Category Archives: Uncategorized

Women physicians may extend your life span more than male physicians

A recent article in JAMA shows the benefits of being cared for by a woman physician.  Nearly 1/3 of practicing physicians are women and 1/2 of medical students (future physicians) are female.  That’s good news. Want to read more? You … Continue reading

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Medical school knowledge…

Most of the medical school information that I learned 25 years ago is now known to be false.  I recently read a quote that medical “tradition is no longer the bedrock of (good)  practice.”  Oh, that is so true. We physicians … Continue reading

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Common questions about recurrent urinary tract infections in women

What are the risk factors for recurrent urinary tract infections (UTIs)? In premenopausal women, the risk factors are new or multiple sexual partners, having a UTI before age 15, sexual intercourse three or more times per week, spermicide use In postmenopausal … Continue reading

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Asthma treatment

The goal of treating asthma is to not die from asthma.  The secondary goal is for asthmatics to live their life fully, as if they did not have asthma.  This often requires treatment.  Symptoms of asthma are wheezing, cough and … Continue reading

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Honey?! for a cough?

As a family physician, I often see children in my office with a cough.  There have been extensive studies showing no clear benefits and, in fact, there were definite potential harms to over the counter cough medication in children under … Continue reading

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Arthroscopic knee surgery in some cases is not needed!

Stop the presses!  There was a study showing that middle-aged people (mean age of 53 – 59) who have arthroscopic repair of degenerative meniscal tears do NOT have significantly improved long-term pain OR function over conservative measures. This study included … Continue reading

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Does your tongue-tied baby need it cut?

Probably not.  There are three reasons to cut a tongue-tied infant’s tongue: difficulty with speech, or with feeding, or due to cosmetic reasons (imagine heart-shaped tongue). There is no evidence that there is improved latching for breastfeeding after frenotomy (cutting … Continue reading

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Nevada ranks near the bottom for medical care

Ugh!  I read the Reno Gazette Journal newspaper this morning and realized that I moved from the 6th best state for health care (Kansas) to the 48th “best” state, Nevada.  I have been practicing medicine in Nevada for nearly a … Continue reading

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Why is my face drooping on one side?

Bell palsy is an acute, sudden onset of facial nerve paralysis.  This is not due to a stroke (when the brain does not get enough oxygen).    But, emergent care is needed to confirm that this is a palsy and … Continue reading

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If you have heart disease you SHOULD GET A FLU VACCINE!

Okay, the capitals may have been too much… but studies have shown that the influenza vaccination may reduce death from cardiovascular disease. Observational studies have shown an association between receipt of the flu vaccine and a lower risk of cardiovascular … Continue reading

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