Category Archives: Uncategorized

Death certificates

Death certificates.  What are they?  What information is on these?  As much as physicians want to preserve life, death certificates are also a bread-and-butter duty of physicians, especially family physicians. There is a great deal of information on the death … Continue reading

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Cholesterol

Cholesterol.  I attended a lecture recently from a well-known local cardiologist specializing in cholesterol.  Here are the “pearls” from the talk. What is cholesterol?  Cholesterol are lipids that are carried on particles.  A cholesterol panel estimates what kinds of particles … Continue reading

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Ohhhh… the Wall Street Journal explains direct medical care.

Ohhhhh… the Wall Street Journal explains direct medical care. I am such a fan of direct medical care. Many of the 350 family medicine physicians that I trained in Kansas have opened direct medical care practices. Here in the West, … Continue reading

Posted in Uncategorized

Diabetes management

Diabetes management!  I recently attended a lecture on diabetes management.  Here are the  nuts and bolts… There are three pillars of diabetes management…  It’s best to max out #1 and #2 or you and your physician will need to travel … Continue reading

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Vocal cord dysfunction

Vocal cord dysfunction. What is this?  Feels like throat tightness, not lung/chest tightness.  Starts less than 5 minutes into exercise and recovers within 5-10 minutes from stopping exercise.  These patients do not benefit from beta-agonist (albuterol) challenge like those who … Continue reading

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Exercise Induced Bronchospasm

Exercise-induced bronchospasm, non-physicians may call this exercise-induced asthma. What is this? It is respiratory distress or wheezing that starts within 15 minutes of exercise onset. Usually it resolves within 15-60 minutes after exercise stops. This can occur in endurance athletes, … Continue reading

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How to coach patients to help them be successful in blood pressure management?

How to coach patients to help them be successful in blood pressure management?  Research shows that in one-year only 50% of patients take their blood pressure medication as prescribed. One of my roles as a physician is to coach and … Continue reading

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