Dr. Cotton & Lance Feray's Office

10/03/2025

Botox appointments available.

05/20/2025

We are an independently owned Family Medicine clinic. Happy to help with any of your health needs.

05/17/2025

Come see us for affordable weight loss management. Several options available. Happy to help guide you to your weight loss goals and explain how these medications work within your body.
Call 281-351-7243 for quick convenient scheduling.

11/07/2021

08/12/2021

Latest houston Hospitalizations... Very similar to last July wave. Stronger than the January wave. Hopefully the reproductive rate it now past its peak in the community. Effects will be felt for many weeks however. Early testing and treatment can keep you out of the hospital. Breakthrough cases after vaccination do occur but are much more mild.
https://www.tmc.edu/coronavirus-updates/tmc-daily-new-covid-19-hospitalizations/

Located in the heart of Houston, Texas Medical Center campus is home to leaders in research, medicine, and innovation in healthcare.

08/12/2021

I know masks can be a hot button topic. Know that they do help but cannot completely prevent transmission in all circumstances. Please see this well written article for more information. During the new Delta varient wave we highly recommend masking.
https://english.elpais.com/society/2020-10-28/a-room-a-bar-and-a-class-how-the-coronavirus-is-spread-through-the-air.html?ssm=TW_CC

The risk of contagion is highest in indoor spaces but can be reduced by applying all available measures to combat infection via aerosols. Here is an overview of the likelihood of infection in three everyday scenarios, based on the safety measures used and the length of exposure

04/14/2021

https://www.tmc.edu/coronavirus-updates/tmc-daily-new-covid-19-hospitalizations/

Houston numbers are still looking pretty good. We are still seeing new Covid patients daily however. We have now treated well over 600 patients in our practice. (Honestly we have lost count)

Things in a nutshell that we know...
The virus does not survive well outside. UV B radiation may be the answer but we are not entirely sure if that is the only reason. Outdoor transmission is minimal except in fairly large crowds. Dining outdoors is very safe. Outdoor sports are considered very safe.

Masks likely help in some capacity however aerosol science is moving forward with more studies. Larger droplets are caught by masks but smaller particles may get through. We recommend wearing masks in indoor settings if tolerated.

We feel the mRNA vaccines are safe. We have received them without any significant side effects aside from a day of body aches after the second shot. We advise taking some Tylenol and Advil the day of the shot and the day after to minimize those effects. We do recommend getting the vaccine and if you have a choice we recommend the Pfizer vaccine at the moment due to less side effects. You can go to vaccinefinder.org to see availability and select which vaccine you want.

The vaccine appears to provide good immunity but is narrow in that it only targets the spike protein. Coronaviruses mutate and could evolve to evade this immunity in the future. At the moment this has not appeared to have happened. We will likely see improved vaccines in the next 2 years that would more closely mimic natural (broader) immunity.

If you have Covid 19 symptoms we recommend early testing and ask that you reach out to us early to best treat the virus. There are medications that we feel significantly alter the disease process and are best if used early. Call 281-351-7244 if you need an appointment.

Hang in there!

Located in the heart of Houston, Texas Medical Center campus is home to leaders in research, medicine, and innovation in healthcare.

01/02/2021

Here is a helpful video to discuss how the Covid 19 vaccinations elicit an immune response against the virus.
https://www.statnews.com/2020/10/26/mrna-vaccines-face-their-first-test-in-the-fight-against-covid-19-how-do-they-work/?jwsource=cl

Watch to see how mRNA is being harnessed by scientists to to try to protect us from disease — including Covid-19.

11/24/2020

https://www.tmc.edu/coronavirus-updates/tmc-daily-new-covid-19-hospitalizations/

Houston admissions for Covid 19 are remaining fairly stable.There has been a moderate uptick since mid October. Keep sharp out there.
Know we have therapies that can be given for the disease that minimize its impact on you as a patient. Please give us a call if you think you have the disease or have been exposed. We wish you well!
281-351-7244

Located in the heart of Houston, Texas Medical Center campus is home to leaders in research, medicine, and innovation in healthcare.

11/24/2020

Masks are effective. It has been shown that the amount of virus one breathes in can affect the severity of the disease a patient experiences. If one breathes in a large amount of virus at once there will be more replication of the virus in the upper airway. Micro aspiration deeper into the lungs ensues. The real damage occurs when the immune system kills off the virus and leaves behind dead viral debris. The greater amount of viral debris appears connected to the amount of confused inflammatory reaction the body experiences. This leads to greater damage, decreased oxygenation, and the formation of micro clotting that leads to further organ failure.
Masks, even cloth bandanas, decrease how much virus we breathe in thereby lessening initial viral infection. Though the virus is very small we are not breathing in “naked” virus. (0.1 micron) The virus is likely spread by aerosols (small particles which are likely >0.5 microns) and droplet transmission. (larger particles which are up to 100,000 times larger). Even the most basic masks diminish the exposure at these sizes. Clearly some are better than others but some are better than none.
We would encourage you to read the full article that we reference here. https://vtnews.vt.edu/articles/2020/11/eng-marrmasks-1123.html
Please know we approach these subjects with the utmost of seriousness and a skeptical eye. We are comfortable in our knowledge base and only wish to share our knowledge with our patients.

A newly released Virginia Tech study examining the efficacy of common face coverings may help a concerned public breathe a sigh of relief.

11/20/2020

Though we are in an upswing of Coronavirus cases we are understanding this disease better each day. Here is what we know works to minimize the effect of Covid 19 on our lives.
1. Wear a mask as it protects you by limiting the amount of virus you might inhale if exposed to someone with the virus. This is crucial as the more virus you inhale the sicker you will be.
Masks also protect others from you if you were to have the virus.
2. Limit your time indoors in crowds.
3. Wash your hands.
4. Pulse oximeters are crucial in guiding your care if you do contract Covid 19. These devices tell us how well your body is oxygenating. Its as important as a thermometer. Amazon.com has these in stock.
4. Early intervention if you or a family member is exposed or not feeling well. Several studies now point to early aggressive intervention with cheap medications can either possibly prevent the disease from affecting you or decrease the severity of the disease if you have it.
At Feray Family practice we aggressively treat this illness with medications with the current best data to support their use and improve the illness quickly. We would ask that you call and make a telemedicine appointment as soon as you are exposed or begin feeling ill.
Call to schedule an appointment at 281-351-7244.

09/24/2020

Interesting but small study that shows that people who wear glasses >8 hrs per day may have decreased susceptibility to Covid 19 due to protection of the eyes. It is felt that the mucus membranes for the eyes are a potential site that can be exploited by the virus. Good news for those of us who put up with the hassle of glasses and mask fog.
https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2770872

This cohort study assesses the association between daily wear of eyeglasses and susceptibility to coronavirus disease 2019 among patients admitted to a single hospital with infection.