Category Archives: General Medicine- Adults

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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Record number of Sexually Transmitted Infections diagnosed in 2017

Record number of Sexually Transmitted Infections diagnosed in 2017. Not a great statistic, I know.  The Centers for Disease Control and Prevention released the 2017 data showing that nearly 2.3 million cases of chlamydia, gonorrhea and syphilis were diagnosed in … Continue reading

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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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Free Radon tests! Why to test? How to test? What’s important?

Radon. Why to test? How to test? What’s important? **Short-term tests are free to Nevadans until February 28, 2019 in honor of National Radon Action Month. Look at website (at bottom of post) for locations for test pick up!** Radon … 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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