Tag Archives: Reno

Great editorial on the changing medical times…

Great editorial on the changing medical times… In a recent Family Medicine journal one physician poetically writes about that contemporary medical practice is a continuous process of updating medical practices and frank change.  “Choosing Wisely” is a new practice which … Continue reading

Posted in General Medicine- Adults, Uncategorized | Tagged , , , , , , , , ,

Proton pump weaning…

Proton pump weaning…  Many patients are on PPIs (like omeprazole) for gastroesophageal reflux disease.  It is thought that PPIs should only be used on a short-term basis for conditions like reflux or erosive esophagitis. Consider stopping the PPI medication and … Continue reading

Posted in General Medicine- Adults, medication issues, Uncategorized | Tagged , , , , , ,

Fecal transplant, anyone?!

Fecal transplant, anyone?  Yes, this is a viable treatment.Fecal transplantation is used to treat an intestinal infection called Clostridium difficile or “c. diff.” The clinical spectrum of C. difficile infection can vary from asymptomatic or mild diarrhea all the way … Continue reading

Posted in colon, General Medicine- Adults, infections, Uncategorized | Tagged , , , , , , , , , , ,

How does your doctor spend her workday?

How does your doctor spend their workday?  There is actually an even split between office visits (read this: patient-care visits) and the “paperwork” that goes along with it.  As a residency faculty who teaches new doctors, I have long told … Continue reading

Posted in General Medicine- Adults, Uncategorized | Tagged , , , , , ,

Considering adding cannabis to your medical prescriptions?

Considering adding cannabis to your “medical” prescriptions?  Rethink your choice.  A recent study of TWENTY MILLION patients shows a 26% increased risk of stroke and a 10% increased risk of heart failure.  The study analyzed data of patients aged 18 … Continue reading

Posted in medication issues, Uncategorized | Tagged , , , , , , ,

Are you a woman with fibroids?

  Are you a woman with fibroids?  What are they?  Why do you have them?  What can you do about them? Fibroids are a common benign neoplasm.  They are more common in older women and African American women.  In fact, … Continue reading

Posted in menstrual issues, Uncategorized, Women's Health | Tagged , , , , , , ,

What can the elderly do to decrease their number of falls?

What can the elderly do to decrease their number of falls? Lots of things!  Lifestyle modifications are best: structured exercise programs and home safety interventions (like get rid of throw rugs and electrical cords across walkways).  Multifactorial assessment and inv=tervention … Continue reading

Posted in end-of-life issues, General Medicine- Adults, Uncategorized | Tagged , , , , , ,