Tag Archives: University of Nevada Reno Family medicine Residency program

Do you suspect dementia in your loved one?

Posted on January 8, 2020 by drlesliegreenberg

Do you suspect dementia in your loved one? There are many ways to investigate if dementia is present. Your physician may give a screening test like the Mini Cog, the General Practitional Assessment of Cognition, or the Ascertain Dementia 8-item … Continue reading →

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Thyroid cancer. Should we screen for this?

Posted on January 2, 2020 by drlesliegreenberg

Thyroid cancer. Should we screen for this? There are organizations who look over all the known data and update us, physicians, on what screening tests are beneficial to the population as a whole. The U.S. Preventive Services Task Force (USPSTF) … Continue reading →

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How can we treat threatened miscarriages?

Posted on November 20, 2019 by drlesliegreenberg

We have begun using progetogens to reduce the risk of miscarriage. This significantly decreases the rate of miscarriage compared to placebo. How common are miscarriages? Miscarriages occur in 15 to 20% of pregnancies. A “threatened” miscarriage is defined as any … Continue reading →

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Do omega-3 fatty acids prevent cancer or cardiovascular disease?

Posted on November 13, 2019 by drlesliegreenberg

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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The male exam.

Posted on September 4, 2019 by drlesliegreenberg

The male exam. What is the purpose of the male exam? It should incorporate evidenced-based guidelines, focus on prevention and health care promotion, ask about substance abuse, sexually transmitted diseases, diet, exercise, safety and depression screen. Men aged 50-74 are … Continue reading →

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Death certificates

Posted on June 5, 2019 by drlesliegreenberg

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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Cholesterol

Posted on May 27, 2019 by drlesliegreenberg

Cholesterol.  I attended a lecture recently from a well-known local cardiologist specializing in cholesterol.  Here are the “pearls” from the talk. What is cholesterol?  Cholesterol are lipids that are carried on particles.  A cholesterol panel estimates what kinds of particles … Continue reading →

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Vocal cord dysfunction

Posted on April 29, 2019 by drlesliegreenberg

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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Exercise Induced Bronchospasm

Posted on April 22, 2019 by drlesliegreenberg

Exercise-induced bronchospasm, non-physicians may call this exercise-induced asthma. What is this? It is respiratory distress or wheezing that starts within 15 minutes of exercise onset. Usually it resolves within 15-60 minutes after exercise stops. This can occur in endurance athletes, … Continue reading →

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How to coach patients to help them be successful in blood pressure management?

Posted on April 15, 2019 by drlesliegreenberg

How to coach patients to help them be successful in blood pressure management?  Research shows that in one-year only 50% of patients take their blood pressure medication as prescribed. One of my roles as a physician is to coach and … Continue reading →

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