April 28, 2013
I have been asked many times about toenail fungus and how to treat it. It is a common condition and distressing to look at, at least from the patient's perspective. There are theories abound as to the cause or causes, and I've heard of treatments from tea-tree oil soaks to surgery, but the really bedeviling part about this affliction is the generally high likelihood of recurrence no matter what you do. The medications and some of the other treatments available seem to work for a time, only to fail later on. But there may be a solution.
A curious observation is that exercise...
April 13, 2013
“I don’t get it! Everytime I come to your office my blood pressure is high. It’s never like that anywhere else!”
“White Coat Hypertension” is very common and affects many people, even those who feel at ease with their physician. But whether your blood pressure is low or high at the doctor’s office, if you’ve been told you might have hypertension, you are likely to find yourself at home, or in a grocery or drug store with your arm in a cuff trying to figure out if your blood pressure is reasonable. A key to successful self-measurement is knowing the proper technique.
The big studies of blood pressure in the population upon which we base all our definitions of normal and high values were careful to take their measurements in a standardized way. The patient should avoid coffee, tea, nicotine, and other stimulants for at least 30 minutes prior to the test. She should sit quietly for a full 10 minutes reading or softly conversing bef...
April 06, 2013
“Darn! My inhaler is out and I am going to have to call today, a Sunday, to get a refill…”
Spring is here! And that means asthma season is back, and with the nicer weather, pollen counts are high. Flowers are wonderful and the trees beautiful, but if you are like me, some of those plants have your number. The beautiful smells come with itchy eyes, sneezes, and for some, a serious amount of wheezing.
Patients are reaching for their inhalers more often, and sometimes getting into serious respiratory trouble, especially if their medication is running short. Inhalers are expensive, too, and so using them optimally is both financially and healthfully important.
Fortunately, a couple of tricks can really help maximize an asthma spray’s value.
The medication comes out fast and hard when you squeeze the canister, and it can be difficult to time your breath to inhale the do...