Flu Shot

Getting a flu shot is the best way to protect yourself from catching the flu. Everyone six months and older should consider getting the vaccination. Dr. Dan Bishwakarma and the health care providers at Prime Medical Care, LLC, in Alexandria, Virginia, offer the flu shot and can talk to you about the vaccine and how it may prevent you from catching the flu this season. To schedule your flu shot, call the office or request an appointment online today.

Flu Shot Q & A

What is the flu shot?

The flu shot or flu vaccine is an injection that offers protection against three or four of the most common strains of influenza during the upcoming flu season.

Influenza is a family of highly contagious viruses that cause the flu, which is a disease that affects the respiratory system. Though flu symptoms range from mild to severe, in some cases, the infection may lead to respiratory failure or death.

The flu shot helps your body build-up antibodies against the virus. Though it may not prevent you from catching the flu virus and getting sick, your annual flu shot may lessen the severity of your symptoms and the duration of your infection.

Who needs the flu shot?

In general, everyone aged six months and older needs the flu shot. It’s especially important for people at risk of developing serious health complications from an infection, including:

  • Older adults
  • Young children
  • Pregnant women
  • People with chronic health conditions (e.g., asthma, diabetes, cancer)

Though most people benefit from getting the flu shot, it may not be recommended if you have an egg allergy or had a bad reaction to a previous flu shot.

Your provider determines if you’re not a good candidate for the flu shot and can talk to you about other ways you can protect yourself from getting sick.

When should I get the flu shot?

In the United States, flu season begins in October and typically lasts through March. It takes your body about two weeks to build up immunity against the flu. You should get your flu shot before the start of the flu season.

It’s recommended that you get your flu shot before the end of October, so you get the most protection. However, you may still benefit from the vaccination even if you wait until February or later to get it.

Will the flu shot make me sick?

You may experience some side effects after getting the flu shot. In most cases, the side effects include pain, swelling, and warmth at the site of the injection.

However, some people may also experience headaches, muscle aches, or a mild fever after their injection. These symptoms indicate your body is building up the antibodies needed to help you fight off the influenza virus.

It’s more important than ever that you take the necessary steps to protect yourself from getting the flu. Call Prime Medical Care, LLC, or book your flu shot online today.

High Blood Pressure And Cholesterol Specialist

At Prime Medical Care, LLC, Dr. Dan Bishwakarma and his staff offer a variety of tests and treatment options for their patients who have been diagnosed with high blood pressure and cholesterol levels. Patients who live in the Alexandria, Virginia area are encouraged to visit the facility for all of their urgent Care needs.

High Blood Pressure and Cholesterol Q & A

What constitutes high blood pressure?

Having high blood pressure means the pressure of the blood in your blood vessels is higher than it should be for your age and gender. This is a very common health condition affecting about 1 of 3 U.S. adults. This common condition increases the risk for heart disease (angina, heart attack, heart failure, and arrhythmias), stroke, kidney disease and peripheral vascular disease.

What causes high blood pressure?

Because high blood pressure often does not cause any warning symptoms or signs, it is often called a “silent killer.” Many people don’t even know that they have it. Sometimes, it can cause racing of heart, headache, shortness of breath etc. Most of the time we don’t know the cause for it and it’s called Primary or Essential Hypertension. In some cases, it can be due to some causes for examples, kidney disease, high blood cholesterol leading to narrowing of arteries etc. This is called secondary High blood pressure. There are some risk factors associated with high blood pressure, for example, eating too much salt in the diet, overweight or obesity, stress, family history etc.

What tests are used to monitor high blood pressure and other conditions that affect the heart?

One of the most commonly used tests that monitor how the heart functions is an electrocardiogram or EKG. An EKG monitors the electrical activity of the heart and helps identify potential problems with how the heart is functioning. It can detect spikes in the amount of pressure it takes the heart to pump the blood throughout the body. EKGs are performed in Dr. Bishwakarma’s office and the results are immediately available. In most cases, regular monitoring with a blood pressure cuff is sufficient to provide day to day readings but to evaluate the true extent of the impact on the heart Dr. Bishwakarma may ask for an EKG during an annual physical examination.

What is medically supervised weight loss?

Medically supervised weight loss is beneficial to individuals who want to lose weight safely and build positive lifestyle patterns to help them maintain an ideal weight. Individuals who suffer from high cholesterol or high blood pressure can benefit from a medically supervised weight loss program. Dr. Bishwakarma can create a diet and exercise program addressing patient health issues and allowing them to lose the weight they need. Throughout the program, Dr. Bishwakarma will closely monitor their progress and alter their weight loss plan to accommodate the changes in their health. This will help the patient to eliminate negative lifestyle patterns and give them the tools they need to create new ones.

Will making positive lifestyle changes help control high blood pressure and cholesterol levels?

Making small lifestyle changes over time can improve a person’s health and boost their metabolism. These may include:

Eliminating smoking and alcohol will improve the way the body functions almost immediately.
Exercising 3-4 times a week for 30 minutes a day will increase circulation and strengthen the muscles.
Adding more water is essential to staying hydrated and flushing toxins from the system.
Including the proper ratio of fats, proteins, and carbohydrates, as well as sufficient amounts of fiber into your diet to keep the digestive system functioning efficiently.
All of these things combined will help regulate both blood pressure and cholesterol levels.

How does Dr. Bishwakarma treat high blood pressure?

At Prime Medical Care, LLC, Dr. Dan Bishwakarma and his staff routinely check the blood pressure and blood cholesterol of patients. Dr. Bishwakarma offers nonpharmacologic and/or pharmacologic treatments based on the severity of blood pressure and its effects on the heart, kidneys, blood vessels etc. He orders blood tests, urine tests, Chest x-ray, and EKG to find out if there is any complication of high blood pressure. He refers patients to corresponding specialists if complications are already present.

Immediate Care Specialist

At Prime Medical Care, LLC, Dr. Dan Bishwakarma and his staff will accommodate walk-in patients requiring immediate care in between scheduled patients. Professional staff at the facility encourage residents who live in and near the Alexandria, Virginia area to visit them with their immediate care needs.

Immediate Care Q&A

What is immediate care?

Immediate Care is defined as medical care provided to patients who have non-urgent, non-emergent and non-life-threatening acute illnesses that need to be treated immediately. These conditions include but are not limited to allergies, poison ivy, flu, acute sinusitis, strep throat, ear infections, acute bronchitis, pneumonia, shingles etc. which need immediate treatments. Dr. Bishwakarma and his staff will accommodate such walk-in patients in between scheduled patients.

What types of conditions are treated at with immediate care?

Physicians and medical staff at immediate care facilities can effectively treat the flu, bronchitis, pneumonia, ear infections, sore throats, allergies, colds, and acid reflux. When these conditions are acute, they can have a dramatic effect on a person’s quality of life. Seeking fast and effective medical treatment can address the cause and treat the symptoms so the person can begin the recovery process. With conditions like ear infections and sore throats, prompt treatment can reduce the duration of the illness and prevent it from turning into something more serious. Immediate care facilities are capable of treating acute illnesses in their earliest stages so that emergency care will not be needed later.

What is the difference between acute care and trauma care?

Acute care and trauma care are different in terms of what may be causing the problem. When an illness is severe, it is said to be acute or needing immediate medical attention. Trauma care often refers to conditions that are life threatening. This includes the severest of acute illnesses like heart attacks or seizures, as well as injuries that result in uncontrollable bleeding, broken bones, or blunt force trauma to the head. While many acute illnesses are often treated in an emergency room setting, trauma injuries and illnesses cannot be treated at an urgent care facility. Trauma cases require highly specialized treatment options and the use of highly sophisticated medical equipment that most urgent care centers don’t have.


Dr. Dan Bishwakarma and the staff of Prime Medical Care, LLC, serve the residents of Alexandria, Virginia and many nearby communities. The doctor can effectively diagnose both Type 1 and Type 2 forms of diabetes.

Diabetes Q & A

What is diabetes?

Most of the food we eat are changed into glucose for our bodies to use for energy. A hormone called Insulin, produced by our pancreas, has a vital role in using the glucose and maintaining the level of glucose in blood. Diabetes mellitus is an endocrine and metabolic disease in which blood glucose levels are above normal. When you have diabetes, your body either doesn’t make enough Insulin or can’t use the insulin well. This leads to an increase in glucose in your blood. Diabetes is broadly classified into type 1 and type 2. In type 1 diabetes, the pancreas cannot make insulin at all. In type 2 diabetes, the insulin produced is not enough or not effective.

How common is diabetes mellitus?

Diabetes mellitus is a very common endocrine and metabolic disorder. About 1 in 11 people are affected by diabetes in their lifetime. It’s 7th leading cause of death in the US. People with diabetes can experience symptoms of dry mouth, increased thirst, increased urination, increased hunger, weight loss despite eating a lot, lack of energy, frequent infection of skin & urine, and poor wound healing. Sometimes people are presented with the symptoms & signs of complications of diabetes even before the diagnosis of diabetes.

What are the complications associated with diabetes?

Diabetes can lead to serious health complications which can be acute or chronic. Acute complications such as diabetes ketoacidosis (DKA) can be life threatening whereas chronic complications develop over a long period of time if diabetes is not controlled. Chronic complications include but are not limited to heart disease, blindness, kidney failure, and peripheral vascular disease leading to amputations of lower extremities.

How is diabetes managed?

At Prime Medical Care, LLC, Dr. Bishwakarma screens his patients for diabetes routinely based on their symptoms & risk factors. If he can manage the patient’s diabetes himself, he offers different options of treatments. If blood sugar is very high and difficult to control, he will refer patients to a specialist (endocrinologist). He examines patients and runs tests for complications of diabetes. He refers patients to corresponding specialists based on the findings.

UTIs And STDs Specialist

At Prime Medical Care, LLC, Dr. Dan Bishwakarma offers diagnostic tests and treatment for both Urinary Tract Infections(UTI) and Sexually Transmitted Infections (STI). Residents of the Alexandria, Virginia area are welcome to visit the facility if they’re experiencing any types of symptoms associated with UTIs or STDs.

UTIs and STDs Q & A

How can STDs be prevented?

STDs or sexually transmitted diseases can be prevented if a person takes the necessary precautions prior to engaging in physical activity. While abstinence is the only real way to prevent most forms of STDs, using a condom can dramatically reduce the risk of transmission during vaginal intercourse. It’s important to remember that most birth control methods do not protect against STDs. It’s also important to limit the number of sexual partners. STDs can occur in monogamous relationships, but these instances are rare. Preventing STDs is a personal choice when it comes to protecting one’s health. Receiving the HPV vaccine is just one way a person can protect themselves from unexpected exposure to at least one type of STD.

What are the symptoms of a UTI?

A urinary tract infection or UTI is often discovered when a person experiences extreme burning or pain during urination. Pain in the pelvic region and an intense urge to void that doesn’t decrease after a person has used the bathroom are also common symptoms that doctors use to identify a urinary tract infection. If the infection is severe, the urine may turn from a yellowish color to an orange or dark brown. When this occurs blood is present. Antibiotics may be prescribed to fight the infection internally, while over the counter pain medications are recommended to control the pain and discomfort.

Can STDs and UTIs be associated with one another?

STDs and UTIs often appear together. While some STDs are caused by a virus, others are the result of an infection. If a person doesn’t practice good hygiene or doesn’t get treatment for the STD, the bacteria can spread to the urethra and travel up into the bladder, resulting in a urinary tract infection. STDs may go undetected until more severe treatments begin to appear. A person who has repeated urinary tract infections may have more serious problems if an STD is responsible but remains undetected. Dr. Bishwakarma will often perform an STD test if UTIs keep returning. The patient should immediately notify the doctor of any new symptoms that may arise involving the reproductive organs or the urinary tract.


Patients living in the Alexandria, Virginia area, are welcome to visit Prime Medical Care, LLC, for all of their medical and urgent care needs. Dr. Dan Bishwakarma specializes in the diagnosis and treatment of various types of thyroid disease.

Thyroid Q & A

What are the symptoms associated with hyperthyroidism?

Hyperthyroidism is caused when the thyroid gland produces excessive amounts of thyroid hormones. Also known as Graves disease, an overactive thyroid can lead to extreme weight loss, rapid heart rate, insomnia, irritability, and excessive sweating. When hyperthyroidism begins to become severe, the patient should be evaluated by an endocrinologist who can better treat conditions that affect hormone levels throughout the body. An endocrinologist can provide treatment options that a general practitioner cannot. In most cases, hyperthyroidism is diagnosed by a primary care or family physician and then sent to a specialist when the condition begins to affect other areas of the body.

What are the symptoms of hypothyroidism?

Hypothyroidism is the opposite of hyperthyroidism. An underactive thyroid does not produce enough thyroid hormones to support the body’s normal function. A person who is diagnosed with hypothyroidism has a wide range of symptoms including fatigue, depression, and poor circulation. Without the proper thyroid hormones to act as a catalyst and trigger other reactions throughout the body, most of the body’s organs will not function efficiently. The body’s temperature may fluctuate and energy levels will drop dramatically. The metabolism can become sluggish causing all of the body’s processes to slow down causing the body to weaken considerably.

How are these thyroid conditions treated?

Dr. Bishwakarma screens for and treats common thyroid disorder like hypothyroidism. He refers patients to specialists if they have severe hypothyroidism, hyperthyroidism (Grave’s disease) or thyroid cancer.

Treatment plans may include a radioactive iodide treatment, anti-thyroid medication, and surgical procedures to remove the thyroid completely may be used. One of the first steps is to halt the gland’s ability to produce hormones, this is normally accomplished with a radioactive pill that destroys or damages the cells in the gland that produce the hormones. Another way is to surgically remove the gland. No matter what method is chosen, in the end, the thyroid hormones must be replaced in order for the body to function efficiently. Hormone replacement therapy uses synthetic versions of the natural hormones to regulate other functions in the body.

Dr. Bishwakarma also screens for complications and other medical conditions associated with thyroid disease, like depression in hypothyroidism and arrhythmia (atrial fibrillation) in hyperthyroidism.

Depression And Anxiety

Dr. Dan Bishwakarma offers routine screenings for patients with anxiety and depression based on their personal history, family history. He offers pharmacologic or nonpharmacologic treatments to patients with mild to moderate anxiety and depression. However, he refers them to a psychiatrist if they have severe conditions. At Prime Medical Care, LLC, the doctor and his staff serve patients living in and around the Alexandria, Virginia area.

Depression and Anxiety Q & A

What causes depression and anxiety?

Both depression and anxiety are serious mental health conditions that can have a devastating effect on a person’s physical health. While it may be hard to determine which came first, depression plays a significant role in how well a person heals and how long the recovery process takes. Anxiety can also aggravate health issues making them more prominent. Depression and anxiety may result from a chemical imbalance in the brain or they may be caused by excessive amounts of emotional stress that a person deals with on a daily basis. Physical illness may also play a role in the onset and severity of each condition.

How are depression and anxiety treated?

Antidepressants and other forms of medications can be effective at relieving both anxiety and depression. Cases that are associated with chronic health conditions can often be treated with relaxation techniques, breathing exercises, and regular exercise can be used to effectively boost endorphin levels improving a person’s mood and overall outlook on life. If depression or anxiety becomes so severe that they begin to affect a person’s judgment or perception, a Dr. Bishwakarma may choose to send the patient to a therapist to receive counseling. This type of treatment is much more effective if the cause of the condition is related to a traumatic event or serious illness.

What are commonly recognized signs of depression?

Depression is commonly recognized by many of its symptoms. When a person “loses their happiness” or doesn’t smile, they may be upset or depressed. Clinical depression, however, goes much deeper. The patient may no longer care about their appearance or whether or not they’re included in public activities. They may begin to avoid personal contact with friends or family. Depression can also be characterized by digestive upset which can lead to extreme fluctuations in weight. Fatigue, lack of interest in their favorite activities, and thoughts of suicide or self-harm may also be exhibited. Each person will react differently, but when the common signs are visible for more than just a few days, the condition may be more serious than someone just having a bad day.


Based on the age, gender, and personal & family history of patient, Dr. Dan Bishwakarma and the staff of Prime Medical Care, LLC, perform screening exams and tests for major cancers such as prostate cancer, colon cancer, lung cancer, cervical cancer, blood cancer etc. He refers patient to corresponding specialist doctors if a cancer is detected or suspected. The doctor welcomes residents from the Alexandria, Virginia area to visit the facility for all types of examinations and testing procedures.

Cancer Q & A

What are common types of cancer screenings?

Cancer screenings are extremely important in identifying potential risks and detecting cancers in their earliest stages. During a physical or annual health examination, there are normally 3 types of cancer screenings taken to detect any possible changes that could lead to an increased risk of cancer. Breast, colon, and prostate cancer screenings are easily performed in the doctor’s office. A breast cancer screening, or mammogram, may need to be scheduled at a local hospital or another facility that performs diagnostic imaging. Certain blood tests can also be performed to identify potential changes in hormones or abnormal cell formations.

Why is early detection the key to saving lives?

It’s extremely important to diagnose cancer in its earliest stages. The earlier the cancer is found, the more treatment options Dr. Bishwakarma has to choose from. If a tumor is identified as cancer, it can be removed if it is small and the cells haven’t started to travel through the body. If the cancer cells have moved into the lymph nodes, simple surgery is no longer an option. Once cancer has become advanced, certain types of treatment are no longer effective. Annual cancer screenings can identify abnormal cell activity or changes in tissues that lead Dr. Bishwakarma to believe that cancer cells have started to grow or spread through the body.

What treatment options are available other than chemotherapy?

While chemotherapy may be effective at reducing the size of tumors or stopping the spread of certain types of cancers, it does have side effects. Alternative cancer therapies may be more effective during the beginning stages of cancer growth. Strengthening the immune system and surgically removing tumors and sections of abnormal tissues are simple ways to improve the body’s health, giving it the strength it needs to fight cancer and withstand more potent types of cancer treatments. Each person will respond differently to chemotherapy and alternative treatment options. Early detection allows for more treatment options and a more powerful approach to controlling the spread of cancer.

Physical Examinations And Annual Check-ups

Dr. Dan Bishwakarma and his staff offer comprehensive physical examinations and annual checkups to patients in and around Alexandria, Virginia. Patients are encouraged to visit Prime Medical Care, LLC, for all of their physical examinations and annual checkups.

Physical Examinations and Annual Checkups Q & A

What is involved in a physical examination?

Dr. Bishwakarma offers annual and periodic physical exams to all patients. During these visits, he tries to explore risks factors for preventable diseases based on patient’s personal, social and family history. In addition, he gives sports physical exam, pre-employment physical exam and preoperative physical exams. An annual checkup or physical examination normally involves checking a patient’s vital signs, performing necessary screenings for cancer and other health conditions, and evaluating the person’s general health. If the physical is related to athletics or a work-related examination, their heart rate, respirations, and dexterity may also be evaluated. While an annual physical is used to uncover potential health problems, sports and work-related physicals are used to determine if a person is fit enough to participate in strenuous levels of activity. A thorough physical examination can uncover a variety of issues such as hernias, digestive disorders, and joint conditions.

What is a pre-operative clearance exam?

Dr. Bishwakarma conducts pre-operative exams frequently. A pre-operative clearance exam is performed prior to any type of surgery. Dr. Bishwakarma will evaluate the patient’s overall health to determine whether or not their body can withstand the upcoming procedure. If a person shows signs of an infection or any other type of health condition that may affect how they respond to the anesthesia, the doctor may recommend postponing the procedure until the condition has cleared up. He also refers patient to a cardiologist, a pulmonologist or other specialist as needed based on the medical history of patient and risks involved with operation.

Why are sports and work-related exams essential?

Athletic activities and work responsibilities may require a person to maintain a certain degree of health and physical fitness. Sports and work-related physicals evaluate a person’s overall health and also check for potential problems with movement or the structure of the body. It’s important to eliminate any potential health risks prior to the patient participating in any type of strenuous activity. If a health problem is detected, it can be treated and the patient can be re-evaluated. Sports and work-related physicals are designed to prove that a person is fit enough to perform a specific job. This protects both the patient and the company if an accident or injury occurs while the person is performing their duties.