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Telomeres, Aging and Bariatric Surgery

A telomere is a segment of DNA on the ends of each chromatid.  These are said to function like the plastic caps on shoelaces, to protect the rest of the string from fraying and sticking to one another....

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B12 Deficiency with Long Term PPI Use

We can now add vitamin B12 deficiency to the growing list of risks of long term use of the proton pump inhibitors (PPIs). Yesterday in the NY Times was an article outlining the evidence that prolonged...

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Reaction to JNC-8 from a Practicing Family Doc

is Practicing physicians rely heavily on certain widely accepted guidelines to set goals and make treatment decisions for our patients.  Among the most respected and followed guidelines are those of...

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Another Endangered Species Due to Habitat Loss: Crab Lice

I’m a birder and have seen the populations of many species I’ve watched over the last 30+ years decline.  Many of these declines are felt to be due to the loss of breeding, wintering or migration...

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The Price of Success: A Hepatitis C Update

In the United States Hepatitis C recently passed HIV as a cause of death.  The USPSTF has recommended screening all baby boomers for Hepatitis C, i.e. those born between 1945 and 1965, with a category...

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DIY Hay Fever Therapy- The Time is Now

Do-it-yourself (DIY) management is now something many if not most hay fever sufferers can effectively accomplish. The approval of an over-the-counter nasal corticosteroid, Nasacort OTC in October 2013...

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Should Deer Populations be Reduced to Control Lyme Disease?

Lyme disease has reached epidemic proportions in America, especially in the East.  An estimated >30,000 cases of Lyme disease will be diagnosed and reported in the U.Sl this year and many more cases...

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Should You Choose a Doctor with Poor Online Ratings?

Maybe so.  Common reasons for poor ratings of physicians online include refusal to prescribe antibiotics for viral illnesses and refusal to prescribe opioid pain medications upon demand.  Physicians...

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This Month in the Medical News

Followers may have noted that I’ve not very much  posted in a while.  This is primarily due to spring migration.  As an avid birder, I have been spending nearly every free daylight hour, and some...

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World Cup Science

As the US prepares to play its first game in Brazil at the 2014 FIFA World Cup, I had a chance to peruse the most recent Scientific American and several soccer related articles.  This is available...

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Perception is Reality – Sort of Anyway

I found this NPR piece on the different perceptions of an episode of care from the patients vs. the medical team’s prespectives.  The patient gets extraordiary care yet feels neglected and almost...

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Chikungunya Virus: The Latest Exotic Illness in the U.S.

Another disease previously not documented to have been acquired in the  continental US surfaced this month. A case of Chikungunya virus infection was diagnosed in a man in Florida on about July 15th,...

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Ebola Primer

Ebola virus has been front-page news recently and the arrival of Dr. Kent Brantley at Emory University Hospital in Atlanta was the first Ebola infected patient to be transported to the U.S. for care....

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Pneumonia Vaccination Is More Complex but Better Than Ever

In my 30+ years as a family physician I’ve seen first hand the effects of a relatively new type of vaccines called conjugate polysaccharide vaccinations. In the 1980’s nearly every year I had one or...

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The Theory of Everything Except a Theory of How Mr. Hawkins Survives

For our date night yesterday Kay and I went to the new movie The Theory of Everything, a docudrama about the life of Stephen Hawkins.  The movie was really quite good, a fine tale of a brilliant...

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Bill Maher’s Illogical Thoughts on Vaccinations

I’m visiting my mother-in-law and so Friday night we watched Real Time with Bill Maher and I enjoyed watching satire of the news from the left side.  I recently visited my Dad and endured Fox Network’s...

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SGR is History- Finally!

I started to write a post about the house and the senate finally coming up with a way to get rid of the regularly occurring threat to implement major Medicare payment decreases mandated by the SGR....

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It takes more than Ankylosing Spondylitis to Keep Guti Down

One of the very few good things about my beloved Seattle Mariners this year, besides Nelson Cruz crushing the ball, has been the call up of Franklin Gutierrez. Guti has been one of my favorite M’s over...

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AFP Pearls

I read the American Family Physician journal, sent to all members of the American Academy of Family Physicians and anyone else who subscribes, and sometimes an issue comes out with a few pearls that I...

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What You Should Know about the New Shingles Vaccine, Shingrix.

Last week a new vaccine for prevention of shingles was not only approved by the FDA, but the CDC recommended vaccination of everyone over age 50 with Shingrix, revaccination with Shingrix if you have...

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