Tag Archives: Reno family doctor

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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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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What are “red flag” symptoms for those with low back pain?

What are “red flag” symptoms for those with low back pain?  When a patient presents to the office or hospital with low back pain, we are looking for the “red flag” (or VERY concerning symptoms) because it reveals that there … Continue reading

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What is deprescribing and why you should want it?!

What is deprescribing and why you should want it?!  Deprescribing is the act of removing medications that are no longer needed or beneficial. Our health care system is geared toward starting medications and not stopping them.  Did you know that … Continue reading

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Your prescriptions are being monitored!

Your prescriptions are being monitored!  For years I have received information from insurance companies to let me know which patients are not compliant with their medications.  How do they know this?  They watch how often you pick up a refill … Continue reading

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Five new changes to medical care…

  Five new changes to medical care… The American Academy of Family Physicians has a “Choosing Wisely” list of changes to medical care (that results from research results). No routine bimanual exam (two-handed pelvic exam on females that we routinely … Continue reading

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