Tag Archives: Family Doctor

Cholesterol

Cholesterol.  I attended a lecture recently from a well-known local cardiologist specializing in cholesterol.  Here are the “pearls” from the talk. What is cholesterol?  Cholesterol are lipids that are carried on particles.  A cholesterol panel estimates what kinds of particles … Continue reading

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Vocal cord dysfunction

Vocal cord dysfunction. What is this?  Feels like throat tightness, not lung/chest tightness.  Starts less than 5 minutes into exercise and recovers within 5-10 minutes from stopping exercise.  These patients do not benefit from beta-agonist (albuterol) challenge like those who … Continue reading

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Exercise Induced Bronchospasm

Exercise-induced bronchospasm, non-physicians may call this exercise-induced asthma. What is this? It is respiratory distress or wheezing that starts within 15 minutes of exercise onset. Usually it resolves within 15-60 minutes after exercise stops. This can occur in endurance athletes, … Continue reading

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What are “red flag” symptoms for those with low back pain?

What are “red flag” symptoms for those with low back pain?  When a patient presents to the office or hospital with low back pain, we are looking for the “red flag” (or VERY concerning symptoms) because it reveals that there … Continue reading

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What should we do about male-pattern hair growth on females?

What should we do about male-pattern hair growth on females?  The medical term for this condition is hirsutism.  Hirsutism affects 5-10% of premenopausal women and is usually an indication of an underlying endocrine disorder like polycystic ovarian syndrome.  Women with … Continue reading

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What helps knee arthritis pain?

What helps knee arthritis pain?  It depends on how long the knee present has been present… For those with 4 to 12 weeks of knee pain, beneficial interventions are tai chi, home-based exercise (physical therapy can help get you started), … Continue reading

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How to decrease nausea and vomiting during pregnancy?

How to decrease nausea and vomiting during pregnancy? There are lots of treatments.  First, the pregnant woman should change lifestyle modifications.  Eating frequent small meals, avoiding foods that smell or taste adversely, avoid high-protein or fatty foods which can slow … Continue reading

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Five new changes to medical care…

  Five new changes to medical care… The American Academy of Family Physicians has a “Choosing Wisely” list of changes to medical care (that results from research results). No routine bimanual exam (two-handed pelvic exam on females that we routinely … Continue reading

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What are the lung cancer screening recommendations?

What are the lung cancer screening recommendations?  Recently the ACCP (The American College of Chest Physicians) published their new lung cancer screening guidelines. Who should get an ANNUAL lung cancer screening? Adults aged 55 to 77 years of age who … Continue reading

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Are aspirin and/or fish oil needed for diabetics?

Are aspirin and/or fish oil helpful for diabetics?  The ASCEND trial results show that low-dose aspirin and fish oil supplements have not resulted in significant clinical benefit. The ASCEND (A Study of Cardiovascular Events in Diabetes) study included 15,480 diabetic … Continue reading

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