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Exclusive Health, Wellness and Prevention Service Provider

Health Management

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The Importance of Self-Care

Posted on 25 November, 2018 at 14:49 Comments comments (61)
Positive Self-care is vitally important in keeping you at your best physically, mentally, emotionally and spiritually. Make sure your medical providers are aware of any family risk factors so that there is a focus on health promotion and disease prevention that is specific to your heath care needs. What does that mean? For example, if the men in your family develop heart conditions in their late 40's and/or early 50's that cause death, that is something you should make your medical provider aware of so that the focus on lifestyle changes can include nutrition, stress management and monitoring of certain blood test.

Medical services: Dwint’s Family Health Care NP,LLC, operates with an added level of professionalism and practice skills and develop a positive relationship with our clients.

Posted on 6 September, 2016 at 13:30 Comments comments (22)
Are you a commercial driver? Do you operate a commercial vehicle?  you may be required to obtain a Department of Transportation (DOT) medical certificate, issued by a medical professional,who is certified and listed on the National Registry’s,stating that you are physically qualified to operate a COMMERCIAL motor vehicle.

Dwint Family Health Care NP, PLLC specializes in family health care inclusive of sport and work physicals; wellness and private duty nursing and consultation management.Diana A Wint is a certified medical examiner listed on the National Registry of Certified Medical Examiners. @ https://nationalregistry.fmcsa.dot.gov/NRPublicUI/Drivers.seam

Contact us to fulfill Department of Transportation (DOT) regulatory requirements;
  • We will complete your Medical Examination Report for Commercial Driver Fitness Determination, provide a summary, and a receipt with a Medical Examiner's Certificate, as appropriate.

Contact us to provide Private Duty In-home Care, Education, consultation and referrals

To make an appointment or to get more information on our services;
  •  Telephone: 888 709 9346, Fax:       
  •   Email: [email protected]  Phone Lines are open 24/7

The National Registry of Certified Medical Examiners (National Registry) is a new Federal Motor Carrier Safety Administration (FMCSA) program. All commercial drivers whose current medical certificate expires on or after May 21, 2014, at expiration of that certificate must be examined by a medical professional listed on the National Registry of Certified Medical Examiners. Only medical examiners that have completed training and successfully passed a test on FMCSA's physical qualification standards will be listed on the National Registry.

We provide an array of medical and nursing services, including:   In-home private duty nursing care, in which the Personal Health Care Assistant will provide skilled care to meet the personal needs of the client. 

We offer concierge in-home care that will address the needs of the clientele. Any intervention, such as finger stick must be signed by one of the nurses from Dwint Family Health Care who reviews the accuracy of the MD orders and observing the personal health care aide accomplishing the task safe and accurately. 

We offer Physicals;
  • Camp physicals
  • DOT physicals
  • Sports physicals

Location:
455 Franklin Avenue
Brooklyn, NY 11238
 Telephone: 888 709 9346, Fax:

Mailing address:
Dwint Family Health Care NP, PLLC
PO Box 360158
Brooklyn, NY 11236
Contact us:                                                                         
Telephone: 888 709 9346.  Fax:
Hours of Operation: Mon-Fri 5pm-6am and Sat 9am-10pm / Mon-Sat, Phone lines open 24/7

(Groups of four or more) If you cant come to us we will come to you! just call. 888 709 9346; we will be waiting and ready to assist.


HPV vaccine is cancer prevention.

Posted on 26 August, 2016 at 17:49 Comments comments (14)
Which cancers are caused by HPV?

High-risk HPV cause several types of cancer.
  • Cervical Cancer - Virtually all cases of cervical cancer are caused by HPV, and just two HPV types, 16 and 18, are responsible for about 70 percent of all cases (7 8).
  • Anal Cancer -  About 95 percent of anal cancers are caused by HPV. Most of these are caused by HPV type 16.
  • Orapharyngeal Cancer - (cancers of the middle part of the throat, including the soft Pallet, the base of the tongue, and the tonsils -  About 70 percent of oropharyngeal cancers are caused by HPV. In the United States,than half of cancers diagnosed in the oropharynx are linked to HPV type 16 (9).
  • Rarer cancers: HPV causes about 65 percent of Vaginal Cancers, 50 percent of Vulvar Cancer, and 35 percent of Penile (10). Most of these are caused by HPV type 16.

High-risk HPV types cause approximately 5 percent of all cancers worldwide (11). In the United States, high-risk HPV types cause approximately 3 percent of all cancer cases among women and 2 percent of all cancer cases among men (12).

Every year, more than 30,000 human papillomavirus (HPV)-related cancers are diagnosed. Many of these could have been prevented by HPV vaccination. The HPV Vaccine is recommended for boys and girls at age 11 or 12.

To increase awareness that the HPV vaccine is cancer prevention, CDC has funded the American Cancer Society to work with partners to promote activities that improve HPV vaccination delivery. Through engagement and coordination with experts in immunization and cancer, the Roundtable will help promote and implement HPV vaccination, preventing future cancel

For more information on HPV-related cancers, please visit HPV and Cancer.



Migraines

Posted on 12 July, 2016 at 11:42 Comments comments (14)
A migraine is evaluated based on two main categories, which is based on the presence or absence of aura. If you are not sure if this is a headache you should be concerned about, please keep a log of the headache onset and when it ends. Follow up with your medical provider and a  neurologist.

Update on the flu

Posted on 4 March, 2016 at 19:50 Comments comments (20)
So laboratory confirmed flu is up by 55%. Keep watching for updates and contact me with any questions.

Legionnaire's disease can be considered as a severe form of pneumonia that can cause symptoms such as cough, chills, and high fever. The disease is spread through inhalation of contaminated steam or moisture. Legionnaires' disease is serious and can be li

Posted on 8 October, 2015 at 12:58 Comments comments (0)
Legionnaires' Disease Outbreak!  Importance: High :
Legionnaires' disease is a severe form of pneumonia — lung inflammation usually caused by infection. Legionnaires' disease is caused by a bacterium known as legionella. Legionella bacteria is usually found (often in harmlessly low numbers) in sources of water, such as ponds, rivers and lakes.

However, the bacteria can rapidly multiply if they find their way into artificial water supply systems, such as air conditioning systems. Most cases of Legionnaires' disease can be traced to whirlpool spas, hot tubs, humidifiers, hot water tanks, cooling towers, and evaporative condensers of large air-conditioning systems.

Symptoms usually appear two to 10 days after significant exposure to Legionella bacteria. Legionnaires' disease cannot be spread from person to person. One becomes infected by inhaling mist/water vapor that is contaminated with the Legionella bacteria. 

If you have respiratory symptoms, such as fever, cough, chills and muscle aches, seek prompt medical attention. Additional symptoms include: headache, fatigue, loss of appetite, confusion and diarrhea. Most cases of Legionnaire's disease can be treated with antibiotics. In some cases, Legionnaires' disease can lead to further, life-threatening problems. Severe infection can cause some organs, such as your lungs or kidneys, to stop working properly.

If you are experiencing any of these symptoms  you should call your doctor and ask about testing for Legionnaire's disease. Legionnaires' disease can have symptoms like many other forms of pneumonia, so it can be hard to diagnose.  

Groups at high risk for Legionnaire's disease include:
  • People who are middle-aged or older; 
  • Cigarette smokers, 
  • People with chronic lung disease or weakened immune systems, 
  • People who take medications that weaken their immune systems (immunosuppressive drugs).
  • Recent travel with an overnight stay outside of the home
  • People who,recently repairs or maintenance work on domestic plumbing
  • People suffering with Diabetes

The best way to prevent an outbreak of Legionnaires’ disease is to ensure that any water system under your control is properly maintained and conforms to relevant health and safety regulations.  


September is Healthy Aging: Make this month the time to set up your annual phys­i­cal and other health screen­ings. The key to healthy aging is a healthy lifestyle. Staying in control of your weight contributes to good health now and as you

Posted on 26 September, 2015 at 18:31 Comments comments (0)
Your eating habits can either ruin your chances of living a long and healthy life or be your guarantee to a long and healthy life.The key to healthy aging is a healthy lifestyle. Eating a variety of healthy foods, practicing portion control and including physical activity in your daily routine can go a long way toward promoting healthy aging.

However being healthy is not just about what you eat or drink, its also about being involved in; stimulating activities for the mind and body and  living in a clean environment. Step up and  promote a healthy lifestyle for you, your family and your community its a win win situation
A healthy eating plan that helps you manage your weight includes a variety of foods you may not have considered. Your body needs nutrients to survive and stay healthy.There are five main types—proteins, carbohydrates, fats, vitamins and minerals, and water.as you age, some foods may be better than others for staying healthy and reducing your chance of illnes.But, choosing healthy foods is a smart thing to do—no matter how old you are!.

Eating a well-planned, balanced mix of foods every day has many health benefits,Try Fresh fruits, Fresh vegetables,Calcium-rich foods and dry beans in place of higher-fat meats. 
  • Try to choose grain products made from whole grains.  
  • Vary your veggies. Brighten your plate with vegetables that are red, orange, and dark green.
  •  Eat more fruit. Try some you haven’t eaten before.
  • Choose lean meats, poultry, seafood, beans, eggs, and nuts.
  • Choose low-fat or fat-free dairy products.
  •  Get plenty of fluids each day such as water, fat-free or low-fat milk, and low-sodium broth-based soups.
  • Limit saturated fats, trans fats, cholesterol, salt, and added sugars
  • Drink water in place of sugar-sweetened beverages 

The key to achieving and maintaining a healthy weight isn't about short-term dietary changes. It's about a lifestyle that includes healthy eating, regular physical activity, and balancing the number of calories you consume with the number of calories your body uses.

The energy you get from food helps you do the things you need to do each day. Try to choose foods that have a lot of the nutrients you need, but not many calories. With age, you may lose some of your sense of thirst.Drink plenty Liquids like water, juice, milk, and soup. Don’t wait until you feel thirsty. Try to add liquids throughout the day. You could try soup for a snack, or drink a glass of water before exercising or working in the yard. Don’t forget to take sips of water, milk, or juice during a meal.

 Don’t forget: To aid your memory, make lists, follow routines, slow down, and organize.

Your doctor may want you to follow a certain diet because you have a health problem like heart disease or diabetes. Or, you might have been told to avoid eating certain foods because they can change how well your medicines work. Talk to your doctor or a registered dietitian about foods you can eat instead. How well you and your doctor talk to each other is one of the most important parts of getting good health care. 









September is Gynecologic Cancer Awareness Month: All women are at risk for gynecologic cancers, and risk increases with age. It is especially important to recognize warning signs, and learn if there are things you can do to reduce your risk.

Posted on 13 September, 2015 at 1:34 Comments comments (13)
Gynecologic cancers are the uncontrolled growth and spread of abnormal cells originating in the female reproductive organs, including:
  •  the cervix, ovaries, uterus, fallopian tubes, vagina and vulva. 

HPV is A very common infection which spread easily by skin-to-skin contact. High-risk types of genital HPV can cause cancer of the cervix, vagina, vulva, anus, penis, and throat. The type of cancer HPV causes most often is cervical cancer.

Prevent Getting or Spreading HPV? reduce your risk of Cervical and other cancers.

  •  Get the HPV vaccine. It can protect women against two of the HPV types that cause 70 percent of all cases of cervical cancer.

  • Abstain from sex play that involves skin-to-skin contact.

  • If you choose to have vaginal or anal intercourse, use condoms every time. They can reduce the risk of HPV.

There are five main types of Gynecologic Cancer: 
  • Cervical, ovarian, uterine, vaginal, and vulvar cancer are the five main types of Gynecologic Cancer. Signs and symptoms are not the same for everyone and each gynecologic cancer has its own signs and symptoms.
 
See symptoms chart for the five main gynecologic cancers below:
How are gynecologic cancers treated?

  • Gynecologic cancers are treated by using one or more of the following: surgery, radiation therapy and/or chemotherapy. The choice of therapy(s) depends on the type and stage of the cancer.

If you have vaginal bleeding that is unusual for you, see a doctor right away. If you notice any other unexplained signs or symptoms that last for two weeks or longer, talk to your doctor remember when gynecologic cancers are found and treated early, treatment works best.



September is Childhood Cancer Awareness Month. Join forces to ensure that children receive the best possible care, at the time of diagnosis and beyond.

Posted on 3 September, 2015 at 1:00 Comments comments (10)
Cancer is a disease that develops when normal body cells change and begin to grow in an abnormal and uncontrolled wayMost cancers in children, like those in adults, are thought to develop as a result of mutations in genes that lead to uncontrolled cell growth and eventually cancer. Most cancers are initially recognized either because of the appearance of signs or symptoms or through screening. Neither of these lead to a definitive diagnosis, which requires the examination of a tissue sample by a pathologist

The types of cancer that largely affect children include: leukaemias, neuroblastomas, Wilms’ tumours, brain cancers, rhabdomyosarcomas, lymphomas, retinoblastomas, osteosarcomas and Ewing’s sarcomasPeople with suspected cancer are investigated with medical tests. These commonly include:

  •  blood tests,
  • X-rays, CT scans 
  • and endoscopy.

The most common type of childhood cancer is leukemia- a cancer of the blood which begins in the bone marrow, (the spongy substance inside our bones where blood cells are made)The symptoms of these leukemias include:
  • bone and joint pain, 
  • fatigue, weakness, 
  • pale skin, 
  • bleeding or bruising, 
  • fever, 
  • weight loss, 

Brain and central nervous system tumors are the second most common cancers in children. A brain tumor is a mass or growth of abnormal cells in your brain or close to your brain There are many types of brain tumors. The symptoms depend on the location of the tumour, and the treatment and outlook for each is different.

As the tumor grows, it creates pressure on and changes the function of surrounding brain tissue,
which causes signs and symptoms, such as:
  • headaches, 
  • nausea 
  • and balance problems.

It is upsetting for parents, family, and friends when a child is diagnosed with cancer. People around you feel better when they can do something or provide something you or your family needs. It helps them and you.

  • Allowing people to help you is very important. But it is also important to show your appreciation when others help you, and to be aware they may be juggling busy schedules, too. Let your community know that it is OK to tell you if they can’t do something you ask them to do. It can also help to have someone coordinate such efforts for you. Some research shows that it is not how many things people do for you, but the knowledge that there are people willing to help out that provides the most comfort.

  • Ask your pediatrition or family doctor about a refferal to children cancer center. Children who have cancer are often treated at a children’s cancer center, which is a hospital or a unit within a hospital that specializes in diagnosing and treating children and adolescents who have cancer.  The health professionals at these centers have specific training and expertise to provide comprehensive care for children, adolescents, and their families.

While coping with a cancer diagnosis and managing the treatments is painful and challenging, it is important to remember that the majority of children’s cancer patients survive this frightening disease.

While coping with a cancer diagnosis and managing the treatments is painful and challenging, it is important to remember that the majority of children’s cancer patients survive this frightening disease.


Nine Factors That Appear to Elevate Alzheimer's Risk Evidence suggests benefit from addressing related potentially modifiable risk factors.

Posted on 25 August, 2015 at 14:58 Comments comments (22)
Jin-Tai Yu, M.D., Ph.D., an associate specialist in neurology at the University of California, San Francisco, and colleagues reviewed the findings of 323 studies completed between 1968 and 2014. Collectively, the studies involved more than 5,000 patients and looked at 93 conditions with the potential to affect Alzheimer's risk. The team set out to determine which factors appeared to offer some protection against developing Alzheimer's.

The strongest evidence suggested that:
  •  coffee, 
  • vitamins C and E, 
  • folate, 
  • nonsteroidal antiinflamatory drugs, 
  • statins,antihypertensive medications,
  • and estrogenmedications,
  • and estrogen supplementation, all appeared to reduce Alzheimer's risk. 

Patients battling several serious health conditions also seemed to see their risk fall, including those with:
  • arthritis, 
  • heart disease, 
  • metabolic syndrome, and/or cancer. 
Those who were light or moderate drinkers of alcohol similarly saw their Alzheimer's risk dip, alongside current smokers (apart from those of Asian descent), 
those struggling with stress, and seniors with high body mass index.

By contrast, a complex statistical analysis enabled the research team to zero in on the nine factors that appeared to elevate Alzheimer's risk among 66 percent of those who ultimately get the disease. 

Those include:
  •  high body mass index in midlife; 
  • carotid artery disease;
  •  hypertension;
  • depression; 
  • frailty; 
  • being poorly educated;
  •  having high levels of homocysteine;
  •  and (specifically among those of Asian descent) being a smoker and/or having type 2 diabetes.

Effective interventions in diet, medications, biochemical exposures, psychological condition, pre-existing disease and lifestyle may decrease new incidence of AD.

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