Tag Archives: Reno family physician

Abnormal cholesterol labs. What to do with elevated triglycerides?

You see your physician and get a routine cholesterol panel.  The results show that your triglycerides are high.  What should you do? Fasting lab work should show that your triglycerides should be less than 150. When triglycerides are higher than … Continue reading

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Acne treatment for teens

Being a teenager is difficult enough… even without acne. Acne treatments for teens are available over the counter and from the pharmacy. Here is my overall treatment plan with ingredients that can all be bought over the counter. I want … Continue reading

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How to manage arthritis?! New guidelines.

The American College of Rheumatology and Arthritis Foundation have put out new practice guidelines on how to manage osteoarthritis (OA). Arthritis affects over 300 million people worldwide.  The most common joints affected are knees, hips, and hands. Treatment suggestions Nonpharmacologic: … Continue reading

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Do you have difficulty swallowing?

Difficulty swallowing is a common problem.  I have had countless patients with this… and also two family members with this in the past few months.  Swallowing is a complex process.  Breathing must be coordinated with swallowing.  Food is chewed (and … Continue reading

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Inguinal hernias. What to do?

Inguinal hernias. What to do? Just in the US 1.6 million groin hernias are diagnosed every year.  The lifetime prevalence of groin hernias is higher in men (27%!) compared to women at 3%. Most of the time hernias are only … Continue reading

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Do you have night sweats?

Do you have night sweats? Night sweats are a nonspecific symptom that could be from many, diverse causes. Night sweats occur more often in the middle-aged and older patients.  Sweating decreases the body’s core temperature and is controlled by complex … Continue reading

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Pregnancy tips from a family physician (and mom of 3)

Pregnancy tips from a family physician (and mom of 3) I delivered babies for over 23 years and continue to see women of childbearing-age daily.  What advice would I like to give you? Take a prenatal vitamin throughout childbearing years … Continue reading

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What should you know about appendicitis?

What should you know about appendicitis? What is appendicitis?  It is when the appendix (a little vestige/outpouching/diverticulum of the intestine where the small and large intestine attach) gets inflamed. What is the lifetime risk of appendicitis?  10% What are the … Continue reading

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How can you get the medical care you want? And, not be subjected to medical procedures you don’t? Fill out a POLST!

What is a POLST? POLST stands for Provider Order for Life-Sustaining Treatment form. Nevada defines “provider” as either a physician, APRN (advanced practice registered nurse) or PA (Physician Assistant). A POLST is both a legal document and a portal medical … Continue reading

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Colorectal Cancer Screening.

2020 Colorectal Cancer Screening Recommendations, per the American College of Physicians consensus statement Why is this so important? Colorectal cancer (CRC) is the second leading cause of cancer death in the US. There is a 65% overall five-year survival. Removal … Continue reading

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