Category Archives: General Medicine- Adults

Antibiotic prescribing is rampant at urgent care and retail clinics. Does this surprise anyone?!

Posted on August 13, 2018 by drlesliegreenberg

Antibiotic prescribing is rampant at urgent care and retail clinics. Does this surprise anyone? JAMA Internal Medicine recently published a study including 2.7 million urgent care visits, 48,000 retail clinic visits, 4.8 million emergency department visits and 148.5 million medical … Continue reading →

Posted in General Medicine- Adults, infections, Uncategorized | Tagged antibiotic overuse, antibiotic use, antibiotic use in urgent care, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family practice, Reno family doctor, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

Breastfeeding linked with reduction in diabetes…

Posted on August 6, 2018 by drlesliegreenberg

Breastfeeding linked with reduction in diabetes… This is not new news, as my children are now teenagers…and this was known then. What is new is the percentage DROP in incidence of diabetes in mothers who breastfed per JAMA Internal Medicine. … Continue reading →

Posted in breast, food, General Medicine- Adults, Pediatrics, pregnancy, Uncategorized, Women's Health | Tagged breastfeeding, breastfeeding help, can i breastfeed, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, the benefits of breastfeeding, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

Why does your doctor NOT look you in the eye?

Posted on July 25, 2018 by drlesliegreenberg

Why does your doctor NOT look you in the eye? Please click to watch this brilliant and entertaining video from a fellow physician Dr. Zubin Damania, better known as rapper ZDoggMD. Entitled “EMRs killed medicine”

Posted in General Medicine- Adults, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, electronic health record, electronic medical record, Family Doctor, Family Medicine, family physician, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada School of Medicine | Comments Off

Medicare’s proposed fee payment changes are NOT in your best interest…

Posted on July 23, 2018 by drlesliegreenberg

Medicare’s proposed fee payment changes are NOT in your best interest… Medicare would like to “streamline” physician documentation. And, in exchange for this, they are decreasing the reimbursement for many office visits. Most Medicare patients are complex, as there is … Continue reading →

Posted in General Medicine- Adults, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, medicare, medicare 2018 changes, medicare funding, Reno family doctor, Reno family physician, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

What are the chances to be on opioids after initial use of opioids?

Posted on June 26, 2018 by drlesliegreenberg

What are the chances a patient will be on opioids after initial use of opioids? I recently attended a lecture discussing opiate addiction and its far-reaching aspects. How soon does habituation to opioids occur? There was an interesting study out … Continue reading →

Posted in General Medicine- Adults, medication issues, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, opiate, opiate addiction, opiates and benzodiazepines, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

Travel medicine tips.

Posted on June 12, 2018 by drlesliegreenberg

Travel medicine tips. Most of us are excited to travel and would like to arrive both at our destination and back home safely and in good health. Don’t let these problems derail your plans… There are many types of travel-associated … Continue reading →

Posted in General Medicine- Adults, medication issues, Sexually Transmitted Infections, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, travel medicine, traveling medicine, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

ADHD evaluation

Posted on June 8, 2018 by drlesliegreenberg

I recently went to a lecture on ADHD. There are different ADHD subtypes: combined (hyperactivity with impulsivity), predominantly inattentive, predominantly hyperactive without impulsivity. The ADHD with hyperactivity is most likely diagnosed because of the child’s attention-getting (conduct disorder) behavior. Stimulants … Continue reading →

Posted in ADHD, colon, Pediatrics, Uncategorized | Tagged ADHD, attention deficit disorder, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, famiy physician, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

Great definition of a family physician

Posted on June 5, 2018 by drlesliegreenberg

Great definition of a family physician. I am NOT a generalist. I am NOT a provider. I am NOT a practitioner. I am a medical professional who cares for complex and healthy patients regardless of age. I am best understood as an … Continue reading →

Posted in General Medicine- Adults, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, Leslie Greenberg MD, what is a family doctor, What is a family physician? | Comments Off

HPV

Posted on May 29, 2018 by drlesliegreenberg

I took notes at the Nevada Family Medicine meeting when expert Dr. Trudy Larson spoke about HPV. Here are the take-home points… Who gets HPV? 80 % of adults have a strain of HPV. “HPV happens.” There are 40 subtypes … Continue reading →

Posted in infections, Male issues, Pediatrics, Sexually Transmitted Infections, Uncategorized, Vaccines, Vaccines | Tagged cervical cancer, Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, HPV, HPV vaccine, human papillomavirus, Leslie Greenberg MD, Reno physician, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off

A taboo topic: heavy menstrual bleeding

Posted on May 22, 2018 by drlesliegreenberg

A taboo topic: heavy menstrual bleeding…Do you have heavy menstrual bleeding? There are lots of ways to fix this. The most effective method is to remove the uterus (a hysterectomy) but this method comes with surgical risks and (of course) … Continue reading →

Posted in Ear, General Medicine- Adults, menstrual issues, Uncategorized, Women's Health | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, heavy menstrual bleeding, hysterectomy, IUD, menorrhagia, oral contraceptives, University of Nevada, University of Nevada Family Medicine Residency Program, University of Nevada Reno School of Medicine, University of Nevada School of Medicine | Comments Off