Most Fridays I spend my time in a small clinic in Winslow, Arizona. It’s an outreach clinic which I find quite rewarding. Winslow, Arizona is a beautiful place, however perhaps even more beautiful than the location are the people I care for when I’m there. During one office visit, I had a long conversation with one of my favorite elderly patients about current happenings in the media. She questioned…
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Obesity is known to be extremely common in hospitalized patients. Based on one study (Hossain MA, et al. J Clin Med. 2018), 66% of hospitalized patients were either overweight or obese. In the same study, only about 2% of patients were appropriately referred for dietary counseling and obesity management. This seems to be a missed opportunity.
A while back, I cared for a patient with severe coronary…
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Years ago I was chatting with the nurse on the cardiac telemetry unit. I asked her what she would want if she was known to have a 90% blockage in her left anterior descending artery, aka the widowmaker, but had no symptoms. I reminded her that the literature had clearly demonstrated that coronary revascularization in stable coronary artery disease (CAD) did not reduce the risk of death or heart attack,…
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Recently my wife told me that she was going to take a day for herself to go hiking with a close friend in Sedona. As she was walking out the door, leaving me all alone at home with our toddler, 9 year old, and 11 year old, she jokingly referred to it as a “mental health day.” With all that she does keeping our lives together, I certainly supported her desire to have some time for herself.
All…
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Cardiovascular diseases claim more lives each year than all forms of cancer and Chronic Lower Respiratory Disease combined (AHA, 2019). Despite this, a diagnosis of coronary artery disease should not be considered a death sentence. A common question that arises in clinical practice is whether coronary artery disease can be reversed. In this article, I will share a clinical vignette and provide insights…
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Hippocrates said, “Let food be thy medicine and medicine be thy food.” Unfortunately in today’s world, our food tends to fuel very high rates of obesity and chronic illness including cancer and cardiovascular disease. I recently saw a patient in the office who came in excited about his weight loss. As I walked into the examining room I could tell that he had lost about 30 lbs since I saw him…
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Our minds are extremely powerful and there is strong evidence that our thoughts influence our health. Words have the capacity to both build people up or bring them down. As a society we have been conditioned to direct our attention to misfortune. Choosing to focus on uplifting words can create a positive shift in your life. I am a big believer in affirmations and love sharing mine with you each…
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Fatigue is an ongoing tiredness that can be constant. Many of us have time-limited fatigue in the context of a viral illness such as the flu or when we don’t have enough sleep, however for some fatigue can become a chronic issue. Unfortunately extreme fatigue is very common. The potential list of causes of fatigue is extremely long and all of them cannot be discussed here.
Here are some common conditions/…
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Our minds are extremely powerful and there is strong evidence that our thoughts influence our health. Words have the capacity to both build people up or bring them down. As a society we have been conditioned to direct our attention to misfortune. Choosing to focus on uplifting words can create a positive shift in your life. I am a big believer in affirmations and love sharing mine with you each…
Read more
Our minds are extremely powerful and there is strong evidence that our thoughts influence our health. Words have the capacity to both build people up or bring them down. As a society we have been conditioned to direct our attention to misfortune. Choosing to focus on uplifting words can create a positive shift in your life. I am a big believer in affirmations and love sharing mine with you each…
Read more