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How to deal with minor breakouts or major acne

Most of us experience acne at some point in our lives. It is most common in adolescents and young adults, but various forms can affect people well into adulthood. Knowing what you can treat with over the counter products and when to see a physician is the first step to improving acne.

The most common form of acne is comedonal acne and is characterized by whiteheads and blackheads. The next most common is inflammatory acne where deeper, pinker bumps appear on the skin. Milder cases of both comedonal and inflammatory acne can often times respond to over the counter (OTC) treatment with salicylic acid cleansers and topical benzoyl peroxide products. If you try OTC treatment for 6-8 weeks and see good benefit, you can avoid a trip to the doctor and keep using the OTC products.

More severe comedonal or inflammatory acne will commonly not respond to OTC treatment or get limited benefit. If a 6-8 week treatment trial with OTC products doesn’t control your acne, it’s time to see a doctor. There are...

How much tremor is too much?

Tremor is a normal physiologic reaction to anxiety or stress, but it is not normal to have a tremor when performing typical daily activities.

People who develop a tremor while eating, drinking, writing or doing other common activities may have a movement disorder called Essential Tremor. This is actually the most common movement disorder, and can affect up to 4% of people over age 40. People who have this disorder can take medications to help minimize the tremor, but they don't often reduce the tremor by more than about half. Deep brain stimulation (DBS) is an excellent treatment option for people with severe tremor, and can nearly eliminate the tremor in many patients. Many patients aren't sure when their tremor is severe enough to warrant surgery, and much of our conversation in the office is to help answer this question.

There is no one answer that is right for everyone, but for me it has to do with how well someone is actually doing in their daily life:

Tips for dealing with dust allergy

Although it’s hard to imagine, we are living and sleeping with thousands of little bugs called dust mites.

For many people, ignorance is bliss, but for those who are allergic, these bugs can cause lots of problems. Dust mite allergy symptoms include eye redness and discharge, itching, sneezing, congestion and trouble breathing. Dust mites are a problem all year long, but can be more obvious in the winter when people spend more time indoors.

Dust mites like to burrow into soft surfaces, like carpets, curtains, pillows, mattresses and stuffed animals. It is impossible to completely kill all dust mites, but here are six ways to minimize exposure:

Preventing progression of Barrett's esophagus to cancer without surgery

Many people wonder what the treatment for Barrett's Esophagus (BE) is. Treatment for BE without dysplasia consists primarily of controlling esophageal acid exposure, usually with once a day proton pump inhibitor (PPI) medications like omeprazole (Prilosec®). Occasionally, twice a day dosing or even anti-reflux surgery may be necessary to completely control acid reflux. Unfortunately, suppressing acid does not usually cause the Barrett’s tissue to regress or even prevent it from progressing to cancer.

If dysplasia is found on any biopsies, treatment recommendations change:

  • Low-grade dysplasia: Close surveillance with endoscopy every 6-12 months or ablation.
  • High-grade dysplasia: Endoscopic therapy to destroy Barrett’s tissue or surgery.
  • Early cancer: Endoscopic removal of focal cancer followed by tissue destruction or surgery

Experiments performed 20 years ago showed that in most people, once the Barrett’s tissue has been removed or destroyed, normal squamous tissue tends to regrow in the area as long as acid reflux is suppressed.

Endoscopic tissue destruction can be performed many ways:

How Much is the Right Amount of Chemo for Locally Advanced Non-Small Cell Lung Cancer?

How much is the right amount of chemotherapy for locally advanced non-small cell lung cancer?

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Lung Cancer Screening Saves Lives: So Why Aren't We Doing It?

The American Cancer Society recently came out with a recommendation about lung cancer screening for high-risk patients:

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Moving with MS through music

It is well documented that exercise is beneficial for the body and mind because it promotes strength, endurance, flexibility, range of motion, mood, and a general sense of health and well-being. All these “perks” improve function in our daily lives. Add music to the aerobics routine and the soul is uplifted. After all, music can calm or energize the spirit and often allows us to move more freely.

The MS Center at Swedish offers free aerobics classes to the MS community for the joy of movement and music. In contrast to the typical dance-like moves that might come to mind when you think of aerobics, the exercises in Aerobics for MS are designed to increase strength and mobility for functional movements part of everyday life. Most of all, they’re meant to be fun! Classes take place in a supportive and relaxed environment, and all abilities are invited.

For more information about MS aerobics classes...

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