Gastrointestinal Diseases
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    COLONOSCOPY AFTER AGE 75

    Healthcare economists have a fixation on various ratios that determine when, and if, a diagnostic procedure should be done. Two…
    Bone & Joint Problems
    1 day ago

    AFP CLINICAL ANSWERS APRIL, 2026

    This is the second article based on information presented the American Family Physician  journal’s section titled “Clinical Answers.” The April…
    Cancer
    2 days ago

    IVERMECTIN: FOR CANCER?

    Over the past 5 to 10 years, no drug has been more controversial than Ivermectin. All the uproar during the…
    Cancer
    4 days ago

    GLP-1’S AND BREAST CANCER SURVIVAL

    Who isn’t taking a GLP-1 these days? There are so many reasons for doctors to prescribe them that almost everyone…
    Drugs & Medications
    7 days ago

    ADVERSE EFFECTS OF GLP-1’S

    Literally every day I read something about Glucagon Like Peptide-1Receptor Agonists, GLP-RA’s. That’s the million dollar name for the class…
    Drugs & Medications
    1 week ago

    QUICK MEDICAL ADVICE FROM THE AAFP

     American Family Physician is the scientific journal of the American Academy of Family Physicians (the AAFP). The AAFP is the…
    Healthcare Policy
    1 week ago

    SPENDING TO TRAIN FAMILY DOCS DIVERTED

    Increasing the number of practicing primary care physicians has been a serious consideration for the past fifty years. It seemed…
    Bone & Joint Problems
    1 week ago

    WHAT’S WRONG WITH THIS PATIENT? No. 4

    WHAT’S WRONG WITH THIS PATIENT? No. 4 Case number 4 is a 46 year old homeless male who was brought…
    Dermatology
    1 week ago

    TATTOOS: ARE THEY SAFE?

    In all my 82 years, the thought of getting a tattoo has never crossed my mind! It’s not that I’m…
    A Day in the Life Scenarios
    2 weeks ago

    ABNORMAL LAB RESULTS

    Every day, family physicians have patients with abnormal lab test results. Most of the time, the abnormal results can be…
    Drugs & Medications
    2 weeks ago

    FDA APPROVES ORAL GLP-1

    Eli Lilly and Co. of Indianapolis nearly has a corner on the GLP-1 market. Their GLP-1,  tirzepatide, has been a…
    Heart Disease
    2 weeks ago

    WHAT’S WRONG WITH THIS PATIENT? No: 3

    Case three is a 66 year old male smoker who presents to the ER with 24 hours of chest pain.…
    Procedures
    2 weeks ago

    NOT ALL ABNORMAL LAB RESULTS MEAN DISEASE

    A recent article I posted about abnormal lab test results showed how they can sometimes lead to a diagnosis, but…
    Heart Disease
    2 weeks ago

    CHOLESTEROL GUIDELINES CHANGE AGAIN

    We’re all keenly aware of the role cholesterol plays in the development of arteriosclerosis. It forms the core, or the…
    Infectious Diseases
    3 weeks ago

    WHAT’S WRONG WITH THIS PATIENT? No. 2

    This is the second in a series of articles titled “What’s wrong with this patient?” In it, I will present…
    Drugs & Medications
    3 weeks ago

    LOW-DOSE ORAL MINOXIDIL FOR MALE PATTERN BALDNESS

    Androgenetic alopecia is the scientific name given to male-pattern baldness. Alopecia is the medical term for hair loss of any…
    Neurology
    3 weeks ago

    WHAT’S WRONG WITH THIS PATIENT?

    As Jim Nantz, the long-time CBS sports announcer, always begins, “Hello, friends!” DrGOpines.com is approaching the end of its 7th…
    Procedures
    3 weeks ago

    I’LL PASS ON THIS PROCEDURE

    No thanks! I’m not interested. I’ll figure out another solution for this problem! These are my feelings about a new…
    Heart Disease
    3 weeks ago

    CORONARY ARTERY DISEASE AND STENTS

    I just read an article on medscape.com that referred to changes that may be coming in the long-term prevention and…
    Drugs & Medications
    4 weeks ago

    ADDITIVES IN ILLICIT DRUGS

    If you didn’t already know, makers of illicit drugs include “additives and contaminants” in the opioid drugs they produce to…
    Drugs & Medications
    4 weeks ago

    GLP-1’S AND ALCOHOL

    Glucagon-Like Peptide-1 Receptor Agonists (GLP-1’s) have been discussed in this blog numerous times. This post is another that focuses on…
    Heart Disease
    4 weeks ago

    THE CORNEAL REFLEX

    There is an important, but simple, diagnostic procedure doctors do frequently but don’t talk about very much. This procedure, called…
    Drugs & Medications
    April 28, 2026

    ELI LILLY DOESN’T MISS AN OPPORTUNITY

    Eli Lilly and company, the pharmaceutical giant headquartered in Indianapolis, does not miss an opportunity. They have top notch researchers…
    Neurology
    April 27, 2026

    A STROKE OR NOT A STROKE?

    Practicing medicine, every day is filled with solving “puzzles” one after another. These “puzzles” appear in your office in the…
    Heart Disease
    April 24, 2026

    WOMEN AND HIGH BLOOD PRESSURE

    Last year, the American Heart Association updated their hypertension guidelines for women. They established four groups of hypertensive patients based…

      COVID-19
      October 27, 2025

      MEDICAL “MISINFORMATION”

      I fear I may be “wading into shark-infested waters” when I approach the subject in the title of this article.…
      COVID-19
      September 23, 2025

      LONG COVID STILL AFFECTING DOCTORS, NURSES

      The serious, deadly phase of the COVID-19 pandemic has ended along with the frequency of acute cases. It’s been over…
      COVID-19
      September 3, 2025

      VACCINES PROTECT CHILDREN AND ADOLESCENTS

      COVID-19 and the vaccines developed to combat it did more to erode trust in old, well-established, standard vaccines than any…
      Cancer
      July 27, 2025

      COVID-19, VITAMIN D, CANCER, GLP-1’S, HIGH BLOOD PRESSURE

      MEDICAL NEWS BRIEFS #29 COVID-19 has a greater effect on kidneys than pneumonia: Natural aging causes a gradual decline in…
      COVID-19
      September 16, 2023

      CDC RECOMMENDS ALL AMERICANS 6 MONTHS AND OLDER RECEIVE AT LEAST ONE DOSE OF UPDATED COVID-19 VACCINE

      The Food and Drug Administration (FDA) recently approved “reformulated” COVID vaccines by Pfizer-BioNTech and Moderna. That prompted a CDC Advisory…
      COVID-19
      March 18, 2023

      MOST COVID-19 DEATHS WORLDWIDE WERE AMONG OLDER PEOPLE.

      The high mortality rate from COVID-19 among the elderly was a fact everyone knew, but a lot of people ignored.…
      Preventive Medicine
      January 18, 2023

      STROKE AND PFIZER VACCINE

      Have you heard the latest about the Pfizer-BioNTech COVID-19 booster? There’s always something, you know! This time, there are serious…
      Healthcare Policy
      December 26, 2022

      LIFE EXPECTANCY LOWERED—AGAIN!

      The CDC just announced the life expectancy of Americans recently dropped to a 25-year low. People born in 2021 have…
      COVID-19
      May 27, 2022

      mRNA VACCINE EFFICACY

      Who really knows how effective mRNA vaccines are for COVID-19. All degrees of outrageous claims about them are made back…
      COVID-19
      February 4, 2022

      MONOCLONAL ANTIBODIES: What are they? What do they do?

      This is a difficult subject to write about. Difficult because to understand it, you must possess basic knowledge of the…
      COVID-19
      January 23, 2022

      “COVID-19 VACCINE BOOSTERS SAVE LIVES”

      Yes, they really do! And The Journal of the American Medical Association (JAMA) is proud to report that fact. Two…
      COVID-19
      January 5, 2022

      COVID-19 VACCINE-MYOCARDITIS LINK INSIGNIFICANT

      Last summer, there was a lot of fuss about a link between mRNA vaccines for COVID-19 and the occurrence of…
      COVID-19
      October 11, 2021

      NATURAL IMMUNITY TO COVID-19: IS IT A REALITY?

      Why can’t today’s viruses play fair? Why can’t viruses like SARS-CoV-2 behave like the viruses of old—the varicella-zoster virus or…
      COVID-19
      September 28, 2021

      PFIZER COVID-19 VACCINE AND MYOCARDITIS

      In July, I wrote a blog about the incidence of myocarditis in young males after vaccination with Pfizer/BioNTech’s COVID-19 vaccine.…
      COVID-19
      September 17, 2021

      COVID-19 VACCINATION AND CIVIL LIBERTIES

      I’m having a bit of trouble with the current attitude of a lot of people. I’m referring to the 80…
      COVID-19
      August 15, 2021

      VACCINE HESITANCY: WHY PEOPLE REFUSE COVID-19 VACCINE

      I’m old enough to remember what life was like before vaccines. As a child I had measles, mumps, and chicken…
      COVID-19
      July 12, 2021

      MYOCARDITIS AFTER COVID-19 VACCINE

      Much ado has been made on cable news programs about the adverse effects attributed to COVID-19 vaccines. In particular, there…
      COVID-19
      March 6, 2021

      SIX COVID-19 VACCINES IN PHASE III TRIALS

      We’ve heard repeatedly about the Pfizer-BioNTech and Moderna vaccines for COVID-19. Those are the two vaccines in use locally; if…
      COVID-19
      March 5, 2021

      ALLERGIC REACTIONS TO PFIZER-BIONTECH VACCINE

      Today’s media seems to have difficulty reporting the good news that comes from developments in the COVID-19 pandemic. Such is…
      COVID-19
      January 12, 2021

      COVID-19 VACCINE: MY EXPERIENCE

      The Maricopa County (Arizona) Health Department began administering COVID-19 vaccine in late December. Maricopa County has the bulk of the…
      COVID-19
      December 5, 2020

      AT-HOME COVID-19 TESTING

      These days news travels fast so you may already know the US Food and Drug Administration (FDA) has approved the…
      COVID-19
      November 21, 2020

      PFIZER COVID-19 VACCINE 90% (95%) EFFECTIVE!

      By now you’ve surely heard the good news about the COVID-19 vaccine being developed by Pfizer Pharmaceutical Company in collaboration…
      COVID-19
      July 5, 2020

      HERD IMMUNITY? What’s That?

      Lately, there have been many references to the term HERD IMMUNITY. Public health officials use it in their communications about…

      CARDIOVASCULAR DISEASES

        Heart Disease
        March 20, 2020

        BLOOD THINNERS AND ATRIAL FIBRILLATION: Who Should Take What?

        Since 2014, the American Heart Association, the American College of Cardiology, and the Heart Rhythm Society have recommended a set…
        Heart Disease
        May 5, 2024

        CARDIAC EJECTION FRACTION

        Do you understand what is meant by heart failure? As the name implies, people with heart failure have a heart…
        Heart Disease
        March 10, 2026

        CHEST PAIN? HOW BEST TO EVALUATE

        I don’t think I would call it “a raging debate,” but there certainly is disagreement about how best to evaluate…
        Diabetes
        October 21, 2024

        MEDICAL NEWS BRIEFS #22

        There are three (3) categories of Blood Pressure: New European guidelines for high blood pressure (HBP), hypertension define three categories.…
        Drugs & Medications
        December 25, 2023

        ANTI-ARRHYTHMIC DRUGS AFTER ABLATION: DO THEY HELP?

        If you’re one of the ever-increasing number of folks who have undergone ablation for atrial fibrillation, you may be wondering,…
        Drugs & Medications
        August 2, 2025

        BLOOD PRESSURE TARGET LEVELS EASED

        If you have high blood pressure and you’re worried about the effect it is having on your kidneys, you may…
        Healthcare Policy
        November 19, 2025

        NEW BLOOD PRESSURE GUIDELINES

        In the healthcare realm, policies and guidelines for just about everything are constantly being re-evaluated. One such re-evaluation occurred recently…
        Blood Diseases
        July 28, 2020

        BLOOD TRANSFUSIONS ARE MORE THAN JUST BLOOD!

        Donating blood is a good-hearted thing to do. In medical school, I did it 2 or 3 times a year,…
        Diabetes
        October 8, 2024

        MEDICAL NEWS BRIEFS #20

        Rates of Sudden Death After Heart Attack (Myocardial Infarction): After an acute heart attack (myocardial infarction), sudden death rates have…
        Bone & Joint Problems
        December 1, 2024

        MEDICAL NEWS BRIEFS #24

        Does a cortisone shot help a frozen shoulder? Adhesive capsulitis is the fancy term for a frozen shoulder. The bones…
        Heart Disease
        March 18, 2024

        WHAT IS AN ANEURYSM?

        Surely you’ve heard someone talk about having an aneurysm or you knew someone who did. When you heard that word,…
        Blood Diseases
        June 6, 2019

        BLOOD CLOTS: Some are Good, Some are Bad!

        The human body is an amazing organism. The amazing brain allows us to think, reason, and remember; the amazing heart…
        Heart Disease
        April 15, 2020

        CHOLESTEROL

        What is it and how does it cause harm? Everyone has heard of cholesterol. Everyone has cholesterol. Everyone should worry…
        Drugs & Medications
        July 24, 2025

        LIPITOR: THIRTY YEARS OF BENEFIT

        Lipitor (atorvastatin) has been in use in the U.S. since 1997 (28.5 years). It has been one of the most…
        Heart Disease
        2 weeks ago

        WHAT’S WRONG WITH THIS PATIENT? No: 3

        Case three is a 66 year old male smoker who presents to the ER with 24 hours of chest pain.…
        Heart Disease
        January 28, 2025

        SALT SUBSTITUTE REDUCES CHANCES FOR HIGH BLOOD PRESSURE

        Substituting regular table salt (100% sodium chloride) with salt substitute (62% sodium chloride, 25% potassium chloride, 12.5% flavorings) reduced the…
        Heart Disease
        October 4, 2024

        HIGH BLOOD PRESSURE AND DEMENTIA

        Here’s some more good news. A recent scientific study suggests that “more time spent in a healthy blood pressure range…
        Cancer
        November 12, 2024

        MEDICAL NEWS BRIEFS #23

        Carpal Tunnel Syndrome: To operate or not to operate? That’s the question: Carpal tunnel syndrome is compression of the median…
        COVID-19
        January 5, 2022

        COVID-19 VACCINE-MYOCARDITIS LINK INSIGNIFICANT

        Last summer, there was a lot of fuss about a link between mRNA vaccines for COVID-19 and the occurrence of…
        Heart Disease
        October 19, 2020

        PREVENTION OF CARDIOVASCULAR DISEASE: Decades of Learning and Progress!

        For decades, Cardiovascular Disease (CVD), and heart disease, in particular, has been the number one killer of American adults. Heart…
        Heart Disease
        June 3, 2019

        AN EPIDEMIC OF A DIFFERENT COLOR: Atrial Fibrillation

        I have at least 8 or 10 personal friends who have had episodes of Atrial Fibrillation. My wife and I…
        Preventive Medicine
        March 5, 2022

        IBUPROFEN vs. TYLENOL. EGGS GET GOOD PRESS!

        EGGS DON’T INCREASE CARDIOVASCULAR DISEASE Two recent anecdotes from American Family Physician, the scientific journal of The American Academy Of…
        Preventive Medicine
        July 27, 2021

        GUIDELINES FOR DIAGNOSING HIGH BLOOD PRESSURE

        Americans are constantly being encouraged to control their blood pressure. Hypertension is a serious health hazard that leads to many…
        Preventive Medicine
        September 21, 2022

        TOO MUCH HDL-CHOLESTEROL?

        For decades we’ve been told about the cardio-protective benefits of the “good cholesterol,” High Density Lipoprotein Cholesterol (HDL-C). We were…
        Heart Disease
        April 3, 2019

        HIGH BLOOD PRESSURE: It’s Still The Silent Killer!

        HYPERTENSION: High blood pressure (HBP) has for decades been called “the silent killer.” It works insidiously while you’re completely unaware…

        DAY-IN-THE-LIFE SCENARIOS

          A Day in the Life Scenarios
          2 weeks ago

          ABNORMAL LAB RESULTS

          Every day, family physicians have patients with abnormal lab test results. Most of the time, the abnormal results can be…
          A Day in the Life Scenarios
          March 27, 2026

          PHYSICIANS ARE NOT “PROVIDERS”

          Finally, someone besides me has taken offense at physicians being called providers. Since today’s world contains all levels of folks…
          A Day in the Life Scenarios
          March 23, 2026

          REST

          REST is not a state physicians find themselves in very often. In fact, the medical profession has a thing for…
          A Day in the Life Scenarios
          March 19, 2026

          OLDER PHYSICIANS: IMPAIRED?

          Many healthcare institutions and medical practices are seeing the age of practicing physicians increase as more continue to practice beyond…
          A Day in the Life Scenarios
          February 11, 2026

          THE QUIRKS OF MEDICAL EDUCATION

          Medical education is phenomenon unto itself. It is filled with nuances that make it distinctive in  character and personality, as…
          A Day in the Life Scenarios
          February 5, 2026

          KNOW YOUR LIMITS

          When I was in medical school, it seemed like my friends and family immediately thought I knew everything every other…

          YOUR WELLNESS MATTERS

            August 8, 2025

            FASTING FOR BLOODWORK IS OUTDATED

            Here’s something that might brighten your day. “It really doesn’t matter if you’re stomach is empty” [when you have blood…
            July 5, 2024

            PRIORITIES IN GERIATRIC CARE

            In spite of statistics that show the average life expectancy of Americans has been declining over the past 5-10 years,…
            January 9, 2024

            WHITE TEETH

            Many people today have a significant focus on personal appearance. You might not think so from the way segments of…
            September 1, 2023

            MEDICAL NEWS BRIEFS NO. 5

            Cancer Among Younger Americans is Increasing    A study published on JAMA Network Open using data from the National Cancer…
            August 25, 2023

            WATER FLUORIDATION, CREST TOOTHPASTE

            There’s little or no disagreement with the statement that fluoridation of community drinking water supplies has been one of public…
            August 5, 2023

            MORE ABOUT SUGAR IN OUR DIET

            Recently, I reported information that certain amounts of sugar in our diet were tied directly to increased risk of a…
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