Does it feel like you are pushing the boulder uphill with some of your diabetes visits? Your patients with diabetes have a self-managed disease. If they see you for a (generous) 30-minute visit 4x/year, that is 2 hours of guidance and coaching. But they can’t take you home with them. And that leaves about

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Lateral hip pain is one of the most common clinical pathologies seen in the orthopedic setting. Although often diagnosed as trochanteric bursitis, there are other causes, including lumbar radiculopathy, abductor tears, and the “external snapping hip” that may also be the culprit. Initial treatment of lateral hip includes activity modification, oral anti-inflammatories, trochanteric cortisone injections,

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Did you know STI rates are the highest since written records have been kept? Making matters worse, many patients with STIs are asymptomatic and don’t realize they are potentially contagious. Worrisome trends include low condom use rates and inadequate routine screening by clinicians. The CDC estimates that only 42% of those at risk for chlamydia

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In a healthy human, a fall from a standing height or less should not result in a fracture. Our bodies should be able to sustain a fall from this height without a fracture unless there is a reason the bones are fragile. When a fracture happens in this manner, it is a warning sign and

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Studies reveal that excessive alcohol use is a common response to stress following traumatic events. An article in Addiction discusses the aftermath of trauma and the uptick in substance use disorder. There was evidence of elevated prevalence of psychological distress long after the traumatic event as well. Excessive alcohol use is a common coping mechanism for stress,

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Starting and advancing medication in pre-diabetes and T2DM is important to address the metabolic defects.  We can now treat diabetes, not just chase blood sugars.1   And data suggests combination therapy is more efficacious than step wise therapy. 2   Landmark trials show aggressive management early in the diagnosis, helps prevent/delay complications decades later (the Legacy Effect).

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The marketing and promotion of controlled drugs reveal public health risks when they are highly prescribed and aggressively promoted. It was approaching noon hour, and I was finishing up documentation of my previous patient. Absorbed in this task, I did not look up to see who the physician was talking to in the hallway a

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The abbreviation PPE has taken on new meaning in the last nine months. While “personal protective equipment” is the first thing on the mind of health care providers, parents, and even our children and teenagers, please don’t forget that PPE also stands for Preparticipation Physical Examination.  Can you believe that the total number of athletes

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Pediatric Obesity is an epidemic. The word epidemic can be used both as a noun, meaning “an outbreak of disease that spreads quickly and affects many individuals at the same time” or as an adjective, meaning “affecting or tending to affect a disproportionately large number of individuals within a population, community, or region at the

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Clinicians must keep up with the latest practice guidelines, and this is challenging as guidelines are constantly changing, especially in Women’s Health. In my upcoming session at the 2021 GAPA Conference, I will be providing an overview of key aspects of the latest Women’s Health Guidelines, including Cervical Cancer, Breast Cancer, Osteoporosis, Contraception, STIs, and

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