Tag Archives: Reno family physician

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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Heavy menstruating female? What to do…

Heavy menstruating female?  What to do…. Heavy menstrual bleeding is considered more than 80 ml or more of menstrual blood loss per period.  Truly, heavy menstrual bleeding (the diagnosis name is menorrhagia) is more often diagnosed on patient report of … Continue reading

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Is anxiety getting in the way of your mask wearing?

Is anxiety getting in the way of your mask wearing? Masks help contain the coronavirus and it is each of our responsibilities to support our community. Here’s a desensitization program which should help you wear one more comfortably. Of note… … Continue reading

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Want a Covid test performed?

Want a Covid test performed in Washoe County? Washoe county residents can now get Coronavirus testing even if asymptomatic.  They must still complete the questionnaire, then go to the site as directed to schedule an appointment. https://aca.accela.com/WASHOE-COVID19/Welcome.aspx

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What does it mean if a medical resident doctor is caring for you?

What does it mean if a medical resident doctor is caring for you? Medical school graduates are starting and they are awesome! I’ve been a physician, educating physicians for 22 years. It has been a pleasure to teach and me … Continue reading

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Should you take your once-a-day blood pressure medication at night or in the morning?

Researchers randomized over 19,000 patients to find the answer to this question.  Patients who took their medications at bedtime had less likelihood of having an adverse event.  This means just changing the time of your blood pressure medication decreased your … Continue reading

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Should women under 50 add a screening breast ultrasound to their screening mammogram yearly?

Should women under 50 add a screening breast ultrasound to their screening mammogram yearly? No.  A study looked at IF adding a breast ultrasound to a screening mammogram for women less than 50 years old (regardless of their breast cancer … Continue reading

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HIV in Nevada in 2020

I recently attended a lecture on HIV in Nevada.  Nevada is way ahead of the nation (read this: we are risky!) HIV Incidence rate is 20 people per 100,000.  The national average is 12.  Nevada has one of the highest … Continue reading

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What should your doctor ask you about your sexual health?

The 5 Ps for sexual history taking Partners.  Who? Men? Women? Transgender? All? How many? Do your partners have sex with others? Practices.  What kind of sex: vaginal, anal, oral?  Do you use condoms?  Why/Why not? Pregnancy.  Do you want … Continue reading

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