Category Archives: Uncategorized

HPV vaccine is REALLY effective!!!

HPV vaccine is REALLY effective!!! The human papillomavirus vaccine is really effective, especially when given before age 17.  There was a Swedish study of MORE than 1.6 million patients. The patients who received the vaccine before 17 were most helped.  … Continue reading

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Who needs a tonsillectomy?

Who needs a tonsillectomy? As a family physician, I send patients to ear nose throat surgeons for a tonsillectomy if … Seven throat infections in one year Five throat infections per year for 2 consecutive years Three throat infections per … Continue reading

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Are you a woman with unwanted facial hair? Treatment is easy!

Are you a woman with unwanted facial hair? Treatment is easy! Hirsutism is “excessive male-pattern hair growth in a woman.”  Hirsutism is common, as it affects between 5 and 10 percent of women of reproductive age.  Unwanted hair growth is … Continue reading

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Anaphylaxis: Life-threatening allergic reaction. What is this? What to do?

Anaphylaxis: Life-threatening allergic reaction.  What is this?  What to do? Anaphylaxis is a life-threatening allergic reaction that usually occurs within 2 hours of allergen-exposure.  This is pretty rare, but important to know the symptoms.  The two peak age ranges for … Continue reading

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Hypertriglyceridemia. What is this? Is this important?

Hypertriglyceridemia. What is this?  Is this important? Hypertriglyceridemia is when the fasting serum triglyceride is 150 or more.  Why is this important?  Hypertriglyceridemia is linked with an increase risk of cardiovascular disease.  If the triglycerides are more than 500, the … Continue reading

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Nevadans: Birth control (a years worth!) delivered to your door! Emergency contraception, too.

Local news did a highlight about https://www.pandiahealth.com/ last night… https://www.kolotv.com/2021/03/11/birth-control-delivery-service-launches-in-reno/

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Did you know that Nevada pharmacies are obligated by law to fill a years-worth of birth control pills at once?

Did you know that Nevada pharmacies are obligated by law to fill a years-worth of birth control pills at once? Yes!  In 2018 Nevada legislature passed this bill… NRS 689A.0418. This law requires a pharmacist to dispense up to a … Continue reading

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How to manage arthritis?! New guidelines.

The American College of Rheumatology and Arthritis Foundation have put out new practice guidelines on how to manage osteoarthritis (OA). Arthritis affects over 300 million people worldwide.  The most common joints affected are knees, hips, and hands. Treatment suggestions Nonpharmacologic: … Continue reading

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Do you have difficulty swallowing?

Difficulty swallowing is a common problem.  I have had countless patients with this… and also two family members with this in the past few months.  Swallowing is a complex process.  Breathing must be coordinated with swallowing.  Food is chewed (and … Continue reading

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Inguinal hernias. What to do?

Inguinal hernias. What to do? Just in the US 1.6 million groin hernias are diagnosed every year.  The lifetime prevalence of groin hernias is higher in men (27%!) compared to women at 3%. Most of the time hernias are only … Continue reading

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