Sunday, May 28, 2023

Tempus Fugit

A favorite quote of mine by James Bond in the movie, Spectre. Time flies. I can't believe it's been 20yrs since we moved to Las Vegas. Our youngest just graduated from high school so we'll be empty nesters this fall. I'm honored to continue to serve as chairperson (since 2012) of the AAFP Geriatric Medicine course and present again at AAFP FMX, both in October. And this Halloween, God willing and the creek don't rise, I will celebrate my 7th year in solo private practice, focusing on care of the elderly in assisted living & memory care facilities. So please accept my most humble thanks & gratitude for this honor & privilege to serve as your geriatrician.

And let me close by thanking our military for their service on this Memorial Day weekend, as all gave some, but some gave their all. And as someone more articulate than me once said, "Our flag does not fly because the wind moves it. It flies with the last breath of each soldier who died protecting it."


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Sunday, March 18, 2018

AAFP Geriatric Medicine July 18th-21st, 2018 in Charleston, SC

Featuring the latest evidence-based, in-depth information on family medicine topics, AAFP live courses make it convenient to learn and refresh your knowledge. Connect with your colleagues and experts, and improve patient care—all in just a few days.

More than 10,000 baby boomers turn 65 every day. As this generation ages,
the geriatric patient population will surge, and the need for care will continue
to rise. Gain clinical knowledge related to geriatric medicine you can directly apply to your practice.

At the end of this course, you will be able to:

·         Improve adherence to evidence-based clinical guidelines in practice.
·         Construct evidence-based strategies to diagnose, treat and manage common
·clinical conditions seen among the geriatric population.
·         Demonstrate ability to communicate effectively with the patient to ensure
·that diagnosis and treatment recommendations are understood.
·         Recognize when to refer to, or consult with, other specialists to provide
optimal patient care.

Earn up to 25.5 AAFP Prescribed credits—19.5 credits for attending the course and another 6 for participating in optional workshops (additional fees apply).
AAFP members: $895/Nonmembers: $1,195


Save $100 when you register by June 18.  Register now or call (800) 274-2237.




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Monday, October 10, 2016

Q&A Session at HealthTap.com

Any truth to online ads claiming meds, vitamins, exercise/stretching can increase height in adults? How about @ almost 40 YO? Some say massage does it




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Q&A Session at HealthTap.com

Does Zoloft have less cognitive impact then cipralex?




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Is working in the automotive job while pregnant dangerous?



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Can zinc help grow at 15?



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After 8 months with Dostinex treatment (25mg twice a week), my testosterone level is still below normal and has not increased.What can be the problem?



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Monday, September 5, 2016

Alzheimer's Research & Me On TV!

You wouldn't know it by my lack of posting these last 6mo or so, but I do try to keep up-to-date w/medical literature.  However, I've been using other means of getting my thoughts out for the masses, such as Facebook, LinkedIn & Twitter.  In any case, some colleagues recently told me about a cure for Alzheimer's disease.  Of course, I was intrigued b/c none of my usual sources had mentioned anything.  It turns out they had, in turn, heard about it from their sources, Dementia TodayTelegraph & Time.  So I went to the horse's mouth, Nature.

But is it the cure for which we've been searching, akin to the Holy Grail?  In a word, no, I'm afraid.  Yes, this drug does help support the beta amyloid theory as causing Alzheimer's disease but we're far from a cure as the monthly intravenous drug was studied in just 165 people w/mild cognitive impairment or mild dementia for just one year, so it's nowhere near ready for prime time, much less enough studies to determine appropriate dose & potential side effects.

So what's the big deal?  Well, this research did get me an interview this Labor Day weekend w/Ms. Kyndell Nunley, a wonderful reporter w/KSNV 3 at Aegis of Las Vegas, where I serve as Medical Director.  However, due to the usual issue of lots of worthy stories all vying for air time, much of my discussion was left on the cutting room floor.  Let me know if you think I should insist on them shooting from my right side next time!  And you'd think I'd be a bit smoother in my delivery after all these years of speaking from the podium, often w/cameras running to record for video CME, but it's not the same when the camera is right THERE in your face!

Bottom line, there's hope for the future but nothing new available right now.  So continue to do what you can to protect your heart b/c that's the best way we know to protect your brain, too.




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Monday, February 22, 2016

Q&A Session at HealthTap.com

Why do I start my period on different day? Normally it's consistent and I start on Saturdays but it started Friday.



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I'm on depo but I have this weird feeling in my pelvic area . ?



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I've had



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On and off worsening pain in the ball of my foot/ base of my big toe. Started after jumping off a 10 m platform at diving practice. What could it be?



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Missed 2birthcontrol pills &now my period won't go away. I'm still drinking the pack. Should I stop or continue to drink it? This is my last pack .



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Sunday, February 21, 2016

Q&A Session at HealthTap.com

Outsid of lower leg is sore, aches, and is causing my foot and toes to feel cold?



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76yr old grandmom was diagnosed with left ventricular dysfunction. Said her left side was functioning at 48%. What does this mean overall & what is next?



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I have an unexplained bruise on my right wrist, it's probably the 2nd time this happens randomly, what could it be??



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70 year old male with serious COPD. No other health problems. The skin on the back of my forearms has turned dark blue from elbow to fingers For1 year?



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Last week on Sunday I took a plan b pill and yesterday I got my period.Today I had unprotected sex and planning to take a plan tomorrow. Any advice?



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