Hair Where I Don’t Want it and Less Where I Do Really! There are lots of things that change as women reach midlife and beyond. Some are great. Like increased confidence and not really caring what other people think. Some, like sprouting new dark coarse hairs on your chin, upper lip and neck and not

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Cough is the most common chief complaint in the US.  The differential for the cause of a cough is extensive and can be attributed to different organ systems.  A cough is not necessarily a bad thing.  Cough is a natural line of defense for the lungs allowing us to clear the airways of debris and

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John is a 40-year-old male who was referred to GI medicine for colonoscopy by his primary care provider because of persistent microcytic anemia that did not correct with iron supplementation. The PCP was worried about occult GI bleeding from colon cancer despite a negative FOB test. The following is John’s lab slip at his PCP

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A very challenging condition women come to me with is pain around their labia, vagina, and genital region, known as vulvodynia. The highest incidence is seen in ages 18-25 but can occur at any age. These extremely distressing symptoms can make having sex out of the question and many women find that even their clothing,

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Picture yourself in line at the grocery store, the hardware store, a fast-food restaurant, or on a plane. Someone next to you coughs or sneezes. You envision a green fog swirling from that petri dish of plague filled germs floating in the air and moving towards you. You may actually take a step back to

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The likelihood of requiring some form of insulin therapy in type 2 diabetes increases with the duration of the disease.  As healthcare providers, it is imperative that we understand not only how to initiate basal insulin but to also titrate basal insulin.  Studies have shown that patients are initiated but then are not properly titrated. 

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Phillip is a 55-year-old male who was seen in the ED 2 weeks ago for a rapid heart rate. He was diagnosed with new-onset atrial fibrillation with a rapid ventricular response of 120. Since he could pinpoint the time when it began and it was within 10 hours, and he had no past history of

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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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