Burns – An All Too Common Injury:

Burns are extremely painful. The sooner the treatment initiated, the better the results will be. This minimizes the chance of scarring and chronic pain. There are three types of burn injuries.

First degree burns:

This is a result of only the outer layer of the skin being affected. An example of this type of burn would be sunburn. Usually these are painful with redness and minimal swelling. Typically you need no treatment except for Aloe Vera gel, Motrin or Tylenol. These injuries heal within a few days with no complications.

Second degree burn:

These are injuries that cause more redness, pain, swelling and in addition blistering of the skin. These are a result of the outer and the middle layers of the skin being affected. These injuries require medical attention. If not treated appropriately they end up with infection, scarring and prolonged healing periods. Here at our clinic, our trained staff will help clean the burns, apply antibiotic ointment or cream and dress up the wounds. A Tetanus shot will be given if immunization is not up to date. A prescription might also be given for pain relief. Follow up of these wounds is very important, as they do require frequent dressing changes. These also avoid the potential for complications, as our staff is always on the lookout for them and are well versed in these injuries.

Third degree burns:

The full thickness of the skin is affected and might in addition include the deeper layers such as, the fatty layer, muscle and even bone. If only a small area is involved then these can be treated at an urgent care facility or a doctor’s office. If not, these are best treated at a specialized burn center. These injuries are severe and need immediate medical attention, especially if they cover a large area. Pain is usually severe and the skin generally looks white or charred in color. These injuries may require prolonged treatment and even skin grafting. The potential for infection, scarring and other complications is great. If not sure where to take the patient after such injury, one should immediately call a medical facility, describe the burn injury and get instructions.

The most important thing to know is that large second degree burns and usually all third degree burns need immediate medical treatment. Our clinic is ready to help you with injuries that can be treated at a medical clinic.

Here at Medical Care San Diego we are happy to answer any of your questions. Dr. Mann is well versed in burn wound care and has gone through extensive training in burn injuries and management.

Oh That Terrible Headache Again:

Headaches are a common phenomenon. Everyone encounters a headache at some time or the other. Some individuals get them occasionally and others frequently. Then, there are those who are debilitated by them. Summertime seems to bring them on more frequently. Women are affected twice as frequently as men. Imagine a jackhammer drilling through your brain causing an unrelenting severe throbbing pain. That’s the most common way patients describe a headache. Can we do something about them; yes we can.

Tension Headaches: This is the most common type of headache that most individuals experience. You can blame stress or fatigue which causes stiffness in the muscles of the shoulders, face, neck, forehead and/or scalp. This then in turn irritates the nerve endings in the brain which initiates the headache. Tension headaches are easy to treat; generally three to four Motrin tablets combined with two extra strength Tylenol tablets is effective. Individuals rarely need a prescription. Sometimes a relaxing massage or acupuncture helps treat the tension. Preventing this type of headache is the main goal. Exercising regularly and meditation are two of the best solutions.

Sinus Headaches: When an individual has a sinus infection, the sinuses get so inflamed that the pressure in them feels like an exploding balloon. These cause an intense pain in the brow area causing the patient to feel miserable. It can often lead to dizziness and doing your daily routine feels like a drag. Motrin and Tylenol with over the counter nasal decongestants may relieve the discomfort. Most patients with severe symptoms however, end up in their doctor’s office. The patient will likely receive a prescription for an antibiotic to control the sinus infection, a nasal steroid decongestant and/or prednisone tablets for the inflammation. Patients who are prone to chronic sinus infections should try using a neti pot to irrigate the sinuses and change the hepa filters frequently on their air conditioners.

Migraines: This is the worst kind of headache. They are quite debilitating in some, lasting anywhere from a few hours to a few days. Most patients experience severe nausea and vomiting. These patients are usually unable to carry on their daily routine and end up lying in bed with the lights off. Light is a sensitive trigger. A variety of etiologies come into play from hormonal changes, stress, lack of sleep, dehydration, and hunger. Women usually suffer from migraines and there has been a genetic theory proposed. At this time, forget taking over the counter medication as they rarely help. Most patients have their prescription medication with them or end up in the E.R., or their doctor’s office. There are a number of different medications available and they have to be titrated to see which works best for that individual. Medication should be taken by mouth early on to work effectively, otherwise patients end up in the doctor’s office getting I.V. fluids and IV medications as their condition has deteriorated from the persistent nausea, vomiting and intractable pain.

Other remedies that one may try are Acupuncture and Botox. Lately there have been a number of studies showing Botox to be quite effective in decreasing the intensity and frequency of migraine attacks. Here at Medical Care San Diego we have a dedicated recovery room for IV fluids and IV medications, where the patient can be monitored and treated effectively to alleviate these terrible symptoms.

Facts About Medical Care San Diego:

You don’t ever need an appointment or referral to come into our clinic. However, you can schedule an appointment.  If you so desire, click the tab schedule an appointment at the top of our home page.

Our Medical Clinic offers medical consultations, office surgical procedures, in addition to Urgent Care services. We offer immediate care, not emergency care. If there is a life threatening situation such as a heart attack, stroke or respiratory distress, severe bleeding, active labor or major trauma, the patient must go to the ER. We offer high quality affordable health care services that your typical primary care physician cannot provide. Dr. Mann is Board Certified in Emergency Medicine. In addition, he is a Cosmetic and Vascular physician surgically trained at Yale, and Level 1 trauma center in Orlando, Florida. He completed a cardiovascular fellowship at the prestigious Medical College of Pennsylvania in Philadelphia. Thus, you will be seen by an experienced and well trained physician.

Instead of an expensive visit with a prolonged wait period at the Emergency Room, our Medical Clinic offers a lot of the same services, making us a great ER alternative. We offer affordable remarkable care for your health care needs. Most illnesses, medical problems and especially surgical procedures that may not be available at your doctor’s office are offered here.

In addition we offer pediatric services, physicals for different institutions, labs, and take care of the many tourists visiting San Diego. We do not accept insurance, however our services are very affordable and we can give you an invoice that you can send to your insurance carrier.