Tag Archives: family physician

Saline irrigation. It’s worth your time.

Saline irrigation. It’s worth your time. Saline irrigation of your nose decreases the severity of allergy symptoms. You buy the nasal irrigation (like a Neti Pot) once and then it washes away allergens in your sinuses. Allergic rhinitis is the … Continue reading

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How can we treat threatened miscarriages?

We have begun using progetogens to reduce the risk of miscarriage. This significantly decreases the rate of miscarriage compared to placebo. How common are miscarriages? Miscarriages occur in 15 to 20% of pregnancies. A “threatened” miscarriage is defined as any … Continue reading

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Do omega-3 fatty acids prevent cancer or cardiovascular disease?

Do omega-3 fatty acids prevent cancer or cardiovascular disease? A study of nearly 25,000 patients found no benefit as primary prevention (someone who does not already have the problem) of cardiovascular disease or cancer. Want more information: New England Journal … Continue reading

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Interesting nail finding

I was teaching at the residency program this week and had an interesting nail finding in a child. The girl had a rash 2 months before on her hands and feet and then all of her fingernails started peeling. She … Continue reading

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When to potty train?

As a physician of a significant pediatric population, I am often asked questions about potty training… when it goes well, it goes well. When it does not, parents think/talk about it for years. When to start potty training? More than … Continue reading

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Death certificates

Death certificates.  What are they?  What information is on these?  As much as physicians want to preserve life, death certificates are also a bread-and-butter duty of physicians, especially family physicians. There is a great deal of information on the death … Continue reading

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Cholesterol

Cholesterol.  I attended a lecture recently from a well-known local cardiologist specializing in cholesterol.  Here are the “pearls” from the talk. What is cholesterol?  Cholesterol are lipids that are carried on particles.  A cholesterol panel estimates what kinds of particles … Continue reading

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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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Exercise Induced Bronchospasm

Exercise-induced bronchospasm, non-physicians may call this exercise-induced asthma. What is this? It is respiratory distress or wheezing that starts within 15 minutes of exercise onset. Usually it resolves within 15-60 minutes after exercise stops. This can occur in endurance athletes, … Continue reading

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