Tag Archives: Family Medicine

Insomnia… an interesting problem

Posted on December 30, 2015 by drlesliegreenberg

Did you know that insomnia affects 10 to 30% of the population? Insomnia is a specific definition, per the International Classification of Sleep Disorders (ICSD3). You must have all four of the following: difficulty falling asleep, difficulty staying asleep, early … Continue reading →

Posted in General Medicine- Adults, sleep disorders, Uncategorized | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family practice, insomnia, kansas, Reno, sleep disorder, University of Nevada School of Medicine | Comments Off

Feeling buggy? …learn about scabies.

Posted on December 16, 2015 by drlesliegreenberg

Scabies is infestation of the mite Sarcoptes scabiei. I normally tell patients that “good people get this” as EVERYONE who gets this feels icky (that’s my medical term for it). Where does this infect your skin? Most commonly in the skin folds, fingers, … Continue reading →

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

When should you take your high blood pressure medicine? Does timing matter?

Posted on November 30, 2015 by drlesliegreenberg

Maybe so! If you take blood pressure medication, you may receive more benefit if you take at least one of the pills at bedtime. Taking the medication at bedtime was associated with lower diabetes risk. This was based on a … Continue reading →

Posted in blood pressure, Diabetes | Tagged Dr. Leslie Greenberg, Family Medicine, family physician, family practice, Nevada, Reno, University of Nevada School of Medicine | Comments Off

Should doctors write prescriptions for non-patients?

Posted on November 9, 2015 by drlesliegreenberg

I recently was asked to write a prescription a controlled substance (like pain pill/ sleeping pill) for a non-patient. This was my first time in 20 years of doctoring to address this. I said “no” gently, but firmly. This decision was not taken well and there … Continue reading →

Posted in prescriptions | Tagged Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, prescription writing, Reno, University of Nevada School of Medicine | Comments Off

Soccer headgear. Should my kid wear one?

Posted on November 5, 2015 by drlesliegreenberg

There is a great article in a sports medicine journal reviewing headgear in soccer, as often companies would like to market their wares to help with “safety.” There is NO evidence that headgear products can reduce the incidence or severity … Continue reading →

Posted in Brain | Tagged concussion, Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, headgear, Reno, soccer, University of Nevada School of Medicine | Comments Off

Vaccine law in California…

Posted on November 2, 2015 by drlesliegreenberg

My new medical home is about 15 miles from California and their laws affect my practice. I am acquainting myself with the new California law regarding requirements of school vaccines. California Governor Jerry Brown signed off on one of the … Continue reading →

Posted in Vaccines | Tagged California Vaccine Law, Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, Reno, University of Nevada School of Medicine, vaccines | Comments Off

Here come some new medical guidelines…

Posted on October 26, 2015 by drlesliegreenberg

The United States Preventive Services Task Force, USPSTF, is an independent panel of experts in primary care and prevention that systematically reviews medical evidence and develops recommendations. At times, the USPSTF seems conservative, but overall gives worthwhile advice. Some of … Continue reading →

Posted in guidelines | Tagged aortic aneurysm, Dr. Greenberg, Dr. Leslie Greenberg, Family Medicine, family physician, family practice, USPSTF | Comments Off

Posted on October 20, 2015 by drlesliegreenberg

Dizzy? I had an episode of dizziness last week that was overwhelming. How humbling. My condition is called benign paroxysmal positional vertigo, BPPV. What is BPPV? It is sudden onset of vertigo with head movements. Vertigo is a sensation of movement … Continue reading →

Posted in Ear | Tagged BPPV, dizziness, dizzy, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, Reno, University of Nevada School of Medicine | Comments Off

When should you go to the Emergency Room?

Posted on May 12, 2015 by drlesliegreenberg

Certainly if you have a major trauma or accident, you should visit the emergency room. But, there are other reasons to go to the ER such as any symptoms that interrupt your life or your ability to function– severe chest … Continue reading →

Posted in General Medicine- Adults | Tagged Andover, Dr. Greenberg, Dr. Leslie Greenberg, emergency room, ER, Family Doctor, Family Medicine, family physician, family practice, kansas, when to go to the ER | Comments Off

Can red-yeast rice be taken instead of a statin drug?

Posted on May 4, 2015 by drlesliegreenberg

Not really. Here in the United States, the red-yeast rice extract that contains naturally-occurring lovastatin (a statin drug) is not FDA approved. In contrast, in China red-yeast rice is a common dietary and medicinal product. Their red-yeast rice contains a wide range of … Continue reading →

Posted in Cholesterol, General Medicine- Adults | Tagged Andover, cholesterol, Dr. Greenberg, Dr. Leslie Greenberg, Family Doctor, Family Medicine, family physician, family practice, kansas, red yeast rice, wichita | Comments Off