Tag Archives: Family Medicine

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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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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Is anxiety getting in the way of your mask wearing?

Is anxiety getting in the way of your mask wearing? Masks help contain the coronavirus and it is each of our responsibilities to support our community. Here’s a desensitization program which should help you wear one more comfortably. Of note… … Continue reading

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What does it mean if a medical resident doctor is caring for you?

What does it mean if a medical resident doctor is caring for you? Medical school graduates are starting and they are awesome! I’ve been a physician, educating physicians for 22 years. It has been a pleasure to teach and me … Continue reading

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What is “Match Day” for medical students?

What is “Match Day” for medical students? Match Day is a monumental milestone for all graduating fourth-year medical students. There are almost 12,000 residency and fellowship training programs in the US. There are 20,000 medical students graduating with MDs yearly. … Continue reading

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Add this to one more medication that may cause birth defects…

Add this to one more medication that may cause birth defects… There is a study just released with over 100,000 patients which shows that when macrolides (antibiotiocs like erythromycin, azothromycin, and clarithromycin) are used in the first 13 weeks of … Continue reading

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