Tag Archives: family physician

Hepatitis C. What you should know?

How many have hepatitis C?  It’s estimated that there are 3.7 million in the US with hepatitis C.  The incidence of acute hepatitis C infection quadrupled (!) between 2010 and 2018.  Only 52% of those with chronic HCV know they … Continue reading

Posted in Uncategorized | Tagged , , , , , , , | Comments Off on Hepatitis C. What you should know?

Do you really need that pap? See the updated cervical cancer screening guidelines.

Updated cervical cancer screening guidelines.  Do you really need that pap? Why test for cervical cancer?  4000 patients still die annually from cervical cancer.  This is dramatically decreased compared to the 1950s, but racial and socioeconomic disparities continue to contribute … Continue reading

Posted in Uncategorized | Tagged , , , , , , , , , | Comments Off on Do you really need that pap? See the updated cervical cancer screening guidelines.

Mobility devices. WHICH is best for WHOM?

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

Posted in Uncategorized | Tagged , , , , , , , , , | Comments Off on Mobility devices. WHICH is best for WHOM?

New test for inflammatory bowel disease!

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

Posted in Uncategorized | Tagged , , , , , | Comments Off on New test for inflammatory bowel disease!

Does melatonin help older adults sleep?

Does melatonin help older adults sleep? Melatonin does (!) help older adults sleep.  It has been shown that melatonin preparations help people fall asleep faster, increase total sleep time, and slightly improve sleep efficiency.  Prolonged-release melatonin like ramelteon is thought … Continue reading

Posted in Uncategorized | Tagged , , , , , , | Comments Off on Does melatonin help older adults sleep?

Alcohol Withdrawal syndrome. Can this be managed as an outpatient?

Alcohol Withdrawal syndrome.  Can this be managed as an outpatient? Half of patients with alcohol use disorder who abruptly reduce or stop their alcohol intake develop signs or symptoms of alcohol withdrawal syndrome. Why does alcohol withdrawal syndrome occur?  The … Continue reading

Posted in Uncategorized | Tagged , , , , , , | Comments Off on Alcohol Withdrawal syndrome. Can this be managed as an outpatient?

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

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

Posted in General Medicine- Adults, infections, Uncategorized | Tagged , , , , , , , | Comments Off on Long covid or “post-acute sequelae of SARS-CoV-2

Do you have painful intercourse?

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

Posted in Uncategorized | Tagged , , , , , , , , | Comments Off on Do you have painful intercourse?

Questions about managing elevated cholesterol…

Questions about managing elevated cholesterol… Primary prevention means preventing the FIRST EPISODE of a cardiovascular event (like a stroke or heart attack).  Primary prevention is key!  Family physicians make treatment decisions based on clinical risk and risk calculators.  Try this … Continue reading

Posted in Uncategorized | Tagged , , , , , | Comments Off on Questions about managing elevated cholesterol…

Do you need your vitamin D level checked?

Do you need your vitamin D level checked?   The US Preventive Services Task Force just weighed in on this and gave a “final recommendation statement.”  Sounds impressive, huh?  Well, actually the USPSTF has said that to check vitamin D levels … Continue reading

Posted in Uncategorized | Tagged , , | Comments Off on Do you need your vitamin D level checked?