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Uncategorized Jun 30, 2021

How do you know you might suffer from a hormone issue? Well… maybe we need to take a step back and define what even is a hormone. Hormones are regulatory substances floating around our bodies that stimulate our tissues or cells to act. Hopefully they function as designed but sometimes, due to the food we eat, weight we’ve gained, or the environment we are in, those hormones begin wreaking havoc on our system. Not because our hormones are bad but because they don’t understand what our bodies need from us. It’s kind of like rolling up to a stop sign but also seeing a yield sign and seeing someone waving you through at the same time. Your brain is saying, “uhhhhh what do I do?!?!”

Here are 8 typical symptoms that both men and women report feeling when suffering from hormone imbalances; see if you check off any these symptoms yourself:

  1. Foggy thinking
  2. Decreased or no libido
  3. Weight gain
  4. Increase in facial hair
  5. Depressed mood
  6. Food cravings
  7. Brittle...
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IV Therapy

Uncategorized Jun 30, 2021

IV nutritional therapy or sometimes just known as IV therapy is an intravenous infusion of the vitamins your body needs and craves to function optimally delivered directly into your blood system. However, there's still a lot of confusion related to what this therapy even is and do you really need it? Check out some of these common myths:

IV nutritional therapy is just an expensive bag of fluids with no real benefits…. 

FALSE. Think about what you’ve had to eat this past week. Was it jammed packed with vitamins and minerals? Did you consume more water than tea or pop? Or did you consume caffeine to keep you going and snack on whatever was on your kids plate to make it through the day? We are not consuming the right food generally or the right amount to satisfy our body’s needs. IV nutritional therapy provides a much needed boost to our systems. 

IV nutritional therapy only helps when we’re sick…

FALSE. It’s true that...

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Genetics Load the Gun, Lifestyle Pulls the Trigger

What is lifestyle? Lifestyle is the choice of how you live your life on a daily basis. It is what you choose to eat, do, and how you choose to interact with others and your environment. It includes stress management, sleep hygiene, and how we tend to our emotional needs. We make these choices daily; sometimes they are good and sometimes they are not. Often, it is not just one lifestyle choice that matters, but a series of choices over time causing a disease to result.

Genetics are fixed. You cannot remove the DNA you were born with, but you can influence how your genes interact and function in your body. Think of genetics as a light switch that you can turn off and on based on the lifestyle choices you make. You may carry a genetic predisposition to obesity, but you’re not destined to a life of diabetes unless the choices you make along the way support such an outcome. You may carry the BRCA gene that predisposes you to breast cancer or have a close relative with history...

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Too much sweat, not enough chlorine: A summertime reference to understand diabetes.

If you’re diabetic you’re probably familiar with the term hemoglobin A1c. However, if your doctor is concerned you’re “prediabetic” meaning you’re knocking on the door of type 2 diabetes, then this is a lab value you need to understand. 

When you are diagnosed with diabetes, it means you have too much blood glucose (sugar) floating around in your system and your body isn’t able to create enough insulin to combat all the sugar you’re consuming. Think of your body like a pool. People with sunscreen (carbs that get broken down into sugar) and sweat (sugar) are getting in the pool making it cloudy. The pool has chloride (your insulin) to fight the sunscreen and sweat so that the pool stays nice and clear despite all the people in and out BUT when all the chlorine storage is depleted (type 1 diabetes) or there are just too many people in the pool and the chlorine demand can’t keep up (type 2 diabetes) and the sweaty, sunscreened...

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With the onset of warm weather and the spring soccer season, I am bracing for the recurrent questions regarding concussions.  Such is the life of a dad physician cheering from the sidelines. Though it is true that the fast pace, aggressive play, and frequent hard contact of soccer are a set up for this injury, many other mechanisms can be at play.  Most associate concussions with high impact, high velocity incidents; however, even less forceful traumas can be the cause, particularly when sudden and rapid head movement is also associated.  This knowledge is important:  1) we need be vigilant that, though helmets are helpful in reducing fractures and some contact forces upon vital structures, they do not add full protection against shearing forces and resulting injuries; 2) we must be observant with even less forceful injuries, such as an elbow to the head, standing up an hitting your head on a low beam, or a fall even when no obvious impact occurs, to give a...

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Sneeze, Sneeze Go Away... Allergies, Ugh

If you see someone wearing a mask it may not be because of the ‘rona it may just be because they don’t want to breathe in all the pollen flying through the air. 

Those lucky enough not to suffer from seasonal allergies may not understand what the big deal is but let me paint you a little picture. The cells in your body are just minding their own business when all of a sudden the air raid sirens start going off like. Not like the weekly tornado test sirens that we all ignore, but like seek-a-bomb-shelter type alarm starts going off inside our body and our cells start freaking out. Histamine and leukotrienes start being produced causing an increase in blood volume resulting in congestion and inflammation [hello runny nose, sinus pressure, headache, flushed skin, itchiness, watery eyes] The histamine is how our cells are trying to combat all the pollen entering our body. The body knows this pollen is a foreign intruder. And since our cells make terrible preppers they...

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Fever... How hot is too hot pt 2

 In the last blog, here, I explained why we develop a fever sometimes due to infection. I also explained some other characteristics of the person with a fever that would require that I take a closer look: overall appearance, extremes of age, a poorly functioning immune system, and some social issues I must consider. 

I had alluded to the fact that not all fevers are due to an infection. Now, I want to explain some of the issues that can cause elevated body temperature when no bacterial or viral culprit is to blame.

Illicit Drugs

Certain illicit drugs, like amphetamines, can cause body temperature to elevate higher than what we usually see with infectious causes. MDMA (ecstasy), a common rave drug, causes users to want to have move their bodies more (like dance), it causes increases in serotonin, and it causes the cells themselves to release energy as heat rather than storing it. 

Drug-drug interactions

Sometimes prescription or over-the-counter drugs can interact...

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Fever... when hot is too hot part 1

I remember one time I was working at a large hospital, and about 1 am a mother brought her toddler in with a rectal temperature of 106.5. Even for those of us who see a lot of kids with fever, that’s pretty high. We did a full evaluation including blood work, x-rays, and lumbar puncture and got the kid admitted to the pediatric service while we waited to see if the blood cultures grew anything.  This child did fine and went home after a couple of days. Fevers continue to be one of the most common reasons people come to the hospital or see their doctors, especially in the pediatric age group.


I like to educate people about fevers because there are so many misconceptions. Everyone’s grandmother has an antidote for fever. Everyone knows someone who knows someone whose “brain was fried” due to fever. So many myths, so little time…


Aside from some unusually high fevers, usually caused by issues other than infection (discussed in the next...

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Health Tip Collection

Our collection of health tips


Where to start? Think about starting with a multi-vitamin. Typically, a multi-vitamin has 7 ingredients:

Vitamin D
Vitamin B12

**But if you struggle with constipation a multi-vitamin with iron may worsen the problem.

Not all vitamins are created equal. Look at the quality of the vitamins. Read the instructions. Some are best taken with food, some without. Remember, vitamins are used to supplement what you aren't receiving from a proper diet.


Migraines are miserable. Understanding your migraine triggers can be key to keeping your pain at bay. Did you know food triggers can occur up to 24 hours after consumption? By tracking your food you are more likely to zero in on a pattern and begin experimenting with eliminating certain foods from your diet. Even though Excedrin Migraine contains caffeine to help combat your migraine, too much caffeine can cause rebound headaches. By tracking and potentially...

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The Doctor-Patient Relationship

Uncategorized Jan 12, 2021

One reason I’m excited about this new venture into direct primary/patient care is finally having the focus and time to foster best communications and relationships with my patients.  

Said communication goes both ways: it need be an intricate, complicated “give and take.”  

Yet in some instances, unfortunately, in my years at the bedside, I have noted amongst my peers (and I confess, with me, too), a dynamic that has increasingly evolved into a wholly paternalistic: “I [doctor] will give you [patient] what you need and you will just accept that.”  Time constraints, external pressures, insurance companies and government, quality measures, practice guidelines, meaningful use, blah blah blah, can further work to add to a more domineering, less interactive, “take it or leave it” approach in the care of our patients.  Though I do believe that my evaluations and resulting plans are sound, I still must earn the confidence of my...

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