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Tuesday, January 17, 2017


Monday, February 1, 2016

Welcome to Dexter!

This morning at 8:00--not a bad morning as first days of Februaries go--we opened our doors in Dexter.  It's been a hectic couple of months.  We found a perfect spot for our offices in the Bluewater Building last fall; we spent weeks with their wonderful architect and fabulous building manager getting the plans done; we had an all-hands-on-deck move-in last weekend with every doctor, nurse, business manager and receptionist in the practice.  And now here we are!  Up on the hill, right on the edge of town, at 7444 Dexter-Ann Arbor Road.

This practice is centrally located in our patient community, easy to get to, and brand new.  We have a big well-lit welcome area, 4 beautiful exam rooms, and even a small gym where we'll encourage patient fitness.  Shelly Schwartz, who painted the exam rooms in Chelsea, is busy finishing murals on our clean blue walls: so far, we love the dinosaur ones best.

Because this office is bigger than the others in Chelsea or Ann Arbor, and because we have expanded hours--we're open from 8:00-6:00 on Monday, Tuesday, Thursday and Friday, and from 10:00-5:00 on Wednesday--we should be able to accommodate everybody.  Thank all of you so much for being part of our patient family.  We hope you like our new home.  

The Chamber of Commerce has arranged a ribbon cutting at our front doors at noon on Wednesday.  Stop by if you get a chance.  We can't wait.

Monday, September 15, 2014

Flu Clinic Time Again

It's that time of year!  Turke & Thomashow will hold its first flu clinic in Ann Arbor, on Saturday, October 11, from 8:45-11:00 a.m.  As usual, you can sign up in the office or call to make an appointment.

Because flu viruses start circulating in the fall, it's best to get a shot soon after the vaccines become available in October.  Flu season usually peaks around January or February, but it takes about 2 weeks for the shot to have an effect, and immunity should last through spring.

All 2014-2015 influenza vaccines protect against these 3 strains: 

an A/California/7/2009 (H1N1)pdm09-like virus
an A/Texas/50/2012 (H3N2)-like virus
a B/Massachusetts/2/2012-like virus.

Starting this season, the CDC recommends using the nasal spray vaccine (LAIV) for healthy children 2 through 8. Others do just as well with a shot.  Vaccination risks are too high for children under 6 months, so it's especially important for the people they live with to get vaccinated themselves.

If you can't make this clinic, call anytime to schedule a visit in Ann Arbor or Chelsea.

Thursday, June 5, 2014

Ticks are Up

The bad news: Michigan's tick population is booming.  Black-legged ticks--the bad ones, the ones that carry Lyme disease--are showing up on the Lower Peninsula's West Coast, from Berrien County toward the south to Traverse City County to the north.  Others are closer to us: ticks have been found recently as far east as Ingham and Genesee.
To keep black-legged ticks away from your kids, you might:
  • Avoid their habitats--they like game trails and bushy spots
  • Do a thorough check after you get back from a hike--look under the arms, behind the knees and between the legs, in and around the ears, and especially in the hair
  • Check clothes, shoes, packs and pets--some of which can be washed and tumble dried
  • Shower your kids, and yourself, within two hours of being outdoors
  • IF YOU DO FIND A TICK, there's a right way to remove it.  Put tweezers near its head, and gently pull it off.
Symptoms of Lyme disease include fever and fatigue, headache, heart palpitations, pain or swelling in large joints, loss of muscle tone (Bell's palsy) in the face, and erythema migrans--or "bull's-eye" rash, with concentric rings of redness around the target bite.  Most of those symptoms show up in the first few days or weeks; untreated, the infection can spread to the nervous system and heart.
The good news: Most cases of Lyme disease can be treated successfully with a short course of antibiotics.

Wednesday, May 28, 2014

Nuts to You

Around the office, we've started to eat nuts.  We like pistachios, walnuts, almonds, macadamia nuts, brazil nuts, hazelnuts, cashews and pecans.  We like them, partly, because they're tasty.  And we like them, partly because they're good for our hearts.

As it turns out:

  • Nuts are packed with antioxidants--which protect against the cell damage that contributes to heart disease.
  • Nuts are rich in omega-3 fatty acids--often found in fish--which prevent arrhythmias, another cause of heart attacks.  
  • Most nuts are loaded with monounsaturated and polyunsaturated, or "good" fats, that can help lower LDL, or "bad" cholesterol.
  • Many nuts contain vitamin E, which helps stop the development of plaques.

Even better: A new Harvard study suggests that people who eat nuts are less likely to die than people who don't.  In almost 120,000 adults, tracked over nearly 30 years, the benefits of nut eating were stark.  People who ate nuts less than once a week had a 7% reduction in mortality; once a week, 11%; 2-4 times a week, 13%; 5-6 times per week, 15%; and 7 or more times a week, 20%.

And nut eaters stayed slimmer, believe it or not!

Thursday, January 30, 2014

Marijuana & Memory Loss

A new study at Northwestern University has found that teens who were heavy marijuana users--smoking most days for 3 years or more--had abnormal brain structures, and performed poorly on short term memory tests.  Those problems persisted at least 2 years after marijuana usage stopped, a possible indicator of long term effects.
Memory related brain structures appeared to shrink and collapse inward, possibly reflecting a decrease in neurons.  The younger these teenagers were when they started using marijuana, the more abnormally their brain regions were shaped.
Some of those changes in brain structure may be associated with schizophrenia.  Results of this study were published in the December 16 issue of the journal Schizophrenia Bulletin.
Marijuana is the most commonly used illegal drug in the US, and young adults have the highest use.

Friday, October 4, 2013

Ann Arbor Flu Clinic Set

Our first flu clinic date, in Ann Arbor, is set.  It's 9-11 a.m., on Saturday, October 12.  Sign up sheets are available in the office, or you can call anytime to make an appointment.

Flu strains in circulation this year include two influenza As, and two influenza Bs.  All of our treatments are quadrivalent--they protect against all four strains.  Flu mists (with a live vaccine) are available to healthy patients age 2 and over; flu shots (with a killed vaccine) are available to patients 6 months and up.  Either treatment becomes effective around two weeks after it's given, and should last through the end of flu season next spring.

If you can't make it that Saturday, don't worry: we have plenty of flu mists and flu vaccines available in both Ann Arbor and Chelsea.  Call anytime to schedule a visit.