Signs and Symptoms of Meningitis

Meningitis is the medical term for inflammation of the tissue (meninges) that surrounds the brain and spinal cord.  Most frequently, this is from a variety of viruses that we can commonly encounter in the community.  Occasionally, the inflammation can come from a bacteria instead of a virus.  The difference between these two types of meningitis is very important in determining the diagnosis, treatment and prevention of the disease.

Should We Be Worried About Measles?

Should We Be Worried About Measles?

Measles is an incredibly contagious viral disease and is spread through the air.  Sharing the same airspace, such as a classroom, airplane, home or clinic waiting room, with a person infectious with measles may be enough to spread the disease to others.  The disease can even be spread to others that enter the area up to 1-2 hours after the infectious person left the area. 

Our 2019 New Year’s Resolution

Every 2 years, the Texas Legislature meets to pass new policies and legislation that affects all Texans.  One of the most important topics this session is healthcare. We want to highly encourage every Texan to be informed of these issues. Below is a snapshot of the issues we believe are among the biggest concern, how Premier is addressing them, and what we believe can be done to remedy these issues for Texas as a whole.

Why Is The Flu Shot So Important?

Why Is The Flu Shot So Important?

Though the flu virus can be detected all year-round, it usually starts in October and peaks between December and February. Every year, 5 to 20 percent of the population across the U.S are affected by the flu virus, presenting most severe repercussions in young children, pregnant women, the elderly, and people who suffer from certain health conditions, like asthma and heart disease.



Joshua Strommen MD, FACEP


Firework Related Injuries


Fireworks maintain a nostalgic part of our hearts. We all have grown old with wonderful memories of 4th of July fireworks alongside all its companion foods and drinks. However, we are also familiar with the dangers of fireworks if not careful. On a yearly basis, the Consumer Product Safety Commission accumulates data on firework-related deaths and injuries. The CPSC ( does this for many products to include ATV’s, appliances, pools, and nursery products to name just a few.  As of 2016, the most recent report, here are some notable facts on firework injuries:


·       There were 11,100 injuries and 4 deaths nationwide.

·       Ages 20-24 had the highest incidence of injuries.

·       Of the patients who came in - 

  • Hands and fingers were injured the most at 33% of the time
  • Head/face/ears at 20%
  • Eyes at 9% of the time

·       Burns caused 69% of all injuries.

  • Sparklers can burn at temperatures up to 2000 degrees Fahrenheit!

·       Sparklers and reloadable shells are most associated with injuries.

·       Malfunction (tipping over, errant flight path, and short fuses) of the firework was more common as the cause of injury than misuse (improper placement, mischief, or holding in the hand).

·       About 10% of the injuries will end up in hospitalization and/or a surgical procedure.


A few pointers to remember for safety:


·       Never allow young children to ignite fireworks.

·       Sparklers burn at blistering hot temperatures.

·       Never place your body over a firework that is intended to shoot up or out.

·       Never re-light a firework that didn’t ignite fully initially.

·       Keep a bucket of water or a hose handy when you are shooting fireworks.