Infant Immunizations - What to Know and Expect

National Infant Immunization Week takes place during the month of April. Since thepediatrics services offered by Kaner Medical Group include immunizations, we want to share some helpful information about what to know and expect with your child’s immunizations:


When to Get Immunizations


Your child should receive a shot for Hepatitis B at birth. Then between the ages of 2 and 12 months are when your child should get the majority of their remaining immunizations. The shots that occur during this time period include Diphtheria, Tetanus, and Pertussis, as well as Hib, PCV, Polio and RV. After that period of time, you can do the Hepatitis A shot at 18 months.


While immunization shots aren’t something that children love, it’s often parents who have even more anxiety about this process. That’s especially true when they take a child in for their first round of immunizations.


In terms of getting prepared, you can schedule your appointment with usonline or by calling 817-484-0352. If you have any specific questions about your child’s immunizations, we’ll be happy to answer them before or during the appointment. A simple way to keep your child as comfortable as possible during this experience is to bring one of their favorite toys or books to the appointment.


What to Expect During and After Immunizations


When you choose Kaner Medical Group for your child’s immunizations and other pediatric care, you can be confident that your child will receive the medical attention they need in a caring environment. During your visit, the best options for distracting and comforting your child are talking softly, singing or cuddling. Making eye contact with your child and smiling will let them know that everything is OK.


We generally recommend that parents firmly hold their child on their lap when immunization shots are administered. Even though this process can create quite a bit of anxiety for parents going through it for the first time, it actually goes quite quickly. Mild side effects like a rash on the injection site or minor fever are completely normal after immunizations. If you notice any redness or swelling, you can use a cool, wet cloth on the injection site. Also be sure to make a point of giving your child lots of liquids, as it’s normal for a child to have a reduced appetite during the 24 hours following this kind of shot.


Although April is focused on National Infant Immunization Week, immunizations are something that affect older children as well. The best way to prepare an older child for any shots is to be honest. While there’s no need to scare them, let them know that they will feel a sting or pinch. Do reassure them that the feeling won’t last for long. You can also help distract your child during the process by talking to them and pointing out things for them to look at.



If you have any additional questions about what Immunizations your child needs or want to schedule an appointment with us, you can reach the Kaner Medical Group office by calling 817-484-0352.

What Are The Most Common Sports Injuries?

At Kaner Medical Group, one of the types ofphysical therapy we specialize in is sports therapy. That specialty gives us insight into the types of injuries that are most common in athletes of all ages. Whether you’re an athlete or the parent of one, we have put together a helpful list of the injuries that are most likely to occur during the course of playing sports:

Sprains and Strains

The reason these are the two most common types of sports injury is they can happen during the course of almost any form of physical activity. Given their similar names and symptoms, many people have questions in regards to what sets these two injuries apart. A sprain occurs when a ligament stretches or tears. Ligaments are tissue that connects one bone to another. A strain occurs when a musculo-tendinous structure gets stretched or torn. Although both conditions are quite common, it’s possible for them to be very severe, which is why it’s important to get proper medical attention.

Shin Splints

This condition is most common with runners. More specifically, shin splints often occur when a runner is on a hard surface for an extended period of time or doesn’t properly warm-up. The most common symptom of shin splints is pain that’s felt along the tibia (shin bone). In some cases, shin splints can occur in the ankle and foot, or on the inner edge of the bone where it meets the calf muscle.

Knee Injuries

Not only are knee injuries very common, but they can be very debilitating. Tendonitis, runner’s knee and iliotibial band syndrome are injuries that fall on the minor to mild end of the spectrum. Examples of more serious knee injuries include any bruising or damage that involves the knee’s ligaments or cartilage. The major ligaments found in the knee are PCL, MCL, ACL and LCL, which is why sports knee injuries often include those names.


If bones in a joint are met with enough force, they can get pushed out of alignment. This condition is known as a dislocation. An injury of this nature can occur during contact sports, when someone falls or simply from the force of an event like excessive stretching. Hands and fingers are the most likely sites of a dislocation, followed by shoulders.


Last but certainly not least are fractures. There are two main types of fractures. The first is an acute fracture. This condition occurs when a bone experiences one-time trauma and breaks. The other type of fracture is a stress fracture. What makes this condition different is it results from repeated stress on a bone over time. When a bone breaks due to either type of fracture, fully dealing with the injury may require surgery and then physical therapy to recover.

If you sustain an injury while playing sports or engaging in any other activity and require physical therapy, you can book an appointment with us online or by calling our office at 817-659-2387.

13 Questions to Ask Your Doctor about Heart Disease

Have you been diagnosed with a heart disease? Right now, you might be scared, confused, and desperate for answers. It’s okay. You’re not alone, and with a qualified medical team in your corner, you’ll get the best possible treatment for achieving optimal health. To better understand your condition and to get more peace of mind, it’s important that you ask the following questions of your heart doctor at your next appointment.

  1. What exactly is my condition?

  2. How severe is my heart disease?

  3. What’s the cause of my heart disease?

  4. What treatment do you recommend for my heart problem? Why?

  5. What are some realistic outcomes I can expect from treatment?

  6. Are there any possible side effects to the treatment you recommend?

  7. What are the consequences of not seeking treatment?

  8. What do I do if I notice my symptoms worsening?

  9. Is there anything I can do to manage my condition and keep it from worsening or coming back?

  10. How will my heart disease affect my day-to-day activities, like working, exercising, having sex, etc.?

  11. Should I change my diet?

  12. How does stress affect my condition, and what can I do to reduce my stress levels?

  13. How often will I need to come in for a doctor’s visit?

Being an educated patient plays an integral role in your recovery. The more you know, the better you can manage your condition and beat heart disease. Make sure you’re asking your doctor the right questions so you can have a productive conversation and learn everything you need to know to stay as healthy as you possibly can.

At Kaner Medical Group, we can work with you to treat your heart disease and manage even the most complex cardiac conditions. Our goal is to empower you to live a healthy, happy, life. Click here to learn more about our heart disease therapies.

Small Changes to Eating Habits Can Have a Big Impact

Heart disease, type 2 diabetes and obesity are all major problems in Texas and across the rest of the United States. While there are a variety of factors that contribute to these health conditions, diet is one of the most significant. If you want to lose weight or improve your overall health, taking a look at what you eat every day is one of the best places to start.


When people decide that they’re going to change their eating habits, they often dive into making a radical change. Although there are times when that makes sense, most attempts to follow a strict diet or similar plan end in failure. The reason that type of sudden and significant change generally isn’t best is it’s very hard to stick with.


Even if someone sees some initial success in the form of shedding a few pounds or feeling more energized throughout the day, there’s a very high likelihood that they will slip back into their old habits. What’s worse is when people do slip, they often end up gaining back any weight they lost and then more.


Although making better choices about food is hard, that doesn’t mean you shouldn’t try. The key to making changes that will stick and have a big impact is to start small. While small changes may not seem like much on their own, the cumulative effect of steadily adopting multiple changes over the course of 3 to 6 months can be very significant.


If you’re wondering what types of changes you should make, here are five that you can gradually work into your daily routine:


Start the Day with a Big Glass of Water


When you wake up in the morning, head to the kitchen and drink a large glass of water. By making a point of drinking at least 16 ounces of water when you first wake up, you’ll hydrate your body, help start up your metabolism and brain, as well as reduce urges you may have during the first part of your day to overeat.


Sit Down for Meals


Mindless eating is a common cause of eating too much. By actually sitting down to eat a meal, you’ll be able to focus on your food and enjoy feeling more satisfied.


Substitute Grilled or Baked Sides for Fried Ones


Improving your eating habits doesn’t mean you can never go out. A simple way to enjoy eating out without going overboard is to opt for a grilled or baked side instead of one that’s fried.


Pay Attention to Portions


One of the main reasons most people are consuming more calories is portion sizes have gotten considerably larger. That’s why you don’t need to feel pressured to eat your entire plate. And before you go back for a second serving, give your body a few minutes to process your food so you’ll know if you’re actually still hungry.


Be Careful About Snacking


Although smart snacking can be a useful weight loss or management tool, be careful about foods like nuts that can be surprisingly high in calories even when eaten in small quantities.


How to Stay on Track with Weight Loss Goals

One of the most frustrating things in life is to make a significant amount of progress with losing weight, only to fall off track and start gaining weight again. The worst case in this scenario is to end up weighing more than when you started losing weight. Although this type of experience can be stressful and make you feel alone, it’s something that countless people go through.

Why is losing weight so hard? Since that’s a very broad topic, we want to focus on a specific aspect of it, which is how to stay on track with weight loss goals. So if you want to break the cycle of building momentum and then falling off track, here’s how to make that happen:

Let Go of Past Failures

Before you can make any progress, you have to let go of failures you’ve had in the past. While it’s normal to be hard on yourself about shortcomings you’ve had, the simple reality is you can’t change the past. However, by letting go of it, you can take control of your future.

Start with a Realistic Goal

A common reason that people fall off track is they set unrealistic goals for themselves. There’s nothing wrong with wanting to push yourself. But, when it comes to weight loss, there’s a definite line between pushing yourself and setting yourself up for failure. If you want to succeed, you need to have a goal that’s actually attainable.

Take a Long-Term View

This ties in directly with setting a realistic goal. Thinking that you’re going to exercise 2 hours a day, 7 days a week simply isn’t sustainable. But committing to something like being active for 30 minutes a day, 5 times a week can be done. Understanding the type of results you can get from being consistent with your efforts will ensure that you focus on making healthy changes that you can actually stick with.

Don’t Overlook Little Victories

Another reason that so many people struggle with weight loss is it causes them to have a very negative view of themselves. Avoiding that pitfall is why it’s important to feel truly proud of yourself as you start and continue to make progress. For example, when you step on the scale and realize that you’ve lost & kept a few pounds off, you should take a moment to feel proud and reflect on the progress you’ve made.

Get Support

Trying to lose weight and keep it off all on your own is very difficult. While there are those who do it, the majority end up falling short. If you want to give yourself the best chance of succeeding, it’s important to have support along the way. Whether it’s a workout partner, a weight loss group or even an online community, accountability and support will keep you going even when you encounter a potential roadblock along the way.

True weight loss isn’t something that’s going to happen overnight. But as long as you commit to making a change and follow the advice we’ve outlined above, you will find success with your weight loss goals.

Don’t Let Allergies Control Your Life

Allergies are a very common condition in Texas and the rest of the United States. For a large percentage of people who have allergies, this condition is much more of an inconvenience than it is a serious cause for concern. That's why it can be difficult for some people to understand just how significant certain cases of allergies can be. If you are someone who does struggle with severe allergies, you know from personal experience just how much of a burden this condition can put on your daily life.


What is the Definition of Severe Allergies?


Severe allergies can be caused by many different substances. That's why the definition of this condition doesn't focus on specific allergens. Instead, the general definition for severe allergies is when someone has a condition with allergic symptoms which are serious enough to interrupt that person's life. For example, if someone has allergic symptoms that require them to take days off of work, that individual would be diagnosed with severe allergies. Another common example is people who are so allergic to pollen that they can't go outside on days when the count is high.


Are Severe Allergies Limited to One Type of Allergen?


Pollen, mold, dust mites and animal dander are the allergens that most commonly cause people to have severe allergic reactions. Although it is possible to only be highly allergic to one of those allergens, it's actually more common for people to have multiple allergies that fall into the severe category. If you've experienced severe allergic reactions but aren't sure what triggered them,allergy testing is the best way to find out.


Once you know exactly what you’re allergic to, you will have an easier time taking preventive measures to minimize the likelihood of experiencing any significant reactions. While there’s no way to cure allergies, being aware of what triggers your worst symptoms means that you won’t have to live with uncertainty.


Instead, you’ll know when you need to be aware of your surroundings. For example, if you discover that you’re allergic to cat dander, you’ll want to avoid going inside of homes where you know one or more cats live.


Tips for Eliminating Allergens in Your Own Home


In addition to being aware of other environments where you may encounter allergens, you can also take steps to eliminate as many relevant allergens as possible from your own home. This is especially important during winter or any other period when you may spend a significant amount of time indoors.


For dust mites, sticking to a consistent weekly schedule of washing bedding in hot water will drastically cut down on them. Adding a dehumidifier to your home is also a worthwhile investment. Keeping windows shut will minimize the amount of pollen that’s able to come inside throughout the year, while mold is best managed by being diligent with bathroom cleaning.


By learning as much as possible about your allergies and then taking preventative action against your triggers, you can maximize your quality of life and minimize the role that allergies play in it.

Is There a Link Between Allergies and Asthma?

Allergies and asthma are both conditions that can make people feel less than ideal. However, it's not the only thing they have in common. Even though it can be challenging enough to deal with just one of these conditions, the reality is that they often occur together. In fact, some substances that cause allergic reactions can also trigger specific asthma symptoms. The most common symptoms that are triggered in this type of scenario are chest tightness, wheezing and shortness of breath.


When a substance like pet dander, dust mites or pollen triggers asthma symptoms, the condition is actually referred to as allergic asthma. While those substances are the most common triggers of allergic asthma, there are cases where food or skin allergies result in some degree of an asthma attack.


Understanding How An Allergic Reaction Can Result in Asthma


Even though the link between these two conditions may seem strange at first, it makes more sense once you have a little more information about exactly what happens when an allergic response is triggered within the body. This type of response occurs when proteins in the immune system attack a substance like tree pollen. Although this specific substance is harmless, the immune system mistakenly identifies it as something that presents a threat.


When antibodies bind to an allergen, the immune system releases chemicals. Those chemicals are what cause the types of symptoms that so many people experience as a result of their allergies. Skin reactions, itchy eyes, runny nose and nasal congestion are all symptoms that can be triggered during this process. The link between allergies and asthma comes from the fact that for some people, the same process that causes reactions to be triggered occurs in an individual's airways and lungs.


Different Treatments for Allergies and Asthma


Another question that often comes up in regards to this topic is if the treatments for both conditions are different or the same. The answer to that question actually depends on all the specific details of an individual situation. There are numerous treatments that are designed to help with allergies, as well as many others that specifically target asthma. While there isn't a huge amount of overlap between these two types of treatment, there are a few that may be able to help with both conditions.


A Leukotriene modifier, allergy shots and Anti-immunoglobulin E (IgE) therapy are three types of treatments that have the potential to help with both allergies and asthma. As with any type of medical treatment, the only way to know if a certain option is right for you is to be fully evaluated by an experienced medical professional. It’s also common for people with either severe allergic or asthma reactions to receive additional medication for managing their symptoms.


If you have any additional questions about allergies, asthma or both of these conditions, the best way to get answers and find out which treatment options are best for your specific situation is to schedule an appointment with one of ourFamily Practitioners.


Your Guide to February and National Heart Month

February is officially here, which means that in addition to celebrating Valentine’s and Presidents’ Day, there’s an important awareness effort going on in the form of National Heart Month. As the leading cause of death for both men and women in the United States, heart disease is an issue that all of us need to take very seriously.

To help play our part in spreading awareness during National Heart Month, Kaner Med wants to cover some of the steps you can take to help reduce your risk of heart disease and stroke:

1. Meet with a Doctor and Discuss Your Heart Health

While this is important for everyone to do, given that men are statistically less likely to visit a doctor for preventive care, it’s especially vital for them. One of the reasons that heart disease is still such a problem across the United States is it often builds up without creating any symptoms. By meeting with a doctor to talk about heart disease, you can find out if you’re at risk. And if you are, knowing this information will allow you to take action to help protect yourself.

2. Make Sleep a Priority

Supporting good heart health is one of the many benefits of consistently getting enough sleep. If you’re wondering how much sleep you should aim for every night, 7 hours is a great target. The reason to aim for that amount is research has found that young and middle-age adults who slept 7 hours a night had less calcium in their arteries than those who slept 5 hours or less and those who slept 9 hours or more.

3. Stop Smoking

Although everyone knows that smoking significantly contributes to your risk of heart disease, that doesn’t change the fact that more than 40 million adults in the US still smoke. So if you or a loved one are a smoker, the absolute best thing you can do for your heart and overall health in 2016 is stop smoking.

4. Consider the DASH or Mediterranean Diet

Many of the most popular diets and related books are focused on losing weight fast. The problem with almost all of those diets is they’re not sustainable. That means even if people are able to lose a little weight, they’re almost guaranteed to gain it back. Two exceptions to that rule are the DASH and Mediterranean diets. While these diets can help you lose weight, they’re actually sustainable approaches to eating. Best of all, they’ve both been linked to supporting heart health.

5. Less Sitting, More Sweating

You should try to exercise for 150 minutes a week. That amount comes from exercising 30 minutes a day, 5 times a week. However, it’s also important to make an effort to move around more when you’re at the office or home. Standing up more frequently and moving around can do a lot to help your overall heart health.

By putting these steps into action during February and maintaining them over time, you can help keep your heart at its healthiest!

Winter Allergies - Are You At Risk?

Many people assume that when the cold temperatures of winter arrive, they will be able to enjoy a break from their allergies. While that may be true for people who suffer from pollen allergies, it's not the case for all allergy sufferers. For individuals who are allergic to things like dust mites or mold, winter can actually cause their symptoms to get worse.


The reason that certain types of allergies can actually get worse during the winter is due to people spending more time indoors. When it's cold outside and you're inside your home, your furnace is going to run on a continuous basis to keep you warm. As hot air circulates to warm your home, it can include mold spores and dust. Breathing air with those substances in it can be a direct trigger for your allergies.


How to Tell If You're Suffering from Winter Allergies


Dust mites and mold are the two most common causes of winter allergies. Dust mites are often found in bedding and mattresses. When these microscopic creatures die, they leave their remains and droppings behind. Then if those things get into the air, they can start triggering symptoms of allergies.


Mold thrives in areas that are humid and damp. That's why mold is commonly found in bathrooms and basements. However, since mold spores can become airborne and spread anywhere in a home, other rooms can be allergy triggers as well. On the subject of what causes winter allergies, it's also worth mentioning pets. Even though pets aren’t as prevalent of a cause as dust mites or mold, a protein found in pet saliva, urine and dander can lead to allergy symptoms.


On the subject of winter allergy symptoms, one of the most common questions people have is whether they're suffering from winter allergies, a cold or the flu. While these conditions do share many of the same symptoms, there are a few key differences. It’s very uncommon for cold symptoms to last for more than ten days. And unlike allergies, flu symptoms often include pains, aches and fever.


Symptoms that do often indicate winter allergies are watery eyes, sneezing, runny nose, itchy eyes, dark circles under the eyes and coughing.


Identifying and Treating Winter Allergies


If you have reason to believe that you're allergic to things like dust mites or mold, our allergy testing services can help provide you with conclusive answers. Once you know for sure if you do have winter allergies and exactly what you’re allergic to, you can take steps to minimize and manage your symptoms.


Antihistamines and decongestants are often used to help with symptoms of winter allergies. Allergy shots may be used in more severe cases. Additionally, there are quite a few environmental changes you can make to reduce allergy flare-ups during the winter. Using a dehumidifier, HEPA filter and washing bedding weekly in hot water are all steps you can take to significantly cut down the amount of dust mites and mold spores that are present in your home.


What Type of Exercise is Best for Weight Loss?

Regardless of their exact goal, losing weight isn’t something that most people think of as an easy task. Although there are individuals who seem to be able to shed weight without really trying, a far larger percentage of the population has to work hard in order to see results. Since losing weight is a challenge, it makes sense to give yourself every advantage possible.


One of those advantages is choosing exercises that work best for losing weight. If you’re in the process of trying to decide what kind of exercise you’re going to focus on to lose weight, we want to share our thoughts on the type of exercise that is best:


8 Exercises That Burn a Significant Amount of Calories


Running is the most common exercise that’s associated with losing weight. While there’s no question that running can increase your heart rate and burn a significant number of calories, there are other activities that can burn more calories. Kettlebell swings can keep the heart at 93% of its max for a full 20-minute workout. Indoor rowing can burn 12.5 calories per minute, while every burpee someone does can burn just under 1.5 calories.


Because it has resistance that increases as you pedal harder, an Airdyne stationary bike makes it possible to burn a lot of calories in a short amount of time. Jumping rope burns around 13 calories a minute (as do certain CrossFit workouts), while fat-tire biking can take the total per minute as high as 25 calories.


Consistency is the Most Important Factor


So, should you go with the exercise that allows you to burn the most calories per minute? Not necessarily. The problem with taking that approach is it may result in choosing a type of exercise that you don’t enjoy at all. Forcing yourself to do something every day that you don’t like is not a recipe for success. Instead, it will make it easy for you to come up with reasons why you should skip a workout.


That’s why the best type of exercise for losing weight is one that you enjoy doing and can realistically stick to on a regular basis. Losing weight and keeping it off is a long-term pursuit, which is why going full-force for a couple of weeks and then getting completely derailed isn’t going to help you make real progress.


On the other hand, even if you choose an activity like walking that won’t necessarily rack up huge calorie burns over the course of 30 or 60 minutes, being able to do these kinds of activities every day or even multiple times a day means you’re going to accomplish a lot over the course of weeks and then months.


By taking a long-term view of your weight loss efforts, you’ll be able to avoid the peaks and valleys that commonly accompany new exercise routines and instead find a steady path that will lead to the results you want.