McCormick & Schmick's Gives Happy Hour A New Spin

Author: Priyanka Saxena on Jul 29,2017
With over 82 locations across the US, this happening place is known for their famous Happy Hour menu and drink specials.

Indulge in their yummy Garlic Cheese Fries, Mediterrean hummus, Ceviche, Bruschetta, half pound cheeseburger spinach dip, chicken wings, Asian chicken tostada, buttermilk chicken sliders, black mussels Cuban sandwich.

Try their market fresh Oysters, Barramundi, Steelhead Trout, Fried Oysters, Kobe Beef Carpaccio, Calamari, lump crag shrimp. Fresh shucked oysters, spiced jumbo prawns, ahi tuna tartar, spiced seared ahi, califrom roll, sashimi, lunch entrees include, tenderloin steak sandwich, albacore tuna, almont trout, shrimp and Andouille mac and cheese, cedar roasted Atlantic salmon, tilapia cashew crusted, Fried jumbo shrimp, crispy fish tacos, parmesan sole, Alaskan cod fish and chips, Salads are Asian Chicken Salad, Blacked Salmon Caesar Salad, Grilled Gulf Shrimp and Fruit Salad, Romano Chicken Chop Salad, Lobster Cobb Salad, Ahi Nicoise Salad and daily specials.

There are also daily homemade soups with their Clam Chowder, Tomato Basil Soup, and Maine Lobster Bisque. Mccormicksandschmicks.com

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Ciprofloxacin, ciprofloxacin side effects

Learn The Power Of Ciprofloxacin In Solving Major Infections

 Brand Name: Cipro, Cipro XR, Proquin XRGeneric Name: CiprofloxacinDrug Classes: fluoroquinolone antibioticDrug Form: Tablet Or InjectionCiprofloxacin is an antibiotic that belongs to the fluoroquinolone class of antibiotics known for its high antibiotic activity. It is commonly used for the treatment of bacterial infections. It has also played an essential role in treating infections resistant to other antibiotics. Nevertheless, just like any other type of auctorymedico treatment, It has its pros and cons, which patients and caregivers should know.Overview of CiprofloxacinCiprofloxacin/Sandoz is one of the most popular antibiotics in the class of fluoroquinolones. It is especially effective against a broad spectrum of causative microbes. This drug is often used to target bacteria because it prevents their DNA from getting replicated by inhibiting the functions of DNA gyrase and topoisomerase IV, respectively. This inhibition renders the bacteria incapable of reproduction and self-repair, clearing the infection out of the system.Learn More: Staph Infections: Causes, Prevention, and Home TreatmentsDespite this beneficial use, Cigrofloxacine is not for all. It is not uncommon to hear an individual complaining regarding this infant's antibiotic pills, especially the side effects such as severe headaches and dizziness. Some medications come in capsule form, while others in suspension, drip, or injection form. These different drug formulations improve patient-specific treatment for infections or patients.Uses of CiprofloxacinUrinary Tract Infections (UTIs)Ciprofloxacin is a commonly prescribed antibiotic for urinary tract infections (UTIs) because it is effective against uropathic bacteria, including E. coli, the major cause of most UTIs. This may be more so for complicated UTIs that have reached the kidneys or are resistant to other antibiotic therapy.Respiratory InfectionsCiprofloxacin is indicated for treating infections associated with the lower and upper respiratory tracts, e.g., bacterial bronchitis, pneumonia, and tuberculosis. Furthermore, it may be used for diseases related to susceptible bacteria that cannot be treated with other safer antibiotics such as penicillin or cephalosporin. It is also less frequently used to treat lower respiratory tract infections, which are not indicated as hospital-acquired.Skin and Soft Tissue InfectionsCiprofloxacin may be prescribed to patients suffering from bacterial skin and soft tissue infections like cellulitis and wound infections, where other antibiotics prove ineffective. Its universal action comes in handy for treating infections due to resistant organisms in instances when IV therapy is not available or not needed.Gastrointestinal InfectionsCiprofloxacin is commonly prescribed for tummy bugs caused by pathogenic Salmonella, Shigella, and Campylobacter, usually because of food and water contamination. In the case of travelers' diarrhea, It is sometimes also given to patients.Bone and Joint InfectionsCiprofloxacin is a second-generation fluoroquinolone antibiotic drug that can be given due to its ability to penetrate tissue. It can be used for higher infective purposes such as osteomyelitis (bone infection) or septic joint (septic arthritis). These infections are typically of prolonged treatment duration and augurs well, Ciprofloxacin's ability to ache within the bone tissue.Side Effects of CiprofloxacinNausea and VomitingAmong the most prominent adverse effects experienced in the initial few weeks of treatment are nausea and vomiting, which are quite incredibly common. These do subside with time as the body gets used to the medication. However, taking small meals that are eaten frequently instead of large meals and avoiding greasy food may induce a degree of comfort.DiarrheaAs with most broad-spectrum antibiotics, Ciprofloxacin has the potential to cause diarrhea by altering normal gut bacteria. However, such occurrences may be troublesome if the diarrhea is overly intense and causes pain or particularly blood-stained feces, as this may present a threat of Clostridium difficile colitis.HeadacheCiprofloxacin is very likely to cause mild to moderate headaches, which may be counteracted with common analgesics as long as they do not interact with this antimicrobial agent.DizzinessDizziness, also known as light-headedness, is especially common in the elderly. Therefore, it is better to refrain from executing any tasks where the focus of the mind is required to drive and use heavy machines.Tendonitis and Tendon RuptureThe group of antibiotics known as fluoroquinolones, including Ciprofloxacin, tends to provoke tendonitis and, in some cases, even ruptures of the tendon, primarily of the Achilles tendon, in those at risk. Such risk is even greater in the elderly, sports people, and patients on steroids at the same time. However, they are advised against engaging in vigorous physical activities during the course of treatment.PhotosensitivitySome individuals taking ciprofloxacin may experience an increased sensitivity to UV light, increasing the chances of burning. Therefore, the patients are advised to apply sunscreen or wear protective clothing, or avoid too much direct sun exposure.Confusion or HallucinationsEvery so often, however, and this is quite unusual, some individuals may get confused, become anxious, or, in some cases, even hallucinate. These are primarily due to extra-pyramidal side effects, which are more prevalent among geriatric patients and those with prior psychiatric disorders.InsomniaCiprofloxacin may induce sleep disruption and insomnia to the patients. To reduce the effects on sleep, it is recommended that the patient takes the drug when he or she wakes up.Allergic ReactionsCiprofloxacin elicits hypersensitivity reactions, which may manifest as rashes, itching, and swelling. In some instances, the patient may experience anaphylaxis, an extreme allergic response to which medical attention should be sought urgently.Peripheral NeuropathyThis condition refers to the sensation of lost or altered feelings, such as burning or pain, usually noted on the upper and lower extremities. Peripheral neuropathy can cause permanent damage if not treated, so patients should inform their doctor of any strange feelings they experience.Check This Out: Did You Know About These Skin Infections? Critical Warnings of CiprofloxacinTendinitis and ruptured tendonsThe Food and Drug Administration (FDA) states a black box warning associated with Ciprofloxacin concerning tendon complications. This warning holds particularly true for elderly patients, those on corticosteroid therapy, and individuals with organ donors of either kidneys, heart, or lungs.Dangers within the Central Nervous SystemChildren responding to treatment or with a history of seizures and other cerebrovascular disorders need to be careful when taking this drug because of its ability to precipitate convulsions, tremors, and high levels of intracranial pressure.Worsening of the Myasthenia GravisThe use of Ciprofloxacin in patients with myasthenia gravis, an autoimmune disorder characterized by muscle weakness, is likely to aggravate the symptoms, hence the reason for healthcare professional's inclination to refrain from administering this drug to such patients.Effects on LiverThough not common, the drug has been implicated with potentially life-threatening hepatic damage. Signs of liver damage include a yellowing of the skin or eyes, dark urine, and stomach (abdominal) pain.QT ProlongationThe qualities include the ability of the drug to cause QT interval prolongation, which can result in life-threatening arrhythmia. Such individuals should seek medical advice and find other therapies that will not pose a risk to their heart conditions.Essential Precautions of CiprofloxacinStay away from the sunCiprofloxacin patients are advised not to sit in the sun for prolonged periods and to use sunblock with a high SPF due to the possibility of photosensitivity. Wearing sun-protective attire is also helpful in reducing the incidences of sunburn.Restrict physical activityCiprofloxacin should discourage strenuous bodily exercise during and shortly after treatment to prevent any injury to the tendons.Avoid caffeine and dairy products.Ciprofloxacin can elevate caffeine content in the blood, which might cause nervousness or sleeplessness. This can also happen because the drug fights calcium found in milk. Therefore, it is advisable to take the medicine when not eating anything or avoiding milk simultaneously. Drink WaterSufficient water intake ensures urine becomes less concentrated with Ciprofloxacin, minimizing the risk of crystal formation in the urine, which can be painful in the kidney region.Ciprofloxacin in Pregnancy and LactationThis antibiotic is generally not suggested for both pregnant and lactating mothers because it poses some dangers to unborn and breastfed infants.Notable Drug Interactions with CiprofloxacinAntacids And supplementsFor instance, antacids, especially those containing aluminum fodder, magnesium, and over-the-counter dietary supplements having calcium salts, iron, or zinc mineral contents most cause inhibit the action of Ciprofloxacin, and it is recommended to space Cadexor dosage by at least two hours before or six hours after any of the mentioned supplements. BLOOD THINNERS (WARFARIN) The use of Ciprofloxacin while on Warfarin therapy can heighten the effect of the anticoagulant warfarin, resulting in higher chances of bleeding . Therefore, patients on the two concurrent therapies must be cautious and monitor their INR regularly.NSAIDSOne more possible adverse event is the increased risk of CNS reactions, such as seizures associated with the use of Ciprofloxacin in patients receiving NSAIDs (e.g., ibuprofen). If pain relief is desired, a medical professional should be contacted for advice on different medications.Theophylline There is a risk of increased blood levels of theophylline Ciprofloxacin, which can predispose a patient to the use of the respiratory drug theophylline while on that medication. Blood tests can be taken frequently to monitor the dose prescribed when the two drugs are co-prescribed.Diabetes MedicationsDiabetics taking Ciprofloxacin may experience difficulties controlling their blood glucose levels, as it can cause variations in the levels, leading to episodes of either hypoglycemia or hyperglycemia. Therefore, blood sugar levels should be evaluated regularly for a tendency to go up or down, and changes in the dose of medication may be necessary in such situations.In Case of Overdose or Missed DosePregnant women should note the adverse effects of overdosage on Ciprofloxacin, which are dangerous and include the following: nausea, vomiting, dizziness, seizures, and confusion, among others. Overdose of the medication should be treated as an emergency that requires medical assistance. The treatment aims to flush the agent out of the system, for example, with activated carbon or in cases of gastric lavage. Otherwise, if possible, do not take the missed dose if the next dose is due shortly. In practice, therefore, some patients tend to skip doses or many and take high doses at once.Also Read: Everything You Need to Know About Urinary Tract InfectionsConclusionCiprofloxacin is a powerful antibiotic that can be highly effective against various infections. However, its use should be approached with caution due to the risk of side effects, potential drug interactions, and other complications. Proper adherence to dosage, timing, and healthcare provider guidance can maximize its benefits while minimizing risks. Always discuss your health history, medications, and lifestyle factors with your healthcare provider before beginning a Ciprofloxacin regimen to ensure the most suitable and safe antibiotic therapy.

Understanding the Silent Signs of Geographic Atrophy

Geographic atrophy is a progressive eye condition that affects the retina, leading to vision loss. Many people may not realize they have it until the symptoms become more severe. Being aware of the silent signs can help in seeking timely medical advice.Key Silent Signs and Symptoms:Blurred Vision: One of the first signs may be a gradual blurring of vision, especially in low light conditions.Difficulty Reading: People may notice increased difficulty in reading small print or seeing fine details.Dark or Empty Spots: Some individuals report seeing dark or empty areas in their central vision, which can make everyday tasks challenging.Changes in Color Perception: There may be subtle changes in how colors appear, making them seem less vibrant or more muted.Slow Vision Loss: Unlike sudden vision loss, geographic atrophy often causes a slow decline in vision, which can go unnoticed over time.Difficulty Adapting to Light Changes: Individuals might struggle to adjust when moving from bright areas to dimly lit spaces.Recognizing these silent signs is essential for early intervention. If you or someone you know experiences any of these symptoms, consulting an eye care professional is crucial. Early diagnosis and monitoring can help manage the condition and preserve vision as much as possible. Awareness of geographic atrophy can lead to better outcomes and improved quality of life.

Silent Signs and Symptoms of Transthyretin Amyloid Cardiomyopathy

Transthyretin amyloid cardiomyopathy (ATTR-CM) can be challenging to diagnose because its symptoms often appear slowly and may be mistaken for other conditions. Being aware of these silent signs is crucial for early detection and treatment.Key Silent Signs and Symptoms:Fatigue: Many patients experience unusual tiredness that does not improve with rest. This can be a sign of heart issues.Shortness of Breath: Difficulty breathing during normal activities or when lying down is a common symptom that may go unnoticed at first.Swelling: Patients may notice swelling in the legs or abdomen, which can be attributed to fluid buildup related to heart function.Numbness or Tingling: Some individuals report strange sensations in their hands or feet, which can signal nerve involvement.Irregular Heartbeat: Patients might experience palpitations or a racing heart, often without recognizing the connection to their heart health.Unexplained Weight Loss: Losing weight without trying can be a concerning sign, especially when combined with other symptoms.Recognizing these silent signs is essential, as they can lead to a misdiagnosis or delayed treatment. If you or a loved one experiences any of these symptoms, it's important to consult a healthcare professional. Early diagnosis and intervention can significantly improve outcomes for those with ATTR-CM, helping to manage symptoms and slow disease progression.

Understanding Transthyretin Amyloid Cardiomyopathy

Transthyretin amyloid cardiomyopathy (ATTR-CM) is a serious heart condition that can worsen over time, affecting quality of life and leading to hospital visits and early death. Recognizing this disease early is crucial for better outcomes.Key Points to Know:Progressive Disease: ATTR-CM is a progressive illness that can lead to heart failure and arrhythmias if not diagnosed in time.Delayed Diagnosis: Many patients face delays in getting a correct diagnosis, which can prevent timely treatment and worsen health.Common Symptoms: People with ATTR-CM often experience nonspecific symptoms related to heart failure, such as:Shortness of breath (dyspnea)FatigueSwelling (edema)Importance of Awareness: Since symptoms can be vague, it's important for healthcare providers to maintain a high index of suspicion for ATTR-CM, especially in patients with heart issues.Noninvasive Diagnosis: There is a noninvasive diagnostic approach available to help identify patients with ATTR-CM. Early diagnosis allows for timely interventions, which can help slow disease progression.Recognizing the signs of ATTR-CM and understanding its implications can lead to better management and improved quality of life for those affected. If you or someone you know has symptoms of heart failure, consider discussing the possibility of ATTR-CM with a healthcare professional.

On a brown surface lie pills, a stethoscope and a notebook with the inscription - Idiopathic pulmonary fibrosis

Understanding Idiopathic Pulmonary Fibrosis: Key Insights

Idiopathic pulmonary fibrosis, or IPF, is a serious chronic lung disease of scarring, or fibrosis, of the lung tissue. Because no cause is known, it is labelled as idiopathic, meaning idiopathic or of unknown cause. There is no known cause or risk factor, and it is mostly symptomatic in adults of age 50 to 70 years of age, gradually leading to a decline in lung function and extreme difficulty of breathing. Because of its heterogeneity, symptoms, cause, diagnosis, as well as treatment for a patient suffering from IPF are very important to know and comprehend both for the patient as well as for his caregiver.What is Idiopathic Pulmonary Fibrosis?More specifically, IPF falls under a general category of ILDs, any of which is classified as one of the several disorders causing inflammation and scarring in lung tissues. Therefore, for an IPF patient, scar tissue typically forms directly within the alveoli or air sacs of the lungs, directly impairing oxygen diffusion into the blood. The gradually worsening stiffness and impaired lung expansion also cause shortness of breath and other associated respiratory issues.IPF SymptomsThe initial stages of idiopathic pulmonary fibrosis may be quite mild in terms of the symptoms but continuously worsen with the advancing disease. These early symptoms can prove important in better management of the disease.Shortness of Breath (Dyspnea): Dyspnea is one of the classic symptoms in patients with IPF. At onset, shortness of breath may occur only with exertional physical activity. However, with the progression of the disease, even trivial activities such as taking a few steps or climbing the stairs become significantly challenging.Residual Dry Cough: A chronic dry and hacking cough is very common among patients with IPF. They often continue despite treatment with cough suppressants or other drugs.Fatigue: People with IPF always complain of a feeling of tiredness or weakness brought about by the fact that their body is working hard because the oxygen levels in the blood are inadequate.Unintentional Weight Loss: Other common instances associated with people with IPF are weight loss without any deliberate plans. Increased laboured breathing leads to unintentional weight loss. The energy spent while trying to breathe and perform other activities ends up causing this kind of weight loss.Clubbing: This is a condition whereby the tips of fingers or toes may become enlarged and more rounded than usual. It is caused by chronic hypoxia or a lack of oxygen in the blood.Chest discomfort or tightness: Some patients with IPF will complain of a feeling of tightness in the chest, particularly on exertion or deep breathing.However, symptoms often mimic those seen in other lung diseases, and it makes it difficult for healthcare providers to diagnose IPF in the early stages. That is why individuals who are experiencing such signs should seek immediate medical evaluation.Causes of Idiopathic Pulmonary FibrosisThe word "idiopathic" in IPF indicates that no specific cause can be assigned to it. Researchers, however, have pinpointed several risk factors and possible causes that might contribute to the development of fibrosis in the lungs, as follows:Genetic Predisposition: Some families have familial antecedents of pulmonary fibrosis, indicating a genetic condition. Certain genetic mutations, particularly those affecting the health of lung tissue, can make people prone to IPF.Environmental Exposure: Continuous exposure to some toxicants and pollutants in the environment may lead to a risk of acquiring lung fibrosis. Examples of these include exposure to asbestos, silica, metal dust, and organic dust usually acquired through farming by people or through droppings from birds.Smoking: As seen, cigarette smoking is a risk factor for IPF. Smokers and ex-smokers have a higher risk chance than non-smokers.Age: IPF primarily affects elderly patients above the age of 60. Risk increases with age.Infectious Viruses: Inadequate evidence exists for this; however, in some reports, the development of such viral infections as EBV or hepatitis C was proposed to be the triggering infection for lung fibrosis in susceptible individuals.Gastroesophageal Reflux Disease (GERD): Patients with GERD, in which stomach acid often ascends into the oesophagus, have high rates of micro-aspiration of contents from their stomachs into their lungs, leading to inflammation and, likely, IPF.Most cases of IPF remain idiopathic, even with known risk factors, and much more research is required to understand fully the mechanisms responsible for causing the disease.Diagnosis of Idiopathic Pulmonary FibrosisWhile IPF presentation is nonspecific, it may be mimicked by diseases like COPD or asthma; diagnosis is, therefore, usually not direct. The doctor will use a combination of the following diagnostic tools:Medical History and Physical Examination: The doctor takes a history of symptoms, family history, smoking habits, and any possible environmental exposure. The doctor listens to the lungs with a stethoscope, looking out for abnormal crackling sounds, often described as "velcro-like".Pulmonary Function Tests: These tests on the working of the lungs measure the volume of air that can be exhaled from a patient following a deep inspiration with the efficiency of oxygen transfer into the blood. Patients with IPF will have reduced lung volumes and decreased oxygen exchange.HRCT: Characteristic features are formed by the hallmark of the diagnosis on the HRCT scans. These give a high-resolution image of the lung, which might contain characteristic patterns like "honeycombing," which is the hallmark of IPF.Lung Biopsy: Doctors have to do a biopsy very frequently where, in a minor sample of lung tissue, they take and confirm the diagnosis by looking at it under the microscope.Blood Tests: There is no specific blood test for IPF; however, several tests are used in an attempt to rule out other diseases that cause lung fibrosis and might include autoimmune diseases.Exercise Testing: There may be several different types of exercise testing that can be performed on a patient to evaluate oxygen levels in the blood, indicating just how much the lungs might provide to the body under stress.Once diagnosed, the severity of IPF is usually classified through the GAP index; this index assesses gender, age, and pulmonary function to estimate the rate of disease progression.IPF Treatment-Alternative OptionsEven though there isn't any treatment for IPF, lots of treatments can help keep up the control of symptoms, slow the progression of the disease, and uplift the quality of life. The available treatment options for IPF are as follows:Antifibrotic Therapy: The FDA has approved Pirfenidone and nintedanib. These medications decrease the rate of progression of lung fibrosis and decrease areas of fibrosis and inflammation.Corticosteroids and Immunosuppressants: Based on the cause of lung inflammation, doctors use corticosteroids and several immunomodulatory drugs.Oxygen Therapy: A vital component in IPF management, patients may require supplemental oxygen as the disease progresses. This therapy, particularly during exercise, is instrumental in preventing blood deoxygenation, reducing dyspnea, and enhancing patient comfort.Pulmonary Rehabilitation: A comprehensive program that includes exercise training, education, and support, pulmonary rehabilitation is a key player in improving lung function, reducing symptoms, and significantly enhancing the quality of life for IPF patients.Lung Transplantation: This is a last resort for patients whose IPF is quite advanced, and the transplant could be an option. It is a very high-risk procedure but can certainly dramatically extend survival and improve quality of life enormously.Lifestyle Changes: Treatment of the patient with IPF can be well supported by lifestyle changes that may help the patient cope better with the disease. Smoking cessation, exposure to environmental pollutants, and a balanced diet together slow down the progression of the disease.Comorbidity management: Most patients have other diseases along with it, such as pulmonary hypertension or GERD, which have to be followed to ensure optimum treatment of IPF.Research and Future TherapiesFurther research on the causes of IPF and new treatments gives hope for better management and, eventually, a cure for the disease. Current studies being done include:Stem Cell Therapy: Preliminary studies indicate that stem cells may heal the scarred lung tissue areas in patients with IPF, but they remain in an experimental stage.Gene Therapy: Gene therapy is one of the research-intensive fields relating to the area of IPF and can be curable in the future by correcting the wrong genes that cause this disease.Targeted Therapies: Most of the new drugs that are being designed are targeting the molecular pathways specifically involved in the development of lung fibrosis.The field advances IPF treatment with clinical trials, and patients are encouraged to discuss with their healthcare providers the possibility of trying such a clinical trial.Living with Idiopathic Pulmonary FibrosisLiving with IPF comes with challenges that are both physical and emotional, but if appropriately treated and given the right support, many patients manage to lead a reasonable quality life.Support Groups: Support obtained from others with IPF can be extremely helpful. Most communities provide an in-person and, in some cases, online support group setting where patients and caregivers may discuss their experiences and coping strategies.Mental Health: Depression and anxiety are common in patients suffering from IPF. It can therefore be considered part of the treatment. Professional counselling or therapy may help a patient cope with the emotional burden of such a disease.Palliative Care: For the sick patient whose disease is advanced, palliative care provides relief from symptoms and further improves the patient's quality of life. This often involves management of pain, nutritional support, and help with problems related to breathing.ConclusionIdiopathic pulmonary fibrosis is a serious lung disease that steadily worsens over time, causing extremely significant health challenges. However, with the cause of IPF still not having been fully identified, early diagnosis and aggressive treatment remain the need of the hour to significantly slow disease progression as well as to improve the quality of life for a patient. Researchers are holding their fingers crossed that further research and new therapies will soon lead to better therapeutic options. Life with IPF is nothing if not complex for a patient; working closely with a healthcare team, one can look forward to understanding and navigating through this complex condition with the support of medical professionals and emotional and practical support.