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Is a Z-Pack for a Cold Worth Dying For?

In Blog, Featured, Infections, Integrative Medicine, Preventative/Primary Care, Women's Health Topics by Dr. Gary Goldman

“Doc – I need a Z-pack for my cold!” Is that Z-pack worth dying for? The common cold season is upon is. It began a couple of weeks ago, and extends through March. A cold is caused by a virus, the most common of which is called a rhinovirus. Other viruses include the corona virus, parainfluenza virus, adenovirus, enterovirus, and respiratory syncytial virus. Viruses are not susceptible to antibiotics. Antibiotics work against bacterial infections. The Z-pack, a five-day course of Azithromycin, is an excellent way to treat a variety of bacterial infections, including: Acute Bacterial Exacerbations of Chronic Obstructive Pulmonary …

Does Folic Acid Help Prevent Autism?

In Blog, Gynecology, Nutrition, Women's Health Topics by Dr. Gary Goldman

Can Vitamins Prevent Autism? In a stunning article published this week in the Journal of the American Medical Association Psychiatry, researchers found that maternal prenatal vitamin use reduced the incidence of autism. Over 300 women were studied who had previously given birth to a child with autism. The chance of having a second child with autism is about 33%. When women used prenatal vitamins during the first month of pregnancy, that rate was reduced to 14%. Use of prenatal vitamins were also found to decrease the severity of autism. There was a statistically significant decrease in autism severity scores by …

Processed Foods Linked To Higher Mortality

In Blog, Gynecology, Nutrition, Women's Health Topics by Dr. Gary Goldman

In an article published today in JAMA Internal Medicine, eating ultra-processed food was significantly associated with a higher mortality rate. A 10% increase in consuming these foods yielded a 14% increase in the all-cause mortality rate, mostly due to chronic illnesses, including cancer and cardiovascular disease. Currently, in the United States, 61% of an adult’s total diet comes from ultra-processed foods!! Eat real food. Live longer and healthier. JAMA Internal Medicine

Annual Vaccine Guidelines

In Blog, Infections, Preventative/Primary Care, Women's Health Topics by Dr. Gary Goldman

While we are on the subject of vaccines, here are the 2014 recommendations for vaccines for adults as per the CDC. There are many exceptions to these general rules based on confounding health conditions, so be sure to discuss with your doctor what is best for you. Influenza: yearly. For everyone. It should be coming out at the end of this month, and I recommend getting it as soon as it comes out. For pregnant women, I recommend the thimerosal-free, inactivated version – the only one I carry. I recommend it during pregnancy, regardless of trimester. TDAP (Tetanus, Diphtheria and …

Ebola Overview

In Blog, Infections, Obstetrical Care, Women's Health Topics by Dr. Gary Goldman

Ebola – a truly deadly and terrifying disease. The current outbreak in Africa has already claimed over 1,150 lives, and some believe this number is vastly underestimated. A patient in New York was recently admitted to Mt Sinai hospital for suspected Ebola after a recent trip to Africa – fortunately he did not have it. This outbreak has prompted quite a few inquiries in my office, so here are some facts: Ebola was first identified in 1976, in Africa. It is a virus spread through direct contact with bodily fluids, including blood, saliva, semen and even tears. It is not …

Cologuard as a Screening Test for Colon Cancer

In Blog, Cancer, Gynecology, Women's Health Topics by Dr. Gary Goldman

“You are due for a routine colonoscopy.” Not everyone’s favorite message from his or her doctor. But colorectal cancer is the second leading cause of death from cancer, and colonoscopy to detect pre-cancerous lesions or early colon cancers has been demonstrated to significantly decrease this death rate. While most of my patients understand this advice as sound, the process of undergoing a bowel prep and having a colonoscopy remains a point of contention. Two days ago, the FDA approved a new non-invasive test that also screens for both early colon cancers and pre-cancerous lesions, just by providing a stool sample …

Listeria Contamination of Our Food

In Blog, Infections, Women's Health Topics by Dr. Gary Goldman

Listeria contamination of fruit prompted a recent recall from Trader Joe’s and Costco, among other stores. While no illnesses have yet been reported from this outbreak, the news alarmed many of my patients who have called for advice. According to the New York State Department of Health, “routine screening or treatment of asymptomatic persons possibly exposed to recalled products is not recommended.” Symptoms can include: high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, particularly those patients with an exposure history of Wawona Packing Co.’s fresh whole peaches, plums, nectarines, and plots. If you should experience these symptoms you …

Amyotrophic Lateral Sclerosis (ALS)

In Blog, Women's Health Topics by Dr. Gary Goldman

Have you taken the ALS ice bucket challenge yet? While the origin of this successful fund-raising campaign is shrouded in some degree of controversy, it is a reminder of the plight of charities. According to, charitable giving dropped by more than 13%, or $30-billion dollars, between 2007 and 2009 during the recent recession. Sadly, as the economy has recovered, donations have not. Whether you choose to share your icy splash on social media, or just send a donation, let this current campaign remind us all to donate to the charity of our choice. There’s no better feeling than giving, …

Your Annual Flu Vaccine – It’s Not Too Late!

In Blog, Infections, Preventative/Primary Care, Women's Health Topics by Dr. Gary Goldman

It’s time for your annual flu vaccine! The vaccine is given each year, as the particular strains of circulating flu constantly change. This year’s vaccine is now available, and YOU should get one. There are many types of vaccine. The Hi-Dose vaccine is recommended for those 65 and older. The nasal spray is recommended for children between the ages of 2-8. Most of us will get the inactivated trivalent vaccine from multi-dose vials. This is dead viral particles that cannot transmit illness. It protects against 3 flu strains, and is packaged with small amounts of thimerosal preservative, which contains mercury. …

Enterovirus – the Illness That Takes Your Breath Away!

In Blog, Infections, Women's Health Topics by Dr. Gary Goldman

It starts off like a simple cold – but then the kids can’t breathe! Enterovirus D68 (EV-D68) is currently making its way across our nation in a large outbreak across a dozen states. What can you do to prevent it? How will you recognize it? First reported in Kansas City and Chicago in August, EV-D68 has been marching its way across the mid-west. It has not yet been reported in New York – but we are closely monitoring for its arrival. Most of those affected are children, two-thirds of whom have a prior history of asthma. Many of those who …