Tag Archives: wichita

Roll up your sleeves or smell the. . . .flu vaccine!

Who should get the influenza vaccine? Everyone older than 6 months. It is especially important that high risk individuals get the flu vaccine Who is “high risk?” Pregnant women Children younger than 5, but especially children younger than 2 years … Continue reading

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Blood pressure, a “high score” is not good.

I wish high blood pressure caused pain.  Not much pain, just enough to compel patients to seek help and to be compliant with medication. Diagnosis: For children BP is checked on a chart by gender, age and height.  Childhood obesity is rampant, so I … Continue reading

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Depression

Depression is so insidious and pervasive.  When I see a patient for the first time I ask about their medical history: lung and heart problems, seizures, kidney disease AND anxiety and depression. It is that common. . . and that … Continue reading

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Is the (pharmaceutical) grass greener?

Is newer or more expensive better? I do not necessarily think so.  While in training I was given the advice to not be the first physician prescribing a drug, nor the last.  There is some wisdom in that.  Our society … Continue reading

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Vaginal bleeding. . . not routine dinner conversation. . .

I am asked routinely how to help decrease vaginal bleeding.   Every woman bleeds a different amount.  It is only concerning when it becomes a social problem or when the amount changes significantly.    When a teen starts to have a … Continue reading

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Pelvic pain in women

I care for a lot of women.  Many present with pelvic pain.  This is a challenging diagnosis because symptoms and signs are vague and hard to tease out.  I was taught to always rule out the urgent life-threatening conditions first. Ectopic … Continue reading

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Erectile dysfunction

I see many male patients who feel like they are underperforming in the bedroom. Anything limiting blood flow to the penis can cause impotence, now called erectile dysfunction. The most common conditions include cigarette smoking, diabetes, high blood pressure, alcoholism, drug … Continue reading

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Reasons to be taking hormonal contraception. . . .other than contraception.

I had a patient today who has menstrual migraines. . . and has had her tubes tied. We discussed starting her on hormonal contraception for noncontraceptives reasons. I reviewed the ACOG (American College of Obstetrics and Gynecology) 2010 bulletin on noncontraceptive … Continue reading

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Rashes. . . . mysteries I love to solve.

My non-medical friends are horrified when they see my delight with rashes.  I have given a dermatology talk to medical students monthly for 10 years: dermatology 101.  One common rash is contact dermatitis.  There are two kinds:  1.  irritant–which is … Continue reading

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Allergic rhinitis

“My nose is running all the time.”  Hmmmmm. . . . . . This is a common complaint.  This spring and summer in Wichita have been SUPER-allergic—even those who have been well controlled.  There are really four ways to help:  … Continue reading

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