Category Archives: Uncategorized

Hepatitis C. What you should know?

How many have hepatitis C?  It’s estimated that there are 3.7 million in the US with hepatitis C.  The incidence of acute hepatitis C infection quadrupled (!) between 2010 and 2018.  Only 52% of those with chronic HCV know they … Continue reading

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Do you really need that pap? See the updated cervical cancer screening guidelines.

Updated cervical cancer screening guidelines.  Do you really need that pap? Why test for cervical cancer?  4000 patients still die annually from cervical cancer.  This is dramatically decreased compared to the 1950s, but racial and socioeconomic disparities continue to contribute … Continue reading

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Mobility devices. WHICH is best for WHOM?

Mobility devices are used by nearly 30% of adults 65 years and older when OUTside the home and 26% use them INside the home. These devices often help decrease the risk and the fear of falling in older adults. Assistive … Continue reading

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New test for inflammatory bowel disease!

New test for inflammatory bowel disease! Fecal calprotectin is a protein expressed by neutrophils (white blood cells).  The presence of fecal calprotectin is a sensitive indicator that the gastrointestinal tract is inflamed.  Conversely, the absence of fecal calprotectin is a … Continue reading

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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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