Tag Archives: Reno

Asthma treatment

The goal of treating asthma is to not die from asthma.  The secondary goal is for asthmatics to live their life fully, as if they did not have asthma.  This often requires treatment.  Symptoms of asthma are wheezing, cough and … Continue reading

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Nevada ranks near the bottom for medical care

Ugh!  I read the Reno Gazette Journal newspaper this morning and realized that I moved from the 6th best state for health care (Kansas) to the 48th “best” state, Nevada.  I have been practicing medicine in Nevada for nearly a … Continue reading

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Why is my face drooping on one side?

Bell palsy is an acute, sudden onset of facial nerve paralysis.  This is not due to a stroke (when the brain does not get enough oxygen).    But, emergent care is needed to confirm that this is a palsy and … Continue reading

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If you have heart disease you SHOULD GET A FLU VACCINE!

Okay, the capitals may have been too much… but studies have shown that the influenza vaccination may reduce death from cardiovascular disease. Observational studies have shown an association between receipt of the flu vaccine and a lower risk of cardiovascular … Continue reading

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Non-alcoholic fatty liver, an epidemic

Did you know that non-alcoholic fatty liver disease (NAFLD) is the most frequent cause of chronic liver disease in the US and around the world?  Yes!  It is.  Researchers think that nearly one-third of Americans has this disease.  There is … Continue reading

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Recent medical “pearls”

If a rapid strep test is negative, no back up culture is needed.  It is now known that the rapid strep test for streptococcal pharyngitis has a sensitivity of 86%. This means that it will pick up 86% of active … Continue reading

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There’s now a Pill to Increase Female Libido!

Here are the specifics… There is a once a day pill, flibanserin, which is to be taken daily by women to increase sex drive.  The monthly cost of this drug is $830.  The study of 2375 premenopausal women showed an increase … Continue reading

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Acne… the dreaded teenage rite of passage

Acne is so commonplace … and it makes being a teenager more difficult.  The AAD (American Academy of Dermatology) has new guidelines for acne therapy. The key is that monotherapy is not recommended AND that antibiotics should always be coupled … Continue reading

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Shingles pain relief

There are a “Big Three” of shingles treatment: antivirals, rest, and pain management.  At a recent American Academy of Dermatology meeting treatment of shingles was discussed.  The Big 3 will help halt the progression of the disease and decrease viral … Continue reading

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Stop using nasal flu vaccine

In a stop-the-presses media blast, the Centers for Disease Control and Prevention’s Advisory Committee has voted to stop the use of the live attenuated influenza  (nasal flu) vaccine for this 2016-2017 flu season.   The recommendations state that “no live attenuated … Continue reading

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