Category Archives: General Medicine- Adults

Half of urine drug screens revealed improper medication use!

Half of urine drug screens revealed improper medication use!  Wow.  A study of over 4,000,000 (!) urine drug screens showed that 52% of patients were taking inappropriate medication.  The most common combination of medications misused were opioids (pain medicines) and … Continue reading

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Radon. Why to test? How to test? What’s important?

Radon. Why to test? How to test? What’s important? Radon is a cancer-causing, radioactive gas.  It is a naturally occurring radioactive gas released in soil, rock and water from the natural decay of uranium  Levels in the outdoors pose a … Continue reading

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You may NOT need to take vitamin D…

You may NOT need to take vitamin D… What?!  It has been standard of care to suggest vitamin D3 1000 – 2000 IU a day.  But, recently Lancet Diabetes and Endocrinology published a study involving over 53,000 patients which looked … Continue reading

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Tales from the hospital newborn rounds with medical students…What do we screen for?

Tales from the hospital newborn rounds with medical students… What do we screen for? Oh, my life as a physician and medical educator.  I have a new crop of green third-year medical students.  They have just spent two years studying … Continue reading

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Marijuana and adolescents…

Marijuana and adolescents…  I live in Nevada and it is now legal to use marijuana for both recreational and medical use. How prevalent is marijuana use? 5.4% of 8th graders, 14% of 10th graders and 22% of 12th graders have … Continue reading

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Should you as an ex-smoker have a CT scan to rule out lung cancer?

Should you as an ex-smoker have a CT scan to rule out lung cancer?  This is a great question. A few years ago the National Lung Screening Trial found a reduction in disease-specific and all-cause mortality with lung cancer screening.  … Continue reading

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Men, do you know your cholesterol level?

Men, do you know your cholesterol level?  There was a recent lipid (cholesterol) guideline released by the American College of Cardiology/American Heart Association which showed that men with a low-density lipoprotein (LDL) component of cholesterol of at least 190 benefit … Continue reading

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