喉嚨痛 該怎麼辦呢？

當我們進入秋季，我們經常會遇到病人有喉嚨痛症狀。喉嚨痛通常是感冒的第一個跡象。它可以由病毒或細菌引起的。

喉嚨痛最常見的原因是由病毒引起。這種類型的喉嚨痛往往幾天後不用治療會自己消退。然而，感冒症狀，如流鼻涕和鼻塞可以跟隨咽痛症狀。

咽喉炎是由鏈球菌感染引起的喉嚨痛。咽喉炎喉嚨腫痛往往更嚴重，持續時間更長。

喉嚨痛也有其他原因，如，吸煙，污染或在空氣中的刺激物，過敏症，和乾燥的空氣等。

什麼樣的藥物是用來治療喉嚨痛？

喉嚨痛 患者經常會要求抗生素處方。但是，如果喉嚨痛是由感冒病毒引起，抗生素治療是不行的。抗生素治療是只對細菌，如鏈球菌細菌咽喉炎有效。

要診斷咽喉炎，你可以使用一個快速鏈球菌測試 (Rapid Strep Test)或你的醫生可以發送咽拭子實驗室做測試。

*快速鏈球菌測試 RAPID STREP TEST在美健藥房出售。

這個測試5分鐘內給你結果，並可以立即通過TELEMEDICINE醫療服務得到處方治療!

美健藥房營業時間為週一至週五上午10點至晚上8點，每週六上午9點半至下午5點

對於病毒引起的喉嚨痛，使用非處方感冒藥可以減輕一些症狀。此外，多喝溫水，用鹽水漱口和得到足夠的休息可以幫助你感覺好一點點。

新消息!! 美健藥房旁邊的診所有一個新的醫生加入!

許滎鑠醫生將10月起接受新病人!

許醫生說流利英語,普通話和台灣語。他是畢業於加拿大多倫多大學醫學系，有超過20年的經驗!

要預約請致電416-291-0033

Do you have a sore throat?

As we enter into the fall season, we often see patients complaining of a sore throat.  Sore throat is commonly the first sign of a cold. It can be caused by viruses or bacteria. The most common causes of sore throats are viruses. This type of sore throat often gets better on its own after a few days. However, cold symptoms such as runny nose and congestion may follow the sore throat symptom.

Strep throat is a type of sore throat that is caused by an infection due to streptococcus bacteria. With strep throat, the sore throat is often more severe and persists.

There are also other causes of sore throat such as, smoking, pollution or irritants in the air, allergies, and dry air.

What kind of medication is used to treat a sore throat?

Patients will often ask for an antibiotic prescription when they have a sore throat. However, if the sore throat is caused by a cold virus, an antibiotic treatment will not work. An antibiotic treatment is only effective against bacteria, such as the streptococcus bacteria in strep throat.

To diagnose strep throat, you can get a Rapid Strep Test or your doctor can send a throat swab to the lab for a culture.

*Rapid Strep Test is available at Custom Care Pharmacy.* 

This test gives you results within 5 minutes and you can immediately get a prescription treatment via Telemedicine service! 

Custom Care Pharmacy is open from 10am to 8pm Monday to Friday, 9:30am to 5pm on Saturdays. Call us at 905-305-0111 to find out more!

  

For a sore throat caused by a cold virus, over-the-counter cold medications may relieve some of the symptoms.  In addition, drinking warm liquids, gargling with salt water and getting enough rest are things that can help to feel better.

New Walk-in & Family Doctor besides Custom Care Pharmacy

Dr. Ricky Hsu (family doctor) will begin accepting new patients starting Oct 1st, 2015. 

Dr. Hsu is fluent in English, Mandarin and Taiwanese. He is a graduate of University of Toronto and he has been a medical doctor in Canada and Taiwan for over 20 years. 

Medical clinic hours:

Mon    Dr. Hsu 10am - 1pm   

Tues   Dr. Cheng   10am - 7pm

Wed    Dr. Cheng  10am – 7pm

Thurs  Dr. Hsu 10am -1pm

Fri       Dr. Cheng  10am – 7pm

Call 416-291-0033 to book an appointment

Telemedicine: 點擊一下，您可以與醫生直接諮詢!

美健藥房是萬錦市唯一的一間可提供 Telemedicine 醫療服務的藥房。

患者可以在我們的檢查室通過安全的視頻會議技術(videoconference)直接諮詢一名安省註冊的醫生拿取藥物處方。

由於有超過30個可諮詢的醫生，只需等幾分鐘就可跟醫生交談。

該方案是由安大略省政府資助。你只需把你的健康卡帶來就行了。

如果您不是安大略省居民，你可能要支付看醫生的費用。藥房將代表該服務你的醫生收取此款項。

什麼是Telemedicine醫療？

安省Telemedicine醫療網絡（OTN）是世界上最大的醫療網絡之一。這種技術被用於在每一個醫院和數百間安省的診所。

首次在醫院裡應用安省Telemedicine醫療網絡對中風的緊急護理是一個成功的故事。八年以來，其telemedicine醫療為急診醫生通過視頻即時諮詢精於中風治療的專家來評估和治療急性中風患者。

採用創新的技術，安省Telemedicine醫療網絡簡化了醫療流程，同時也拓展了知識共享的方式，增加醫療專業人員相互之間以及與患者間的互動。

作為一個不以營利為目的的組織，安省telemedicine醫療網絡 是由安大略政府資助。您可以通過點擊下面的鏈接閱讀更多有關安大略省telemedicine醫療網絡的信息：https://otn.ca/en/about-us

我可以要求Telemedicine醫生開哪種處方藥物呢？

如果一般購買的藥物未緩解你的症狀，您可以要求Telemedicine醫生為你開更有效的處方藥。

下面是一些常見的例子：

如果你有季節性的過敏症狀（如發癢，水汪汪的眼睛，鼻塞），你可以問醫生開處方藥，以緩解症狀。

如果您需要治療唇皰疹，你可以問 Telemedicine 醫生開處方藥處方藥膏，以防止和減少嘴唇起泡。

紅眼病或眼部感染都是兒童中很常見，你可以問 Telemedicine 醫生開抗生素眼藥水治療。

對於輕微的皮膚症狀，如皮疹，蟲咬，腳氣，輕微燒傷等，你可以問醫生開處方藥膏, 比一般購買的藥物更有效地治療這些症狀。

青春痘/痤瘡的治療也可以立即問醫生開處方藥。

Telemedicine 醫生也可以幫助你更新你的處方藥。所以，如果你用完了你的藥物處方您可以要求醫生幫你更新處方。然而，管制藥品是不允許的。

如果我想看一個現場的醫生呢？

程醫生, 每週二，週三和週五，上午十時至晚上7時開診。他的診所位於美健藥房旁邊。

Telemedicine 醫療網絡診所每週一，週四，上午九時半至晚上八時開診, 週六上午九時半至下午2時。

8月30日美健藥房舉行活動，快來登記!

你想煮更健康，可口的飯菜？

 大廚Daniel Verati 是“我的理想食譜” 作者和lowfatlowcarb.com 的廚師顧問。他即將來美健藥房做烹飪示範! 教我們如何烹製美味的低碳水化合和低脂肪食物！快來登記，座位有限
！

 日期：星期日 2015年8月30日    時間：2-4pm

地點：美健藥房

RSVP: 905-305-0111

Telemedicine at Custom Care Pharmacy: Click and you can see a doctor now

Custom Care Pharmacy is the only location in Markham providing telemedicine walk-in medical service. 

Patients can ask an Ontario licensed medical doctor for a prescription through a computer monitor in our exam room, using a secured 2-way videoconferencing technology.

Because there are over 30 medical doctors accessible through telemedicine, the wait time to talk to a doctor is only a few minutes. 

This program is funded by the Ontario government. All you need to do is to bring your health card to see a doctor. 

If you are not an Ontario resident, you may see the doctor for a fee. This payment will be collected at the pharmacy on behalf of the telemedicine doctor.  

What is Telemedicine? 

The Ontario Telemedicine Network (OTN) is one of the largest telemedicine networks in the world. This technology is being used in every hospital and hundreds of clinics across Ontario. 

OTN’s first application for emergency care, telestroke, is a success story. For eight years, the first-of-its-kind telemedicine application provides emergency physicians in the hospital with immediate access via video to neurologists with expertise in stroke care who can assess and treat patients experiencing acute stroke.

Using innovative technology, OTN streamlines the health care process, while also expanding the way knowledge is shared and how the medical professionals interacts with each other and with patients.  

As an independent, not-for-profit organization, OTN is funded by the Government of Ontario. You can read more about the Ontario Telemedicine Network by clicking on the following link: https://otn.ca/en/about-us

What kind of prescription can I ask for? 

If the over-the-counter treatment is not relieving your symptoms, you may ask the doctor for a more effective prescription medication or for one that is covered by your benefit plan. Here are some common examples: 

If you have seasonal allergy symptoms (such as itchy and watery eyes, stuff nose) and they are not relieved by over-the-counter products, you can ask the telemedicine doctor for a prescription treatment to relieve those symptoms. 

If you need treatment for cold sores, you can ask the telemedicine doctor to prescribe a cold sore ointment to prevent and reduce the blistering lesion on your lip. 

Pink eye (infective conjunctivitis) are very common in kids, you can ask the telemedicine doctor to prescribe an antibiotic eye drop to treat the infection right away. 

For minor skin conditions, such as rash, insect bites, athlete's foot, minor burn, etc., you can ask the telemedicine doctor to prescribe an ointment or cream to treat these conditions more effectively. 

You can also ask the telemedicine doctor for a prescription treatment for acne, impetigo, canker sores, just to name a few examples. 

The telemedicine doctor can also help you renew your prescription medication . So if you run out of your medication and your family doctor is not available to renew it, you can ask the telemedicine doctor to renew the prescription for you. However, no narcotic and controlled drugs are permitted.

What if I want to see a doctor in person? 

Dr. Hang Cheng is an Ontario licensed medical doctor that will see walk-in patients on Tuesday, Wednesday and Friday, from 10am to 7pm. His clinic is located right beside Custom Care Pharmacy. 

The telemedicine walk in service is available inside Custom Care Pharmacy on Monday and Thursday from 9:30am to 8pm and Saturday from 9:30am to 2pm.

Upcoming event at Custom Care Pharmacy:

On Sunday August 30th, from 2pm to 4pm, 

Custom Care Pharmacy is hosting a patient seminar to discuss weight management to prevent the "3 highs" of high blood pressure, high blood sugar and high cholesterol.

** Famous Chef Daniel Verati, the author of "My Ideal Recipes"   will be coming to do a healthy low carb, low fat cooking demonstration for us!**

Please RSVP soon by calling us at 905-305-0111

誰需要維生素和礦物質補充劑呢？

     在藥房，經常會有人問是否需要服用維生素或礦物質補充劑。對於懷孕或計劃不久懷孕的女性，我們建議她們儘早開始服用產前維生素。這種補充劑是對於嬰兒的發育非常重要，因為它含有“葉酸”以及其他維生素和妊娠過程中所需的礦物質。很多女性在生完孩子後就停止服用產前維生素。實際上，我們建議產婦生產后繼續服用產前維生素補充劑4-6周。如需母乳喂養的女性，則需整個哺乳期都服用。

           對於挑食的或經常不吃早餐的人來說，他們可能因為不食用某些種類的食物而缺乏必要的維生素和礦物質。有時，素食者可能會貧血，因為他們不吃任何紅肉。此外，患有乳糖不耐受症的人可能會缺鈣，因為他們不喝牛奶，也不吃其他乳製品。據加拿大的預防骨質疏鬆症的指南，成年女性每天至少需要1000毫克的鈣， 50歲以上的女性則每天需要1200毫克的鈣。即使我們平常有喝牛奶，吃奶製品，仍然有可能無法從飲食上獲得足夠的鈣。

           要找出您當前的飲食能否為您提供足夠的維生素和礦物質，我們建議你質詢一下營養師。大型雜貨店，像Loblaws，有時會有營養師為客戶提供免費的現場諮詢。

                             藥物引起的維生素或礦物質缺乏症

           有些藥物可能會引起我們身體的維生素或礦物質的不足。一個常見的例子是服用利尿劑來降低血壓的老年人，隨著時間的推移，病人可能會缺鉀，鈉和礦物質。如果你正在服用利尿藥，你應該問你的藥劑師有什麼需要注意的，以及如何防止這些物質的缺乏。有時，方法可能很簡單，只要多吃些香蕉和桔子以增加鉀的攝入量。其他時候，可能需要口服補充。

         服用糖尿病藥二甲雙胍超過10年的人應該知道，他們可能會缺乏維生素B12。這是因為二甲雙胍會障礙你的身體從飲食上吸收維生素B12。如果你連續服用二甲雙胍超過10年，你的醫生可能會建議您服用維生素B12口服補充劑或者每年注射一次維生素B12，以防止這方面的不足。

         經常服用胃藥如“TECTA”來降低他們胃酸的患者，這些藥物可能會改變維生素B12，鎂，鉀和鈣的吸收。如果你每天都需要這種類型的藥物超過幾個月，你可能要考慮補充維生素B12，鎂，鉀和鈣。

        對於服用降膽固醇藥物如立普妥的患者，這類藥物可以減少體內的輔酶Q10的水平。輔酶Q10是人體許多器官正常運作所需的東西，它還為我們身體內的細胞提供能量。為了防止輔酶Q10缺乏，可口服補充劑。

美健藥房即將舉行免費的病人研討會

主題：健康減肥，預防三高 ,  減少你對藥物的需要

日期：2015年8月30日（星期日）

時間：下午2時至4時

地點：美健藥房

免費試吃Ideal  Protein減肥食品

今天就打電話預約吧！ 905-305-0111

Do we need vitamin and mineral supplements?

Who needs vitamin and mineral supplements?

At the pharmacy, people often ask us if they should be taking a vitamin or mineral supplement. For young female patients that are pregnant or planning to get pregnant soon, we recommend that they start taking a pre-natal multivitamin as soon as possible. This supplementation is very important for the development of the baby because it contains 'Folic Acid' as well as other vitamins and minerals that are needed during pregnancy. Many women will stop taking the  pre-natal vitamin after giving birth, however, it is recommended that the pre-natal multivitamin supplementation be continued for 4-6 weeks afterwards and as long as breastfeeding continues. 
   
For people who are picky eaters or those who are often skipping meals, they could be lacking essential vitamins and minerals from not eating certain group of food. Sometimes, vegetarians may become low in iron because they are not consuming any red meat. Also, people who are lactose intolerant may not be getting enough calcium from their diet because they avoid milk and other dairy products. According to Osteoporosis Canada, adult women require at least 1000mg of calcium a day and women over 50 years old require 1200mg of calcium a day. Even for those of us who drinks milk and eat dairy products, we still may not be getting enough calcium from our diet alone. 

To find out if your current diet is providing you with sufficient vitamins and minerals, we recommend that you talk to a dietitian.  Large grocery stores, like Loblaws, will sometimes have dietitians on-site that provide free consultations to customers.

Medications induced vitamin or mineral deficiency

Drugs can often cause deficiencies in vitamins or minerals in our body. One common example is the use of diuretic to lower blood pressure in seniors and over time, the patient may become deficient in potassium, sodium and other minerals depending on the type of diuretic being used. If you are taking a diuretic, you should ask your pharmacist about what to watch out for and how to prevent the deficiency from occurring. Sometimes, it may be as simple as eating more bananas and oranges to increase potassium intake. Other times, oral supplementation may be required. 

People that are taking Metformin, a diabetes medication, for more than 10 years should be aware that their body storage of vitamin B12 could become deficient. This is because Metformin can cause malabsorption of vitamin B12 from diet. If you have been taking Metformin for more than 10 years, your doctor may recommend that you take oral supplementation of Vitamin B12 or have an annual injection to prevent this deficiency. 

For patients that frequently take "stomach pills", like "Tecta", to lower their stomach acid, these medications can alter the absorption of vitamin B12, magnesium, potassium and calcium. If you take this type medications everyday for more than a few months, you may want to consider taking supplementation for Vitamin B12, magnesium, potassium and calcium. 

For patients taking cholesterol lowering drugs, like Lipitor, this class of drug can decrease the body's Co-Q10 level. Coenzyme Q10 is something that the body requires for proper function of many organs. It also helps to provide energy to the cells inside our body. To prevent a deficiency in CoQ10, oral supplements are available for purchase.

Upcoming patient seminar

Mark your calendar for the upcoming FREE patient seminar at Custom Care Pharmacy. 

Topic: Healthy weight loss to reduce your need for chronic medications, like hypertension drugs, cholesterol drugs, diabetes drugs. 

Date: August 30th 2015 (Sunday)

Time: 2 pm - 4 pm

Location: Custom Care Pharmacy

Plus FREE taste test of Ideal Protein weight loss food products

Call to reserve your spot today! 905-305-0111

如何減掉腹部脂肪和腰圍對我們健康的重要

我們的腰圍可指示我們的健康風險，因為較寬的腰圍，有更多的多餘的脂肪在我們的腰部。根據心臟及中風基金會和加拿大糖尿病協會2013臨床指引，

·    90   cm 厘米（36   inches 英寸）的腰圍以上的中國男人，或

·    80   cm 厘米（32   inches 英寸）的腰圍以上的中國女性

涉及具有健康問題，如2型糖尿病，心臟疾病和高血壓。

很多人誤用腹部最小部分的位置來測量腰圍。根據心臟及中風基金會的指示規定，我們做腰圍測量的時候，我們應該用髖骨的頂部對齊捲尺底部邊緣。

此外，心臟及中風基金會有一個短片向您展示如何做一個適當的腰圍測量。您可以在下面的鏈接點擊查看。
https://www.youtube.com/watch?v=__ZEebzObWs&feature=player_embedded

大多數人都知道，做運動和改良飲食習慣可以幫助減肥。吃得健康，吃得少量，以及適量運動是有助於你保持健康體重的生活方式的改變。起步常常是困難和維持生活方式的改變是更具挑戰性!

就是這個原因,  美健藥房即將提供一個全面的醫學設計減肥方案。

這種減肥方法是包含了兩個關鍵部份的醫學設計方案:

1) 第一部分是幫助肥胖者成功瘦身，即減掉多餘脂肪

2) 第二部分是健康生活式的教育，幫助您維護您的瘦身成果。

此外，您將獲得美健藥房一對一的指導來協助您順利完成无象源瘦身計劃的4個階段。

此方案通過食用以蛋白質為基礎, 低碳水化合物，低脂的加拿大製造 Ideal protein食品來減輕體重。幫助患者減掉體內的脂肪，同時保持肌肉質量。

請致電905-305-0111並註冊接收後續資料!  如果您是註冊該計劃的前20名成員，您將會獲得$50折扣 用於Ideal Protein 減肥方案!。心動不如行動!

關於幫助減肥的處方藥：

在加拿大的處方藥里只有奧利司他（Xenical®）可用於減肥。上一代的減肥藥物，其中包括二乙胺（Tenuate®）和西布曲明（Meridia®），不再在加拿大使用。

奧利司他通過阻止酵素（由叫脂肪酶）分解脂肪起效。這樣可以使脂肪留在小腸而不被吸收，排出體外。奧利司他可減少約30％脂肪的吸收。

奧利司他被批准用於與降糖藥物（磺脲類藥物，二甲雙胍，胰島素）聯合使用。奧利司他可能有助於改善超重或肥胖的2型糖尿病患者的血糖。

 奧利司他最常見的副作用是胃腸道症狀，如腹痛，油性大便，氣體洩漏排便，突然內急 ，排便數量增加。如果任何一餐含有非常高的脂肪, 出現這些副作用的風險也會更高。

奧利司他並不適合每一個人, 需要醫生的處方才可以使用。此外，政府的藥物計劃不支付奧利司他,   藥費也比較昂貴。

如果你需要減肥治療詳細資料，請聯絡美健藥房的藥劑師905-305-0111。