Tag Archives: Dr. Leslie Greenberg

Can you afford your medications? One of the reasons that patients do not fill their prescriptions are due to increasing medication costs.  I have begun asking my patients “Is the cost of any of your medications a burden for you?”  … Continue reading

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Questions about managing elevated cholesterol…

Questions about managing elevated cholesterol… Primary prevention means preventing the FIRST EPISODE of a cardiovascular event (like a stroke or heart attack).  Primary prevention is key!  Family physicians make treatment decisions based on clinical risk and risk calculators.  Try this … Continue reading

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Do you need your vitamin D level checked?

Do you need your vitamin D level checked?   The US Preventive Services Task Force just weighed in on this and gave a “final recommendation statement.”  Sounds impressive, huh?  Well, actually the USPSTF has said that to check vitamin D levels … Continue reading

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HPV vaccine is REALLY effective!!!

HPV vaccine is REALLY effective!!! The human papillomavirus vaccine is really effective, especially when given before age 17.  There was a Swedish study of MORE than 1.6 million patients. The patients who received the vaccine before 17 were most helped.  … Continue reading

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Who needs a tonsillectomy?

Who needs a tonsillectomy? As a family physician, I send patients to ear nose throat surgeons for a tonsillectomy if … Seven throat infections in one year Five throat infections per year for 2 consecutive years Three throat infections per … Continue reading

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Anaphylaxis: Life-threatening allergic reaction. What is this? What to do?

Anaphylaxis: Life-threatening allergic reaction.  What is this?  What to do? Anaphylaxis is a life-threatening allergic reaction that usually occurs within 2 hours of allergen-exposure.  This is pretty rare, but important to know the symptoms.  The two peak age ranges for … Continue reading

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Hypertriglyceridemia. What is this? Is this important?

Hypertriglyceridemia. What is this?  Is this important? Hypertriglyceridemia is when the fasting serum triglyceride is 150 or more.  Why is this important?  Hypertriglyceridemia is linked with an increase risk of cardiovascular disease.  If the triglycerides are more than 500, the … Continue reading

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Did you know that Nevada pharmacies are obligated by law to fill a years-worth of birth control pills at once?

Did you know that Nevada pharmacies are obligated by law to fill a years-worth of birth control pills at once? Yes!  In 2018 Nevada legislature passed this bill… NRS 689A.0418. This law requires a pharmacist to dispense up to a … Continue reading

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How to manage arthritis?! New guidelines.

The American College of Rheumatology and Arthritis Foundation have put out new practice guidelines on how to manage osteoarthritis (OA). Arthritis affects over 300 million people worldwide.  The most common joints affected are knees, hips, and hands. Treatment suggestions Nonpharmacologic: … Continue reading

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Do you have difficulty swallowing?

Difficulty swallowing is a common problem.  I have had countless patients with this… and also two family members with this in the past few months.  Swallowing is a complex process.  Breathing must be coordinated with swallowing.  Food is chewed (and … Continue reading

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