Tag Archives: Family Doctor

Do you have trouble swallowing? Food getting stuck? What should you watch out for?

Posted on February 22, 2022 by drlesliegreenberg

The medical term for difficulty swallowing is dysphagia. Dysphagia is a frequent occurrence and is often underreported. Esophageal dysphagia feels like food cannot pass from the esophagus to thestomach. There are a few conditions that cause this. ·        An esophageal … Continue reading →

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Prediabetes. Is this diagnosis important? Helpful? Harmful?

Posted on February 15, 2022 by drlesliegreenberg

Prediabetes.  Is this diagnosis important? Helpful? Harmful? Before 2004, hyperglycemia (elevated blood sugars) was not considered significant.  The American Diabetes Association began in 2004 labeling elevated blood sugars of prediabetes to increase awareness and prompt physicians and patients to act.  … Continue reading →

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Do you have green toenail discoloration?

Posted on February 8, 2022 by drlesliegreenberg

Do you have green toenail discoloration? Green toenail discoloration is also called green nail syndrome.  This results from a pseudomonas infection.  Predisposing factors for green nail syndrome: Tinea infection of the nails (because it alters the nail plate making the … Continue reading →

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Hepatitis C. What you should know?

Posted on February 1, 2022 by drlesliegreenberg

How many have hepatitis C?  It’s estimated that there are 3.7 million in the US with hepatitis C.  The incidence of acute hepatitis C infection quadrupled (!) between 2010 and 2018.  Only 52% of those with chronic HCV know they … Continue reading →

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Do you really need that pap? See the updated cervical cancer screening guidelines.

Posted on January 25, 2022 by drlesliegreenberg

Updated cervical cancer screening guidelines.  Do you really need that pap? Why test for cervical cancer?  4000 patients still die annually from cervical cancer.  This is dramatically decreased compared to the 1950s, but racial and socioeconomic disparities continue to contribute … Continue reading →

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Mobility devices. WHICH is best for WHOM?

Posted on January 22, 2022 by drlesliegreenberg

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!

Posted on January 18, 2022 by drlesliegreenberg

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?

Posted on January 4, 2022 by drlesliegreenberg

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?

Posted on June 22, 2021 by drlesliegreenberg

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.

Posted on February 23, 2021 by drlesliegreenberg

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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