Category Archives: Clinical

Fever – Hot Off the Press

Whether your mother taught you, or you learned it in medical school, chances are you’ve been told that 98.6° F (37° C) is the normal body temperature, and greater than 100.4° F (38° C) is a fever. It turns out it’s … Continue reading

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Prostate Cancer – A Fish Tale

Have you heard that fish oil supplements cause prostate cancer? The news items come from an article published online July 11, 2013 by Brasky et al. in the Journal of the the National Cancer Institute, “Plasma Phospholipid Fatty Acids and … Continue reading

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Aspirin – Coated or Naked – Does it Matter?

Aspirin is often used to prevent heart attacks and strokes. Patients usually take an 81 mg (baby aspirin) or 325 mg (regular strength) pill. It also comes in plain, enteric coated, or buffered. Enteric coated aspirin is often recommended to … Continue reading

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Chiropractic Care

I have a confession. Last year I went to a chiropractor for the first time. I had been having some neck and sacroiliac pain. I went to a massage therapist a few times. Although it felt good, especially for the … Continue reading

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Cataracts and Hip Fractures

A recent study showed that cataract surgery helps prevent hip fractures. It looked at a sample of Medicare patients with cataracts who did or did not have cataract surgery.  Those who had cataract surgery had a 16% less change of … Continue reading

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American College of Physicians Internal Medicine 2012

I recently attended the American College of Physicians (ACP) Internal Medicine 2012 annual meeting, held this year in New Orleans. It’s a very large meeting with thousands of physicians attending. At any one time there are dozens of courses one … Continue reading

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Testing Tribulations

When I was an internal medicine resident, one of my staff attending’s, Dr. Charles Reasner, used to ask, “What is the indication for ordering a TSH?” This is a test of thyroid function (thyroid stimulating hormone), and he was asking … Continue reading

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Ask the Doc: Statins and Exercise

On this site I’m unable to answer patient specific questions, but as time permits, may answer questions of a general interest. Question: Submitted on 2012/03/16 at 2:30 pm Let me know what you think of this article. Strenuous exercise has … Continue reading

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Acid Revelations – Acid Reducers and Asthma in Children

The Journal of the Medical Association recently published an article about the use of lansoprazole (Prevacid) for children with poorly controlled asthma. It had been thought that gastoesophageal reflux disease (GERD) contributed to asthma exacerbations because acid would come up … Continue reading

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Viewing Doctor’s Notes

Should patients be allowed to see doctor’s notes? Legally they can, but that doesn’t necessarily mean it’s a good idea. Patients would like to, but physicians are not so sure. People make strong arguments, but I think it’s really nuanced. … Continue reading

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