Category Archives: Uncategorized

Sleep: Does melatonin help sleep? Which melatonin to buy?

The consensus statement from sleep medicine physicians is that sleep medications should not be a chronic therapy, especially for children. Some hints about melatonin Melatonin.  There is no FDA-approved melatonin.  Because of this, the amount of melatonin in each tablet/gummie … Continue reading

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Shingles Vaccine Benefits: Lower Heart Disease Risk?

I understand that vaccines are a touchy subject. But, as a 30-year family medicine physician, I LOVE vaccines! They decrease infection and save lives. Do I sound like a cheerleader? A recent study found that people who get the shingles … Continue reading

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Sleep: Why It Matters and How to Get Better Rest?

We all know sleep is important. But do we really know how important it is? Or how to get better sleep? Let’s talk about why sleep matters and some simple ways to help you rest better at night. Start by … Continue reading

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Want to decrease your dementia risk?

A new studies shows that receiving the shingles vaccine may decrease dementia risk. The New York Times reported yesterday about a study in the journal Nature that The“found that people who received the shingles vaccine were 20 percent less likely … Continue reading

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FREE Skin Cancer Screening in Reno

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What is the best way to use telehealth?

Historically, telehealth was rarely used before Covid.  Insurances often did not allow telehealth to be performed and it was not an option that patients knew of.Covid caused a HUGE increase in telemedicine. There was a 766% increase in telehealth from … Continue reading

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Be mindful of reflux symptoms…

Gastroesophageal reflux disease (GERD) is very common.  Heartburn? Brash taste in your mouth? Some patients who have long-standing reflux have changes of their cell types in the esophagus due to acid from the stomach causing metaplasia of squamous cells to … Continue reading

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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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