Category Archives: Uncategorized

Marijuana and adolescents…

Marijuana and adolescents…  I live in Nevada and it is now legal to use marijuana for both recreational and medical use. How prevalent is marijuana use? 5.4% of 8th graders, 14% of 10th graders and 22% of 12th graders have … Continue reading

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Should you as an ex-smoker have a CT scan to rule out lung cancer?

Should you as an ex-smoker have a CT scan to rule out lung cancer?  This is a great question. A few years ago the National Lung Screening Trial found a reduction in disease-specific and all-cause mortality with lung cancer screening.  … Continue reading

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Pregnant women, should you ask for skin staples or stitches with a C-section?

Pregnant women, should you ask for skin staples or stitches with a C-section?  A meta-analysis (combined multiple studies) with 2300 patients looked at complication rate or infection, separation, hematomas (blood collections under the skin surface) and cosmetic result. All 10 … Continue reading

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Getting squeezed by health insurance premiums?

Getting squeezed by health insurance premiums? Is your insurance covering less? Charging more premiums? More in copays? You have options! Consider direct primary care! Here’s a fascinating Bloomberg article. Cobble together coverage that works for you. https://www.bloomberg.com/news/features/2018-08-22/priced-out-of-health-insurance-americans-rig-their-own-safety-nets

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Men, do you know your cholesterol level?

Men, do you know your cholesterol level?  There was a recent lipid (cholesterol) guideline released by the American College of Cardiology/American Heart Association which showed that men with a low-density lipoprotein (LDL) component of cholesterol of at least 190 benefit … Continue reading

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Antibiotic prescribing is rampant at urgent care and retail clinics. Does this surprise anyone?!

Antibiotic prescribing is rampant at urgent care and retail clinics.  Does this surprise anyone? JAMA Internal Medicine recently published a study including 2.7 million urgent care visits, 48,000 retail clinic visits, 4.8 million emergency department visits and 148.5 million medical … Continue reading

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Breastfeeding linked with reduction in diabetes…

Breastfeeding linked with reduction in diabetes… This is not new news, as my children are now teenagers…and this was known then. What is new is the percentage DROP in incidence of diabetes in mothers who breastfed per JAMA Internal Medicine. … Continue reading

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Why does your doctor NOT look you in the eye?

Why does your doctor NOT look you in the eye?  Please click to watch this brilliant and entertaining video from a fellow physician Dr. Zubin Damania, better known as rapper ZDoggMD. Entitled “EMRs killed medicine”  

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Medicare’s proposed fee payment changes are NOT in your best interest…

Medicare’s proposed fee payment changes are NOT in your best interest… Medicare would like to “streamline” physician documentation.  And, in exchange for this, they are decreasing the reimbursement for many office visits.  Most Medicare patients are complex, as there is … Continue reading

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At what age should you really (!) start a screening colonoscopy? 45 or 50?

At what age should you really (!) start a screening colonoscopy? 45 or 50?  The American Cancer Society (ACS) recently released an updated guideline that colorectal cancer (CRC) screening begin at age 45 for patients at average risk. Researchers have demonstrated … Continue reading

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