Tag Archives: Family Medicine

Non-alcoholic fatty liver, an epidemic

Posted on August 25, 2016 by drlesliegreenberg

Did you know that non-alcoholic fatty liver disease (NAFLD) is the most frequent cause of chronic liver disease in the US and around the world? Yes! It is. Researchers think that nearly one-third of Americans has this disease. There is … Continue reading →

Posted in blood pressure, Diabetes, General Medicine- Adults, Uncategorized | Tagged cancer, cholesterol, cirrhosis, diabetes, Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, fatty liver disease, liver failure, obesity, Reno, University of Nevada School of Medicine, weight loss | Comments Off

Recent medical “pearls”

Posted on August 9, 2016 by drlesliegreenberg

If a rapid strep test is negative, no back up culture is needed. It is now known that the rapid strep test for streptococcal pharyngitis has a sensitivity of 86%. This means that it will pick up 86% of active … Continue reading →

Posted in General Medicine- Adults, infections, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, Reno, strep test, streptococcal pharyngitis, University of Nevada Reno School of Medicine | Comments Off

There’s now a Pill to Increase Female Libido!

Posted on August 2, 2016 by drlesliegreenberg

Here are the specifics… There is a once a day pill, flibanserin, which is to be taken daily by women to increase sex drive. The monthly cost of this drug is $830. The study of 2375 premenopausal women showed an increase … Continue reading →

Posted in General Medicine- Adults | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, libido, Reno, Reno School of Medicine, sex drive, University of Nevada | Comments Off

Acne… the dreaded teenage rite of passage

Posted on July 26, 2016 by drlesliegreenberg

Acne is so commonplace … and it makes being a teenager more difficult. The AAD (American Academy of Dermatology) has new guidelines for acne therapy. The key is that monotherapy is not recommended AND that antibiotics should always be coupled … Continue reading →

Posted in Dermatology, General Medicine- Adults, Pediatrics | Tagged acne, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, Reno, University of Nevada School of Medicine | Comments Off

Shingles pain relief

Posted on July 19, 2016 by drlesliegreenberg

There are a “Big Three” of shingles treatment: antivirals, rest, and pain management. At a recent American Academy of Dermatology meeting treatment of shingles was discussed. The Big 3 will help halt the progression of the disease and decrease viral … Continue reading →

Posted in Dermatology, General Medicine- Adults | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, Reno, shingles, University of Nevada School of Medicine, zoster | Comments Off

Stop using nasal flu vaccine

Posted on July 12, 2016 by drlesliegreenberg

In a stop-the-presses media blast, the Centers for Disease Control and Prevention’s Advisory Committee has voted to stop the use of the live attenuated influenza (nasal flu) vaccine for this 2016-2017 flu season. The recommendations state that “no live attenuated … Continue reading →

Posted in General Medicine- Adults, Pediatrics, Vaccines, Vaccines | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, flu mist, flu vaccine, Reno, University of Nevada Reno School of Medicine | Comments Off

Does chewing gum help after abdominal surgery?

Posted on July 5, 2016 by drlesliegreenberg

Yes! Chewing gum reduces the time to the first flatus (first time passing gas) after an abdominal surgery and it decreases the time to the first bowel movement. Gum has helped these two actions occur sooner so that the patient … Continue reading →

Posted in General Medicine- Adults, medication issues | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, gum after surgery, postoperative ileus, Reno, University of Nevada School of Medicine | Comments Off

Are you considering an oral appliance for your mild sleep apnea?

Posted on June 27, 2016 by drlesliegreenberg

The short answer is that the oral appliance used while sleeping may help some symptoms of sleep apnea, but not others. An oral appliance that helps push the lower jaw forward to make more room in the back of the … Continue reading →

Posted in General Medicine- Adults, sleep disorders | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, oral appliance, sleep apnea, snoring, University of Nevada School of Medicine | Comments Off

Does your sore throat need a throat culture?

Posted on June 20, 2016 by drlesliegreenberg

Most likely not. We, physicians, often check to make sure that your sore throat isn’t “strep throat.” We specifically check for strep as there can be complications if the streptococcus isn’t treated with an antibiotic. The good news is that our rapid … Continue reading →

Posted in General Medicine- Adults, infections, infections, Pediatrics, throat conditions | Tagged Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, obesity, rapid strep test, Reno, sore throat, strep throat, streptococcus, throat culture, University of Nevada School of Medicine | Comments Off

Should you have arthroscopic knee surgery?

Posted on June 13, 2016 by drlesliegreenberg

This is a great question that was recently answered. A study of 805 patients with mean age of 53 to 59 showed that arthroscopic repair of degenerative meniscal tears does not significantly improve long-term pain or function. Arthroscopic surgery did … Continue reading →

Posted in General Medicine- Adults | Tagged arthroscopic surgery, degenerative knee, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family practice, knee pain, meniscal injury, meniscus, Reno, University of Nevada School of Medicine | Comments Off