Vyas Dake , MD, a Family Medicine Physician joined Kymera Independent Physicians in
Summer of 2011 to provide comprehensive care including Preventive, Chronic and Urgent
care to the community of Roswell. He has been a Physician since 2001 and over the years
he has gained varied experience having worked in Emergency Medicine, Critical Care
Medicine, Family Medicine and was training in Orthopedics before he joined residency in
Family Medicine at Baylor College of Medicine in Houston, Texas. During his residency he
has been a recipient of two awards from the American Academy of Family Practitioners and
one award from Baylor College of Medicine. Dr. Dake moved to Roswell after graduation. He
loves to take care of all spectrum of patients and conditions from the newborns to the elderly,
from adolescent health to women's health, from acute emergencies to chronic illnesses, from
sports injuries to minor surgeries, from headaches to psychiatric problems, from cancer
screenings to wellness visits, from Family Planning to Menopause. He is trained and certified
in Advanced Cardiac Life Support, Advanced Trauma Life Support, Advanced Wilderness Life
Support , Advanced Life Support in Obstetrics and Mass Casualty Management. He is a
member of numerous professional organizations and has served on some of the committees
as an advocate for the patients and physicians. Dr. Dake is licensed by the New Mexico
Medical Board. He believes in integrated health care and Patient Centered Medical Home.
Dr. Dake believes in keeping families healthy and provide compassionate care with empathy
when sick. He is multilingual including English and Spanish. He enjoys reading, traveling
and spending time with family and friends. He has a pleasant personality and fun to be
around and at the same time he is passionate about providing best quality care to his
|Oct 29, 2012||When is the best time of year to get a flu shot?
| ||The flu season varies from year-to-year and from region to region. In the United States, the season usually starts in early October and can last until May but the peak is usually seen in January and February. The best time to get a flu shot is whenever the flu shot is first available in your community. It takes for 2 weeks for the body to develop antibodies against the flu. So the sooner you get it, the better chance of protecting yourself against the flu. also,once you get the flu vaccine even in early October, the vaccine will be protective through the whole flu season.|
|Oct 28, 2012||I am 43 yrs old and never had any medical problems but for last 6 months I feel fatigued and very tired. I am of very healthy weight and physically active and never seen a physician before. What could be causing my fatigue? I don't like going to doctors. What would you recommend ?
| ||There are many causes of fatigue based on other symptoms and risk factors that a person might have. The most common causes of fatigue are diabetes or high blood sugars,hypothyroidism or low thyroid hormones,anemia or low blood count, depression, insomnia or sleep problems, sleep apnea which is breathing problem during sleep, vitamin D or vitamin B12 deficiencies, some type of food allergies, caffeine overload in coffee, sodas or energy drinks. There are other causes of fatigue which needs to be evaluated if all the above causes are ruled out. My recommendation is that you need to be seen by a physician so that the physician can do a complete evaluation including laboratory tests as needed to evaluate some of the conditions as above and treat you accordingly.|
|Oct 27, 2012||Over the last year I have been suffering with urinary infections.I am 55 yrs old female. I have had almost 4 episodes in the last 6 months alone. I got antibiotics each time. I get better but it keeps coming back. what should I do? Do I need to get checked up for some problem in my kidneys?
| ||Recurrent urinary tract infections are significant problem for most woman who are past menopause.There are many reasons for this being common in this population group.There are a few things you can do to decrease your risk of getting Urinary Tract Infection. Take plenty of oral fluids, at least 2-3 L every single day, preferably water as your body consists of 60% of water. If you have had more than 2 episodes in the last 6 months, you should discuss with your primary care physician the possible causes and treatment options to prevent more urinary tract infections. Your physician after evaluation might decide to treat you with a small dose of antibiotic daily for 6 months or may decide to send to a urologist for further evaluation. You will have to discuss with your physician about your specific condition who will be able to make the right decision for you after discussing all options with you.|
|Oct 26, 2012||How do I protect myself from West Nile virus . I take care of horses and live out of town
| ||West Nile virus is not transmitted from person-to-person or from animal to person. It is transmitted by mosquito bites. So the recommendations to protect your self from West Nile virus are:
- Using insect repellent
- Reducing the amount of time spent outdoors at dusk and dawn when mosquitoes are most active
- Having screens on your doors and windows to keep mosquitoes out
- Emptying or eliminating water holding containers (where mosquitoes lay their eggs) such as tires, flower pots and buckets
|Oct 25, 2012||What is borderline diabetes and what does it mean?
| ||Borderline diabetes is also known as pre-diabetes. And it is a condition where the blood sugar level is elevated above the normal but not reached the level where it can be labeled as diabetes. Previously borderline diabetes was never addressed and the patient's almost always became diabetic.In the last 10 years, medical recommendations have changed an physicians are more proactive in diagnosing Pre- diabetes and preventing diabetes. From the moment a patient is diagnosed as pre-diabetes, the risk for becoming a diabetic increases by 11% every single year. Almost 80% of patients become diabetic within 10 years. Why is this important? It is important because even in the stage of Pre-diabetes, the elevated blood sugars cause significant damage to the body organs especially to the heart and to the kidneys. This has been confirmed by studies which have been done before. So if you have been diagnosed with Pre-diabetes also known as borderline diabetes,then consider it as the good news because you're not a diabetic yet and you can reverse from the Pre-diabetes back to normal.This can be achieved by changes in the diet especially cutting down sugars and calories, exercising at least 1 hour every single day and also by losing weight.There are also medications which can help cut your risk of becoming a diabetic. Studies have shown that if you lose at least 7% of your body weight,you cut your risk of diabetes by 58%. I would recommend that you speak to primary care physician who would be able to come up with a specific plan for you and would be able to address all your questions and concerns. |
|Oct 24, 2012||My mom is 63 yrs old and she has been having severe hot flashes. her doctor has provided her with a dug called premarin but she is afraid of taking it after i read her the side effects. She wants to know if there is a safer medication that she can take without the one she was given.
| ||I recommend that your mother discuss her concerns with her Provider regarding this issue. There are risks and side effects with any drug and your provider usually weighs the benefits versus risks before prescribing the medication which varies from person to person. There are other alternatives like Black Cohosh which can be taken safely and has been shown in studies to relieve symptoms of hot flashes due to menopause. Some of the side effects and long term risks of hormone replacement with Premarin are a significant concern and should be discussed with your provider who could explain to you in detail and address your concerns to your satisfaction.|
|Oct 23, 2012||I have allergies all year round .I take Claritin-D over-the-counter medication every single day .is there a medication which could help relieve my symptoms without the need to pop pills everyday. I don't like taking pills. Thank you
| ||Yes there are other options available to treat allergies. Claritin is good for short term use but when you have long term allergies, prevention is better than cure.Firstly, identify and if possible avoid the allergens. There are nasal sprays which have proven beneficial in long term studies.
The most effective one is steroid nasal spray which is prescription only. There are some side effects of long term use which should be discussed with your primary care provider.|
Other Sprays include Nasal cromolyn sodium which is available over the counter but not so effective in relieving congestion. Afrin nasal spray is not to be used for more than 3 days due to rebound congestion and should be avoided for people with chronic allergies.
|Oct 22, 2012||I am 65 years old and I got shingles last month. Will shingles vaccine help me if so when is a good time to get it.
| ||CDC recommends Zostavax for use in people 60 years old and older to prevent shingles. This is a one-time vaccination. There is no maximum age for getting the shingles vaccine.There is no specific time that you must wait after having shingles before receiving the shingles vaccine. The decision on when to get vaccinated should be made with your Primary care provider. Generally, a person should make sure that the shingles rash has disappeared before getting vaccinated. You should avoid shingles vaccine if you have a weakened immune system like being on cancer chemotherapy, Steroids, HIV, history of blood cancers or if you are pregnant.|
|Oct 21, 2012||I am 35 yr old and have been feeling tired all the time. I have been researching a lot and read about low testosterone.
Could I be having this condition at my age. If so, what should I do to find out and how is it treated.
| ||There are many causes of feeling tired. Low testosterone is one of them. Keeping your age in mind, you might need to be evaluated for other causes first. Some Studies have shown a significant decrease in Testosterone level in Men compared to their ancestors a century ago. Some men above 40 are being affected by this condition. Fewer men below 40 are also being affected. A lot of factors are contributing for this problem. Suggested causes include obesity, Dietary changes from natural to more processed and manufactured food.Testosterone levels can be checked by ding a blood test. Low testosterone can be treated with hormone replacement by injections, Gel application or skin patches. There is a slightly increased risk of prostate cancer.You need to see your primary care physician who can examine you and do necessary evaluations to find the actual cause of your fatigue. You can discuss this issue with your physician in detail at that time.|
DISCLAIMER: This feature is intended to answer general,
non-emergency health questions, and is NOT intended to
provide specific diagnosis of any condition. If you need immediate care call 911. If you would like more specific, non-emergency information,
call your physician or schedule an appointment with Dr. Dake at 575-627-9500.