PA News

PA News

Pediatric Cough

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

Read the full article »

Iron Deficient Anemia???

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

Read the full article »

Vulvodynia – Pain Down There

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,

Read the full article »

Thoughts on Coronavirus and Influenza

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

Read the full article »

Initiating Basal Insulin is Not Enough

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. 

Read the full article »

Outsmarting AFib with a Smartphone

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

Read the full article »

Is Your Patient in Menopause?

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

Read the full article »

Fall Prevention – The Best Treatment for Hip Fractures

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

Read the full article »

Why Clinicians Should Consider Combined Hormonal Treatments for PCOS

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

Read the full article »

The Magical Key

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.

Read the full article »

GAPA