Author Archives: drlesliegreenberg

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About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.

Family medicine question and answers 2

Posted on November 28, 2016 by drlesliegreenberg

What is the most effective duration of nicotine replacement?  (This study was conducted only in patients also receiving extensive telephone counseling on tobacco cessation.)  8 weeks.  Beyond 2 months, continued nicotine replacement did not help with stopping-smoking rates. What helps … Continue reading →

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Medical school knowledge…

Posted on November 21, 2016 by drlesliegreenberg

Most of the medical school information that I learned 25 years ago is now known to be false.  I recently read a quote that medical “tradition is no longer the bedrock of (good)  practice.”  Oh, that is so true. We physicians … Continue reading →

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Family medicine question and answers…

Posted on November 14, 2016 by drlesliegreenberg

Do sterile gloves decrease wound infection rates (compared to clean nonsterile gloves) when minor skin surgery is done?  No.  Sterile and nonsterile gloves yield a comparable number of skin infections.  So, if your doctor wears clean nonsterile gloves while taking … Continue reading →

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Family medicine may be getting a shot in the arm!

Posted on November 7, 2016 by drlesliegreenberg

Family medicine draws more interest among medical students than any other subspecialty.  12% of medical students plan to pursue family medicine specialization after medical school graduation.  Hooray! Said in another way, only 5% of medical students rated their family medicine … Continue reading →

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Common questions about recurrent urinary tract infections in women

Posted on October 31, 2016 by drlesliegreenberg

What are the risk factors for recurrent urinary tract infections (UTIs)? In premenopausal women, the risk factors are new or multiple sexual partners, having a UTI before age 15, sexual intercourse three or more times per week, spermicide use In postmenopausal … Continue reading →

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Asthma treatment

Posted on October 27, 2016 by drlesliegreenberg

The goal of treating asthma is to not die from asthma.  The secondary goal is for asthmatics to live their life fully, as if they did not have asthma.  This often requires treatment.  Symptoms of asthma are wheezing, cough and … Continue reading →

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Honey?! for a cough?

Posted on October 17, 2016 by drlesliegreenberg

As a family physician, I often see children in my office with a cough.  There have been extensive studies showing no clear benefits and, in fact, there were definite potential harms to over the counter cough medication in children under … Continue reading →

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Arthroscopic knee surgery in some cases is not needed!

Posted on October 4, 2016 by drlesliegreenberg

Stop the presses!  There was a study showing that middle-aged people (mean age of 53 – 59) who have arthroscopic repair of degenerative meniscal tears do NOT have significantly improved long-term pain OR function over conservative measures. This study included … Continue reading →

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Does your tongue-tied baby need it cut?

Posted on September 13, 2016 by drlesliegreenberg

Probably not.  There are three reasons to cut a tongue-tied infant’s tongue: difficulty with speech, or with feeding, or due to cosmetic reasons (imagine heart-shaped tongue). There is no evidence that there is improved latching for breastfeeding after frenotomy (cutting … Continue reading →

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Nevada ranks near the bottom for medical care

Posted on September 8, 2016 by drlesliegreenberg

Ugh!  I read the Reno Gazette Journal newspaper this morning and realized that I moved from the 6th best state for health care (Kansas) to the 48th “best” state, Nevada.  I have been practicing medicine in Nevada for nearly a … Continue reading →

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