Category Archives: Uncategorized

Does melatonin help older adults sleep?

Does melatonin help older adults sleep? Melatonin does (!) help older adults sleep.  It has been shown that melatonin preparations help people fall asleep faster, increase total sleep time, and slightly improve sleep efficiency.  Prolonged-release melatonin like ramelteon is thought … Continue reading

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Alcohol Withdrawal syndrome. Can this be managed as an outpatient?

Alcohol Withdrawal syndrome.  Can this be managed as an outpatient? Half of patients with alcohol use disorder who abruptly reduce or stop their alcohol intake develop signs or symptoms of alcohol withdrawal syndrome. Why does alcohol withdrawal syndrome occur?  The … Continue reading

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Home blood pressure monitoring. Do you need it? How to do it?

Home blood pressure monitoring. Do you need it?  How to do it? Blood pressure is an important vital sign.  Blood pressures should routinely run less than 135/85.  Some patients only have high blood pressure in physician or dental offices.  This … Continue reading

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The risks of pregnant women taking opioids…

On hospital call I frequently care for infants who are withdrawing from opiates.  This is called “neonatal abstinence syndrome” (NAS).  What is NAS? It is a constellation of symptoms including high-pitched cries, tremors, hyperactive reflexes, poor feeding, poor weight gain, … Continue reading

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Abnormal cholesterol labs. What to do with elevated triglycerides?

You see your physician and get a routine cholesterol panel.  The results show that your triglycerides are high.  What should you do? Fasting lab work should show that your triglycerides should be less than 150. When triglycerides are higher than … Continue reading

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Long covid or “post-acute sequelae of SARS-CoV-2

Oh my! Patients who have had the covid infection are often finding that they do not “bounce back” fast. In fact, a significant number of covid patients have lingering side effects The World Health Organization report found that up to … Continue reading

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Acne treatment for teens

Being a teenager is difficult enough… even without acne. Acne treatments for teens are available over the counter and from the pharmacy. Here is my overall treatment plan with ingredients that can all be bought over the counter. I want … Continue reading

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Contraception decreases unwanted pregnancies. Get your birth control under control.

Watch this short, compelling video by a fellow physician… -what are your contraceptive choices? -how to ask your physician for what you need? -Will your insurance pay for a year of birth control at a time? -What are options of … Continue reading

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Should you have a carotid artery ultrasound?

Should you have a carotid artery ultrasound? Some concierge physicians offer carotid artery ultrasound with their “executive physical.”  This is NOT a suggested test for most patients.  The general adult population should NOT get a carotid ultrasound to rule out … Continue reading

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Should you get a carotid artery ultrasound?

Should you have a carotid artery ultrasound? Some concierge physicians offer carotid artery ultrasound with their “executive physical.”  This is not a suggested test for most patients.  The general adult population should NOT get a carotid ultrasound to rule out … Continue reading

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