Category Archives: General Medicine- Adults

Do you have extra medicine lying around the house?

Storing expired or unwanted medications in the home poses a significant health risk to families.  In Kansas, state reporting shows 1 in 5 poisoning-related emergency department visits are in children 4 and younger.  Of these, 70% were caused by drug … Continue reading

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It’s HIVES season!

Poison ivy, oak and sumac are notorious for causing hives.  I’ve seen this a few times this week in my office.  The allergic reaction is due to urushiol, colorless oil in the leaves, stem, root and sap of the plant. … Continue reading

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The red flags of back pain

“Red flags” is a term that we physicians use that causes us to ACT.  Frequently back pain will resolve within 2 weeks with conservative management (like rest, ice, over-the-counter pain medicine).  These red flags will be followed up with thorough … Continue reading

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Frequently I’m asked if “I should get my whole body scanned”

Sigh. . . the marketers do a very good job. They market for self-referral.  “The price is coming down. . . “ “Wouldn’t everyone like to know. . .? “  But, there are significant risks and I imagine it would … Continue reading

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Sleuthing CDC-style

The Centers for Disease Control and Prevention (the CDC) is inviting all iPad users to help solve disease outbreaks—virually, that is.  So, if you have enjoyed the film “Contagion” or medical detective novels, this new app may be for you. … Continue reading

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Early detection of lung cancer may be possible

Lung cancer is the leading cause of cancer mortality in the United States. It kills 160,000 people per year, accounting for 28% of all cancer deaths nationwide.  The 5-year survival is only about 15%, but when a lung cancer is … Continue reading

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Why doctors die differently?

The short answer would be that we have seen countless fruitless outcomes. As an example, the John Hopkins Precursors Study collated end-of-life decisions of 800 physicians graduating from Johns Hopkins between 1948 and 1964. Indeed this study was done a … Continue reading

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More “pros” for probiotics!

Patients who are treated with antibiotics frequently get antibiotic-associated diarrhea (AAD). In fact, more than 1/3 of patients taking antibiotics develop AAD. In 17% of cases AAD is fatal (usually from pseudomembranous colitis). AAD can have several different pathogens like … Continue reading

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Gallstones

Ugh!  About 10-15 % of the adult US population gets gallstones.  If symptomatic, this leads to hospitalization and gallbladder removal. What is the gallbladder?  It stores bile which is released by the gallbladder after a meal to help digest the food.  During … Continue reading

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End-of-life planning

This topic, to some, is like dragging a reluctant dog to the vet. This is definitely an issue that is best considered and planned for. Recent media reports an 87-year-old resident in an assisted-living facility whose nurse “refused to give … Continue reading

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