Healthcare Policy
    18 hours 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
    2 days 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
    3 days 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
    5 days 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
    7 days 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
    1 week 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
    1 week 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
    1 week 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
    2 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
    2 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
    2 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
    2 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
    2 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
    3 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
    3 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
    3 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
    3 weeks ago

    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
    3 weeks ago

    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
    4 weeks ago

    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…
    Bone & Joint Problems
    4 weeks ago

    HYALURONIC ACID

    Hyaluronic acid is the main ingredient in all those products that rheumatologists and orthopedic surgeons inject into the knees of…
    Drugs & Medications
    4 weeks ago

    DIRECT ORAL ANTICOAGULANTS (DOAC’S)

    Direct Oral Anticoagulants are a fairly new class of drugs used for the prevention of blood clots and subsequent strokes…
    Drugs & Medications
    4 weeks ago

    GLP-1’S AND POLYPHARMACY

    Five years ago I was on 13 different medications—13! That’s a lot of foreign substances to put into my body…
    Drugs & Medications
    April 20, 2026

    GLP-1’S AFFECTING WEIGHT LOSS BUSINESSES

    Here’s a point I hadn’t thought of (until now): the success of GLP-1 receptor agonists has profoundly affected the weight…
    Gastrointestinal Diseases
    April 17, 2026

    CONSTIPATION

    Constipation is a very common problem. Everyone has it at some time in their life, and in the majority of…
    Healthcare Policy
    April 16, 2026

    PROBLEMS WITH RESIDENCY MATCH PROGRAM

    I touched on it briefly in the “Residency ‘Match Day’” article, but a lot of shots are being taken at…

      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

        Drugs & Medications
        January 2, 2025

        MEDICAL NEWS BRIEFS #26

        Losing weight does not improve health. Really? Yes. Losing weight via GLP-1 receptor agonist drugs will improve your BMI (Body…
        Preventive Medicine
        January 11, 2022

        ALCOHOL AND ATRIAL FIBRILLATION

        We hear conflicting messages about alcohol all the time. Some people praise it’s medicinal virtues while others continually point out…
        Heart Disease
        September 17, 2020

        ATRIAL FIBRILLATION: Benefit of Early Rhythm Control

        In the past, the emphasis for treatment of Atrial Fibrillation focused on control of the heart rate. A rapid heart…
        Heart Disease
        June 25, 2020

        SYSTOLIC BLOOD PRESSURE AND HEART DISEASE

        We’ve known for decades that high blood pressure and heart disease go hand in hand. The higher a patient’s blood…
        Heart Disease
        September 21, 2023

        WOMEN WITH ATRIAL FIBRILLATION MORE LIKELY TO EXPERIENCE COGNITIVE IMPAIRMENT THAN MEN

        As I’ve reported before, it seems like atrial fibrillation exists in epidemic proportion. If you don’t know someone who has…
        Heart Disease
        May 6, 2019

        CHOLESTEROL TREATMENT GUIDELINES: Latest Info

        AHA vs. USPSTF Both the American Heart Association (AHA) and the United States Preventive Services Task Force (USPSTF) issue guidelines…
        Heart Disease
        January 2, 2021

        HYPERTENSION AFFECTS COGNITIVE PERFORMANCE

        An article I read today had some disturbing information about hypertension and the effect it has on memory, verbal expression,…
        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…
        Drugs & Medications
        August 6, 2025

        POST MI BETA BLOCKERS QUESTIONED

        For many years, doctors have been told that patients who suffered an acute myocardial infarction, a heart attack, were all…
        Drugs & Medications
        March 28, 2022

        TYLENOL AND BLOOD PRESSURE: THERE’S MORE THAN MEETS THE EYE!

        Most people think of Tylenol (acetaminophen) as a safe drug. They substitute if for aspirin because they are continually reminded…
        Drugs & Medications
        June 5, 2024

        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…
        Preventive Medicine
        September 6, 2022

        LET’S PUT STATINS IN THE WATER!

        I have written 7 blogs about statins, and I suspect you’re beginning to tire of my persistence. I love statins!…
        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.…
        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,…
        Heart Disease
        August 11, 2025

        STABLE CHEST PAIN? CCTA IS YOUR ANSWER

        The information that follows may be as important as any previously reported here! I’m referring to a 2021 recommendation from…
        Preventive Medicine
        May 16, 2022

        ASPIRIN NOW OK FOR PRIMARY PREVENTION!

        Two years ago, the United States Preventive Services Task Force (USPSTF), the agency of record for preventive health care recommendations,…
        Heart Disease
        October 14, 2024

        WHAT DO I DO ABOUT PALPITATIONS?

        As unsettling as they may be, palpitations aren’t necessarily a bad thing! Palpitation is the common term applied to that…
        Heart Disease
        August 21, 2020

        ATRIAL FIBRILLATION: Does it affect Length of life?

        That question and several others were answered recently by information reported in a study reported in the British Medical Journal…
        Heart Disease
        2 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
        August 7, 2025

        ARE YOU AT RISK FOR ATRIAL FIBRILLATION?

        At my age, most of my friends and acquaintances have, or have had, Atrial Fibrillation! It is the most common…
        Heart Disease
        February 20, 2026

        FINDING HEART DISEASE BEFORE IT’S TOO LATE!

        Many years ago, I was troubled by a situation involving a man in his 30’s who had every indication he…
        Heart Disease
        March 26, 2026

        MANAGEMENT OF ATRIAL FIBRILLATION

        The American College of Cardiology and the American Heart Association, the two largest organizations dedicated to the prevention and treatment…
        Heart Disease
        August 11, 2022

        SWOLLEN LEGS: NO SIMPLE ANSWER!

        It’s fairly common for a person over age 65 to, at some time, experience swelling of one or both legs.…
        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…
        Drugs & Medications
        November 6, 2025

        POST-MI BETA BLOCKER USE SHOULD CEASE

        On August 6, 2025, DrGOpines.com posted an article titled “Post-MI Beta Blockers Questioned.” In it, the routine prescribing of Beta…

        DAY-IN-THE-LIFE SCENARIOS

          A Day in the Life Scenarios
          5 days 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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