Medical Paperwork Matters: A Medical Icebreaker

Medical Paperwork Matters: Dr. Mandel Sher Thanks Patients & Uses Information to Launch Productive Visit

Medical paperwork matters.  We can feel so annoyed each time we are asked to complete or update forms prior to a doctor visit, but it is so necessary and in our best interest!  Think of medical questionnaires and forms as medical icebreakers – a quick way to get to know each other or catch-up with one another.

Complete, accurate and up-to-date information is a turnkey to a productive visit.  Medical history, Medications, Marital status, Diet, Lifestyle, Insurance, Address, Telephone number and other factors change from time to time.  And those changes may affect your medical condition and/or the medical services needed. It is vitally important to communicate all changes to your doctor(s) and their patient business service team.

Dr. Mandel Sher and Center for Cough team begin New Patient visits by thanking patients for completing their paperwork. This acknowledgement lets Center for Cough patients know that Dr. Sher has received and reviewed the information, and will use it to launch their visit. Contact Dr. Mandel Sher: 727-393-8067.

The Center for Cough Patient Services representatives greet established cough patients by asking them to provide updated information since the last visit. A recent acute illness or change in medication may hold the keys to unraveling today’s cough visit.

Information captured in paperwork is a medical icebreaker. It enables Dr. Sher and the Center for Cough team to quickly come-up-to-speed on each patient’s current and past medical situations and determine the roadmap for the visit. This launch helps make each visit  productive. Cough patients leave an appointment with an accurate evaluation and customized treatment plan.   

Dr. Mandel Sher is a Cough expert.  Dr. Sher’s and Center for Cough team’s approach to helping cough patients achieve REMARKABLE COUGH RESOLUTION is rooted in listening to the patient.  As an expert, Dr. Sher is attuned to what to listen for and will often hear something in a patient’s medical narrative or read something in new patient paperwork that may unravel an unexplained cough.

Mothers Make the World Go Round: Meet Dr. Sher’s Mom

Happy Mother’s Day! Meet Dr. Sher’s Mom.

Happy Mother’s Day!  Mothers make the world go round. It’s a time-out to celebrate the wonderful women who shape our world and make it spin. I have the pleasure of working alongside women and collaborating with women on behalf of their own or their family member’s health and well being.  Thank You to the women who are the human family’s glue. Thank You to the women who are mothers to another.  And thank you to my mother, Anita Sher.  Let me tell you a little bit about my Mom. In this description, you may see yourself, your mom, or another woman who helps you along life’s journey.

My mom is soft-spoken, gentle, patient, generous, and calm.  

Remarkable! given that Mom raised me and my brother, Craig, while Dad was making house calls on cold Minneapolis nights, rounding early morning at the hospital, and seeing patients from morning to night including Saturdays.

Craig and I have always been each others best friends, and together, we could cook-up trouble.  We were “good kids,” but we were kids!  Broken bones, broken windows, broken hearts – we certainly pushed the envelope and challenged Mom’s good-natured temperament.

But through it all, Mom was Steady Eddie.  Steadfast. Dependable. Consistent. We knew what to expect of Mom and we knew what she expected of us. 

Mom prepared Craig and me for life.  By example,   Mom showed us how to be a devoted and loving partner with Dad and prepared Craig and me for finding Jan and Karen.  When we  thought we were too busy with other stuff to sit down and talk with Mom, Mom would say:

“You have to eat.”

And a sandwich and plate of Mom’s homemade seven-layer bars were all it took for us to spill the beans.    When we would leave the house, Mom would say:

“Take care of yourself. Take care of each other.  Be kind.”

So, on this Mother’s Day 2018, I offer a heartfelt thank you to my mom and all the wonderful women who make this world a better place.  Happy Mother’s Day!

Dr. Mandel Sher’s Birthday & Reflection on Lessons Learned

Dr. Mandel Sher’s birthday found him reflecting on past year and planning for year ahead.

It’s a wrap – Dr. Mandel Sher’s birthday that is! Lots of warm wishes; Mom Sher’s 3-flavor, 4-ice cream topping, cookie crust ice cream pie, gratitude for another year, and vision and goals for the year ahead – a perfect way to mark the occasion.  Dr. Sher appreciates all the good wishes and thanks everyone for helping to make his birthday so special.

Birthdays sit at the crossroads between the past and the future.  And while Dr. Sher reflects on all the meaningful patient, professional and personal milestones during the past year, he’s energized to:

  • evolve the paradigm for chronic cough treatment to achieve even better outcomes;
  • collaborate with cough scientist and researcher colleagues around the world to evaluate new cough drugs;
  • increase the public’s and medical community’s awareness of chronic cough as an addressable and distinct medical condition; and
  • be a tireless cough advocate.

So, on the occasion of his birthday, Dr. Sher reflects on lessons learned from cough patients:  resiliency, motivation, and each person’s distinct medical narrative and cough journey.  Even after years of being  a Cough Doctor, Dr. Sher marvels at cough patients’ resiliency and motivation. People who have seen other doctors and tried but failed cough therapies demonstrate resiliency by finally seeing Dr. Sher, a dedicated Cough Doctor Specialist.  Patients are motivated to be evaluated and treated by Dr. Sher for different reasons – all of them good!:

  • Family and friends are worried about lingering cough;
  • Persistent cough is interfering with talking, singing, sitting in a theater and/or church, and other social or recreational activities;
  • Chronic cough’s consequences are:  fatigue, urinary incontinence, anxiety, depression and other;
  • Persistent cough disrupts professional and personal relationships

Dr. Mandel Sher and the Center for Cough team understand the debilitating consequences of persistent cough, respect each patient’s distinct medical narrative and cough journey, and believe Center for Cough’s integrated approach to cough treatment results in rapid and sustainable cough solution.    Dr. Sher  and Center for Cough are helping patients to achieve REMARKABLE outcomes! Over 8 out of 10 cough patients demonstrate a measurable reduction in cough frequency and intensity, and report an overall improvement in quality of life.

Please contact Dr. Mandel Sher and Center for Cough team to find out how they can help you to conquer your cough: 727-393-8067.  All services are traditional, evidence-based medicine that are eligible for Medicare and insurance coverage.  It’s Dr. Mandel Sher’s integrated approach to listening and connecting the dots that are innovative and transformative.

Urinary Incontinence & Your Cough

Coughing and Peeing in Your Pants?

Urinary incontinence describes involuntary loss of urine.  It can be a few drops or complete loss of control.  Urinary incontinence is a common problem but not a normal occurrence.  Estimates are that 25 million people in the United States suffer from urinary incontinence. While both men and women are affected, 75 to 80 percent are women.  According to research findings, women wait six years from the first time they experience urinary incontinence to seek medical attention.

Dr. Mandel Sher and Center for Cough team listen attentively to each patient’s cough narrative and review each cough patient’s medical history. Cough patients’ firsthand accounts of embarrassment associated with persistent cough compounded by urinary incontinence validate the research findings.

Contact Dr. Mandel Sher: 727-393-8067 to get rid of the cough and urinary incontinence due to cough.

People, especially women,  suffering with Chronic Cough often experience urinary incontinence as a direct result of cough.  Get rid of the cough and also get rid of the urine leakage. 

Pelvic floor muscles that support the bladder in daily activities such as standing, laughing, and coughing, can be “stressed” and weakened.  Pelvic floor muscle exercises, if done correctly, may help reduce urinary incontinence symptoms. 

Dr. Mandel Sher and Center for Cough team attribute their patients’ remarkable success largely to Dr. Sher’s comprehensive and integrated approach to treating the underlying cause of Cough as well as the symptoms.  Pelvic floor muscle exercises are an integral part of effective cough relief. Dr. Mandel Sher is a global expert in resolving persistent cough, even when patients have failed previous therapies.

As a cough Doctor, Researcher collaborating with world-wide scientists, Teacher within the medical community, and Advocate for cough awareness and treatment, Dr. Mandel Sher is consistently recognized by his peers as the ONLY “Best Doctor” for his specialty in Pinellas County.

Contact Dr. Mandel Sher for a Cough Solution! Dr. Mandel Sher and Center for Cough: 727-393-8067.  



World Voice Day: Vocal Health & Your Cough

Chronic Cough and Vocal Health Go Hand-In-Hand

World Voice Day is celebrated annually and globally on April 16th.  This year, 50 countries participated in this worldwide celebration!  Since 2002, World Voice Day recognizes the importance and power of vocal health in our daily lives.  The 2018 theme is “Make a Choice to Cherish Your Voice.”

Chronic Cough often produces hoarseness and adversely affects vocal health.  Voice exercises and vocal chord therapy are important steps to restore good vocal health and chronic cough relief. 

Dr. Mandel Sher and Center for Cough team appreciate the vital role of vocal health in their integrated approach to chronic cough treatment, relief, and resolution.  Dr. Mandel Sher:  World-class Cough Doctor close to home: 727-393-8067. 

Sometimes, we don’t stop to think about the adverse impact of lifestyle habits (such as smoking), shouting, coughing, and poor voice technique on vocal health and our overall well being.  World Voice Day reminds us to take stock of our vocal health, and take action to improve or maintain good voice habits.  Good vocal health considers: preventing voice issues, maintaining vocal health, voice training, and rehabilitating voices are damaged.

Vocal chord and voice therapy exercises  related to chronic cough are generally simple, quick, and can be done throughout the day in the privacy of your home or office.  Dr. Sher and Center for Cough are grateful for the excellent care their professional voice colleagues offer their cough patients.

Chronic Cough is a common but often misdiagnosed and under-treated medical condition.  Sometimes, a persistent cough is a sign of a serious underlying problem.  Other times, a lingering cough IS THE problem.  Chronic cough is debilitating, disruptive, worrisome, and embarrassing.

Dr. Mandel Sher will offer an integrated approach to treating your cough and producing an effective and sustainable solution.  Why wait for relief?  A trial and error approach wastes time and money and exposes you to needless side effects. 

Get it right from the start…See a dedicated Cough Specialist:  Dr. Mandel Sher: 727-393-8067.

Even Cough Takes a Vacation: Dr. Sher Hits the Trails…

Dr. Sher sets-out hiking again. He’ll surely ask Coughing hikers on the trails about their experiences.

Even cough takes a vacation.  Dr. Sher and his family are hitting the trails this weekend.  They are headed for a sunny, dusty, and windy destination.  Wherever he wanders, Dr. Mandel Sher is always curious about the impact of weather conditions, altitude, blooming seasons of trees and grass, and vacation-eating on tickle in the back of the throat, urge to cough, and cough.  Dr. Mandel Sher will be back in the office on Monday, April 16th ready to share his adventures with you.  Until then, Happy Trails to You!

Dr. Mandel Sher and Center for Cough: Cough Specialist: 727-393-8067.

Cough Syncope: Fainting as a Result of Cough Episode

Cough Syncope describes momentary loss of consciousness directly and immediately associated with a coughing episode.  Syncope is more commonly referred to as fainting.  Fainting episodes can be dangerous. The good news is that Cough Syncope will be eliminated if cough is eliminated. 

 Cough is a common symptom of many different medical conditions.  Chronic Cough is a distinct medical condition that can result in syncope.  It is vitally important that your cough be thoroughly evaluated by a Cough Expert in order to begin cough treatment targeting your specific underlying medical condition. 

Dr. Mandel Sher and Center for Cough team are dedicated Cough Specialists who will relieve or resolve your cough. Contact Dr. Sher: 727-393-8067. 

Cough Syncope was first described in 1876 as “laryngeal vertigo.”  Sometimes, Cough Syncope is mistakenly worked-up as a seizure and a diagnosis of epilepsy is considered.  Therefore, reporting of fainting episodes resulting from coughing may be understated and actually may be common.

Men suffering with Chronic Cough are more likely to experience violent coughing episodes that result in syncope. 

Fainting episodes are generally not predictable and, therefore, can be dangerous.  Until cough is controlled, it is recommended that you avoid activities that may compromise your or others health and safety if a fainting episode unexpectedly occurs, e.g. driving and operating machinery.

Dr. Mandel Sher formally established Center for Cough in 2009 with a dedicated focus on persons suffering with Chronic Cough, also known as Persistent Cough or Hypersensitive Cough Reflex.  Sometimes, Chronic Cough is an indication of an underlying medical condition. Sometimes, unexplained chronic cough is the problem – for these patients, Dr. Mandel Sher and the Center for Cough team serve as medical detectives.  Listening to each patient’s narrative and reviewing medical history (especially previous cough workups and therapies) are cornerstones of Dr. Sher’s approach.

 All Center for Cough’s services are traditional, evidence-based medicine consistent with current clinical guidelines.  All Center for Cough’s services are a covered benefit of Medicare, commercial insurance, and other governmental programs. 

Dr. Mandel Sher’s innovative and effective approach to remarkable and sustainable cough relief and resolution is based on how the Center for Cough team assembles the pieces of the cough puzzle. Contact Dr. Mandel Sher:  727-393-8067.

In addition to caring for people with chronic cough, Dr. Sher is a Clinical Research Investigator who is working with global scientists and researchers to evaluate cough drugs to offer Center for Cough patients a treatment option that is not yet available to the general public.  Dr. Sher is also a frequent guest speaker at national and global professional society meetings.

Center For Cough Doctor Mandel R. Sher

Carolinas in His Mind: Dr. Mandel Sher Speaks at Professional Societies Meeting

Center For Cough Doctor Mandel R. Sher

People with chronic cough living throughout the southeast and specifically in the Carolinas, come to see Dr. Mandel Sher at Center for Cough’s conveniently located west coast central Florida location.

As Mr. James Taylor wrote and sang “Carolina in My Mind,” so hummed Dr. Mandel Sher as he traveled within the southeast – home to many of Center for Cough’s patients.  Dr. Sher was a featured speaker at the first annual joint meeting of the Allergy Asthma & Immunology Societies of North and South Carolina held in Charleston, South Carolina from March 23 to March 25, 2018.  Center for Cough’s patients live throughout the southeast and people with chronic cough come to see Dr. Sher at Center for Cough’s southeast location on the west coast of central Florida.  Dr. Sher was honored that his allergy asthma & immunology colleagues invited him to speak on the new paradigms in evaluating and treating Chronic Cough.  In addition to the educational programs, Dr. Sher enjoyed catching-up with colleagues and their families, and enjoying the hospitality of beautiful Charleston.  Thank You to both Allergy Asthma & Immunology Societies for this opportunity.

Contact Dr. Mandel Sher at Center for Cough: 727-393-8067  if you or a loved one have been coughing for weeks and weeks on-end.  Cough that doesn’t go away may be an indication of a serious underlying medical condition or it may be that an annoying cough that serves no purpose is THE problem.  Chronic cough has debilitating physical, mental, professional, and personal consequences resulting in worry, embarrassment, fatigue, hoarseness, social isolation and more.

Dr. Mandel Sher thinks like a medical detective.  He applies traditional, evidence-based medicine in new ways to treat the cause of chronic cough as well as the triggers.  All of Dr. Mandel Sher and Center for Cough’s services are eligible for Medicare, other governmental, and commercial insurance benefits. 

Dr. Mandel Sher is a cough expert bringing world-class cough evaluation and treatment to the southeastern region of the United States. Dr. Sher earned his medical education and training at many of the country’s finest medical institutions including:  Northwestern, Duke, Harvard, and the University of Michigan.  He has a distinguished track record in evaluating and treating people with chronic medical conditions.  Dr. Sher and the Center for Cough team’s successful approach is based in listening to each patient’s unique story and recommending a comprehensive and integrated treatment approach.

Dr. Sher is helping people suffering with chronic cough to achieve remarkable cough relief and resolution even when they have been coughing for years, seen other doctors, and failed previous cough therapies.  As a part of advancing the understanding and treatment approach to people with chronic cough, Dr. Mandel Sher is a frequent guest speaker at national and global professional society meetings, is a contributing author to the medical literature, leads clinical research trials for new cough drugs in collaboration with scientists and researchers, and is a tireless advocate who never gives-up on helping people with chronic cough achieve relief or resolution.

Chronic Bronchitis & Chronic Cough: Different Underlying Conditions & Treatments

Chronic Cough may have been mistakenly diagnosed as Chronic Bronchitis.

In an earlier post, an overview of bronchitis was presented.  This post focuses on Chronic Bronchitis and addresses why it and Chronic Cough may often be confused.  Chronic Bronchitis & Chronic Cough have different underlying conditions and treatments.  Unexplained chronic cough is less familiar within the medical community and among the general public resulting in chronic cough being mistakenly diagnosed & treated as chronic bronchitis.

Dr. Mandel Sher at Center for Cough and Dr. Sher’s cough colleagues around the globe are working tirelessly to increase awareness for Chronic Cough diagnosis & treatment.  Contact Dr. Mandel Sher, Cough Expert:  727-393-8067.

In both, a cough can persist for many months.  A chronic cough condition usually produces a dry, nagging cough while cough associated with chronic bronchitis is often productive meaning it produces phlegm or mucus.

People suffering with unexplained chronic cough are generally predisposed or hard-wired to cough.  In these people, cough has no other function and serves no other purpose – it is simply annoying and embarrassing with physical and social consequences. Super sensitive nerve endings at the back of the throat that are easily irritated or triggered by allergens, such as post nasal drip, reflux, and certain medications, to produce cough.

Chronic bronchitis, on the other hand,  often results from viral infections and sometimes bacteria.  Cough associated with chronic bronchitis is often triggered by cigarette smoking and exposure to lung irritants.  Chronic bronchitis can eventually clear-up only to return year-after-year.  A Mayo Clinic report states, “chronic bronchitis is defined as a productive cough that lasts at least three months, with recurring bouts occurring for at least two consecutive years.”

If you have been diagnosed and treated for chronic bronchitis but are still coughing, then you may have been misdiagnosed.  Instead of chronic bronchitis, you may have chronic cough.  

Contact Dr. Mandel Sher at Center for Cough to be accurately evaluated and effective treated to achieve sustainable cough relief or resolution:  727-383-8067.  Dr. Mandel Sher is one of the nation’s leading Cough experts.  In addition to focusing on patients with cough, Dr. Sher is a frequent guest lecturer at national and global professional society meetings, and collaborates with scientists and researchers to develop new cough drugs.  Dr. Sher will help you achieve a cough solution even if you have failed previous cough therapies.


Allergic Cough: Allergies May Be Triggering Your Cough

People Who Suffer with Chronic Cough May Aggravate Their Cough by Allergies

What is allergic cough?  Allergic cough refers to cough associated with allergies.  It generally occurs when the person suffering with allergies is already a “cougher” or someone who is hard-wired to cough.  Allergies are very effective irritants that may be triggering your cough.  Chronic Cough is usually a response to irritation.

Seasonal and year-round, indoor and outdoor, allergies may be the underlying condition triggering your cough IF you are hard-wired to cough. 

Constant allergic coughing is uncomfortable, disruptive and annoying to you and those around you.  In addition to producing cough in people who are already “coughers” or hard-wired to cough, an allergic response can be serious, and in some cases, even life threatening.

If you are coughing and believe it may be associated with allergies, it is your best interest to be evaluated by an Allergy and Asthma specialist rather than to self-medicate symptoms.

Dr. Mandel Sher is a Cough Doctor and the only Allergy, Asthma, Sinus, and Immunology Specialist selected by his peers as “Best Doctor” in Pinellas County. Contact Dr. Mandel Sher at Center for Cough for a cough solution:  727-393-8067.