Primary care clinicians are often caught between a rock and hard place. Antibiotic prescribing offers a classic example. The rock – patients often want antibiotics for common infections, are happier with their PCP if she or he gives them antibiotics, and Continue reading
Author Archives: RMoore
The dose makes the poison – Paracelsus
The MMWR recently reported that in the current problem with the abuse of prescription drugs, alcohol plays a significant role in ED department visits, including opioid pain reliever (OPR) and benzodiazepine (BZP) drug-related deaths. Using the Continue reading
Influenza immunization for children
The American Academy of Pediatrics has issued this year’s policy statement recommending annual influenza immunization for all people six months of age and older.
Children under age two years are at high risk of hospitalization and complications from Continue reading
I want you to eat more fruits and vegetables…
How often have we given this advice to our patients? Fruits and vegetables offer our patients a wholesome low calorie source of color, flavor, vitamins, minerals, and dietary fiber. So we tell them to eat apples, strawberries, grapes, celery, and peaches and we think we are doing a great service to our patients. The problem is Continue reading
Let the teens sleep!
For those of us who have ever raised teenagers and tried to wake them in the morning, you might be interested in a new policy statement from the American Academy of Pediatrics. The AAP has recognized that insufficient sleep in adolescents can affect Continue reading
Genuinely useful research
Two articles published this past year have shone a light on the management of osteoarthritis and meniscal tears of the knee.
One, by Sihvonen R et.al. in the NEJM, examined 146 patient who were diagnosed Continue reading
Doctor, what diet should I try?
Several years ago, Gary Taubes published an article in the New York Times (“What if It’s All Been a Big Fat Lie”) in which he accused the American medical establishment of being “the cause of the rampaging epidemic of obesity in America.” Ouch. Continue reading
As RSV season looms, to prophylax or not prophylax, that is the question
As we head into fall and the eventual winter cold season, our littlest patients may once again be exposed to the RSV virus. Many practitioners, including myself, have noted a decrease in bronchiolitis admissions and even severity the last few years. However, this Continue reading
Severe childhood stress and changes in gene expression
Young children are fragile. Evidence is mounting that health in adulthood can be influenced by the environment in which a child grows up. We have offered posts on this subject previously Continue reading
Do not try this approach in your practice
Here at the PHC Primary Care blog, we try to provide useful tips which can be applied to everyday practice. The following tidbit is for interest only. We strongly advise you not to try this modality in your practice. At least not yet. Continue reading