Tag Archives: kansas

Speech delay in children

Well child checks are just that most of the time.  One of my goals is to assess for children meeting “developmental milestones.” At my new office we screen for this by reviewing the DDST, Denver Developmental Screening Test, with the … Continue reading

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Breathe. . . . . .. . . . gasp! snort! .. . .Sleep apnea

Sleep apnea is disruption of sleep (to both the patient and their bed-partner) and is harmful to the body.  Here are some nuts and bolts  about it. . . What are the symptoms? Snoring. Frequent awakenings during sleep. Daytime sleepiness. … Continue reading

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What a great journey this LIFE is. . .

L’Shana Tova!  That means Happy New Year in Hebrew.   The Jewish New Year and my new job coincided.  And, boy, do I feel great!  I am thankful for my supportive family, fantastic patients,  and the welcoming group that I have … Continue reading

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Doctor and Patient: Is a Well-Rested Doctor a Better Doctor? – NYTimes.com

I have been a physician for 16 years and have seen this monumental change in resident work hours.  Once grueling and life-altering, it has become more humane.  There is more life-balance (I can attest to that blessing as I became … Continue reading

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ooh so common foot pain. . . plantar fasciitis.

Is the first step of the day your worst?    Plantar fasciitis may be your problem. Risk factors for plantar fasciitis are excessive running, high arch, when one leg is longer than the other, obesity, occupations with prolonged standing or walking, sedentary … Continue reading

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New guidelines: Do not screen the healthy for Vitamin D level

The Endocrine Society recently gave guidelines  that vitamin D lab work should only be obtained for those “at risk.”  Risk factors include Obese, African-Americans, pregnant and breastfeeding women, patients with malabsorption syndromes. Not surprisingly, some causes of vitamin D deficiency include … Continue reading

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Packaging Error Leads to Recall of Multiple Lots of Oral Contraceptives

A recent packaging error may make your contraceptive choice unsafe.  Please read the article to assure that your oral contraceptives are not among the recalled.  Read on. . . . Packaging Error Leads to Recall of Multiple Lots of Oral … Continue reading

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Do you think you need your (or your kid’s) tonsils out?

More than 530,000 tonsillectomies are performed annually on US children.  The American Academy of Otolaryngology-Head and Neck Surgery has provided an evidence-based (meaning there is good research) guide to identify patients who may most benefit from tonsillectomy. You may ask. . … Continue reading

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Multivitamins: Do young children need them? – MayoClinic.com

I was asked recently to comment on if multivitamins are needed for children. “The run-of-the-mill child who is thriving does not require a multivitamin,”  says Dr. Jatinder Bhatia, chair of the AAP’s committee on nutrition.   There are a few sets of patients … Continue reading

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Is caffeine harmful to a pregnancy? How much can you safely have?

British Medical Journal published a study of 2,635 low-risk pregnant patients, their caffeine consumption amounts, and pregnancy outcomes.  The results were pretty interesting.   The study was performed because past studies had shown that caffeine use of more than 300 mg a … Continue reading

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