Category Archives: Uncategorized

What you should know about spider bites

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My high school reunion side-bar medical question…

I attended my high-school reunion this weekend and a friend sidelined me to ask if she could ask me a medical question.  Of course! Truly, I am a family physician everywhere I go.  Medicine is a passion and a way … Continue reading

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I’m teaching doctors obstetrics!

I’m teaching doctors obstetrics here at University of Nevada School of Medicine family medicine residency program.

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Great editorial on the changing medical times…

Great editorial on the changing medical times… In a recent Family Medicine journal one physician poetically writes about that contemporary medical practice is a continuous process of updating medical practices and frank change.  “Choosing Wisely” is a new practice which … Continue reading

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Proton pump weaning…

Proton pump weaning…  Many patients are on PPIs (like omeprazole) for gastroesophageal reflux disease.  It is thought that PPIs should only be used on a short-term basis for conditions like reflux or erosive esophagitis. Consider stopping the PPI medication and … Continue reading

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Traveling soon? See your family doctor for pretravel medical advice!

Pre-travel medical consultation will review many aspects of your trip– your destination, itinerary, medical history, immunization history and other details.   The best time to be seen is 6 weeks before departure to maximize benefit of immunizations and other preventive measures. Did … Continue reading

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Want better eye health?

There are four common conditions that cause vision loss as we age. Diabetic retinopathy.  If you have diabetes, you should be seen by an ophthalmologist.  The timeframe for starting these yearly eye visits are 5 years after type1 diabetes and … Continue reading

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I won a teaching award!

I won a teaching award this weekend. The family medicine resident physicians awarded me “Outstanding Faculty Preceptor” at the University of Nevada Reno Family Medicine Residency Program.   What an honor! My passion is family medicine and teaching and mentoring. … Continue reading

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Fecal transplant, anyone?!

Fecal transplant, anyone?  Yes, this is a viable treatment.Fecal transplantation is used to treat an intestinal infection called Clostridium difficile or “c. diff.” The clinical spectrum of C. difficile infection can vary from asymptomatic or mild diarrhea all the way … Continue reading

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Have you been told you have high blood pressure?

Have you been told you have high blood pressure?  If so, you are not alone.  Hypertension affects 1/3 of Americans.  High blood pressure is considered a “modifiable risk factor” for cardiovascular disease, stroke kidney failure and death.  Modifiable means that … Continue reading

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