All Posts in Category: Patient Education

Knock Out The Flu!- Flu Shots Now Available

We have flu shots available for ages 4 years old and older for $25 ONLY! If you are 65+ and needing the high risk dose please call our office for details

No appointment needed! Walk-ins are welcome. If you have any questions or would like more details, please call your physician office at 281.238.7870


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10 Early Signs and Symptoms of Alzheimer’s

Memory loss that disrupts daily life may be a symptom of Alzheimer’s or other dementia. Alzheimer’s is a brain disease that causes a slow decline in memory, thinking and reasoning skills. There are 10 warning signs and symptoms. If you notice any of them, don’t ignore them. Schedule an appointment with your doctor.

Memory loss that disrupts daily life
One of the most common signs of Alzheimer’s disease, especially in the early stage, is forgetting recently learned information. Others include forgetting important dates or events, asking for the same information over and over, and increasingly needing to rely on memory aids (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own.

What’s a typical age-related change?
Sometimes forgetting names or appointments, but remembering them later.

2.Challenges in planning or solving problems
Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before.

What’s a typical age-related change?
Making occasional errors when balancing a checkbook.

3. Difficulty completing familiar tasks at home, at work or at leisure
People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.

What’s a typical age-related change?
Occasionally needing help to use the settings on a microwave or to record a television show.

4. Confusion with time or place
People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.

What’s a typical age-related change?
Getting confused about the day of the week but figuring it out later.

5. Trouble understanding visual images and spatial relationships
For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast, which may cause problems with driving.

What’s a typical age-related change?
Vision changes related to cataracts.

6. New problems with words in speaking or writing
People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”).

What’s a typical age-related change?
Sometimes having trouble finding the right word.

7. Misplacing things and losing the ability to retrace steps
A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time.

What’s a typical age-related change?
Misplacing things from time to time and retracing steps to find them.

8. Decreased or poor judgment
People with Alzheimer’s may experience changes in judgment or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean.

What’s a typical age-related change?
Making a bad decision once in a while.

9. Withdrawal from work or social activities
A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They also may avoid being social because of the changes they have experienced.

What’s a typical age-related change?
Sometimes feeling weary of work, family and social obligations.

10. Changes in mood and personality
The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone

What’s a typical age-related change?
Developing very specific ways of doing things and becoming irritable when a routine is disrupted.




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Diabetic Foot Care

If you are among one of the millions of people in the United States with diabetes, it is important to visit your podiatrist for regular foot examinations in order to maintain healthy feet and a strong body.

Did you know that Diabetics are more prone to various foot problems than those without diabetes due to the peripheral neuropathy? Patients with neuropathy developed nerve damage and this can lead to the loss of feeling in your feet, making it difficult to detect pain and temperatures changes, as compared to someone who does not have diabetes. As a result, a diabetic could sustain a serious cut or wound and without notice and this could lead to serious infections and even possibilities of amputations. Many diabetic foot problems can be prevented in some measure by improving blood sugar levels, strengthening your immune system, avoid smoking and examine your feet daily.

Daily Feet Exam is the most effective and least expensive measure to prevent any foot complications. For diabetic patient the daily recommendations are to wash your feet daily with warm water and mild soap. After washing, make sure you dry your feet thoroughly, especially in-between the toes. Also apply non-irritating moisturizer to prevent cracks to the skin. In addition, it is also important to keep your toenails trimmed neatly and never attempt to cut your own callous or corns as it can lead to infections if done improperly. Annual examinations by your podiatrist can detect any signs of changes to your feet with can be detrimental to your health.  Early detection and simple care are just a few things that can be done to control and prevent complications as they arise.

Your podiatrist plays a critical role in the prevention and management of complications of the foot in diabetics. Talk to your podiatrist today to see what you can do now to keep your feet safe, strong, and healthy.

Christine Nguyen, DPM



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‘What We Need To Know About Our Heart’

An Educational Series to Learn about Heart Health and Heart Diseases by Dr. Vijaiganesh Nagarajan (VJ)

Part – 1 Basics About Our Heart

As a cardiologist, I believe the heart is the most important organ in our body and my goal is to spread the basic knowledge about heart diseases to our people. Before we discuss common cardiac diseases, it is essential to have basic knowledge about our heart.

The heart is a muscular organ located in the middle of the chest, more towards the left side. Its major role is to pump blood to all the organs in the body. The heart has 4 chambers, two on the right and two on the left. The top chambers are called ‘atrium’ and bottom chambers are called ‘ventricles’.

Left sided heart chambers do the critical part of pumping blood all over the body, through the largest blood vessel in the body called ‘Aorta’. Blood takes oxygen and nutrients to the tissues and comes back to the heart through ‘veins’. When blood comes back to right side of the heart, it lacks oxygen, as it got absorbed. To regain oxygen, right side of heart pumps blood into the lungs where it gets oxygenated before it reaches the left side. Then the cycle continues…… for life.

The heart is also a muscle that needs oxygen and nutrients. It gets them through small arteries called ‘coronary arteries’ which supply blood to the heart. There are three major coronary arteries on all our hearts. When any one of these arteries gets blocked, people develop a ‘heart attack’. There are also ‘valves’ within the heart to direct the blood, but which will be discussed in detail in another section.

For the heart to beat constantly throughout life it needs a generator which can never fail; this is called the ‘SA Node’. Then electricity spreads through different circuits to reach all parts of the heart. These electric signals are picked and amplified by the ‘electrocardiogram’ which is commonly called as ‘EKG or ECG’.

To over simplify common cardiac diseases, we can say:
  • Blocked heart arteries cause ‘heart attack’
  • Weakened heart muscles cause ‘heart failure’
  • Abnormal electrical conduction causes ‘abnormal heart rhythm (arrhythmias)
  • When heart completely stops, it is called a ‘cardiac arrest’

Dr. Vijaiganesh Nagarajan is currently accepting patients.

Call today to schedule an appointment

1601 Main Street Ste. 502

Richmond, TX 77469



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Insomnia: Not Something to Lose Sleep Over

Posted by Dr. James Pearce, M.D.

We all dream of the perfect night sleep and waking up fully restored and ready to face the following day. Sleep is as important to your health as a balanced diet and regular exercise. It can affect you both physically and mentally. However, as many as 40% of adults experience insomnia each year with the direct cost of treatment as well as indirect cost (including lost productivity) adding up to $30-$35 billion annually. One in ten American adults experience chronic or persistent insomnia.

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Adult Immunizations

Posted by Dr. Margaret Umah, M.D.- Family Physician

Vaccination programs for children have a proven track record. Few of us can remember epidemics of polio, measles, and other often fatal diseases. The overwhelming majority of young children receive the CDC recommended immunizations. However, the adult population often remains under-immunized. This may occur because many adults do not know that they would benefit from vaccines. While the adult vaccine schedule does not have as many immunizations as the child schedule, there are several vaccines that adults can benefit from to optimize their health.

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