Category Archives: General Medicine- Adults

How to decrease nausea and vomiting during pregnancy?

How to decrease nausea and vomiting during pregnancy? There are lots of treatments.  First, the pregnant woman should change lifestyle modifications.  Eating frequent small meals, avoiding foods that smell or taste adversely, avoid high-protein or fatty foods which can slow … Continue reading

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What is deprescribing and why you should want it?!

What is deprescribing and why you should want it?!  Deprescribing is the act of removing medications that are no longer needed or beneficial. Our health care system is geared toward starting medications and not stopping them.  Did you know that … Continue reading

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Your prescriptions are being monitored!

Your prescriptions are being monitored!  For years I have received information from insurance companies to let me know which patients are not compliant with their medications.  How do they know this?  They watch how often you pick up a refill … Continue reading

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Should you believe the physician rating sites?

Should you believe the physician rating sites? I am very skeptical of them. I urge you to question the sites, also. Consider the patients who come to a physician with a personal agenda: wanting a prescription for an inappropriate medication … Continue reading

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Five new changes to medical care…

  Five new changes to medical care… The American Academy of Family Physicians has a “Choosing Wisely” list of changes to medical care (that results from research results). No routine bimanual exam (two-handed pelvic exam on females that we routinely … Continue reading

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What are the lung cancer screening recommendations?

What are the lung cancer screening recommendations?  Recently the ACCP (The American College of Chest Physicians) published their new lung cancer screening guidelines. Who should get an ANNUAL lung cancer screening? Adults aged 55 to 77 years of age who … Continue reading

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Are aspirin and/or fish oil needed for diabetics?

Are aspirin and/or fish oil helpful for diabetics?  The ASCEND trial results show that low-dose aspirin and fish oil supplements have not resulted in significant clinical benefit. The ASCEND (A Study of Cardiovascular Events in Diabetes) study included 15,480 diabetic … Continue reading

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Perimenopause may trigger the first episode of depression.

Perimenopause may trigger the first episode of depression.  Women in their late 40s are often in this hormonal stage called “perimenopause.” This is when the body may still have a menstrual period, but that the menstrual cycles are irregular because … Continue reading

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What are some things a doctor should know about the elderly LGBTQ community?

What are some things a doctor should know about the elderly LGBTQ community?  I recently attended a panel discussion about medically related LGBTQ issues.  Here are some of the take-home messages 50% of nursing home staff thought “their colleagues” would … Continue reading

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Incidentalomas? What’s the chance….?

Incidentalomas? (Incidental findings found on imaging tests)  What’s the chance…?  Recently 20 systematic reviews of observational studies were combined to show which imaging test/region reports the greatest number of incidental findings?  And, of these findings, what are the chances that … Continue reading

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