Tag Archives: family physician

What can the elderly do to decrease their number of falls?

What can the elderly do to decrease their number of falls? Lots of things!  Lifestyle modifications are best: structured exercise programs and home safety interventions (like get rid of throw rugs and electrical cords across walkways).  Multifactorial assessment and inv=tervention … Continue reading →

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Family medicine question and answers 2

What is the most effective duration of nicotine replacement?  (This study was conducted only in patients also receiving extensive telephone counseling on tobacco cessation.)  8 weeks.  Beyond 2 months, continued nicotine replacement did not help with stopping-smoking rates. What helps … Continue reading →

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Medical school knowledge…

Most of the medical school information that I learned 25 years ago is now known to be false.  I recently read a quote that medical “tradition is no longer the bedrock of (good)  practice.”  Oh, that is so true. We physicians … Continue reading →

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Family medicine question and answers…

Do sterile gloves decrease wound infection rates (compared to clean nonsterile gloves) when minor skin surgery is done?  No.  Sterile and nonsterile gloves yield a comparable number of skin infections.  So, if your doctor wears clean nonsterile gloves while taking … Continue reading →

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Family medicine may be getting a shot in the arm!

Family medicine draws more interest among medical students than any other subspecialty.  12% of medical students plan to pursue family medicine specialization after medical school graduation.  Hooray! Said in another way, only 5% of medical students rated their family medicine … Continue reading →

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Common questions about recurrent urinary tract infections in women

What are the risk factors for recurrent urinary tract infections (UTIs)? In premenopausal women, the risk factors are new or multiple sexual partners, having a UTI before age 15, sexual intercourse three or more times per week, spermicide use In postmenopausal … Continue reading →

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Asthma treatment

The goal of treating asthma is to not die from asthma.  The secondary goal is for asthmatics to live their life fully, as if they did not have asthma.  This often requires treatment.  Symptoms of asthma are wheezing, cough and … Continue reading →

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Honey?! for a cough?

As a family physician, I often see children in my office with a cough.  There have been extensive studies showing no clear benefits and, in fact, there were definite potential harms to over the counter cough medication in children under … Continue reading →

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Arthroscopic knee surgery in some cases is not needed!

Stop the presses!  There was a study showing that middle-aged people (mean age of 53 – 59) who have arthroscopic repair of degenerative meniscal tears do NOT have significantly improved long-term pain OR function over conservative measures. This study included … Continue reading →

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Nevada ranks near the bottom for medical care

Ugh!  I read the Reno Gazette Journal newspaper this morning and realized that I moved from the 6th best state for health care (Kansas) to the 48th “best” state, Nevada.  I have been practicing medicine in Nevada for nearly a … Continue reading →

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