Seasonal vaccination and primary care topics by Dr. Alvin Chang
How Can We Help?
Flu season starts now!!
- Influenza A&B
- RSV
- Covid 19
- Pneumonia
vaccination
- Flu vaccine: regular and high dose ( for 65 year or older)
- RSV vaccine ( 60 years or older with chronic illness or anyone over 75)
- https://arexvy.com/?cc=ps_L60QPZNZW61605638&mcm=330017&gad_source=1&gclid=CjwKCAjwooq3BhB3EiwAYqYoEl84Kh9Iyhl1pBC3c7hNKJXJPJjI-AhvXZrs5ih4dWyJJPHGiL8qvhoCPAIQAvD_BwE&gclsrc=aw.ds
- Covid vaccines: Moderna, Pfizer or Novavax ( protein based)
- PCV 20 ( streptococcal pneumonia) latest verion
- Last version PCV 13
Test for Covid and influenza
- There is a 3 in 1 test kits available for home use. Keep some at home or bring along when traveling
- There is RSV home test kits also but there is no treatment for RSV
CorDx TyFast Flu A/B & Covid-19 Multiplex Rapid Test, 10 Mins at Home, FDA Authorized, 3-in-1 Combo Kit, 5 Tests
Treatment for Influenza and Covid
- Tamiflu, Relenza,Xofluza and Rapivap ( IV)
- Paxlovid and Molnupiravir ( for poor kidney function)
Hypertension
- Systolic BP should be below 135. The lower the BP the better as long as not dizzy!!
- Diastolic BP should be lower than 80.
Blood pressure 5-10 mmHg higher than normal over 10 to 20 years can cause a lot of damage to brain, heart and kidneys!!
High Cholesterol
- Cholesterol should be less than 200
- HDL the higher the better. Average about 50, below 40 is not so good
- LDL should be less than 70 in Asians ( in USA less than 99 for general population)
- Asians are more prone to small vessel diseases ( embolic stroke or bleeding stroke)!!!
Flu season starts now
- Influenza A &B
- RSV
- Covid 19