Tag Archives: Family Medicine

Diabetes management

Diabetes management!  I recently attended a lecture on diabetes management.  Here are the  nuts and bolts… There are three pillars of diabetes management…  It’s best to max out #1 and #2 or you and your physician will need to travel … 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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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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What is deprescribing and why you should want it?!

What is deprescribing and why you should want it?!  Deprescribing is the act of removing medications that are no longer needed or beneficial. Our health care system is geared toward starting medications and not stopping them.  Did you know that … Continue reading →

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Tales from the hospital newborn rounds… how to educate about breastfeeding?

Tales from the hospital newborn rounds… how to educate about breastfeeding? I love breastfeeding questions.  I helped educate both medical students and new mothers this week about breastfeeding while on newborn hospital rounds.  Here are some of the questions (and … Continue reading →

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University of Nevada Reno school of Medicine free health clinics!

University of Nevada Reno school of Medicine is offering free health clinics! And 200 free flu shots. Who is invited? Underinsured, uninsured and those without social security numbers are welcome! When? For children through adults October 6. October 23 November … Continue reading →

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Tales from the hospital newborn rounds with medical students…What do we screen for?

Tales from the hospital newborn rounds with medical students… What do we screen for? Oh, my life as a physician and medical educator.  I have a new crop of green third-year medical students.  They have just spent two years studying … Continue reading →

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Should you as an ex-smoker have a CT scan to rule out lung cancer?

Should you as an ex-smoker have a CT scan to rule out lung cancer?  This is a great question. A few years ago the National Lung Screening Trial found a reduction in disease-specific and all-cause mortality with lung cancer screening.  … Continue reading →

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Pregnant women, should you ask for skin staples or stitches with a C-section?

Pregnant women, should you ask for skin staples or stitches with a C-section?  A meta-analysis (combined multiple studies) with 2300 patients looked at complication rate or infection, separation, hematomas (blood collections under the skin surface) and cosmetic result. All 10 … Continue reading →

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