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Category Archives: General Medicine- Adults
HPV vaccination is fighting cervical cancer and winning!
HPV vaccination is fighting cervical cancer and winning! HPV vaccination has been shown to decrease cervical intraepithelial neoplasia 1 (CIN1) by 9%. CIN1 is a precursor to frank, invasive cervical cancer. So, this vaccine shows great success! In fact, in … Continue reading
Posted in infections, Pediatrics, Sexually Transmitted Infections, Uncategorized, Vaccines
Tagged cervical cancer, Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family practice, HPV, University of Nevada Reno School of Medicine
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What can the elderly do to decrease their number of falls?
What can the elderly do to decrease their number of falls? Lots of things! Lifestyle modifications are best: structured exercise programs and home safety interventions (like get rid of throw rugs and electrical cords across walkways). Multifactorial assessment and inv=tervention … Continue reading
Posted in end-of-life issues, General Medicine- Adults, Uncategorized
Tagged Dr. Greenberg, Dr. Leslie Greenberg, fall risk, Family Doctor, family physician, Reno, University of Nevada Reno School of Medicine
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Should you take a statin to decrease chance of dementia?
Should you take a statin to decrease chance of dementia? No. What? We medical-sorts link “educated” logic together. And, many times this is wrong. It would seem intuitive that vascular dementia (when the brain doesn’t get enough blood) can be … Continue reading
Posted in Cholesterol, Uncategorized
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Family medicine question and answers 2
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
Posted in General Medicine- Adults
Tagged Dr. Greenberg, Dr. Leslie Greenberg, elderly falls, Family Doctor, Family Medicine, family physician, family practice, nicotine replacement, Reno, smoking cessation, University of Nevada School of Medicine
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Family medicine question and answers…
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
Posted in General Medicine- Adults
Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, hot flashes, menopause, Reno, University of Nevada Reno School of Medicine, University of Nevada School of Medicine, vasomotor symptoms, wound infection
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Family medicine may be getting a shot in the arm!
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
Posted in General Medicine- Adults
Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, Nevada, Reno, University of Nevada Reno School of Medicine
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Common questions about recurrent urinary tract infections in women
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
Posted in General Medicine- Adults, infections, Uncategorized
Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, University of Nevada Reno School of Medicine, University of Nevada School of Medicine, urinary tract infection, UTI
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Asthma treatment
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
Posted in General Medicine- Adults, lung conditions, Uncategorized
Tagged asthma, asthma treatment, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, mild persistent asthma, Reno, University of Nevada Reno School of Medicine, University of Nevada School of Medicine
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Arthroscopic knee surgery in some cases is not needed!
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
Posted in bone health, General Medicine- Adults, Uncategorized
Tagged arthroscopic surgery, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, knee pain, University of Nevada Reno School of Medicine
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Nevada ranks near the bottom for medical care
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
Posted in General Medicine- Adults, Uncategorized
Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, Reno, University of Nevada Reno School of Medicine
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