Amigo Medical Group

World Cup Brazil – Yellow Fever Vaccination

May 21st, 2014 David Monahan

With Mexico the world 2010 Defending Champion, many Mexicans and Mexican American soccer fans are making plans to attend the contests that stretch over several states in Brazil. Matches starting in June will extend to finals in July. An up to date Yellow Fever Vaccine Stamped on the World Health Organization Yellow Card with the official stamp and vaccine lot identification will be necessary on entry to Brazil. Starting May 19 Amigo experienced a surge in their travelers.

Although Yellow Fever Vaccine is the only absolute requirement (and we have it), travelers are provided with prescriptions for the correct medication regimine for Malaria Prevention. Typhoid and Hepatitis are also available.

Low Testosterone – Low T

February 25th, 2014 David Monahan

The decline in serum testosterone levels begins in the twenties and proceeds at varying rates among individual men. With this decline are the accompanying declines in sexual function, red blood cell production, muscle mass, bone growth, mood and cognition. There is a corresponding increase in adipose production. That is a decrease in muscle and an increase in fat!

Clinical symptoms of low T are erectile dysfunction, decreased libido, decrease in muscle mass, decrease in energy level and decreased mood. One sees an increase specifically in the belly fat of men.

Serum Testosterone levels are drawn, preferably in the morning, to confirm the diagnosis. Treatment currently is with gels, transdermal patches and injections. We utilize all three, but mostly the injection, primarily due to considerations of costs and dosage accuracy.

Patients need careful ongoing monitoring for prostatism, exasperation of sleep deprivation and polycythemia.  After one year of we are happy with the results of our testosterone replacement program. We invite patients who experience these symptoms to visit us for screening.

Meningitis outbreak in college students at UC Santa Barbara

February 25th, 2014 David Monahan

SantaBarbaraCampusIn our Travel Clinic we administer the meningococcal meningitis vaccine to travelers going to specific destinations which require it before issuing VISAs. Recently an outbreak at UC Santa Barbara resulted in four confirmed cases among students. A local student and Lacrosse star from La Costa Canyon High School contracted the disease and although he survived had both feet amputated at the ankle. Student dormitories, army recruit barracks, and crowded venues, such as the Haj pilgrimage to Mecca, are all high risks for the disease.  


 We recommend college students get the meningitis vaccine before leaving for school. 

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