to detach.
  • Use a fine-tipped tweezers. Grasp the tick as close to the skin as possible, and pull straight up with steady pressure. Then thoroughly clean the bite (and your hands) with rubbing alcohol and soap and water.
  • Kill the tick without touching it and throw it away. If you develop a rash or fever following exposure, see a doctor immediately.


  • Fever/chills: With all tickborne diseases, patients can experience fever at varying degrees and time of onset.
  • Aches and pains: Tickborne disease symptoms include a headache, fatigue, and muscle aches. With Lyme disease, you may also experience joint pain. The severity and time of onset of these symptoms can depend on the disease and the patient’s personal tolerance level.
  • Rash: Lyme disease, southern tick-associated rash illness (STARI), Rocky Mountain spotted fever (RMSF), ehrlichiosis, and tularemia can result in distinctive rashes:
    • In Lyme disease, the rash may appear within 3-30 days, typically before the onset of fever. The Lyme disease rash is the first sign of infection and is usually a circular rash called erythema migrans or EM. This rash occurs in approximately 70-80% of infected persons and begins at the site of a tick bite. It may be warm but is not usually painful. Some patients develop additional EM lesions in other areas of the body several days later.
    • The rash of (STARI) is nearly identical to that of Lyme disease, with a red, expanding “bull’s eye” lesion that develops around the site of a lone star tick bite. Unlike Lyme disease, STARI has not been linked to any arthritic or neurologic symptoms.
    • The rash seen with Rocky Mountain spotted fever (RMSF) varies greatly from person to person in appearance, location, and time of onset. About 10% of individuals with RMSF never develop a rash. Most often, the rash begins 2-5 days after the onset of fever as small, flat, pink, non-itchy spots (macules) on the wrists, forearms, and ankles and spreads to the trunk. It sometimes involves the palms and soles. The red to purple, spotted (petechial) rash of RMSF is usually not seen until the sixth day or later after onset of symptoms and occurs in 35-60% of patients with the infection.
  • In the most common form of tularemia, a skin ulcer appears at the site where the organism entered the body. The ulcer is accompanied by swelling of regional lymph glands, usually in the armpit or groin.
  • 30% of patients and up to 60% of children, ehrlichiosis can cause a rash. The appearance of the rash ranges from macular to maculopapular to petechial and may appear after the onset of fever.

Tickborne diseases can result in mild symptoms treatable at home to severe infections requiring hospitalization. Although easily treated with antibiotics, these diseases can be difficult for physicians to diagnose. However, early recognition and treatment of the infection decrease the risk of serious complications. Seek medical advice immediately if you have been bitten by a tick and experience any of the symptoms described here.


  • Anaplasmosis is transmitted to humans by tick bites primarily from the blacklegged tick.
  • Babesiosis is caused by microscopic parasites that infect red blood cells. Most human cases of babesiosis are caused by Babesia microtiBabesia microti is transmitted by the blacklegged tick.
  • Borrelia mayonii infection has recently been described as a cause of illness in the upper Midwestern United States. It has been found in blacklegged ticks. Borrelia mayonii is a new species and is the only species besides B. burgdorferi known to cause Lyme disease in North America.
  • Borrelia miyamotoi infection has recently been described as a cause of illness in the U.S. It is transmitted by the blacklegged tick and has a range like that of Lyme disease.
  • Colorado tick fever is caused by a virus transmitted by the Rocky Mountain wood tick. It occurs in the Rocky Mountain states at elevations of 4,000 to 10,500 feet.
  • Ehrlichiosis is transmitted to humans by the lone star tick, found primarily in the south central and eastern U.S.
  • Heartland virus infection has been identified in eight patients in Missouri and Tennessee as of March 2014. Studies suggest that Lone Star ticks may transmit the virus. It is unknown if the virus may be found in other areas of the U.S.
  • Lyme disease is transmitted by the blacklegged tick in the northeastern U.S. and upper Midwestern U.S. and the western blacklegged tick along the Pacific coast.
  • Powassan disease is transmitted by the blacklegged tick and the groundhog tick. Cases have been reported primarily from northeastern states and the Great Lakes region.
  • Rickettsia parkeri rickettsiosis is transmitted to humans by the Gulf Coast tick.
  • Rocky Mountain spotted fever (RMSF) is transmitted by the American dog tick, Rocky Mountain wood tick, and the brown dog tick in the U.S. The brown dog tick and other tick species are associated with RMSF in Central and South America.
  • STARI (Southern tick-associated rash illness) is transmitted via bites from the lone star tick, found in the southeastern and eastern U.S.
  • Tickborne relapsing fever (TBRF) is transmitted to humans through the bite of infected soft ticks. TBRF has been reported in 15 states: Arizona, California, Colorado, Idaho, Kansas, Montana, Nevada, New Mexico, Ohio, Oklahoma, Oregon, Texas, Utah, Washington, and Wyoming and is associated with sleeping in rustic cabins and vacation homes.
  • Tularemia is transmitted to humans by the dog tick, the wood tick, and the lone star tick. Tularemia occurs throughout the U.S.
  • 364D rickettsiosis is transmitted to humans by the Pacific Coast tick. This is a new disease that has been found in California.

Dr. Jeffery West is a Rockwall Otolaryngologist specializing in allergies and ENT surgery. Board Certified by the American Board of Otolaryngologists, Dr. West is Medical Director of Lakeside Allergy ENT with offices in Rockwall, Forney, and Wylie Texas. Named Top10MD in 2016 – an honor only 1-in-3 doctors succeeds within the United States. To schedule a consultation with Dr. Jeff West, click on his profile or call his office at 972-398-1131.


IMAGE: Shutterstock


 1 year ago    Leave a comments (0)

Seeing your child suffer from serious diseases is one of the hardest things for a mother to go through. For most parents, you only wish that you could exchange places with them. Now as school is starting back, you are preparing your child for that next level in life. As a mother, the pressure is put on you to make sure everything is prepared, and your child is ready. Part of that preparation is getting proper vaccinations. With the new strain of Meningitis B, you may have new questions and concerns on whether or not your child needs to get vaccinated. The most important thing is to do what is best for your child to prepare them for what life may bring.

  • Meningitis B is a fast growing Bacterial Infection
  • Strain of Meningitis that is harder to treat due to its hard outer capsule


  • Nausea and Vomiting
  • Stiff Neck
  • Fever
  • Flu-like Symptoms

How is it Spread?

They say sharing is caring, but in this case, it is not. Anytime there is a chance that saliva is shared, you put yourself at risk for Meningitis B.

The Meningitis B Vaccine is not only lowering meningitis deaths but preventing the disease altogether.

When Can My Child Get Vaccinated?

  • If you have a child going to high school or college, it is a good time to get vaccinated. Anyone ages 16-23 should get a vaccination B shot if they have not already.
  • Babies can also get vaccinated
    • If your child was born on or before May 1, 2015, they would not be given a vaccine until they reach adolescence.
    • If your child was born between May 1, 2015, and June 30, 2015, they could be given the vaccine during their routine appointment. They may need a booster around 12 months or 13 months.
    • If your child was born on or after July 1, 2015, they are to get vaccinated at either 2 months, 4 months, or 12 months.

Although Meningitis B is very serious, getting the vaccine can make all the difference. If you still have questions and concerns about the vaccine, you should speak with your child’s physician about it. The most important thing is doing what you can to keep your child safe.


 1 year ago    Leave a comments (0)

It’s that time of year again; it’s time to prepare for physicals and back to school. Physicals are important for monitoring growth and making sure the child is progressing properly. Teachers and coaches have to know if the child has any physical problems or health issues, so they know what actions to take in case of emergencies. There are several places you can get this done.

Places To Get Physicals

  • Pediatrician offices
  • Primary Care Physician
  • Walgreens
  • Clinics

As long as you have one, it does not matter where you get it. They are only good for a year though, so if you know that your physical is about to expire, you should schedule one soon to save yourself the hassle.

What Happens During a Physical?

During the physical, the doctor will check your stomach for any abnormalities. They will also check your reflexes. Blood pressure is important, and if you have asthma, they will assess how well it is being controlled. Physicals differ depending on age. If it is for kindergarten, the doctor will ask you about health concerns and make sure they are eating enough. The kindergarten physical is a tough one because the child has to get a lot of immunizations. If they are behind on immunizations, the doctor will try to catch them up.

For a teenager, the parent, will have to leave the room for some of the questions. The doctors will ask about drugs, alcohol, and sex. Most children will not answer truthfully while the parents are in the room. You were a teenager once; I’m sure you did not want your parents to know some of the things you did. At the age of 15, a child is considered to have autonomy; meaning they can make decisions about their treatment without you. But they have to be 18 and older to sign for vaccines.

Now that summer is almost over, it is already time to prepare for a new year. Do not neglect your school and sports physicals. Make sure you get those things in so that you and your child is prepared for the next school year. Schedule an appointment with a Top10MD Pediatrician today!


 1 year ago    Leave a comments (0)



 2 years ago    Leave a comments (0)

Are you or your children suffering from red eyes after being in a public pool? Suffering from stinging, nasal irritation or having difficulty breathing after being in the water or breathing the air at swimming pools, particularly indoor pools?

New research indicates that these symptoms are an indication of poor water and indoor air quality at the pool caused by a build-up of irritants, known as chloramines, in the water and air.

Irritants in the air at swimming pools are usually the combined chlorine by-products of disinfection. These by-products are the result of chlorine binding with sweat, urine, and other waste from swimmers.

As the concentration of by-products in the water increases, they move into the surrounding air as well. Breathing air loaded with irritants can cause a variety of symptoms depending on the concentration of irritants in the air and amount of time the air is breathed.

The symptoms of irritant exposure in the air can range from mild symptoms, such as coughing, to severe symptoms, such as wheezing or aggravating asthma. It is also known that routine breathing of irritants may increase sensitivity to other types of irritants such as fungi and bacteria.

The problem can easily be fixed according to the Centers for Disease Control and Prevention (CDC) through a combination of preventive measures:

  • Improving air movement over the pool and increasing the air turnover rate will reduce irritant levels in the air.
  • Open all of the doors and windows in the pool area or to use fans to boost airflow over the pool surface when many swimmers are using the pool. When super chlorinating, do the same.
  • Ensure that the air recycling systems are bringing in enough fresh air.
  • Maintain adequate disinfectant levels and constant monitoring of water quality will help reduce irritant levels by decreasing combined chlorine formation in the water.
  • Adding secondary disinfection systems, such as ultraviolet light or ozone, may reduce combined chlorine levels in the water.
  • In addition, good hygiene is needed. Have swimmers shower before getting in the pool.
  • Promote regular bathroom use to your children prior and during swimming to reduce the amount of urine in the pool. This decreases the formation of irritants.

For the health of pool staff and patrons, remember that all indoor pools need adequate fresh air exchange and all pools need good water quality. This will help make all pools a healthier and more enjoyable place to play and work.

Next time you’re thinking it’s just the chlorine…. Think again.

Keep your children safe this summer.


Source: CDC


 2 years ago    Leave a comments (0)

Keeping your children safe online is getting harder and harder. On April 15, 2015 the Texas Medical Board temporarily suspended, without notice, the Texas Physician-in-Training Permit of Abdussamed Kose, M.D. after determining he poses a continuing threat to public welfare.


The Texas Medical Board panel found that on March 30, 2015, Dr. Kose engaged in a chat online with an individual who represented to Dr. Kose that she was an underage female (Minor). The online discussion between Dr. Kose and Minor turned sexual in nature and led to Dr. Kose travelling to Minor’s home to have sex with her. Unbeknownst to Dr. Kose, Minor was an undercover police officer posing as a minor online during an undercover sting operation to identify individuals using the Internet to meet and solicit minors for sex. When Dr. Kose arrived at Minor’s home, he was arrested for Online Solicitation of a Minor. The temporary suspension will remain in place until the Board takes further action.


Friends this is a 50-year-old doctor who graduated from medical school and was in the middle of a four-year residency at the University of Texas Medical School. All we can say is this boil’s down to CHARACTER. Dr. Kose is obviously lacking character and mentally deranged. How ironic he’s studying to be a psychiatrist….


Children and young people spend a lot of time online though it’s a great way for them to socialize, explore and fun it also subjects them to the risks and dangers online such as inappropriate content, including pornography, ignoring age restrictions, friending or communicating with people they don’t know, grooming and sexual abuse, sharing personal information, and gambling or running up debits. As the National Society for the Prevention of Cruelty to Children Every childhood is worth fighting for.


How To Keep Your Child Safe Onlineonline safety


Talk to your child openly and regularly. Have a family discussion and set boundaries and agree on what’s appropriate and what is not. Explore sites and apps together.


Have The Conversation Early And Often

  • Explore online together
  • Know whom your child is talking to online
  • Set rules and agree to boundaries
  • Make sure that content is age appropriate
  • Use parental controls to filter, restrict, monitor or report content
  • Check they know how to use privacy settings and reporting tools


Ask Your Child If They Know How To

  • Block someone
  • Where reporting functions are
  • How to keep information private


Shelagh McManus an Online Safety Advocate for security software Norton by Symantec said it right If you wouldn’t do it fact to face – Don’t do it online


Top10MD –  America’s Leading Patient Advocacy Service connecting patients to ONLY “10″ doctors in 32 specialties who not only meet Top10MD core standards; but, have impeccable character in the treatment of their patients. Is Your Doctor a Top10MD? 



  • Texas Medical Board
  • The Guardian





 2 years ago    Leave a comments (0)

Mountain Cedar Allergy also known as Cedar Fever Allergy hits us every year between November and February and lingers through March. 17.6 Million adults and 6.6 million children were diagnosed with pollen allergies last year alone. If your body is achy, your eyes are always bothering you and you seem to have a constant cold? Maybe these symptoms are allergy related! One popular allergy that plagues many of us is called Cedar Fever. Although its name implies a fever, this allergy does not actually cause a fever. Cedar Fever is caused by an allergic reaction from the pollen of mountain cedar trees, which are most commonly found in Central Texas. Even though it’s most common in Texas, this allergy can also affect residents in the South Central states

Allergy Seasonmountain cedar pollen

Allergy season typically peaks during the months of November through March. Unfortunately, it is the dry northern winds that blow in tons of pollen, causing these pollen levels to spike up to 40x what they typically are year round. On top of that, while using heat for the inside of our homes, combined with the outside dry air, our sinus cavity becomes naturally more dry, causing our sinuses to run and the pollen only makes this worse. Specifically, mountain cedar pollen can travel hundreds of miles and begin triggering an allergic reaction once inhaled. The allergic reaction can occur if someone’s immune system is overly sensitive and begins to respond to the allergy in order to protect the body.

Symptoms of Cedar Fever

  • Fatigue
  • Itchy nose and eyes
  • Runny nose
  • Sinus headache
  • Sore throat
  • Watery eyes

Steps to Reduce Allergies

Although it is hard to ignore allergies completely, there are definitely some proactive steps you can take to make them not as bad. Some of these things you may not think, but they can help tremendously.

  1. Stay hydrated. It is important to realize that decongestant medications can further dehydrate you and some of these allergy medications actually make it worse. While they dry out your sinuses, the extra mucus is actually trying to soothe your already dry and irritated nose from the dry winter air. So stick with something like Claritin (an over-the-counter antihistamine).
  2. Sleep with a good humidifier. This will add moisture to the air to help your nose from getting too dried out.
  3. Change your air conditioner filter regularly. And when you do so, use a specific type of air filter called a HEPA (high efficiency particulate air), which helps to filter out pollen more so than standard air filters.
  4. Vacuum and dust your home often.
  5. After being outside for long periods of time, change them quickly after coming inside, to help excess amounts of pollen from coming indoors.
  6. Replace cedar trees in your yard with alternative trees such as oak, elm or ash trees.
  7. Bathe your dogs often, even if they are indoor dogs.
  8. Over the counter eye drops to soothe itchy eyes.
  9. And an obvious alternative is always prescription remedies such as allergy shots or prescription medication

We hope these strategies and methods will help you tackle your cedar fever allergies and others. And help you become better prepared to handle your allergies in the future! If you find these suggestions still warrant a doctors visit? Schedule your appointment early and get tested with one the best allergist in your city today!


 3 years ago    Leave a comments (0)

From names, to the color of the nursery and how you’ll raise your little one, parents to be have a lot to think about when a new baby is on the way. One of the most important decisions is choosing a doctor to care for your little guy or gal. Many doctors recommend selecting your pediatrician during mom’s third trimester, as your pediatrician may visit your new baby while you’re still in the hospital after birth. If not, the American Academy of Pediatrics recommends a well visit to your baby’s pediatrician in the 3-5 days following baby’s big arrival. So, your baby and his or her pediatrician will become fast friends! Choosing the right pediatrician is important for your little one’s health and your piece of mind.

When selecting a Pediatrician for your baby to be, these are questions to ask before your commit:

Is the Pediatrician Board Certified?

The American Board of Pediatrics certifies pediatricians to ensure their professional standing and medical knowledge. You can see if a pediatrician is certified by visiting the American Board of Pediatrics web site.
Who covers for the pediatrician when he or she is not available? Some pediatricians work in a group, while others have a solo practice. The important information to determine is who covers for your baby’s doctor when he or she is not available, and after hours? And, are you comfortable with the doctor(s) who may be covering?


Does the Pediatrician’s office have a separate waiting area for sick children?

If you’re taking baby for a well visit, the last thing you want is to be surrounded by kids who aren’t feeling well, coughing – or worse! A separate waiting area for sick kids can help you and your baby stay well.


What are the Pediatrician’s views on various parenting issues? 

From breastfeeding to immunizations and developing sleep patterns, it may be important for you and your pediatrician to share similar philosophies. After all, your pediatrician is someone you will turn to for help and advice on issues that impact your baby’s health and happiness.


What insurance does the Pediatrician accept and do they have any hospital affiliations?

Let’s face it, for most of us, it’s important that our health care providers are “in network” for our insurance to avoid additional co-pays and fees. Determining if your pediatrician is in network, and if the hospital they’re affiliated with is covered by your insurance, may be an important consideration.

These are just a few of the questions you may want to ask a pediatrician to find the right fit for your baby. Many online resources, like BabyCenter, even provide Pediatrician question check lists to guide your interviews with Pediatricians.

A little bit of prep can go a long way when selecting your baby’s doctor. After all, you want the best for your little bundle of joy!


 3 years ago    Leave a comments (0)

According to the CDC boys (13.2%) were more likely than girls (5.6%) to have ever been diagnosed with ADHD. Over 6.4 million children are diagnosed yearly with Attention Deficit Hyperactivity Disorder.  Boys will typically act out while girls will usually suffer in silence. In a recent newscast by Brian Williams with NBC Nightly News  Why many girls with ADHD are left untreated? He addresses this problem.


Symptoms of ADHD

Does your daughter have problems concentrating, find it hard to sit still, act impulsively without thinking things through? Or interrupt others during a conversation? Do they daydream excessively or have problems focusing on the task at hand? According to the American Psychiatric Association and the CDC, the percent of children diagnosed has changed over the years.


These are all common symptoms of Attention Deficit Hyperactivity Disorder. Unlike a broken bone ADHD or ADD does not show physical signs or be diagnosed with a blood test. Many times these symptoms overlap with those of other psychological disorders.


Causes of ADHD

attention deficit disorderThough the cause is unknown, parents should not blame themselves your child is suffering from this mental disorder. The important thing is to focus on getting your child help. Possible causes have been said ADHD is a genetic disorder; Currently, researchers are investigating many different genes, particularly ones involved with the brain chemical dopamine. Children with ADHD have lower levels of dopamine in the brain. The Environment may pay a role such as being exposed to smoke or even lead exposure. Nutrition and food are also being research such as overutilization of food additives and sugar. Whatever the cause the important thing is to have your child tested by a professional and make the changes necessary to improve both their life and yours.


Diagnosing ADHD

Diagnosing ADHD is a complicated process. The official criteria for ADHD state that the symptoms of ADHD must occur beyond the extent that is normal for the person’s age, and must happen in a variety of different situations. For a diagnosis, symptoms must have appeared by the age of 7 (for childhood), and have continued for at least six months. Sometimes it’s an adult who first suspects your child may have attention deficit disorder, such as a teacher or a babysitter. Upon consulting with a specialist, the right diagnosis and treatment plan can be administered.







 3 years ago    Leave a comments (0)

Once again, research has found that exercise is a great “natural remedy” for ADHD (Attention Deficit Hyperactivity Disorder). University of Illinois professor, Charles Hillman, as well as his colleagues, found that physical activity had a positive influence on “cognitive control” which includes maintaining focus, resisting distraction, and cognitive flexibility of switching between tasks.

Isn’t This Old News?

One might ask how this research is new news. Haven’t we drawn the same conclusions about this in the past? You might say. That is correct. These findings are not new, however, this conclusive research is still very important to hi-light and reiterate during our present day and age.

The reason being, exercise programs for kids in schools continue to be under prioritized and underfunded.   

Further Evidence..

Another critical reason that physical exercise should be a necessary part of school critieria is that it maximizes the proctivity of time spent in the classroom. When children are able to get out and run and play, they are less stir-crazy in class and also less distracting to others.

ADHD brain

The images above show one group of kids who participated in physical activity and another group who didn’t. The study was performed for 9 months on children who were 7 years old. The results are so dramatic that it’s almost disturbing. It’s almost unthinkable to realize how many children may not be getting enough physical activity and therefore they are sitting in class with a “blue head.”

Another study was conducted for 12 weeks and results show that those children who participated in physical activity dramatically increased their test scores in math and reading, especially those kids who had ADHD.

Not only will the implementation of exercise programs help intervene with the ADHD epidemic, it will also have vastly more positive effects come with it. In a 5 year span from 2007 to 2011, the number of ADHD prescriptions has risen by almost 15 billion.

What Now?

According to Hillman and his colleagues in the Pediatrics journal article, “The pandemic of physical inactivity is a serious threat to global health.” While the pharmaceutical market has grown in billions of dollars around ADHD, those same spoils have not been put toward the necessity of requiring physical activity within school curriculums around the globe. It is time that we begin implementing exercise opportunities for children for their mental and physical health.

Not to mention the epidemic of childhood obesity. More often than not, obese children come from lower income households, and with less exercise, there is a rapid growth in the obesity epidemic. Since exercise helps cognitive function and performance, as well as improves mood, it is imperative to helping our overall brain function. Obesity perpetuates the wealth gap as well as overall mobility. These are things that can have long-lasting effects on the economy and productivity of a nation.


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