Surprise, surprise! Your patients may still be having periods and starting to have hot flashes and night sweats, but they are not actually Menopausal just yet. That’s because Menopause is actually just 1 day in a woman’s life. What? Yes, that’s because the way we define menopause is kind of strange. Menopause is that one

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Each year, hundreds of thousands of elderly patients will sustain a hip fracture which can be a life-changing event. These fractures result in significant pain, dysfunction, prolonged bed rest and substantial comorbidities. Often times, treatment protocols are focused on optimizing surgical management of these injuries. In recent years, multiple large studies have come out regarding

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Before we dive into treatments, here’s a quick review:   With PCOS, in general: A woman doesn’t ovulate regularly Her periods are irregular or absent It’s more difficult for her to lose weight She’s more likely to have acne & unwanted hair growth She is likely to have an insulin resistance and is at risk for

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There is an article in The New England Journal of Medicine, published October 4, 2018, written by Taimur Safder, MD, titled “The Name of The Dog”. Go find it. Read it for yourself. It’s worth your time. I love to read NEJM articles, and I take most of them with a small grain of salt.

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Individualization to care in patients with diabetes is important. No two patients have the same medical history. Glycemic targets will vary from patient to patient. The American Diabetes Association recommends an A1C of less than 7%. However, the duration of disease, hypoglycemia risk, and other comorbidities play a large role in selecting the glycemic target

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All of us are wearing our smartphones for instant communication and the apps, but why not make it a point of care diagnostic tool? For $150 you can purchase a 9.0 cm x 3.0 cm x 0.72 cm, 0.85 ounce 6 Lead (I, II, III, AVR, AVL, AVF) Kardia Mobile 6 (https://www.alivecor.com/kardiamobile6l ) sensor pad and

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RSV follows a predictable trend in Georgia by showing up in late September, generally peaking in December and January, with most cases resolving by mid to late spring.  There are still sporadic cases throughout the year especially in the southern part of the state.  RSV takes its name from the method of propagation of the

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Welcome fall (for most of you, but not us yet in the Southern part of the State)! October brings cooler temperatures, but much more importantly Physician Assistant Week. A little history for you…do you know why PA Week is in October? The first PA class graduated from Duke on October 6, 1967, which is also

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Fever and a rash – don’t bring home a souvenir you don’t want when traveling abroad this summer! Kids and rashes and fevers are ubiquitous. While most are simple viral exanthems, some of those viral exanthems are not so simple. Measles is something most providers have not seen in the past 20 years. It is

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Karen is the mother of a 7-year-old first grader who is having difficulty sleeping. Karen is inquiring if there are any “natural” supplements that you can recommend to help her son, Noah, sleep. Maybe melatonin? I often receive this question in my general pediatric clinic, and I always respond with a general discussion about supplements

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