Tag Archives: clinical

Exploring Cuba – Part 2

In my prior post, I discussed a trip I made to Cuba in December. In this second part I will focus on some medical aspects. When my patients ask about foreign travel where there may be health concerns, I usually … Continue reading

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Let’s be Clear on ClariSpray

Bayer, the maker of Claritin, has a new product, ClariSpray. This is a good product, but with a confusing name. It has nothing to do with Claritin, other than they are both used for allergies (allergic rhinitis). It’s actually fluticasone … Continue reading

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Who Are You Calling Old?

A local family medicine residency program sends second year residents to rotate through my internal medicine clinic. Reviewing the note that one of them wrote, I saw that he described my 66-year-old patient as, “Elderly, ” though did note that … 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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Dangers of a Transparent Medical Record

Over the years there has been a push to allow more patient access to their records. Patients in our system that have signed up for MyChart with our electronic medical record Epic, can see most of their test results shortly … 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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FDA and Generic OxyContin

As recently reported in the Wall Street Journal, the pain killer OxyContin is set to go generic next year, and Purdue Pharma is trying to postpone it. A funny thing often happens before a drug goes generic. Close to that … Continue reading

Posted in Business of Medicine, Legal | Tagged , , | 7 Comments

Exam Room Miscommunication

In school were you ever challenged to explain to someone how to make a peanut butter and jelly sandwich using words only? It’s harder than it sounds. Similarly it’s sometimes difficult to explain to a patient what I want them … 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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