When Should I Take Antibiotics?

“When antibiotics need to be taken is a question I get multiple times a day. Most people come in with a cold or a viral illness, cough, sinus congestion, and just generally feeling icky for however many days. In some cases, antibiotics are indicated. But they only treat bacterial infections. So, if it’s a viral illness, it’s mostly just treating the symptoms, usually with over-the-counter medications, getting rest, and fluids. I would say if it’s been a week or more and you’re still feeling sick, it’s never wrong to get checked out by your primary care physician. In general, viral illnesses can last up to two weeks. So if it’s been two weeks or more and you’re still feeling ill, I would definitely go in and see your doctor. I’m a primary care physician at Mount Sinai Doctors in Brooklyn Heights. We’re taking new patients any time, so feel free to make an appointment whenever is convenient for you.”

Camila Passias, MD  is a board-certified primary care doctor at Mount Sinai Doctors Brooklyn Heights, seeing patients Tuesdays, Wednesdays, and Fridays. She has a particular interest in women’s health and is fluent in Spanish. Mount Sinai Doctors Brooklyn Heights is a two-floor practice with a walk-in urgent care center and more than 35 specialties. Located at 300 Cadman Plaza West, the practice is situated on the 17th and 18th floors.

Should You Get A Physical Every Year?

“Should you go to the doctor even when you feel healthy? The answer is clearly yes. The most important reasons why you want to see a doctor, even when you’re feeling healthy, is: Depending on your age, there are a number of tests that are indicated, even when you’re feeling great. There can be an underlying health condition. Depending on how old you are or other risk factors, like are you a smoker, what’s your family history, there may be tests that can make a big difference for you, like preventing cancers, detecting high blood pressure, checking your cholesterol levels, checking your sugar. So establishing a relationship with a doctor is really, really important. One, for just routine vital signs, checking up on your health. But also, again depending on your age and other risk factors, there may indeed be tests that are a great benefit to you. So please go talk to your primary care physician or feel free to make an appointment with myself or any of my colleagues at Mount Sinai Doctors Brooklyn Heights.”

Photo of DAVID COUNDavid Coun, MD, is a board-certified primary care doctor and Chief of Internal Medicine at Mount Sinai Doctors Brooklyn Heights. He has lectured regularly on various topics, including smoking cessation, prostatic conditions, EKG review, and physician communication skills. Dr. Coun is fluent in Spanish and has a particular interest in prevention, as well as, the intersection between mental health and chronic medical conditions. Mount Sinai Doctors Brooklyn Heights is a two-floor practice with a walk-in urgent care center and more than 35 specialties. Located at 300 Cadman Plaza West, the practice is situated on the 17th and 18th floors.

Do I Need To Have An Annual Physical?

“Annual physicals are important because it’s an opportunity to check in with a doctor and run any concerns by them that you might have. Anything that might have popped up in the last year, or maybe you haven’t had a physical in more than that. It’s never wrong to ask questions about your health. In general, annual physicals are about prevention, talking to a doctor, before you get sick, to see if there’s anything that you can do to stay as healthy as possible. We also manage chronic illnesses. So if you already have something, of course, it’s something that we would help you with. But in general, the annual physical is about prevention. Sometimes it requires blood tests. Sometimes it requires shots. Sometimes it requires more invasive procedures. But you would never know unless you went and checked in. So keeping that in mind, you don’t always have to have a needle in your arm every time you go to your physical. Try to go once a year, if anything just to chat.”

Camila Passias, MD  is a board-certified primary care doctor at Mount Sinai Doctors Brooklyn Heights, seeing patients Tuesdays, Wednesdays, and Fridays. She has a particular interest in women’s health and is fluent in Spanish. Mount Sinai Doctors Brooklyn Heights is a two-floor practice with a walk-in urgent care center and more than 35 specialties. Located at 300 Cadman Plaza West, the practice is situated on the 17th and 18th floors.

Should You Google Symptoms?

“I get a lot of patients coming in asking about symptoms that they’ve Googled, and it tells them one thing or another. In general, I would say it’s better to ask your doctor for websites if that’s your preferred way of getting information. But it’s never harmful to come in to your primary care doctor and ask your questions directly with somebody who knows. If Google provided all the answers, I don’t think I would have a job. Especially if it’s something that you’re really worried about, it’s best to consult with your primary care doctor. They can do tests there or refer you to a specialist if needed.”

Camila Passias, MD  is a board-certified primary care doctor at Mount Sinai Doctors Brooklyn Heights, seeing patients Tuesdays, Wednesdays, and Fridays. She has a particular interest in women’s health and is fluent in Spanish. Mount Sinai Doctors Brooklyn Heights is a two-floor practice with a walk-in urgent care center and more than 35 specialties. Located at 300 Cadman Plaza West, the practice is situated on the 17th and 18th floors.

How Much Water Should You Drink A Day?

“How much water should you drink a day? It’s a question that we commonly get asked. Most adults are under-hydrated. We simply don’t drink enough water. Or you’re not thinking about it. We think we are. But when we actually sit down and count of how much water we drink, it is often times not nearly enough. In terms of how much water should you drink a day, an easy goal is that your urine should kind of look like water. The moment your urine starts to get deep yellow in color, it’s your body telling you that your urine is very concentrated, and that you need to be drinking more. What number should I think of? An easy number to remember is about two liters of water a day. That’s about four small bottles of water that we commonly buy on the street. Each bottled water typically is about half a liter. So get four of those throughout the day. It’s really important to stay hydrated throughout the day. If come bedtime you’re trying to catch up and you chug a lot of water, you’re probably just going to urinate that out. So the key is to stay hydrated throughout the day. Try to get somewhere close to two liters throughout the day, and that should be enough.”

David Coun, MD, is a board-certified primary care doctor and Chief of Internal Medicine at Mount Sinai Doctors Brooklyn Heights. He has lectured regularly on various topics, including smoking cessation, prostatic conditions, EKG review, and physician communication skills. Dr. Coun is fluent in Spanish and has a particular interest in prevention, as well as, the intersection between mental health and chronic medical conditions. Mount Sinai Doctors Brooklyn Heights is a two-floor practice with a walk-in urgent care center and more than 35 specialties. Located at 300 Cadman Plaza West, the practice is situated on the 17th and 18th floors.

How To Get The Most From a Doctor Visit (Hint: The average PCP visit is only 15 minutes)

Dr. Sarah Van WagnerWelcome back to Mount Sinai Queens’ brand new blog featuring useful news and tips to help you lead a healthier life. I am Dr. Sarah Van Wagner, a board-certified family medicine physician who works at Mount Sinai Queens’ Steinway Medical Group. Please remember that this information is not a substitute for direct medical advice.

Start with your reason for the visit – write it down and bring it with you. You will often see a medical assistant before you see the doctor. This person may ask about the reason for your visit. Don’t assume the reason was communicated. By stating your reason to both the doctor and the medical assistant, you are all in agreement for why you are there. Whether you say, “I haven’t been to the doctor for a long time and I need a checkup,” or “my kids have strep throat and now I have a sore throat and fever,” agreement on the reason for the visit is a strong start. Think ahead of time about what will leave you feeling highly satisfied after the visit. Let the doctor know this too! (more…)

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