Tag Archives: Family Doctor

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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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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Do you have painful intercourse?

Dyspareunia is the medical word for persistent or recurrent pain with sexual intercourse.  This affects 10 to 20% of American women.  Dyspareunia can be deep or superficial.  Sexual pain can cause relationship distress, decreased quality of life, anxiety and depression.  … 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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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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