Labor Day: Does Your Workplace Make You Sick – Really!

Labor Day recognizes the important contributions of our great nation’s workers.  So, as we honor our nation’s workers, it is appropriate to ask:  Does Your Workplace Make You Sick – Really!  Dr. Mandel Sher and Center for Cough team care for so many people in the workforce whose professional performance is being compromised by Chronic Cough – Attorneys, Salespeople, Telephone Communicators – people whose work involves a lot of speaking and produces a dry throat.   And, there are people who have an allergy or sensitivity to something in the workplace environment that produces a throat tickle and urge to Cough.

Yes!  Your Workplace Can Make You Sick!  You Really Can be Allergic to Work! Your Cough Can be Triggered by Something in Your Work Environment!  Dr. Mandel Sher: Cough Specialist.

Dr. Mandel Sher Will Resolve Your Cough & Return You to Peak Performance: 727-393-8067.

Itchy eyes? Trouble breathing? Cough? The trigger making you feel miserable may be inside, not outside.  If your symptoms worsen as the workday progresses and lessen after you leave work or while you are enjoying time off, then you may suffer from a workplace trigger.  Now the really tough question is what to do about it. Begin by finding out if this is a sensitivity to an irritant that makes you feel uncomfortable but is not dangerous, or a real allergy that can produce a life-threatening allergic reaction.  Check out The Occupational Safety and Health Administration’s ( guidelines for handling workplace triggers.

What do you do when how and where you earn a living is producing a misery-generating sensitivity or dangerous allergic reaction?

Dr. Mandel Sher and Center for Cough team are dedicated Chronic Cough Specialists – one of the very few in the nation.  Dr. Sher is helping countless people who are feeling frustrated and hopeless by a Cough that wouldn’t go away.  Many of these people who have suffered with a Persistent Cough for months or years have seen other doctors and failed cough therapies.

Dr. Mandel Sher and Center for Cough’s Innovative and Integrated Approach to Comprehensive Cough Care and Treatment is THE Difference.  Contact Dr. Mandel Sher:  727-393-8067.

Laughter & Your Cough: National Tell a Joke Day

Knock, Knock.  Who’s There? It’s Dr. Mandel Sher, a world-class Cough Specialist and pretty good joke teller.  Today, August 16, 2018, is National Tell a Joke Day.  Laughter is good for your health; but is laughter good for your Cough?

Have you ever noticed that your Cough kicks-in after a really hard belly laugh?  Not surprising.  The nerves that are involved in the laughing reflex are the same nerves that are involved in the Coughing reflex.  Therefore, triggering the laughing reflex can also trigger the Coughing reflex.  The laughing and Coughing sequence is common.  But, if you suffer from Coughing fits that seem to be unexplained and produced without a specific trigger, then you may have Chronic Cough.

Chronic Cough is a common medical condition.  It is under-diagnosed and often ineffectively treated by physicians. Sometimes, Chronic Cough is an indication of an serious underlying medical condition.  Often, Chronic Cough is THE problem.

Dr. Mandel Sher is a world-class Cough Specialist.  Dr. Sher and his global physician, scientist, and researcher colleagues are evolving the paradigm for treating Chronic Cough.  Dr. Mandel Sher and the Center for Cough team WILL RESOLVE Your Cough – even if you have been Coughing for years, have seen other doctors, and failed cough therapies. Contact Dr. Mandel Sher: 727-393-8067.  

So, go ahead and laugh often and laugh hard.  Laughter is an effective stress reducer, immune system booster, and is contagious.  Laughter is indeed the best medicine.

Cough Headache: My Head Hurts From Coughing

As if Coughing is not enough discomfort for one person to bear, some people experience Cough Headaches associated with Coughing.  There are different possible medical conditions triggering Cough Headaches.  The type of Cough Headache being addressed here is one that is triggered by Coughing, happens occasionally rather than being continuous, lasts for a brief time, and improves on its own or with minimal intervention.  Cough Headaches affect Men more than women and people over age 40.

Cough Headaches are not a common type of headache.  They can be painful and exaggerate the discomfort and dysfunction associated with Coughing. 

Contact Dr. Mandel Sher at Center for Cough if you are Coughing for around 8 weeks or longer. Dr. Sher WILL relieve or resolve your Cough and help you to manage Cough risk factors and Coughing episodes: 727-393-8067. #chronic cough, #lingeringcough, #persistentcough, #mycoughwontgoaway

As you prepare for a visit with Dr. Mandel Sher to evaluate the cause(s) and trigger(s) of your Cough and resulting Cough Headache, take note of the following questions that will provide Dr. Mandel Sher clues as he and the Center for Cough team listen to your personal Cough story:

  • How long your Cough and Cough Headaches are going on?
  • Frequency
  • Duration
  • Family history of headaches
  • What makes Cough Headaches improve
  • What makes Cough Headaches worsen

Chronic Cough is a complex medical condition that by itself is tough. Cough Headaches and other common Cough-associated conditions such as Daytime Fatigue, Urine Leaks, Muscle Aches, Un-Focus, Anxiety, Depression, Social Isolation and other make Chronic Cough even harder.

You should not learn to live with Chronic Cough and its associated symptoms.  Dr. Mandel Sher is a Cough Specialist dedicated to accurately diagnosing the causes and triggers of Chronic Cough and targeting personalized and comprehensive treatment to achieve Cough relief and resolution.  Dr. Sher is helping people suffering with Cough to achieve REMARKABLE reduction in Cough frequency and intensity and an overall improvement in the quality of daily life.

Dr. Mandel Sher and Center for Cough’s professional services are approved by Medicare and other insurers.  Dr. Sher approach is traditional, evidence-based medicine.  The differences are rooted in a comprehensive and integrated approach to Cough treatment.

Even if you have seen other doctors for your Cough, tried other Cough therapies and are still Coughing – Come feel and hear the difference with Dr. Mandel Sher at Center for Cough:  727-393-8067.

Exercise & Cough: Runners, Swimmers, & Endurance Athletes

Exercise!  You’re a runner or swimmer or another type of endurance athlete.  You’re working-out intensely, feeling fit and great, and then you burst into a coughing fit after your workout.  Mood Buster!  You didn’t have any symptoms before your exercise, so what gives with this hacking cough? Why can’t you catch your breath?

Coughing during or after exercise can be a symptom of a condition called exercise-induced bronchoconstriction.  “This makes it more difficult for the air to get through into the lungs,” says Jonathan Parsons, M.D., director of the Ohio State University Multidisciplinary Cough Program. Cough is a common symptom among athletes.  Other common triggers can include:  respiratory infection and environmental exposures like cold dry air.  A less common trigger but one to be considered is exercise-induced vocal cord dysfunction.

Exercise Should be Good for You!  Contact Dr. Mandel Sher if you have recurring hacking coughing fits during or after exercise.  Dr. Sher is a Cough Specialist who will listen to your cough history and story, perform a comprehensive evaluation of the cause and triggers, and help you achieve remarkable Cough Resolution Results.  

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

If this sounds like your experience, then see Dr. Mandel Sher to check it out.  Find out what it is and what it is not. Self-diagnosing and self-treating alone can waste time and money and prevent you from identifying the underlying medical condition.  See Dr. Mandel Sher to learn how to manage the underlying medical condition and get through an exercise episode with sweat only.

Dr. Mandel Sher offers a comprehensive and integrated approach to treating and resolving Cough. Dr. Sher and Center for Cough’s approach are evidence-based with a twist of innovation. 

Medicare and other major insurers approve Dr. Mandel Sher and Center for Cough’s services.  Contact:  727-393-8067. 

Dr. Sher’s education and training credentials include: Northwestern, Duke, Harvard, and the University of Michigan.  In addition to caring for people with Cough, Dr. Sher collaborates with global Cough scientists and researchers on Clinical Research Trials that evaluate Cough therapies for improved outcomes, and is a frequent contributor to the medical community’s Cough understanding.

Smoking is Bad for Your Health: Marijuana & Your Cough

It’s old news that tobacco smoking is bad for your health.  Now along comes an evidence-review of 22 other studies evaluating the impact of marijuana smoking on your health.  The review was conducted by Dr. Mehrnaz Ghasemiesfe of the San Francisco VA Medical Center and recently published in the Annals of Internal Medicine.  Bottom line:  Smoking marijuana once a week doubles a person’s risk of developing a regular hacking cough.  Other adverse impact of marijuana on health was also reported.

Discussions around marijuana legalization are prompting the medical community to understand marijuana’s long-term impact on overall health.  Some experts liken the effects to the medical problems caused by smoking tobacco.  Other experts doubt marijuana will be as harmful as tobacco because it is not smoked as much.  According to Dr. Edelman, an adviser to the American Lung Association:  ” “I don’t think the smoke of marijuana is necessarily less toxic than the smoke of tobacco. It’s just that in general, people who use marijuana smoke fewer marijuana cigarettes than people who smoke tobacco.”

A hacking cough that lingers for 8 weeks and longer should be evaluated by a Cough Expert.  Sometimes, a persistent cough is a symptom of a serious, underlying medical problem.  Sometimes a Chronic Cough IS THE PROBLEM.

Contact Dr. Mandel Sher:  727-393-8067.  www.centerforcough.  Find out how Dr. Mandel Sher WILL help you relieve your cough. 

Dr. Sher is one of the nation’s leading Cough Specialists.  All of Dr. Mandel Sher’s professional services at Center for Cough are Medicare-approved as well as approved by most private commercial insurers. 

In addition to evaluating, treating, and helping people with Chronic Cough to achieve REMARKABLE Cough Relief and Cough Resolution, Dr. Mandel Sher collaborates with scientists and researchers around the world to develop new cough drugs, offers people suffering with Chronic Cough an opportunity to participate in clinical trials as a treatment option, and is a frequent lecturer at professional medical meetings and contributor to the medical community’s understanding of Chronic Cough.

Learn more about the adverse health consequences of smoking marijuana:

The Tenth London International Cough Symposium Happening Now

International Clinical & Scientific Cough Experts Gather to Review Research Findings & Evolve Cough Treatments

What do you call a gathering of international clinician and scientist experts in cough?: The Tenth London International Cough Symposium happening in London, June 27 through June 29.  This series of  International Symposia on Cough was initiated by the late Professor John  Widdicombe in 1999. The Symposium will feature experts’ contributions from:  Australia, Belgium, China, France, India, Italy, Japan, New Zealand, South Korea, United Kingdom, United States, and more.  There will be lectures, round-table discussions, poster presentations, and lots of opportunities for informal interactions.  The Symposium will include a review and discussion of the latest research findings and future Cough treatments.  In alternating years, The American Cough Conference is held state-side, chaired by Dr. Mandel Sher’s esteemed colleague, Dr. Peter Dicpinigaitis, Professor of Clinical Medicine at Albert Einstein College of Medicine in New York.  The next American Cough Conference will be from June 7 through June 8th, 2019 in a United States location.

Dr. Mandel Sher is a Cough Specialist and Cough Expert.  He is helping people with Chronic Cough to achieve remarkable Cough relief and resolution – even when they have been suffering for years, have seen other doctors, and failed previous Cough therapies. 

If you have a Cough that is lingering, generally around eight weeks or longer, don’t wait any longer.  Contact:  Dr. Mandel Sher at Center for Cough: 727-393-8067. #chroniccough

The 2018 John Widdicombe Lecture is a highlight of the Symposium.  The lecture features a researcher who has made a significant impact on the field of Cough.  This year, Dr. Mandel Sher’s esteemed colleague, Professor Jacky Smith of University of Manchester, will present the John Widdicombe Lecture addressing “Insight From Counting Cough.”

Dr. Mandel Sher is grateful to his Cough clinical, scientist, and research colleagues for working tirelessly along with himself to improve Cough understanding, treatment, and outcome.  Stay tuned for the proceedings of the London Symposium which will be available through live streaming and published at a later date.  Here’s to a productive Tenth London International Cough Symposium!


Listening & Connecting: Dr. Mandel Sher Thanks his Dad, Dr. Lewis Sher

Listening & Connecting – Cornerstones of an Effective Doctor

Thankfully, there are lots of very smart doctors.  But what makes some doctors more effective than others in motivating patients to be aware, take medication, do exercise, change diet, and generally do as instructed to achieve better outcomes? LISTENING & CONNECTING! Dr. Mandel Sher’s Dad and role model, Dr. Lewis Sher, exemplified these values.  On this Father’s Day, Dr. Mandel Sher thanks his Dad for introducing him to the joy of being a doctor and helping people to improve their lives.  Here’s a cornerstone principle that Dr. Lewis Sher followed in his pediatric practice and how Dr. Mandel Sher lives these values everyday in his Chronic Cough center of excellence:

“Make Each Patient Feel That They Are the Only Patient You Have.”

Dr. Lewis Sher

“Each patient is a snowflake.”

Dr. Mandel Sher

Dr. Mandel Sher and Center for Cough team take care of PEOPLE.  Each person, like a snowflake, is unique.  So, it’s valuable to really review and listen to each person’s unique Cough story in order to accurately and completely diagnose the cause(s) and trigger(s) of  Chronic Cough and launch a customized treatment plan.

Like his Dad, Dr. Mandel Sher embraces the importance of really CONNECTING with each patient and LISTENING to each patient’s Cough story.  Dr. Mandel Sher and the Center for Cough team begin the initial visit by thanking patients for completing medical history paperwork prior to the visit and then reviewing it with them.  It is during these LISTENING sessions, that Dr. Sher and/or a Center for Cough team member often hear information that may help unravel the cause and trigger(s) of their Chronic Cough.  Dr. Mandel Sher is helping people with Chronic Cough to achieve REMARKABLE Cough Relief and Resolution:

Contact Dr. Mandel Sher: Cough Specialist: 727-393-8067.

#coughrelief, #howyoudoitasimportantaswhatyoudo

Dr. Lewis Sher was hard working, steadfast, and devoted to family and faith.  He served in the United States Army, delayed college and medical school to work as a newspaper delivery boy, in a grocery store, and as a “soda jerk” at a pharmacy counter in order to support his parents and help put his sister and two brothers through school.  He became an expert in polio and was a pediatrician in Minneapolis, Minnesota.  Those were the days of making house calls at all hours, checking-on sick children in hospitals, and bartering goods and services in exchange for an office visit when families needed financial assistance.

Dinner-time for the Sher Family, included Dad Sher relaying stories about the kids and families he had helped that day or news of a patient’s accomplishment.  Dad Sher made meaningful connections with each of his patients.  Dr. Sher’s relationship with each child generally began as a newborn and continued through young adulthood.  He taught boys and girls how to make eye contact and offer a firm handshake.  Later on, Dr. Sher would be invited to celebrate graduations and marriages. Humor, photogenic memory, keen intellect, the art of conversation, and kindness in the face of understanding the human condition, characterized Dr. Lewis Sher’s practice.  And, so it is with his son, Dr. Mandel Sher at Center for Cough.

Thanks Dad!  Happy Father’s Day!

Sound Hoarse? Got Vocal Chord Dysfunction Associated with Chronic Cough

See if you answer “Yes” to these questions:  Do you feel and sound short of breath? Do you sound hoarse?  Are you a throat-clearer? Are you coughing?  If any or all of these symptoms sound like you, then you may be experiencing what is known in medical parlance as vocal cord dysfunction (also known as laryngeal dysfunction). Vocal cord dysfunction can make breathing difficult and sounding hoarse may interfere with your professional performance and relationships.  The very good news is that there are solutions for both Chronic Cough and vocal cord dysfunction. Dr. Mandel Sher, Founder of Center for Cough, is a dedicated Cough specialist who will help you.

Dr. Sher and Center for Cough team offer an integrated and comprehensive approach to relieving and resolving your Chronic Cough.  This approach includes easy to do-at-home voice therapy, breathing techniques, and throat clearing exercisesContact Dr. Mandel Sher: 727-393-8067.

Vocal cord dysfunction refers to a narrowing of the voice box area (larynx) that sits at the top of the windpipe (trachea) thereby producing a small opening for air to flow through.   This can be the result of allergies, post nasal drip, and/or reflux.  Because vocal cord dysfunction appears as a breathing problem, it is sometimes misdiagnosed as asthma but they are two separate and distinct conditions.  If you have a persistent cough, also known as chronic cough, then you may also have vocal cord dysfunction.

Treatment for vocal cord dysfunction, associated with chronic cough, is part of a comprehensive treatment plan.  Dr. Mandel Sher is one of the nation’s leading Cough Specialists, offering patients a treatment approach that rapidly breaks the cough cycle and delivers rapid relief rather than by trial and error.  Dr. Sher’s services are all traditional, evidence-based medicine that is recognized by Medicare and other insurance.  The Center for Cough offers a convenient, one-stop shop for diagnostic and treatment services.  Patients leave the initial evaluation visit with an evaluation of the cause(s) and trigger(s) of the chronic cough and the treatment plan.

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

Updated Clinical Practice Guidelines: American Cancer Society Example

WOW!  The American Cancer Society updated the clinical practice guidelines for colorectal cancer screening this week. Clinical practice guideline recommendations change after data is analyzed and experts on charged with guideline development review the data and draw conclusions about best practice.  The updated guidelines are then published and disseminatedThese immediate changes have far-reaching implications for doctors, patients, and health outcomes.  The Institute of Medicine  defines clinical practice guidelines as “statements that include recommendations, intended to optimize patient care, that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options.” 

 Chronic Cough diagnosis and treatment are also subject to clinical practice guidelines.  Dr. Mandel Sher and his global cough colleagues play an important role in evolving and updating the medical community’s understanding, diagnosis and treatment of unexplained Chronic Cough. 

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

Dr. Mandel Sher is a world-class Chronic Cough expert and doctor.  He and his cough doctor and scientist colleagues work tirelessly at patient care, clinical research, and medical community education and understanding to evolve the paradigm for Chronic Cough diagnosis and treatment.  Dr. Mandel Sher’s and cough colleagues’ accomplishments are paving the way with new information that may be considered for updated clinical practice guidelines around Chronic Cough.

Unexplained Chronic Cough affects approximately 12 percent of the population.  While it is a common chronic condition, it is often misdiagnosed and not treated to achieve sustainable cough relief or resolution.  Dr. Sher founded the Center for Cough and is helping people suffering with persistent cough to achieve remarkable cough relief and resolution. 

A cough that won’t go away may be an indication of a serious health problem or it may be that the Chronic Cough is THE problem.  Annoying, Embarrassing, Disruptive with physical, social professional, and psychological consequences.  Don’t wait – be evaluated.  Why waste time and try other therapies that have side effects?  Contact Dr. Mandel Sher: 727-393-8067.  Dr. Sher WILL help you!


Memorial Day: Remember, Honor, Summer Vacation…

Memorial Day – A time to remember and honor the women and men who died while serving in the United States military. Thank You.  And for many of us, Memorial Day kicks-off the start of the summer season.  Summer breaks from our usual routine and summer travel may result in an exacerbation of Chronic Cough.  So, Memorial Day is also an opportunity to plan for summer vacations and be aware of those common factors that may trigger more frequent and intense coughing experiences.

Dr. Mandel Sher and Center for Cough team remind people suffering with Chronic Cough to be mindful of the following factors:

  • Diet:  Summer vacation may include food and drink temptations that are just too good to resist!  Fatty foods, Caffeine, and Alcohol are common diet triggers that may produce cough.  So, be mindful as you make food and drink choices, and be aware of heightened cough associated with food and drink.
  • Allergens:  Your summer travel may find you in an environment with allergens not found at home and trigger an unexpected allergic response.  Environmental allergies are especially variable from one place to another:  Insects, Trees, Dust, Pets are a few common environmental allergies that may be present in your vacation getaway that are different from familiar home situations.
  • Climate:  Vacation destinations may have heat, wind, and dust  that result in a “dry throat.”  Dry throat may stimulate a tickle in the back of your throat that produces cough.
  • Get Togethers:  Summer vacations are a wonderful time to enjoy family and friends.  Talking, talking, and talking some more may be throat drying and produce cough.
  • Discipline:  Summer travel and fun sometimes distracts us from adhering to our medication regimen.  Remember, Chronic Cough is a Chronic Condition that does not take a vacation.  Please take your medications as prescribed by your doctor(s).

A health tip that is universally good for everyone, especially people with Chronic Cough, is:  Stay Hydrated.  Sip, Sip, Sip Water!  Cough lozenges with pectin may also soothe a dry cough.

Happy Trails!