Tag Archives: Family Doctor

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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Inguinal hernias. What to do?

Inguinal hernias. What to do? Just in the US 1.6 million groin hernias are diagnosed every year.  The lifetime prevalence of groin hernias is higher in men (27%!) compared to women at 3%. Most of the time hernias are only … Continue reading

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Pregnancy tips from a family physician (and mom of 3)

Pregnancy tips from a family physician (and mom of 3) I delivered babies for over 23 years and continue to see women of childbearing-age daily.  What advice would I like to give you? Take a prenatal vitamin throughout childbearing years … Continue reading

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What should you know about appendicitis?

What should you know about appendicitis? What is appendicitis?  It is when the appendix (a little vestige/outpouching/diverticulum of the intestine where the small and large intestine attach) gets inflamed. What is the lifetime risk of appendicitis?  10% What are the … Continue reading

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How can you get the medical care you want? And, not be subjected to medical procedures you don’t? Fill out a POLST!

What is a POLST? POLST stands for Provider Order for Life-Sustaining Treatment form. Nevada defines “provider” as either a physician, APRN (advanced practice registered nurse) or PA (Physician Assistant). A POLST is both a legal document and a portal medical … Continue reading

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What is Intermittent Fasting?

What is Intermittent Fasting? Intermittent fasting is a style of eating in which you have periods of eating and periods of fasting. There are not strict rules about which foods to eat, but rather when you should eat them. You … Continue reading

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Colorectal Cancer Screening.

2020 Colorectal Cancer Screening Recommendations, per the American College of Physicians consensus statement Why is this so important? Colorectal cancer (CRC) is the second leading cause of cancer death in the US. There is a 65% overall five-year survival. Removal … Continue reading

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Heavy menstruating female? What to do…

Heavy menstruating female?  What to do…. Heavy menstrual bleeding is considered more than 80 ml or more of menstrual blood loss per period.  Truly, heavy menstrual bleeding (the diagnosis name is menorrhagia) is more often diagnosed on patient report of … Continue reading

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My thanks to Ruth Bader Ginsburg (RBG)!

My thanks to Ruth Bader Ginsburg (RBG)! How have I benefited from RBG?  The opportunities that I have had in my 50-year life are because of RBG.  The benefits are innumerable and occur daily. I chose with whom, when and … Continue reading

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