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  • Speaking about breast cancer awareness and BSE
    1/12/2021 I failed to release this column during breast cancer awareness month in October. Women are always interested to learn about what they can do to reduce their risk of developing this dread disease. Breast self examination (BSE) is one thing women have traditionally performed, but some readers may have read that this monthly ritual is no longer recommended. 
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  • Cold sores and information regarding herpes simplex viruses
    1/5/2021 I saw a patient with a rather large “cold sore” on his upper lip the other day and he asked me to write a column on this unsightly condition.
    People use the term “cold sore” to describe different types of lesions that occur on the lips or inside the mouth. I’m not sure of the origin of the term, but I presume that it came into being to describe sores that sometimes appear when a person has an illness like the common cold. 
    2 comment(s)
  • Gastroesophageal Reflux Disease or more commonly known as GERD - part 2
    12/29/2020 I left you hanging last week wondering about the treatment of Gastroesophageal Reflux Disease (GERD). First, a quick review. Recall that acid from the stomach (gastro) is found in the tube that connects the mouth and stomach (esophagus) and goes in a backward direction (reflux).
    When I see someone complaining of GERD symptoms in my office I review my patient’s history to try and identify any risk factors for GERD such as decreased tone of the lower esophageal sphincter (LES), loss of normal muscular function of the esophagus, excess production of stomach acid, delayed emptying of the stomach and overeating. 
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  • Gastroesophageal Reflux Disease or more commonly known as GERD
    12/22/2020 I’ve been asked to re-run my columns about Gastroesophageal Reflux Disease, more commonly known as GERD. Breaking down the term translates to: acid from the stomach (gastro) is found in the tube that connects the mouth and stomach (esophagus) and goes in a backward direction (reflux).
    It’s helpful to know the anatomy when trying to understand GERD (top diagram).
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  • How noroviruses affects the body and cause symptoms
    11/17/2020 In addition to COVID-19 we’re starting to see some “stomach flu.” I have to start by dispelling a common misconception people have that all types of “flu” are the same. “Stomach flu” is not caused by the same viruses that cause respiratory illnesses. Flu shots, given to prevent respiratory influenza, will not protect you against viruses affecting the gastrointestinal tract that cause viral gastroenteritis.
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  • My head is spinning, whirling and reeling
    11/3/2020 This week I want to address a specific variant of a condition that I’ve been seeing a lot of lately – dizziness. Primary Care doctors in the U.S. see about six million patients a year who complain of “dizziness.” 
    Dizziness means different things to different people and can be a symptom of many different medical conditions. People use “dizzy” as a universal term to describe feeling faint, lightheaded, or when they feel like their environment is spinning.
    1 comment(s)
  • Restless leg syndrome can really shake things up
    10/27/2020 Someone told me the other day that they thought “restless leg syndrome” (RLS) was dreamt up by pharmaceutical companies to sell more medications. You may have seen commercials for Requip® and Mirapex®, both drugs used to treat this condition.
    People have described symptoms suggestive of restless legs since the 17th Century. The Swedish neurologist Erik Ekborn initially coined the term in the 1940’s. It’s estimated that between ten to fifteen percent of Americans suffer from restless leg syndrome to some degree.
    1 comment(s)
  • Hearing Trouble? Hearing difficulties are an issue many face
    10/6/2020 A patient whose mother is having hearing difficulties asked me to write about the best way to purchase hearing aids. I’d like to begin with some background on hearing.
    It goes without saying that hearing is one of our most important senses. It is critical for our quality of life as well as for safety and social interaction. There are an estimated 30 million Americans who have some degree of hearing loss, 65 percent of whom are younger than 65 years of age.
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  • Screening for cardiovascular disease and lung cancer
    9/22/2020 Doctors nationwide have been seeing a definite uptick in patients going to hospitals and imaging centers to have various screening tests done. The most common are heart and lung CT exams and sometimes ultrasound tests to evaluate for blockages in the arteries in the neck and legs. The scans typically have out-of-pocket costs in the $49 to $99 range and are not covered by insurance. They are promoted to identify early heart disease, artery blockages and/or lung cancer.
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  • Thinking about the influenza virus and it’s effects
    9/1/2020 Fall will soon be here and it’s time to start thinking about the flu. Most people us the term “flu” in a very generic sense, meaning anything from cold symptoms to having a case of vomiting and diarrhea. The “flu” in this column refers to respiratory influenza.
    Records since 2010 indicate the number of deaths from influenza has ranged from 12,000 to 79,000 per year.
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Tuesday, March 2, 2021

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