Summer Vacation Can Challenge Your Cough

Summer vacation can challenge your Cough.  After all, vacation is very often a time to be-off your regular schedule, eat new and more foods, visit new places, and relax medication and exercise routines.  Fun for sure, but vacations can be challenging for managing your Cough.

Dr. Mandel Sher, nationally renowned Cough expert, will evaluate the triggers and cause of your Cough and recommend a customized Cough treatment plan that will deliver effective and sustainable Cough relief.  Learn how to manage your Cough and enhance your enjoyment of vacation.   Contact Center for Cough:  727-393-8067. www.centerforcough.com.

As patients are checking-out and scheduling their next CENTER FOR COUGH appointment, we hear “…I’m going to be traveling over the summer” or “I’ll be away during the month of July…” or “I’m going back-up north and won’t be back in St. Pete until the fall.”  Of course, we remind patients that Dr. Sher and the CENTER FOR COUGH team will be staying-put and will be available if they have questions while they are away.  But we also remind patients to pay attention to how their daily summer vacation regimen may affect their cough.  Here are some of the tips we offer on how to manage summer vacation and your Cough:

  • Medication Compliance: Vacation-time is often a planned opportunity to deviate from daily routine – but that should not include your medications.  It is very important to remember to take your medications as prescribed.
  • Diet and Reflux: Vacations are a wonderful time to sample and enjoy new foods and some foods that you may usually forbid yourself from eating like chocolate and fatty foods.  You may find yourself eating more than usual.  Sometimes, vacations may also include more caffeine and alcohol.

    Summer Vacation Can Challenge Your Cough

    can act as a trigger of Chronic Cough.  So, if your Cough accelerates during vacation, evaluate your diet and consider the possibility of GERD triggering your Cough and the need for diet modification.

  • Climate: You may be vacationing in an area with a dry climate.  A dry climate may further dry-out your throat and trigger Cough.  If you are Coughing more frequently, consider the possibility of climate contributing to your Cough.  Sip…Sip…Sip.  Carry a water bottle with you.  Suck-on a Cough lozenge where pectin is the active ingredient.
  • Allergens: Could your cough be triggered by allergens found in the area you’re visiting?  Remember, while the peak of seasonal allergies may be waning in most areas of Florida, seasonal allergies in other destinations may just be getting underway.  So if allergy symptoms accompany worsening Cough, then consider allergens as the culprit.
  • Exercise: Voice therapy exercises and “hard swallowing” help alleviate Cough.  These exercises are easy-to-do and can be done quickly – even while sitting at a traffic light.  So, if your Cough is accelerating, remember to do your exercises.

Summer vacation may include many Cough triggers such as GERD, Dryness, Allergens, and inconsistent adherence to Medications and Exercise.  BUT the underlying reason you’re probably Coughing is that you are hard-wired and hot-wired to Cough.  Likely that the nerve endings at the back of your throat are super-sensitive and easily irritated to produce a Cough wildfire.

Contact Dr. Mandel Sher at CENTER FOR COUGH for Effective and Sustainable Cough Relief.  Enjoy Vacation.  Enjoy Life:  727-393-8067.  www.centerforcough.com.

NURSES MAKE OUR WORLD SPIN: NURSING WEEK 2017

Celebrate Nursing Week 2017 – We Do!  Dr. Sher and CENTER FOR COUGH patients appreciate the difference our EXTRAORDINARY nurses make in patient care and patient experience. Featured below are just some of our talented and dedicated nursing team:  (from left to right, top to bottom:  Tiffanie, Bonnie, Amy, Leslie, Jess, Shaun, and Nurse Practitioner Lori).

National recognition of the tireless efforts of our nation’s nurses was a long time in the making.  In 1953, a proposal was sent to President Eisenhower to proclaim “Nurse Day” in October of the following year.  The proclamation was never made.  A bill for a “National Nurse Week” was introduced in the 1955 Congress, but no action was taken.  In 1972, another resolution was presented by the House of Representatives for the President to proclaim “National Registered Nurse Day;” again it did not occur.  Finally, in 1974 President Nixon issued a proclamation.  In 1982, the American Nurses Association Board of Directors formally acknowledged May 6, 1982 as “National Nurses Day.”  Now, National Nurses Week begins each year on May 6th and ends on May 12, Florence Nightingale’s birthday.
Dr. Sher is very fortunate that many of the nursing team members began their professional nursing career with him and are “growing up” alongside him.  Dr. Sher’s personal commitment to life-long learning and professional development are also hallmarks of the nursing team.  Professional societies, continuing education, and collegiality support a stimulating practice environment for our super-star nurses.
Thank You!

Climb Every Mountain: Does High Altitude Affect Your Cough? Dr. Sher May Find-Out…

Does high altitude affect your cough?  One of Dr. Sher’s favorite recreational activities is hiking in the mountains and chatting with other hikers along the trails.  If they are coughing, you can be sure Dr. Sher asks them how the high altitude is affecting their cough.  The medical literature concludes that altitude-related Cough does exist.  It also states that dry, cold air is not the sole reason for altitude-related Cough.  But, our understanding of the reasons is not complete.

As the summer months approach and you plan to escape the heat and head to the mountains for some cool air, please let us know your Cough experience.  Dr. Mandel Sher and the Center for Cough team learn from our patients all the time.

Here’s Dr. Sher and his son, Michael, on a 2016 hiking trip out-west. “Happy Trails To You!”

Chronic Cough should not interfere with your relationships and enjoyment of life.   Do Not Learn to Live with Chronic Cough. Dr. Sher is a National Cough Expert.  Center for Cough patients experience

REMARKABLE SUCCESS.

Over 85% demonstrate a measurable decrease in Cough frequency and report an overall improvement in their quality of life.

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

 

 

Drink! It’s Good for Your Cough and All of You…

Drink!  It’s good for your Cough and All of You.  Fluid intake is vital for your body functions:  heart, muscles, skin, constipation, and Cough – to name a few.  The key is being and staying hydrated. 

“The importance of being and staying hydrated cannot be overstated when it comes to managing your Cough,” Dr. Mandel Sher advises Cough patients:  “Be and stay prepared:  Keep a water bottle with you.” Dr. Mandel Sher is a National Cough Expert:  727-393-8067.

Here are a few benefits of drinking fluids – especially if you have Chronic Cough.

  • Lubricating:  Chronic Cough is often accompanied by a feeling of mouth and throat dryness.  Coughing aggravates the feeling of dryness and produces even more cough.  So mouth and throat dryness and Cough are a vicious cycle.
  • Soothing:  Cough is irritating.  Fluids, especially warm and hot fluids, can be soothing and quiet the irritation.  An earlier blog post talked about the real value of hot tea and honey.
  • Mucous Buster:  Cough can be triggered by Postnasal Drip which can produce mucous.  Fluids help to thin-out and break-up the mucous resulting in less Cough.

So, you may be wondering how much is enough and which fluids are the right fluids.  The answer to this question, like many questions, is “it depends.”  Some guidelines suggest that we drink 30 to 50 ounces daily.  But some medical conditions and medications may already result in fluid retention so the recommended amount of daily fluid intake may be lower.  Some guidelines recommend water.  Other guidelines recognize the value of juices, other fluids (except those that act as diuretics), and water-rich foods such as fruit and vegetables.

Here are some helpful hints on being and staying hydrated:

  • Sip, Sip, Sip:  Drink GRADUALLY throughout the day.
  • Drink Whether You Feel Like You Need To or Not:  DO NOT wait to feel thirsty.
  • Minimize Perspiration:  The hot summer months can create a risk factor for DEhydration.  Wear light-weight, light-color, and a hat and Sip, Sip, Sip.
  • Pay Attention to Fluid Loss from Medications.

DEHYDRATION CAN HAVE SERIOUS CONSEQUENCES, ESPECIALLY IN OLDER PEOPLE:  CONFUSION, LOW BLOOD PRESSURE, HEADACHES, DIZZINESS, AND WEAKNESS CAN BE SYMPTOMS OF DEHYDRATION.

So, for Cough and All of You, Raise Your Glass and Sip, Sip, Sip!

Sarasota – Here He Comes!: Dr. Sher at SARASOTA MEMORIAL HOSPITAL on CHRONIC COUGH

Sarasota – Here He Comes!: Dr. Mandel Sher returns to SARASOTA MEMORIAL HOSPITAL on Friday, April 21, to present GRAND ROUNDS:

“Approach to CHRONIC COUGH: A Changing Paradigm.”

Sarasota, Naples, Bradenton, Fort Myers, and Cape Coral is home to many of Dr. Sher’s Cough patients. Dr. Sher appreciates this opportunity and is looking forward to seeing his SMH colleagues.

So, you may wonder what’s so grand about Grand Rounds.  While no one knows for certain who coined the term, Grand Rounds is a time-honored tradition for medical education.  It began at  Johns Hopkins Medical School in the late 19th century with bedside teaching as an approach to education.  As participation grew, the discussions moved from the bedside to the auditorium.  Very often, the patient appeared at Grand Rounds for examination and questioning by those in attendance and then exited when the discussion addressed treatment and prognosis.  Today, Grand Rounds remains a formal weekly meeting of doctors, medical students, residents, nurses, and other patient care professionals.  Medical problems and medical topics of interest are presented and discussed.

Dr. Sher is helping to advance the medical community’s understanding of Chronic Cough and treatment.  To that end, Dr. Sher is a frequent presenter and lecturer at local, regional, and national physician professional societies.  Dr. Sher is a Professor at USF Health, and has participated in the training of over 120 physicians aspiring to become Allergy, Asthma, and Immunology specialists.

Dr. Mandel Sher is a National Cough Expert, one of a handful in the United States.  His patients seen at Center for Cough demonstrate a remarkable success rate!  Over 85% of Dr. Sher’s Cough patients demonstrate a measurable decrease in cough frequency and overall improvement in quality of life.

Cough lasting more that 8 weeks is not normal and can be an indication of a significant underlying medical problem.  Don’t wait.  Be evaluated and treated by a Cough Expert.  Real and sustainable cough relief is a phone call away:  727-393-8067.

 

 

Dr. Mandel Sher IS the Difference Between Cough Relief or Prolonged Suffering

The Choice You Make for Cough Treatment May Affect Your Outcome

You can choose the ending to your cough story.  Ever wonder how things might have turned out differently if you had chosen to take a different fork in the road? Read Jane’s cough story:  a cough tale with 2 different endings.

Jane’s Cough Story

Meet Jane, a 63-year old grandmother, courtroom attorney, and lover of live performing arts.  Jane coughs.  She’s been coughing for about 18 months and remembers it beginning after a bout with an upper respiratory infection.

The cough has become a “relationship interrupter.”  Her little grand-kids cover their ears when Jane starts coughing uncontrollably.  Jane talks a lot for her job, and oral arguments in the courtroom are often interrupted by coughing fits and water breaks.  And, Jane can’t bear the embarrassment of interrupting the peace and quiet of a group gathering.  Jane is choosing to stay home and miss her beloved pastime:  theater, opera, symphony, and poetry readings.

Jane is frustrated.  Her family, friends, and colleagues are worried.  Jane is motivated to get to the bottom of this and re-claim her life.  Her goal: to cough less and enjoy life more.   The choices Jane makes next will affect her Cough Journey and ultimately, her outcome.  This real-life tale with 2 different endings points out the benefits of choosing Dr. Mandel Sher right from the start. 

Cough Story 1:  Visit to Primary Care Doctor; Still Coughing; Now What?… 

Jane sees Dr. Brown, her primary care doctor.  Dr. Brown is an excellent primary care doctor and carefully describes the many reasons Jane could be coughing.

Dr. Brown suggests a trial and error treatment plan. Dr. Brown explains that their approach to solving Jane’s cough mystery will be to rule out different reasons.  Dr. Brown thinks GERD may be making Jane cough.  Jane’s follow-up appointment with Dr. Brown is scheduled in 4 more weeks.  Jane picks-up the prescription and over-the-counter medications for GERD and begins the recommended treatment regimen immediately.

4 weeks later at Jane’s next appointment with Dr. Brown, Jane is still coughing.  Now Dr. Brown has ruled-out GERD.  Dr. Brown thinks Jane’s cough may be from post-viral infection.  Jane pushes aside the GERD medications and begins with other medications.  Follow-up is scheduled in another 4 weeks. Jane is still coughing.

Outcome: 8 weeks  later + wasted $$$ for medications + side effects of medications + Missed Opportunities = Jane is still coughing. 

Cough Story 2: First Stop:  Dr. Mandel Sher  IS the Difference Between Success and Failure

Jane is ready to get to the bottom of her Cough.  She goes directly to a nationally renowned cough expert, Dr. Mandel Sher.

During the office visit at Center for Cough with Dr. Sher, Jane learns that there is a NEW PERSPECTIVE ON THE CAUSE(S) OF CHRONIC COUGH Jane also learns that Dr. Sher is one of a handful of Cough Doctors in the United States and that Dr. Sher is on the cutting-edge of breakthrough cough evaluation and treatment.

At the end of the 1st office visit with Dr. Sher, Jane learns that her cough is caused by nerve endings at the back of her throat that are overly sensitive and easily irritated to produce cough.  Her cough is triggered by irritants like GERD.  Both the cause and trigger need to be treated.  Dr. Sher prescribes a comprehensive treatment plan that includes medication, voice therapy exercises, and some diet modifications.  Jane is scheduled for a follow-up appointment in 4 weeks.

Within a few days Jane is feeling better overall.  There is a measurable decrease in her cough frequency.  Jane is feeling hopeful that cough relief is in sight.  She begins to resume normal life.  Jane’s cough results are remarkable!  Like over 85% of Dr. Sher’s cough patients, Jane is experiencing cough relief for the first time in a very long time.  

Outcome:  Within days, Real & Sustainable Cough Relief & Living Life Fully!

Your Cough.  Your Story.  Get it Right the First Time:  Dr. Mandel Sher:  World-Class Cough Care Close to Home:  727-393-8067.

 

Dr. Sher: Hitting It Outta the (Cough) Park: Baseball as a Metaphor

Baseball can be a metaphor for Cough and Dr. Mandel Sher’s approach to Cough evaluation and management.  As this is Opening Week of 2017 Major League Baseball season, let’s have some fun using baseball terms to describe Dr. Sher’s approach.  Baseball as a metaphor – Play Ball!…

  • BATTING 1,000: Dr. Sher and the Center for Cough team understand frustration and worry accompany most Cough patients and families to their visit.  With that perspective, Dr. Sher and the team really try to get everything that really matters right all of the time:  Excellent Service, Satisfying and Productive Office Visit,  Communication with Other Physicians, and Cough Relief.  Our Cough patients’ satisfaction and gratitude lead us to believe that our efforts on behalf of each patient each time are Batting 1,000.
  • HEAVY HITTER and BIG LEAGUE: Dr. Mandel Sher is PLAYING IN THE MAJOR LEAGUE.  He is one of a handful of Cough experts in the United States and is collaborating with Cough colleagues worldwide to shift the Cough paradigm and improve Chronic Cough outcomes.  Dr. Sher’s “Heavy Hitter” in the “Major League” status includes:
    • Vast and long-term Chronic Cough patient population
    • Leads national clinical research trials for new Cough drugs
    • Lectures to physician audiences at professional meetings on cutting-edge approaches to evaluating and managing Chronic Cough
    • Consistently selected by his doctor peers as a “Best Doctor”
    • USF Health Professor
    • Trains physicians to become Allergy, Asthma and Immunology specialists – over 100 trainees to date and still counting
  • BRAND NEW BALL GAME: It’s a Brand New Ballgame for Chronic Cough evaluation, treatment and management.  A new paradigm includes the role of nerve endings at the back of the throat as a catalyst for Chronic Cough.  Even for those patients who have seen other doctors for their Cough and have failed other Cough therapies, it is a “brand new ballgame” when they are evaluated and treated by Dr. Sher.
  • CLEANUP HITTER and CLOSER: For many Cough patients who have been Coughing for weeks, months, and sometimes years, and for those who have been seen by other doctors and tried other Cough therapies but are still Coughing, Dr. Sher closes the Cough deal with a recommendation for an effective and sustainable solution.   
  • IT AIN’T OVER TILL IT’S OVER: Dr. Sher NEVER gives-up on figuring-out and helping a patient with Cough.  He gets the job done!
  • GRAND SLAM: Chronic Cough is rarely the result of one factor.  Most often, the cause(s) and trigger(s) of Chronic Cough are multi-factorial.  Dr. Sher’s comprehensive diagnostic approach addresses symptoms and underlying conditions.  Unlike many other doctors’ “rule-out” and sequential one-base-at-a-time treatment approach, Dr. Sher’s comprehensive treatment approach often includes medication, voice exercise therapy, diet and lifestyle changes simultaneously.
  • HITS IT OUT OF THE PARK: Mandel Sher and Center for Cough achieve REMARKABLE SUCCESS!  Dr. Sher’s Chronic Cough success rate is STUNNING!  Over 85% of Dr. Sher’s Cough patients demonstrate a measurable decrease in Cough frequency and report an overall improvement in the quality of daily life.

Cough that won’t go away is not normal and may be an indication of an underlying serious medical condition.  Contact Dr. Mandel Sher and the all-star Center for Cough team:  727-393-8067.

 

Center For Cough Doctor Mandel R. Sher

Thank You Dad: A Tribute to Dr. Lewis Sher on National Doctors’ Day

Thank You Dad!  On this 2017 National Doctors’ Day, Dr. Sher honors the memory of his first and favorite role model – his Dad, Dr. Lewis Sher. 

Dr. Lewis Sher was a general pediatrician in the Minneapolis area.  You might say, he was an authentic “holistic” medical doctor. Dad Sher understood that a child’s well-being depended upon much more than good medical care.  Dad took such pleasure in helping “his kids and their families” develop into healthy, responsible, and happy people.  For example, Dad often bartered patients’ services in lieu of payment so the family could have money for food, medicine and other necessities.  Dad Sher helped many young boys become poised young men by greeting them by looking them in the eye and giving them a firm handshake.   Dad Sher played such an important part in families’ lives, that long after kids had grown-up, he would be invited to their weddings.

Dinnertime in the Sher Family household would be Dad Sher recounting the families he had helped that day.  Dad Sher loved being a doctor and the sense of pride and fulfillment that he conveyed nightly was early inspiration for his son, Dr. Mandel Sher.  Dad Sher was a lifelong learner – always working hard to do more and do better for his patients and their families.  Even after his retirement, Dad Sher would participate in medical group discussions at hospitals’ Grand Rounds.

Dr. Mandel Sher honors his Dad’s philosophy of treating people – not disease. Really listening, hearing, and understanding patients’ stories, concerns, and goals are hallmarks of Dr. Sher’s humility.

Dr. Mandel Sher’s tireless work ethic also began in his family home.  Commitment to continuous learning and offering patients and referring physicians the most advanced information and treatment is a distinguishing hallmark:

  • Leads national clinical research trials by working with scientists and researchers for new cough, allergy and asthma treatments.
  • Contributes to advancing Allergy, Asthma, Immunology, and Cough care.  Lectures to his colleagues at national professional society meetings on new clinical techniques and research findings.
  • Trains physicians to become Allergy, Asthma, and Immunology specialists; Over 100 physicians trained so far and still counting.
  • Serves as a Professor at USF Health.

Northwestern, Duke, Harvard, and the University of Michigan – no matter where Dr. Mandel Sher has been educated and medically trained, he always carries with him the sense of humility that his Dad instilled.  For Dr. Mandel Sher, his love for people and helping them to be and feel healthy and enjoy life to the fullest – all began at home.  

So, on this 2017 National Doctors’ Day, Thank You Dr. Lewis Sher.  You remain Dr. Mandel Sher’s role model for  simply doing good.

Dr. Sher also thanks his colleagues, patients, and raving fans for giving him the opportunity to live his dream.    Come meet Dr. Mandel Sher to see how he can help you:  727-393-8067.

 

Center For Cough Doctor Mandel R. Sher

Dr. Mandel Sher Honors his Dad’s Memory: Dr. Lewis Sher

 

Everyone Knows At Least Someone With Chronic Cough

5 Dos and Dont’s for a Person Suffering with Chronic Cough

When I say I work for a Cough Doctor, many people act surprised.  They say they didn’t know there was such a Specialist or that Cough could be a “big deal.”  I take this opening as their interest in learning more about Chronic Cough.  WHAT HAPPENS NEXT IS PREDICTABLE – EVERYONE KNOWS SOMEONE WITH CHRONIC COUGH.

It’s like I took the lid off their very own Cough-story jar.  They start telling me about someone in their office who started out with an upper respiratory infection a couple of months ago and is still Coughing.  OR, Mom or Grandma who’s been Coughing for as long as they can remember.  Or Dad who likes to hold court with the family but Coughs  non-stop when he talks.  Or somebody in church or at the symphony who seems to have Cough episodes at the most inopportune times.  Or what about that guy who’s always clearing his throat – is he actually Coughing? On and on and on…Everyone  Knows Someone With Chronic Cough; approximately 12 percent of the population is affected.

Got Chronic Cough?  Here are this administrative Center for Cough team member’s top 5 dos and don’ts.

Top 5 Dos and Don’ts for a Person with Cough:

  • Do Not Learn to Live With Chronic Cough. Do see Dr. Mandel Sher, a nationally renowned Cough Expert located in the Tampa Bay area.  In addition to helping more than 85% of Cough patients at Center for Cough achieve remarkable and sustainable Cough relief and overall improvement in quality of life, Dr. Sher leads clinical research trials for new Cough therapies and offers interested and eligible people with Cough access to promising new Cough drugs before they are available, and is a frequent guest lecturer and contributor to professional societies of his physician and scientist colleagues.  Do not think you are alone; Everyone Knows Someone with Chronic Cough.
  • Do Not Be Discouraged Because Previous Cough Treatment Failed. Dr. Sher Listens to YOUR Cough Story.  He functions like a Doctor Detective Who Never Gives Up!  More than 85 percent of his Center for Cough patients demonstrate a measurable reduction in Cough frequency and report a remarkable improvement in quality of life.
  • Do Not Self-Medicate. Do get an accurate diagnosis of the underlying cause, as well as the triggers and symptoms, of your cough.  Self-medicating can Worsen the Cough, Delay Relief, Have Side Effects, and Waste Money.
  • Do Not Think Cough Treatment will be Difficult. Do get a Customized Cough Treatment Plan during your initial visit with Dr. Sher.  Generally, treatment will include some combination of over-the-counter and/or prescription medications, easy to do at home voice therapy exercises, and many Helpful Hints aimed at Avoiding or Managing a Cough episode.
  • Do Not Be Concerned about Cost of Cough Treatment. Sher’s approach to Cough treatment is evidence-based, traditional medicine.  Dr. Sher’s and Center for Cough’s services are all recognized by Medicare and insurance companies.

I love what I do and the small part I play in the transformations of patients at Dr. Mandel Sher’s Center for Cough.  If I could say one more thing I would say, “Don’t Wait…Evaluate.”    Confidence and Calm about Cough come with the Competence of having  Skills to recognize Early Warning Signs or Risk Factors or know-how to Manage a Cough Episode to Gain Cough Relief quickly.

Dr. Mandel Sher and Center for Cough.  World-Class Cough Care Close to Home:  727-393-8067. 

5 Dos and Dont’s for a Person Suffering with Chronic Cough

Center For Cough Doctor Mandel R. Sher

Nasal Spray is a Terrible Thing to Waste: Dr. Sher Discusses a Promising New Nasal Drug Delivery System

Nasal Spray is a Terrible Thing to Waste. Over 80% goes down the back of your throat rather than in your nose.  The inaccurate landing of nasal spray has several negative results.  First, it is likely compromising the dosage you think you’re getting.  Second, the feeling at the back of your throat may reduce the likelihood that you’ll stick with the regimen.

Dr. Sher discussed a promising simple device in research stages that allows all medicine to stay in the nasal passage:  OptiNose Bi-Directional Breath Powered Exhaltation Delivery System (EDS). 

Click on this link to watch and listen to Dr. Sher as he describes this simple and promising device at the American Academy of Allergy, Asthma & Immunology 2017 Annual Meeting.  “//players.brightcove.net/77368774001/default_default/index.html?videoId=5347666723001

Dr. Mandel Sher is a leading Cough doctor.  In addition to effectively treating people with Chronic Cough, Dr. Sher works with researchers and scientists to develop new Cough treatments, and is a frequent lecturer and contributor at national professional society meetings to enhance doctors’ understanding of Chronic Cough.

Cough that doesn’t go away is not normal.  It can be a sign of a serious underlying medical condition.  Don’t wait – Cough Relief is a phone call away.  Contact Dr. Mandel Sher at Center for Cough:  727-393-8067.