Category Archives: Uncategorized

Teaching family medicine residents!

I am in Kansas City learning with 1000 other family medicine academic physicians how to LEAD family medicine residency programs.  It is refreshing to hear new educational curriculum: how family physicians can meet the needs of our current patients.  Because … Continue reading

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Transgender man medical care

Transgender man medical care I recently attended a medical conference and listened to a fabulous transgender care lecture.  Here are the pearls that I learned… Masculinizing medications: Only testosterone. Masculinization surgery: Patients still need primary care! Physician should take organ-inventory … Continue reading

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Transgender women medical care

Transgender women medical care I recently attended a medical lecture on transgender medical care. Here were some take-home points about transgender women. 3 commonly prescribed feminizing medications: Here is an excellent checklist and consent regarding starting feminizing medications. 1. Estradiol … Continue reading

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Transgender medical care 101

Transgender medical care 101 Transgender medical care is suicide prevention. I recently attended a medical meeting and heard a fascinating talk about transgender care for primary care physicians. Physicians often fear that we are going to do harm if we … Continue reading

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What contraception is right for you?

What contraception is right for you?  There are sooooo many choices. Consider how often you want to think of contraception: Choose what is right for you right now.  You can be seen at a local clinic, FQHC or Planned Parenthood.  … Continue reading

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Toenail fungus

What is the prognosis of onychomycosis (fungal infection of your toenails)? And, how to prevent recurrence?  There is effective treatment to rid the majority of patients of onychomycosis.  But the relapse rate is nearly 25% within 2 years (even AFTER … Continue reading

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Does exercise during pregnancy decrease high blood pressure?

Does exercise during pregnancy decrease maternal risk of developing high blood pressure during pregnancy?  Yes, and here is how to do it.  If you are already an exerciser, continue!… although modifications may be needed.   If you are new to exercising, … Continue reading

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How tight of control over diabetes should older patients have?

How tight of control over diabetes should older patients have?  Not that tight.  The risks of treating type 2 diabetic patients over the age of 70 with insulin or sulfonylurea drugs AND having the patient maintain a hemoglobin A1c less … Continue reading

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How concerned should you be about a diagnosis of “pre-diabetes?”

How concerned should you be about a diagnosis of “pre-diabetes?”  Research estimated the likelihood of older adults converting from prediabetes to diabetes over a 6 ½ year study…. as very low.  More than 90% of older adults will NOT progress … Continue reading

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Should you read your spine MRI report?

Should you read your spine MRI report?  I would suggest against it.  In the era of transparency and patient access to their entire electronic medical record, you CAN look at your spine MRI report.  And, yet, do you know what … Continue reading

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