Tabitha Dugal, FNP-C

As of November, I have accepted a position working alongside Lebauer Stoney Creeks incredible providers. I am happily accepting new patients, and I hope to be able to help you on your healthcare journey!

As a side note, I made the move from South Florida to NC with my family in July of 2022 to live closer to my family. It has been a much anticipated exciting move, and I am here to stay. My goal as a primary care provider is to walk alongside you throughout your various stages of life, and care for you the best I can over the years to come 😊

Tabitha Dugal, NP - Family Medicine - Whitsett, NC Tabitha Dugal, FNP-C, is a board-certified family nurse practitioner who specializes in family medicine.

Why it’s so important to make the necessary lifestyle changes for your health especially with the way our world eats (CRC=colorectal cancer)

Ultraprocessed Foods Tied to Risk for CRC, Death From Heart Disease Two new studies provide more evidence to support policies that limit ultraprocessed foods and promote consumption of fresh or minimally processed foods.

Never lose your faith in humanity, because people will always continue to remind you that there is good in the world. Continue to do good to others, and they will always find a way to remind you that you are loved and appreciated.

Gosh…Boca/South Florida family I am going to truly miss you! 💝

To feel appreciated is so humbling and beautiful, and this little act of kindness brought a huge smile to my face. To my patients, I should be the one thanking YOU all!! You have created so many lasting relationships and memories that I will forever look back on fondly and cherish.

May you all be blessed with health and happiness 🥰

It is with a sad heart that I am announcing my resignation from Associated Family Physicians of Boca Raton. I have created so many relationships within my patient family that I will never forget any of you! Thank you for allowing me to advocate and care for you and your family.

After a long hard decision I have decided to move my little family to North Carolina to be closer to family and set down roots. if you are ever in the Whitsett, NC region be sure to look me up !

God bless and I wish you all well 🧡

https://www.cdc.gov/media/releases/2022/s0518-monkeypox-case.html

CDC and Health Partners Responding to Monkeypox Case in the U.S. | CDC Online Newsroom | CDC Scientists at the Centers for Disease Control and Prevention (CDC) are collaborating with the Massachusetts Department of Public Health to investigate a case of monkeypox in a Massachusetts resident who had recently traveled to Canada by private transportation.

It's now easier to send Tabitha Dugal, FNP-C a message.

New quarantine guidelines per the CDC as of today.

https://www.cdc.gov/media/releases/2021/s1227-isolation-quarantine-guidance.html

CDC Newsroom Press releases, advisories, telebriefings, transcripts and archives.

https://www.facebook.com/87186661244/posts/10158334182986245/?d=n

Omnicron has been identified in the US per the CDC. It is being considered a variant of concern by both the WHO and the CDC. Delta is still the predominant variant in the US.

https://www.cdc.gov/media/releases/2021/s1201-omicron-variant.html

Coronavirus Disease 2019 CDC provides credible COVID-19 health information to the U.S.

https://www.medscape.com/viewarticle/961894?uac=369591AY&faf=1&sso=true&impID=3754090&src=mkm_covid_update_211029_MSCPEDIT

FDA Authorizes Pfizer's COVID-19 Vaccine for Children 5-11 After a much-debated and rigorous evaluation process, the FDA's acting commissioner says this authorization 'will bring us closer to returning to a sense of normalcy.'

Interesting read for more information.

https://www.medscape.com/viewarticle/961645?uac=369591AY&faf=1&sso=true&impID=3745004&src=mkm_covid_update_211026_MSCPEDIT

FDA Panel Votes to Approve Pfizer's Vaccine for Children Despite some questions and concerns, the advisory panel felt the benefits outweighed the risks for children 5-11.

The Coconut Creek Police Department’s next Drug Take Back event will be on Saturday, October 23, from 10:00 AM to 2:00 PM at the Community Center (1100 Lyons Road). Please help us work together to keep your unwanted prescription medications out of the wrong hands and out of our water supply. They do not accept sharps.

The booster for Pfizer has been FDA approved for those >65 years old, and for those at high risk from severe side effects I’d the disease including healthcare workers. They are currently hesitant to approve the booster for younger adults due to the rare known side effect of myocarditis.

https://www.medscape.com/viewarticle/958997?uac=369591AY&faf=1&sso=true&impID=3647388&src=mkm_covid_update_210917_MSCPEDIT

FDA Panel Backs Pfizer's COVID Booster for 65 and Older, High Risk Pfizer's application for a third dose of its mRNA COVID-19 vaccine was earlier rejected by the panel for those 16 and over.

Pfizer has been shown to drop from 95% efficacy to 84% after six months of immunization. Likely to see a booster coming our way, which also shows hopeful stats especially against the Delta variant

https://www.medscape.com/viewarticle/955601?src=mkm_covid_update_210728_MSCPEDIT&uac=369591AY&impID=3533994&faf=1

Pfizer Vaccine Protection Wanes After 6 Months: Study Following reports that antibody levels can wane after a second dose of the Pfizer mRNA come more encouraging data regarding a third dose.

The unveiling of the masks.

https://www.medscape.com/viewarticle/950042?src=mkm_covid_update_210427_MSCPEDIT&uac=369591AY&impID=3338281&faf=1

CDC: Vaccinated People Don't Need Masks in Small Groups Outdoors The CDC has agreed to loosen some mask restrictions for vaccinated people, but the guidelines are still more stringent for those not yet vaccinated.

Johnson and Johnson is back on the market ! After careful consideration the FDA and CDC lifted the hold.

If you’re interested in further info I can share the information packet links as well.

A systematic review found that vitamin D deficiency contributed to an increased risk of Covid 19 infection. Keep those numbers above 30!

I won’t bore you with the entire ten pages, but here’s a clip of the conclusion and analysis of the review.

A good article on the why. Keep in mind it’s out of an abundance of caution they put a “pause” on the vaccine. 6 out of 6.8 million had the rare blood clotting issue.

If you had the J+J vaccine as suggested in the article, be on the alert for symptoms such as a severe headache and or change in mental status.

https://www.medscape.com/viewarticle/949231?src=mkm_covid_update_210413_MSCPEDIT&uac=369591AY&impID=3309724&faf=1

FAQ: What to Know About the J&J Vaccine Pause After reports of a rare blood clot in people receiving the Johnson & Johnson vaccine, the FDA and CDC have recommended a pause in its use. Here are 6 questions on the what, why, and how of this stoppage.

As I’d asssume it would become a yearly dose such as the flu

https://www.medscape.com/viewarticle/948425?src=mkm_covid_update_210330_MSCPEDIT&uac=369591AY&impID=3281861&faf=1

COVID Vaccines Could Lose Their Punch Within a Year, Experts Say Variants will demand vaccine modifications and, in a survey, most epidemiologists say that could happen within a year. Meanwhile, many countries haven't given a single dose.

In the state of Florida the CDC and department of health have opened up the vaccine availability to those considered extremely vulnerable to Covid 19. Posted are the lists of those considered vulnerable who qualify, and also the form required by your primary care provider to complete and confirm you meet the criteria.

New emerging mutations of COVID 19 first seen in South Africa, and the UK were studied for efficacy againest our current vaccines. No significant change in neutralization was seen, which is hopeful.

https://emedicine.medscape.com/article/2500139-overview?&src=WNL_infoc_YYMMDD_MSCPEDIT_mutations&uac=&spon=3&impID=2947343&faf=1&

COVID-19 Vaccines: Overview, Vaccines in Late-Stage Development, Viral Variants and Vaccines Coronavirus disease 2019 (COVID-19) is defined as illness caused by a novel coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; formerly called 2019-nCoV); it was first identified during an outbreak of respiratory illness cases in Wuhan City, Hubei Province, China, in l...

MIS-C is something we should be aware of, and be on the look out for in our children. Especially those that have been diagnosed with covid within the last few weeks.

Also an unspoken prayer request for a friends child who is currently in the hospital fighting this hard!

https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children/mis-c.html

COVID-19 and Your Health Symptoms, testing, what to do if sick, daily activities, and more.

https://www.medscape.com/viewarticle/945130?src=mkm_covid_update_210202_MSCPEDIT&uac=369591AY&impID=3168936&faf=1

I have been seeing this occur in covid patients, and suspected that covid somehow set off underlying autoimmune disease in the body. Many patients who never had an autoimmune disease in the past are now popping up with positive ANAs left and right.

Interesting read.

COVID-19 Virus May Prompt Body to Attack Itself An international team of researchers studying COVID-19 has made a startling and pivotal discovery: The virus appears to cause the body to make weapons to attack its own tissues.

I sometimes find that there is a large misconception between SSRIs and Benzodiazepines, whereas some are much more willing to take a benzodiazepine daily than even consider a daily SSRI.

The truth is, SSRIs are much safer, and are not habit forming. While benzodiazepines might give us that quick relief we desire with anxiety, they are easy to become habit forming especially if not taken or used correctly.

Ideally, an SSRI will (although slowly) help you long term with anxiety and or depression, where a benzodiazepine will help you temporarily. This article says all I want to say and more 🙂

FYI:
-SSRIs (prozac, Zoloft, celexa, Paxil, lexapro)
-Benzodiazepines (alprazolam, clonazepam, diazepam, etc)

https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/ssris-and-benzodiazepines-general-anxiety

SSRIs and Benzodiazepines for General Anxiety Disorders (GAD) Feeling anxious, worried, and tense? You are not alone!

If you haven’t heard, select Publix pharmacies will be receiving and administering the Covid Vaccine. If you are 65 or older, starting tomorrow at 6 am, you will be able to set up an appt via the publix covid vaccine website. Click the link for more information. Scroll down the page once loaded, and click on “select Publix pharmacies” to narrow those administering the vaccine in Florida by county.

https://www.publix.com/covid-vaccine/florida

COVID-19 Vaccine in Florida COVID-19 Vaccine in Florida

https://www.reuters.com/article/us-health-coronavirus-jpm-moderna-idUSKBN29G2SH

Moderna seems confident in saying that the vaccination should last for at least one year of immunity. This is hopeful!

Moderna says COVID-19 vaccine immunity to stay at least a year Immunity from Moderna Inc's COVID-19 vaccine should last at least a year, the company said on Monday at the J.P. Morgan Healthcare conference.

I received the Moderna Vaccine yesteday X1! I didn’t even feel the injection and or the vaccine when it was administered. Day 2: I will admit I feel as though I’ve been punched in the arm ten times!! But for a vaccine that can essentially save hundreds of lives- punch me again!

I’ll keep you posted 🙂

Broward county is offering the vaccine for select individuals 65 and older. Click on the link to see if you qualify

https://browardcovidvaccine.com

Broward Covid Vaccine Tradewinds Park Address: 3600 W Sample Rd, Coconut Creek, FL 33066 Hours: Sunday-Thursday (Closed Friday, Saturday): 8AM-4PM Site Opens: Sunday, January 3, 2021