When I do annual physicals for police officers and firemen I see a clear trend. New recruits in their 20s and 30s will usually have healthy weight levels, but as they age their weight goes up. It may not go up by a lot but five pounds every year will add up to 50 [...]
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High cholesterol is prevalent especially in the U.S. where incidence of obesity and diabetes is high. A class of medications called “statins” has been around for a long time and is used for this condition but these medications are not without side effects and recent studies showed that they may increase blood glucose levels. Many [...]
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Recently we enjoyed watching the movie “Contagion” featuring Matt Damon and Gwyneth Paltrow. It was fun to see anĀ elementary school in our neighborhood featured in the movie. One of my patients asked me how likely this scenario was and my answer was that the scenario is already here. What made the virus in [...]
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No one will deny that the healthcare system in the U.S. is in a state of chaos. There is waste of resources with little efficiency. I believe that the primary reason for this is the lack of price transparency at every level. Doctors who order tests and prescribe medications do not know how much [...]
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Last week I met a new patient who wanted a comprehensive blood test. She mentioned that in the past she had fainted after a blood draw. I assured her that I’m quite good at the fine art of phlebotomy and that I would do it fast. I completed my task and threw away the needle [...]
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I saw a patient who came in feeling “warm” inside and jittery. He had no other symptoms and when I asked him about his energy level he said that he feels like he has too much energy. This was interesting because most people will say that they are fatigued and have little energy. Immediately I [...]
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My oldest patient is 104 years old. She takes no medications and is very healthy. She is also very sharp mentally and remembers everything I have told her during the past 5 years I have been taking care of her. Her husband died a few decades ago and she lives with a caregiver. She is [...]
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