Category Archives: Uncategorized

Is anxiety getting in the way of your mask wearing?

Is anxiety getting in the way of your mask wearing? Masks help contain the coronavirus and it is each of our responsibilities to support our community. Here’s a desensitization program which should help you wear one more comfortably. Of note… … Continue reading

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Want a Covid test performed?

Want a Covid test performed in Washoe County? Washoe county residents can now get Coronavirus testing even if asymptomatic.  They must still complete the questionnaire, then go to the site as directed to schedule an appointment. https://aca.accela.com/WASHOE-COVID19/Welcome.aspx

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What does it mean if a medical resident doctor is caring for you?

What does it mean if a medical resident doctor is caring for you? Medical school graduates are starting and they are awesome! I’ve been a physician, educating physicians for 22 years. It has been a pleasure to teach and me … Continue reading

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Should you take your once-a-day blood pressure medication at night or in the morning?

Researchers randomized over 19,000 patients to find the answer to this question.  Patients who took their medications at bedtime had less likelihood of having an adverse event.  This means just changing the time of your blood pressure medication decreased your … Continue reading

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Should women under 50 add a screening breast ultrasound to their screening mammogram yearly?

Should women under 50 add a screening breast ultrasound to their screening mammogram yearly? No.  A study looked at IF adding a breast ultrasound to a screening mammogram for women less than 50 years old (regardless of their breast cancer … Continue reading

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Hemorrhoids. What are they? What can you/we do to make them better?

Hemorrhoids.  What are they? What can you/we do to make them better? Hemorrhoids are when the veins near the anus are filled with blood.  Hemorrhoids are the most common benign condition that causes anal bleeding.  You do need to see … Continue reading

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HIV in Nevada in 2020

I recently attended a lecture on HIV in Nevada.  Nevada is way ahead of the nation (read this: we are risky!) HIV Incidence rate is 20 people per 100,000.  The national average is 12.  Nevada has one of the highest … Continue reading

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What should your doctor ask you about your sexual health?

The 5 Ps for sexual history taking Partners.  Who? Men? Women? Transgender? All? How many? Do your partners have sex with others? Practices.  What kind of sex: vaginal, anal, oral?  Do you use condoms?  Why/Why not? Pregnancy.  Do you want … Continue reading

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Will botox help your migraines?

Will botox help your migraines? It depends.  If you have chronic migraines with more than 15 (!) headache days per month and at least 8 of those headaches being a migraine, YES! It will help you.  If you have fewer … Continue reading

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Is this what I signed up for?

I Didn’t Sign Up For This… Many years ago, when I first considered pursuing a career in medicine, I thought long and hard before going down that road because I knew it would involve sacrifice. My dad was a surgeon, … Continue reading

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