Tag Archives: Family Medicine

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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Long covid or “post-acute sequelae of SARS-CoV-2

Posted on September 15, 2021 by drlesliegreenberg

Oh my! Patients who have had the covid infection are often finding that they do not “bounce back” fast. In fact, a significant number of covid patients have lingering side effects The World Health Organization report found that up to … 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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HPV vaccine is REALLY effective!!!

Posted on April 12, 2021 by drlesliegreenberg

HPV vaccine is REALLY effective!!! The human papillomavirus vaccine is really effective, especially when given before age 17.  There was a Swedish study of MORE than 1.6 million patients. The patients who received the vaccine before 17 were most helped.  … Continue reading →

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Do you have difficulty swallowing?

Posted on February 9, 2021 by drlesliegreenberg

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!

Posted on November 11, 2020 by drlesliegreenberg

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?

Posted on October 28, 2020 by drlesliegreenberg

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.

Posted on October 20, 2020 by drlesliegreenberg

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…

Posted on September 29, 2020 by drlesliegreenberg

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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