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Important Alerts
Office and Urgent Care Closures

On Wed. July 17, all Urgent Care offices located in Dutchess, Putnam, Ulster and Westchester counties will be closing at 5pm EST, and will reopen on Thurs. July 18 at 8am EST.

Cardiology-Jersey City is temporarily closed, while Cardiology-Newark is closed permanently.

The Croton-on-Hudson lab and the Patterson lab are temporarily closed until further notice.

Updates

Effective June 24, 2024, Charles Kutler, MD has moved to the Poughkeepsie Columbia Campus located at 30 Columbia Street, NY 12601.

Effective June 17, 2024, Maryanne Wysell, MD, Jason Rubin, MD, FACP,  and Saad Yousuf, MD, have moved back to the Poughkeepsie Columbia Campus located at 30 Columbia Street, Poughkeepsie, NY 12601.

To make an appointment with former CareMount Women’s Health, please call the office directly. Online scheduling has been temporarily suspended.

Optum Medical Care, P.C. (formerly CareMount) has upgraded our billing system to ensure that you have a simple, clear and convenient payment experience. To securely view and pay your bills online, visit pay.optum-ny.com.

Effective Tuesday, February 20, 2024, changes have been made to the New York flu clinic hours and locations. Please check the webpage for the most up-to-date information.  

Recording/Photography Not Permitted on Premises

COVID-19 Information and Updates

The new COVID-19 vaccine is available at our clinics.

Please note available supply below:

– Supply is limited as we receive weekly deliveries.
– Moderna is available for children and adults (ages 6 months and up)

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Lifestyle factors

Taking an honest inventory of things that might be responsible for your fatigue is often the first step toward relief. Fatigue may be related to one of the factors below. If none of these pertain, consult with a healthcare provider.

  • Use of alcohol or drugs
  • Excess physical activity
  • Jet lag disorder
  • Lack of physical activity
  • Lack of sleep
  • Medications, such as antihistamines, cough medicines
  • Unhealthy eating habits

CFS Symptoms

Symptoms often mimic the flu. Below are the most common symptoms.

  • Sensitivity to light
  • Headache
  • Tender lymph nodes
  • Fatigue and weakness
  • Muscle and joint pain
  • Inability to concentrate
  • Insomnia
  • Forgetfulness
  • Mood swings
  • Confusion
  • Low-grade fever
  • Depression

Diagnosis

Chronic fatigue syndrome diagnosis requires ruling out other possible conditions. According to the Institute of Medicine, a CFS diagnosis requires all 3 of the following symptoms:

  • Having to cut back significantly on activities you did before the illness
  • Severe tiredness after physical activity
  • Sleep that doesn’t refresh you

In addition, one of the following symptoms must be present:

  • Difficulty thinking 
  • Orthostatic intolerance: This means standing upright makes symptoms worse. Lying back down or elevating your feet may ease the symptoms but does not fully get rid of them.

Treatment

There is no cure for CFS. Treatment is aimed at reducing symptoms and may include medications, light aerobic exercise, dietary supplements and/or psychotherapy.

When to see your Doctor

If your fatigue has persisted for two or more weeks despite making an effort to rest, reduce stress, choose a healthy diet and drink plenty of fluids, it’s time to see a doctor. Dealing with severe fatigue can be very challenging. It’s important to work with your healthcare provider to find treatments that help you.