Tag Archives: family practice

Does exercise during pregnancy decrease high blood pressure?

Does exercise during pregnancy decrease maternal risk of developing high blood pressure during pregnancy?  Yes, and here is how to do it.  If you are already an exerciser, continue!… although modifications may be needed.   If you are new to exercising, … Continue reading

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How tight of control over diabetes should older patients have?

How tight of control over diabetes should older patients have?  Not that tight.  The risks of treating type 2 diabetic patients over the age of 70 with insulin or sulfonylurea drugs AND having the patient maintain a hemoglobin A1c less … Continue reading

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What intervention gives sustained improvement in chronic back pain?

What intervention gives sustained improvement in long-standing back pain?  The intervention that showed a greater than 30% reduction in back pain was exercise.  Patients may have trialed opioids or non-steroidal anti-inflammatory pills, but those are routinely not given for long.  … Continue reading

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Should you take Vitamin C to help iron supplementation work better?

Should you take Vitamin C to help iron supplementation work better?  No. Research has shown that those taking iron WITH Vitamin C for 3 months had no incremental increase in hemoglobin (or in serum ferritin level) after 3 months compared … Continue reading

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How to prevent delirium:

How to prevent delirium: Delirium is an acute confusional state.  There’s an alteration of consciousness with decreased ability to focus, sustain or shift attention.  Delirium usually develops over hours to days and may fluctuate during the course of the day.  … Continue reading

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Toenail fungus. How to treat? How to avoid it?

Toenail fungus. How to treat?  How to avoid it? Onychomycosis is a chronic fungal infection of the fingernail or toenail bed. This leads to brittle, discolored, unsightly, and thickened nails. Untreated, onychomycosis can cause pain, discomfort and may negatively impact … Continue reading

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Facts about pregnancy and covid

The vaccine is safe for mom (are you a future mom?!) and baby.

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Physical INACTIVITY is associated with a higher risk for severe covid 19 bad outcomes!

Physical INACTIVITY is associated with a higher risk for severe covid 19 bad outcomes! What is the research?  There was a recent study done with 50,000 patients.  This research was at Kaiser where exercise is considered a vital sign, which … Continue reading

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Osteoporosis and menopause: What you should know…

Osteoporosis and menopause: What you should know… How common is osteoporosis?  Almost half of women older than 50 years will experience a fracture related to osteoporosis in their lifetimes.  These fractures often resulting in significant symptoms and impairment of function … Continue reading

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Urinary complications of menopause

Urinary complications of menopause. Stress incontinence: leaking. 1.One nonsurgical intervention is an intravaginal pessary help give support to the bladder neck. 2.Surgical options: Mesh (the size of scotch tape) can form a hammock to keep the urethra upright.  The mesh … Continue reading

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