Routine questions and urgent medical matters should be directed to your primary care physician. Family Practice Clinic – East County Urgent Care. Tdap Tetanus, Diptheria, Pertussis). Randomized, subject- and observer-blind, placebo-controlled, clinical trial. Our family care physician at East County would be delighted to begin a fruitful medical relationship with you and your family!
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Return To Duty Physical. You do not have a primary care physician. Pre-employment Physicals. No statistically significant differences between demographic factors (age and sex) or between baseline degree of occlusion levels were observed between treatment groups. Walgreens Pharmacy administers applicable vaccinations for children ages three and older. It looks like the version of the browser you're using is unsupported. These events are presented in Table 3. In the present study, we compared the effectiveness of 2 marketed ceruminolytic products, Cerumenex Eardrops and Murine Ear Drops, with a saline placebo, BSS Sterile Irrigating Solution, in a controlled clinical setting, in which duration of treatment and method of irrigation were held constant. 5%) required 2 applications, whereas 9. We can report all tests and progress notes to your primary care physician upon request so they have a history of what was done at East County Urgent Care Center in El Cajon. The distinction between mild and moderate levels of occlusion, however, is more subjective. Ear wax removal clinic san diego. Therefore, in an effort to evaluate the effectiveness of currently available ceruminolytic agents, we compared representative prescription and over-the-counter products with a placebo in a controlled clinical setting.
However, these products may also be irritating and/or ineffective. Potential subjects were excluded if they had ear anomalies, diabetes, allergies to study medications, were pregnant or nursing, or had instilled anything other than water in their ear in the previous 72 hours. For more information, call us or book a visit online. Bug Bites and Insect Stings. Subjects were asked to lie on their side with the study ear facing upward during treatment. Family Practice Clinic Near Me in El Cajon, CA | East County. Sore and Strep Throat.
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Earaches and Ear Infections. Vaccines are subject to availability; certain vaccines may not be available in all stores. All clinical assessments were performed by a qualified specialist. If you do not have a primary care physician and require emergency attention after our normal business hours, please contact the nearest emergency room or call 911. Zocdoc no longer supports Internet Explorer. Randomized, Placebo-Controlled Evaluation of Cerumenex and Murine Earwax Removal Products. 7% of subjects treated with Cerumenex, Murine, and placebo, respectively, experienced resolution of cerumen occlusion and/or impaction. 2004;130(10):1175–1177. This study was sponsored by Alcon Research, Ltd, Fort Worth, Tex. A total of 6 subjects reported adverse events related (n = 5) or not related (n = 1) to test article. Services provided in our Urgent care center are low cost with a short wait time (Immediate Care), compared to the expensive cost and long wait time provided in any emergency room. Nose and ear hair removal wax san diego. Pulmonary Function Test.
It is generally accepted that cerumen removal is a commonly performed, time-consuming procedure that carries added risk if mechanical means or lengthy irrigation procedures are required. Introduction of a quantitative cutoff between mild and moderate occlusion levels may improve interinvestigator reliability of degree of occlusion scale assessments. Ear wax removal san diego chargers. Training in the use of specialized equipment is required; mechanical removal is potentially damaging to the ear structures if conducted incorrectly. Ethics review board approval of the protocol, informed consent form, and other study documentation were obtained prior to initiation of the study.
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DOT DMV Driver Physicals. Standardized data forms were used to collect demographic information, medical history, current medications, and baseline occlusion status, as well as to document posttreatment outcomes and any complications. Corporate research clinic. There were 51 men and 23 women (male-female ratio, 2. A total of 74 subjects ranging in age from 22 to 66 years (mean age, 45 years) were enrolled into the study. Undesirable complications were minimal with all 3 test articles. See the "Methods" section for a description of Cerumenex, Murine, and placebo products. Randomization addressed potential issues of selection bias, while masking and placebo-control allowed for unbiased assessment of assigned treatments. Currently marketed ceruminolytic products primarily act by softening earwax to facilitate its removal with irrigation, rather than by dissolution. The test medication was instilled into 1 occluded ear for up to two 15-minute applications.
Services provided include but are not limited to: Evaluation and/or treatment of acute illness or injury. 5% carbamide peroxide), and a placebo, BSS Sterile Irrigating Solution (Alcon Laboratories Inc, Ft Worth, Tex). Proportion of subjects experiencing resolution, improvement, or no change/worsening. 10 Further assessment of the ceruminolytic properties of saline might potentially be done using comparators such as pure water or no pretreatment in a controlled clinical setting. One-Time Medication Refills. On site limited laboratory services. Our Urgent care clinic in El Cajon California, is a convenient solution to illness, injury, minor emergency or other health care needs, and is an excellent alternative to the emergency room for all your non-life threatening medical conditions requiring immediate care and medical attention. While placebo appeared to be more effective than both ceruminolytics, the difference between Cerumenex and placebo was not statistically significant (P =.
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Efficacy was based on the posttreatment level of occlusion. 1 It can also impede proper otologic examination, hearing and balance testing, and the effective use of hearing aids. Cold Sores, Canker and Mouth Sores. Otologic signs and symptoms were also assessed.
Limiting the duration of treatment and controlling the irrigation procedure ensured consistent application of treatments and allowed for reliable comparisons between products. MMR (Measles, Mumps, Rubella). Although we do not know why there was a higher incidence of success in the saline arm of this study, one may speculate that an aqueous solution such as saline may be more effective in softening the cerumen because it produces swelling of the epithelial components of a cerumen impaction, loosening and separating these components from each other. The currently marketed ceruminolytic products, Cerumenex and Murine, are no more effective than a saline placebo in removing earwax. Signed written informed consent was obtained from all subjects in advance of any study procedures. State and age restrictions may apply. Arch Otolaryngol Head Neck Surg. Our Family Care and Medical Care Services will provide you with complete Medical Care, for your Health and Well being. The change from baseline degree of occlusion to a resolved, improved, or unchanged/worsened condition is depicted in Figure 1. Excessive earwax in the external auditory canal is a common problem in clinical practice. We recommend updating your browser or using a different one like Chrome, Firefox, or Safari. Vitamin B12 Injections. You are away from home. Each application was followed by a standardized irrigation procedure using a WaterPik Oral Jet Irrigator (WaterPik Technologies, Inc, Fort Collins, Colo), modified with a Grossan tip (Hydro Med, Inc, Sherman Oaks, Calif).
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9 The study concluded that oral jet irrigators were a safe method of cerumen removal but that only the lowest settings should be used. Of 24 occlusions treated with Cerumenex, 2 (8%) cleared after 1 treatment; of 26 occlusions treated with Murine, 3 (12%) cleared after 1 treatment; and of 24 occlusions treated with placebo, 2 (8%) cleared after 1 treatment. Irrigation consisted of 50 mL of lukewarm water delivered into the ear canal at the lowest pressure setting in compliance with manufacturer instructions for otic use. Results after a single application showed that no 1 test article appeared more effective than the others in removing occlusions. Use of the WaterPik for ear irrigation under other conditions is not advised because introducing undue force can be harmful to ear structures. Summary statistics (mean ± SD and number of subjects) for demographic and baseline characteristics were calculated, and either a χ2 test of independence or a 2-sample t test was used to assess differences between treatments for each demographic characteristic. 64% sodium chloride and physiologic concentrations of multiple electrolytes; Alcon Laboratories Inc, Fort Worth, Tex). Treatment consisted of up to two 15-minute applications of a ceruminolytic agent or placebo. By the end of treatment, 29.
Accumulated earwax can cause discomfort, temporary hearing loss, occasional cough or vertigo, and can promote infection. While in many instances earwax can be removed mechanically, specialized instruments such as operating microscopes, suction, and/or flushing equipment may not be available in a primary care setting. Poison Ivy, Poison Oak. 4 Items used to aid earwax removal include household agents such as water and olive oil, stool softeners, and chemicals such as hydrogen peroxide, carbamide peroxide, and surfactants. Because this was planned as a descriptive study, no power calculations were made prior to study initiation. Subjects were required to be 18 years or older and to have mild, moderate, or complete cerumen occlusion, as measured against a previously established 4-point scale (Table 1). Because full visualization of the tympanic membrane is the ultimate goal of many cerumen removal procedures, the scale was based on the assessor's ability to visualize the tympanic membrane, rather than on the amount of cerumen present or removed. Providing quality medical care without the wait when: - Your primary care physician's office is closed. The degree of occlusion, measured against a previously established 4-point scale, was assessed and recorded at baseline and after each instillation and irrigation procedure. Study participants were company (sponsor) employees and were recruited via an intracompany advertisement to participate in an earwax removal study. We serve patients from El Cajon CA, Wells Park CA, Rancho San Diego CA, Hillsdale CA, Alpine CA, Santee CA, and Jamul CA. Sprains, Strains, Joint Pain. Subjects were randomly assigned to 1 of 3 treatments: Cerumenex Eardrops (10% triethanolamine polypeptide oleate-condensate; Purdue Frederick Company, Norwalk, Conn), Murine Ear Drops (6.
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