Disinfectants & Sick-Shaming: But Chronic Cough is NOT Contagious

Lysol Disinfectant Spray - Spring Waterfall

Cough: Contagious or Not? That is the question. Is it okay to spray disinfectants on a colleague’s desk and sick-shame them to “Go Home”? You may know that your Cough is a Chronic Cough that is NOT contagious, but how would others know that what you are ailing from is not contagious? As more and more people are working and recreating in open communal spaces where people are often sitting shoulder-to-shoulder and certainly within virus spreading distance, there is increasing awareness around the ripple effect of germs. When colleagues, friends, and family hear Coughing on a repetitive basis, they may be understandably concerned that you are sick and soon they will be too. As a recent Wall Street Journal article quoted a team member: “If one person gets sick, we all get sick.” Coughing produces a startling sound that is disruptive to the listener and embarrassing for the Cougher. So whether your Cough is the result of a virus or Chronic Cough, be mindful of others around you.

Chronic Cough is different than acute Cough produced by virus. Chronic Cough is NOT contagious. A Persistent Cough lasting 8 weeks or longer may be triggered by a virus, allergies, reflux, or other factors, but the underlying cause is often neuropathic hardwiring that sets you up to Cough.

Dr. Mandel Sher: 727-393-8067. www.centerforcough.com.Many doctors take care of people with Cough. Dr. Mandel Sher is an internationally recognized Cough Specialist who is resolving Cough in people who are suffering with this debilitating, annoying, and complex condition.

Dr. Mandel Sher offers comprehensive Cough treatment in one convenient location at Center for Cough. All services are traditional, evidence-based medicine, and covered by Medicare and major insurers. Dr. Mandel’s Sher’s experiences and successes are grounded in an integrated and innovative approach including: medications, diet, lifestyle, voice exercises, and breathing techniques. Dr. Mandel Sher also leads clinical research trials for novel Cough therapies and is a frequent presenter on Cough at national and international medical society meetings.

Be Especially Mindful During the Holiday Season: Minimize Chronic Cough Flare-Ups

“Be especially mindful during the holiday season; mindfulness helps minimize Chronic Cough flare-ups that can be aggravated by holiday landmines” advises Dr. Mandel Sher.

Holiday festivities can be too much of a good thing and aggravate your Constant Cough. Family, Friends, Food, and Fun – Cough-Cough-Cough. Each year, Dr. Mandel Sher reminds his Cough patients to be particularly mindful during the holiday season. To be mindful, Dr. Sher recommends really focusing and making mindful choices. For example, appreciating the color and texture of your holiday meals, slowly chewing and tasting each bite, and sipping rather than gulping beverages. Dr. Mandel Sher, Cough Expert, explains to Cough patients:

“Being mindful is beneficial all of the time and particularly so when there are lots of distractions that can divert attention from routine and discipline. Your Constant Cough can be aggravated during the holiday season by: Overeating, Caffeine, Alcohol, Talk-Talk-Talk, “Relaxed” medication regimen, Viruses transmitted through Hugs and Handshakes, and Cold air and home heat that can be drying.Being Mindful will help you minimize your cough-cough-cough mood buster and enhance your holiday enjoyment. Sip-sip-sip, Eat smaller portions, Keep moving, & B-R-E-A-T-H-E.”

Contact Dr. Mandel Sher & Center for Cough: 727-393-8067. www.centerforcough.com

Dr. Mandel Sher and Center for Cough team thank the referring doctors and people with Chronic Cough throughout the United States who entrust their care to Dr. Mandel Sher; Dr. Mandel Sher’s physician, scientist, and researcher cough colleagues around the world; the people with Chronic Cough who voluntarily participate in Clinical Research Trials led by Dr. Mandel Sher to help advance novel cough therapies and promote effective outcomes; and those family, friends, and colleagues who are concerned about someone suffering with Chronic Cough and encourage them to see Dr. Mandel Sher and Center for Cough team.

From all of us to all of you, Here’s to Your Health. Happy Holidays!

Cough: An ITCH in Your Throat

Cough Results from an ITCH in Your Throat

Cough is an itch in your throat.  Dr. Xinzhong Dong, a Johns Hopkins neuroscientist, recently published a study that supports Dr. Mandel Sher’s approach to treating Chronic Cough.  Dr. Dong identified itch receptors in our throats that produce an irritated or itchy feeling when they are triggered by other factors.  Dr. Mandel Sher and a handful of his Cough colleagues around the globe are evolving the paradigm for treating the underlying cause of Chronic Cough rather than the triggers only.  Dr. Mandel Sher and Center for Cough team agree with Dr. Xinzhong Dong’s finding that Cough is a response to an itch in your throat.  Dr. Dong and his team are hoping their discovery can facilitate new treatments for medical conditions such as Asthma and Chronic Coughing.

“Unlike in the skin, we can’t scratch an itch in our throats. Instead we cough, which causes a slight pain that blocks the itch.”–                         Xinzhong Dong, Ph.D.

“It’s all about the tickle in the back of your throat.  Stop the tickle and stop the Cough. ”                                                                                                                                    Dr. Mandel Sher                                                                                                                  Center for Cough 

727-393-8067. www.centerforcough.com


Dr. Mandel Sher is a Cough Specialist.  He is a Duke, Harvard, and University of Michigan trained physician who focuses on treating people with chronic medical conditions such as Chronic Cough.  Dr. Sher is helping patients to achieve remarkable results in relieving or resolving their Cough – even if they have seen many other doctors and tried but failed other cough therapies.  In addition to successfully treating patients with Chronic Cough, Dr. Sher is a leading investigator on Clinical Research Trials for novel Cough therapies, and is a frequent contributor to the medical community’s body of knowledge around Chronic Cough by speaking at national and internal professional society meetings.

Read more about Dr. Dong’s work:  https://www.johnshopkinshealthreview.com/issues/fall-winter-2018/articles/the-origins-of-an-itch



What’s All the “Whoop” about Whooping Cough?

Whooping Cough Produces a Long-Lasting Cough. Dr. Mandel Sher is a Cough Doctor. Dr. Sher will Accurately Identify the Cause of Your Cough and Match Treatment Approach to Fit the Cause.

What’s all the “whoop” about whooping cough?  Whooping cough, also known as pertussis, used to be primarily a childhood illness.  However, in recent years, whooping cough is on the rise among teens, young adults, and adults.  One of the theories behind this rise is the lesser effectiveness of the new pertussis vaccine.  While the side effects of the newer vaccine are also less than the older vaccine, the longevity of the vaccine is shorter.

Whooping cough symptoms are different in children and adult. Whooping cough treatment is generally symptom relief.  Early symptoms of whooping cough in adults and children include sneezing, runny nose, and coughing.  Children often make a “whooping” sound when catching their breath after a long coughing episode.  Whooping cough affects children worse than adults.  The vaccine is the best form of prevention.

Pertussis cough can last for a long time – at least two weeks – and can last for months.  Some experts estimate that 10% to 30% of long-lasting coughs in adults are due to whooping cough.  If you have a cough that won’t go away, it is very important for a Cough Doctor to identify the specific cause of your cough.  Dr. Mandel Sher is a Cough Doctor.  Cough treatment should NOT be a cookie cutter approach.  To optimize efficacy, Cough treatment must be targeted to the specific cause of your cough.

Contact Dr. Mandel Sher at Center for Cough: 727-393-8067. www.centerforcough.com

Dr. Mandel Sher is an internationally recognized Cough Doctor.  Dr. Sher will accurately identify the cause(s) and trigger(s) of your cough and help you get cough relief or cough resolution through an integrated and innovative approach.  Dr. Mandel Sher’s approach is based in traditional, evidence-based medicine.  It is Dr. Sher’s and the Center for Cough’s team approach to listening to each patient’s cough story, reviewing relevant medical history, and putting the cough puzzle pieces together that produce remarkable results.  Over 8 out of 10 cough patients treated by Dr. Mandel Sher and the Center for Cough demonstrate a measurable reduction in cough frequency and cough intensity and report an overall improvement in the quality of life. 



Thanksgiving Overeating and Triggering Your Cough

Thanksgiving Overeating and Triggering Your Cough

‘Tis the season…the holiday eating season is upon us.  As you gather with family and friends and share feelings of thankfulness, beware of Thanksgiving overeating and triggering your cough.  The wonderful distractions of  lively conversations and a bounty of delicious food set out as a feast table, are a recipe for Thanksgiving overeating and triggering your cough.  In addition to feeling uncomfortably full and lethargic during and after a holiday meal, Thanksgiving overeating may be triggering your cough.

There are many reasons you may be coughing after a holiday meal.  For those of you who are already suffering with a persistent or chronic cough, Dr. Mandel Sher suggests you control what you can control and in doing so, manage your cough.

If you are coughing for 8 weeks or longer OR if you have  treated your cough but are still coughing, then contact Dr. Mandel Sher:  727-393-8067. 

Dr. Mandel Sher’s and Center for Cough’s comprehensive cough treatment are  covered  by Medicare and commercial insurance payors.

Dr. Mandel Sher suggests the following tips for managing your cough during holiday feasts:

  • Take Your Time:  Be mindful. Enjoy taste & texture of each bite.
  • Use Smaller Plates:  Trick your brain into believing your belly is satiated.
  • Indulge with Portion Control:  Don’t deprive yourself; Use fist or tablespoon as a measure.
  • Limit Alcohol, Caffeine, Chocolate, Mint:  All can be green lights for reflux.
  • Be Hydrated: Water is filling and moisturizing in cold & dry climates and heated spaces.
  • Wait 20 Minutes:  Before getting dessert and/or seconds.
  • Move:  Avoid a comfortable sofa & expandable pants.  Help clean-up, walk the dog, move!

Most importantly, enjoy those around you and those you are missing and thinking about.  Don’t let the very temporary pleasure of indulging in Thanksgiving overeating spoil your good feelings that follow.

  Cough begets cough.  So, the best defense is an offense.  Control what and how much you eat and drink and manage your cough.

Dr. Mandel Sher and Center for Cough team wish you and yours a meaningful and healthy Thanksgiving celebration.  Please contact Dr. Mandel Sher for treatment that WILL resolve Your Cough:  727-393-8067. www.centerforcough.com.

Constant Throat Clearing: More Common Among Men Than Women?

Your Throat Clearing is Driving Me Crazy! Dr. Mandel Sher will Resolve & Restore Peace.

“A-H-E-M …A-H-E-M!”  Your throat clearing is driving me crazy! Is throat clearing more common among men than women?  Dr. Mandel Sher was at a recent social gathering when a male friend started speaking with him about his constant throat clearing.  The very next day, a colleague of Dr. Sher’s friend had an initial appointment with Dr. Sher at Center for Cough to evaluate the causes of his constant throat clearing and begin treatment.  Of course, Dr. Sher did not reveal that just the evening before he had been discussing the same condition with this gentleman’s colleague.  Unknowingly, the gentleman (and now Center for Cough patient) mentioned to Dr. Sher that he and a colleague have regular throat clearing sound-offs.  Coincidence or easily explainable?

Throat clearing is a symptom of an underlying medical condition.  All throat clearing is not created equal.  Effective treatment and Resolution depends on knowing what’s causing your throat clearing.

Contact:  Dr. Mandel Sher: 727-393-8067.  www.centerforcough.com

Dr. Sher is a specialist in chronic respiratory and related medical conditions that have inflammatory, neurogenic, and behavioral  components.  He combines existing evidence-based approaches with innovative therapeutic techniques to resolve constant throat clearing.  Dr. Sher’s services are recognized by Medicare and most commercial insurers.

Many of us throat clear occasionally.  But when throat clearing becomes constant, a physician should evaluate the underlying cause.  Very often, throat clearing starts with a physical component and then becomes behavioral.  The more you clear your throat, the more you feel you need to clear your throat.  Throat clearing can, and often does, turn into a habit.  And, constant throat clearing can drive a colleague, spouse, partner, fellow church worshiper, or theater goer CRAZY!

Such an annoying medical condition!  But throat clearing usually responds swiftly to simple, do it yourself treatment.  The most important step in treating throat clearing is accurately diagnosing the underlying cause – after all, there are many reasons why someone may feel the need to constantly clear his/her throat.  Therefore, it is critically important that the cause of throat clearing be matched with a targeted therapy.


Red Tide: Unexpected Guest at Dr. Mandel Sher’s Daughter’s Wedding Weekend


Red Tide was an unexpected guest at Dr. Mandel Sher’s daughter’s wedding weekend.  Sometimes there’s no odor & no dead fish on shore.  Red Tide can be invisible and suddenly sneak-up on you when the wind conditions shift.  Dr. Mandel Sher and his daughter’s wedding guests experienced this firsthand on Friday, October 26th, 2018 as the rehearsal dinner began.  Months of planning, but Red Tide was an unexpected guest.  Gusty winds produced by passing tropical weather seemed to stir-up the Red Tide in the Gulf of Mexico along St. Pete Beach.

The Red Tide irritative Cough sound, funny feeling in chest and throat,  and burning eye sensation was almost immediate upon guests arriving at the beach location.  Dr. Mandel Sher took it upon himself to explain to affected guests that the Cough, burning throat, and irritated eyes were very likely not the result of something viral and contagious, but rather the result of Red Tide.  To folks from New York, Pennsylvania, California, and other destinations, Red Tide is a foreign phenomenon, and Dr. Sher wanted to relieve guests of undue concern.   

Generally, Red Tide produces uncomfortable, annoying, and short-lived consequences.  For persons with pre-existing respiratory conditions, such as Chronic Cough, Red Tide can have more serious consequences.

Effective remedies for Red Tide include:  avoiding affected geographic areas by remaining inside with windows and doors shut; sipping fluids; and sucking on a moisturizing throat and Cough lozenge. 

So, Dr. Mandel Sher and Mindy and Jacob’s wedding guests might now say they were treated to an authentic coastal Florida experience.  Thankfully, the wedding weekend went on to be beautiful blue skies and bright sunshine inside and out.

Dr. Mandel Sher is a Cough Specialist.  He takes care of Cough patients, leads Clinical Research Trials on Cough therapies, and is a frequent contributor to the medical community’s understanding of Chronic Cough.

Contact Dr. Mandel Sher: 727-393-8067, www.centerforcough.com.

At Center for Cough, Dr. Mandel Sher offers patients an innovative and integrated approach toward conquering Chronic Cough.  Dr. Mandel Sher’s approach is anchored in traditional medicine.  In fact, all of Dr. Mandel Sher’s services are covered by Medicare and commercial insurance.  The innovation comes from how Dr. Sher puts the pieces of the puzzle together and uses diet, voice exercises, breathing techniques, and medications to help patients achieve Cough resolution.

Many doctors take care of persons with Cough; Dr. Mandel Sher focuses on persons who are suffering with a Chronic Cough for 8 weeks or longer.  Many of these persons have seen other doctors and tried but failed cough therapies.  Dr. Mandel Sher has helped over 85 percent of patients who have been suffering with Cough for months, years, or decades achieve relief.


Emotionally Intelligent, Artificial Intelligence Tool Offers Cough Drop

Amazon’s Alexa May Soon Hear You Coffer and Offer to Order Cough Drops for Delivery Within the Hour

Have you seen the movie, “Her,” starring Scarlett Johansson and Joaquin Phoenix?  The movie addresses a human-computer love affair.  Far fetched?  Maybe not.  Emotionally intelligent, artificial intelligence tools are being introduced into health care.  Many believe it will transform who delivers health care and how it is delivered.  Algorithms, machine-based learning, privacy, and security are words we frequently hear associated with artificial intelligence tools  in health care.

CNet, a leading reviewer of technology products, featured: “Got the sniffles? Alexa may notice someday — and offer cough drops” https://www.cnet.com/news/got-the-sniffles-alexa-may-some-day-notice-and-offer-cough-drops/  The article addresses the ongoing work to make virtual assistants more emotionally intelligent and in sync with a person’s physical and mental state.  The article states that Amazon was recently awarded a patent for making  it’s virtual assistant, Alexa,  more in-tune with a person’s physical and mental state.  “In an example in the patent filing, a user tells Alexa:

“I’m hungry,” while coughing and sniffling. Determining the user may have a sore throat, Alexa asks the user if she would like a recipe for chicken soup. She declines. Alexa follows up by asking “Would you like to order cough drops with one-hour delivery?” The woman responds: “That would be awesome!” (emphasis added)”

Artificial intelligence tools in health care present many opportunities and many challenges.  In the meantime, Dr. Mandel Sher, a nationally renown Cough Expert, is the real deal, ready to help you resolve your Cough.  Dr. Sher and his patients suffering with Chronic Cough have demonstrated remarkable results through the Center for Cough’s innovative and integrated approach.  When it comes to diagnosing the underlying cause of cough in order to execute a targeted treatment plan that will be effective specifically for that cause, there is no substitute for being seen by an expert. So, ask yourself, why talk with a computer when you can talk with Dr. Mandel Sher?

Amazon’s Alexa may soon hear you Cough and ask if you would like cough drops delivered in one hour.

Contact Dr. Mandel Sher at Center for Cough: 727-393-8067



Congratulations Dr. Mandel Sher: Internationally-Renowned Cough Experts Appointed to Clinical Advisory Board

Congratulations to Dr. Mandel Sher and four of his esteemed Cough scientific and clinical colleagues  from the United Kingdom, Ireland, and San Francisco on their appointment to a 5-person Clinical Advisory Board of BELLUS Health.  BELLUS Health recognizes this 5-person team as internationally-renowned Cough experts.  BELLUS Health is a biopharmaceuitcal company developing novel therapies for conditions with high unmet medical need including Chronic Cough.  Dr. Mandel Sher and his Cough colleagues’ role on the Clinical Advisory Board is to provide strategic guidance and support to the development of BELLUS Health’s lead drug for Chronic Cough.  Dr. Jaclyn Smith is Chair of the Clinical Advisory Board.  The first meeting was held on September 24, 2018 in London.

“We are thrilled to welcome this team of highly respected clinician leaders whose work has deeply influenced the treatment and management of chronic cough,” said Dr. Denis Garceau, Senior Vice President, Drug Development of BELLUS Health. “Their background and expertise will be invaluable to the clinical development of our lead drug candidate BLU-5937 as we prepare for a Phase 2 study, expected to be initiated in 2019. In addition to helping BELLUS Health navigate the regulatory aspects of drug development, this team of accomplished scientific and clinical experts will help guide our goal of bringing this potential best-in-class therapeutic for chronic cough to patients.”

Dr. Mandel Sher, Founder of Center for Cough: 727-393-8067. www.centerforcough.com.


Dr. Mandel Sher, 1 of 5, Internationally-Renown Cough Experts Appointed to Clinical Advisory Board

The Clinical Advisory Board members are:

  • Dr. Jaclyn Smith, MB, ChB, FRCP, PhD, Chair of the CAB, is a Professor of Respiratory Medicine at the University of Manchester in the United Kingdom and an Honorary Consultant at the University Hospital of South Manchester NHS Foundation Trust. She leads a multi-disciplinary research team whose focus is on understanding mechanisms underlying pathological cough and runs a regional clinical service for patients with refractory chronic cough. Dr. Smith is also the Director of the NIHR Manchester Clinical Research Facility. In collaboration with Mr. Kevin McGuinness (Clinical engineer), she has developed a novel method for automated cough detection.
  • Dr. Alan Goldsobel, MD, is a practising allergist and immunologist, a Clinical Professor of Medicine at the University of California, San Francisco and an Adjunct Clinical Professor of Pediatrics at Stanford University Medical School. He is also a Fellow of the American Academy of Allergy, Asthma & Immunology and past president of the California Society of Allergy, Asthma & Immunology. Dr. Goldsobel is co-director of the Allergy and Asthma Clinical Research Center in San Jose, CA where he has served as principal investigator for clinical trials of many of the new therapeutic agents for chronic refractory cough. He has published numerous scientific articles and book chapters in allergy and asthma and his area of interest, cough.
  • Dr. Lorcan McGarvey, MD, FRCP, is a Consultant Respiratory Physician and Professor of Respiratory Medicine at Queen’s University of Belfast, Northern Ireland. His main programme of research has focused on the clinical and scientific aspects of acute and chronic cough. Dr. McGarvey has been a core contributor to the British Thoracic Society and European Respiratory Society cough guidelines and serves on the American College of Chest Physicians Cough Guidelines Expert Committee.
  • Dr. Alyn Morice, MD, is a Professor of Respiratory Medicine, Head of Medicine, Hull York Medical School, University of Hull in the United Kingdom. He specialises in the diagnosis and treatment of cough and runs the Hull Cough Clinic, the first UK Cough Clinic which he established in 1989 and which has become the largest centre within Europe with an international pattern of referral. Professor Morice has led the European Respiratory Society and British Thoracic Society Taskforces on Cough. He also runs the Hull Respiratory Clinical Trials Unit specialising in the treatment of the airways diseases associated with cough.
  • Dr. Mandel Sher, MD, is a community-based clinician of pediatric and adult allergy, University of South Florida’s Clinical Professor and former Interim Division Chief of Allergy and Immunology of University of South Florida located at Johns Hopkins/All Children’s Hospital. With a unique sub-specialty in Refractory/ Recalcitrant/Idiopathic chronic cough, Dr. Sher established the Center for Cough in Florida in 2009, which combines existing evidence-based approaches with innovative therapeutic modalities to improve chronic cough patients’ clinical outcomes.

Chronic Cough has significant consequences for a person’s well-being and physical and mental health.  Chronic Cough can be effectively treated and resolved.

Contact Dr. Mandel Sher:  727-393-8067. www.centerforcough.com.