Dr. Pat Consults: “Fatty Liver”—What Causes It? How Is It Treated?

July 28, 2014 by Brian Landzberg, M.D.

liver

By Brian Landzberg, M.D.

“Is it true that the fatty liver I have can cause cirrhosis or liver cancer as well? How does weight cause the liver to fail?”

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Dr. Pat Consults: Lower-Back Pain—Searching for the Specific Cause

June 30, 2014 by Patricia Yarberry Allen, MD Dr. James F. Wyss, MD, PT

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By Dr. James F. Wyss, MD, PT

Most patients describe their MRI findings of the lumbar spine—“I have a disc bulge, stenosis, and arthritis of the spine”—but they usually don’t know if any of these findings is responsible for their pain.

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Dr. Pat Consults: Lady Sings the Blues, but Is She Depressed?

June 23, 2014 by Marianne Marianne Gillow, MD

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By Marianne Gillow, MD

If you’re in trouble [with persistent feelings of sadness], consider your constellation of symptoms. If you have certain Target Symptoms, you stand a very good chance of receiving benefit from antidepressants.

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Dr. Pat Consults: Sun Damage to the Skin—Can It Be Reversed?

June 16, 2014 by Dr. Monica Schadlow

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By Dr. Monica Schadlow

“I am willing to do whatever I have to do to restore my complexion. What can I do to get rid of the red patches, the broken blood vessels, the lines and wrinkles? Where do I begin?”

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Dr. Pat Consults: Interpreting the New Cholesterol Guidelines—Who Should Be On a Statin?

June 9, 2014 by Patricia Yarberry Allen, MD and Timothy C. Dutta, MD, FACC

Statin-medicines

By Patricia Yarberry Allen, MD and Timothy C. Dutta, MD, FACC

Are statins cholesterol-lowering drugs or heart-attack-prevention drugs? A cardiologist explains.

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Dr. Pat Consults: A Primer on Shoulder-Replacement Therapy

June 2, 2014 by Patricia Yarberry Allen, MD Dr. James F. Wyss, MD, PT

TSR-osteoarthritis

By Dr. James F. Wyss, MD, PT

“It seems to me that lots of women I know in their 40s and 50s are having serious shoulder problems. Does hormonal change have an impact on this, or is it just age and bad luck?”

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Dr. Pat Consults: Hepatitis C—Causes, Transmission, Treatment, Vaccines

May 12, 2014 by Jason S. Kendler

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By Dr. Jason Kendler

I was told that I had hepatitis C. The bad news is that my liver has been badly damaged, and if I had been tested years ago I could have been treated with drugs, which might have prevented the serious liver problem I have now.

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Dr. Pat Consults: Knee Pain—Causes and Treatment Options

May 5, 2014 by Patricia Yarberry Allen, MD Dr. James F. Wyss, MD, PT

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By Dr. James F. Wyss, MD, PT

“An orthopedist told me I needed bilateral knee replacements because I have ‘bone on bone’ in my knees. Why didn’t someone tell me that my lifelong interest in athletics and then in running would cause this kind of serious problem?”

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Dr. Pat Consults: Irritable Bowel Syndrome—Diagnosis and Management

April 28, 2014 by Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

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Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

I have had a diagnosis of irritable bowel syndrome. My GP basically told me to have more fiber, drink more water, and take more time in the bathroom . . . and this is not working. Are there recommendations for diagnosis or treatment that I should discuss with my doctor?

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Dr. Pat Consults: Eating Disorders in Midlife

March 31, 2014 by Dr. Patricia Yarberry Allen and Megan Riddle, Ph.D., M.S

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By Dr. Patricia Yarberry Allen and Megan Riddle, Ph.D., M.S

This month—National Nutrition Month—Dr. Pat asks Megan Riddle, Ph.D., a new member of our Medical Advisory Board, how someone could open a conversation with a middle-aged colleague who is suffering from anorexia nervosa, the deadliest of all mental health disorders.

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Gas and Other Bowel Problems: Can Probiotics Help? (Dr. Pat Consults)

March 17, 2014 by Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

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By Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

The good news is that probiotics are extremely unlikely to cause harm, so serially trying a few which have been effective in the practitioner’s experience is worthwhile.

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New High Blood Pressure Guidelines: Can I Trust Them? (Dr. Pat Consults)

January 27, 2014 by Patricia Yarberry Allen, MD and Timothy C. Dutta, MD, FACC

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By Patricia Yarberry Allen, MD and Timothy C. Dutta, MD, FACC

A cardiologist discusses three changes recommended in the new guidelines on management of high blood pressure: (1) a more lenient goal for patients older than age 60; (2) elimination of the category called “pre-hypertension”; and (3) the removal of a class of blood pressure drugs called beta blockers from the list of first-line agents.

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Cognitive Health Plan: Exercise and Food for Brain Health (Dr. Pat Consults)

January 20, 2014 by Dr. Patricia Yarberry Allen and Dr. Richard S. Isaacson

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By Dr. Patricia Yarberry Allen and Dr. Richard S. Isaacson

Several recent studies have shown the positive benefits of physical activity (from regular exercise to household chores) in possibly reducing the risk of Alzheimer’s and mental decline, even in people older than age 80.

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Cervical Cancer Prevention: Pap Smears and HPV

January 13, 2014 by Patricia Yarberry Allen, M.D. and Monica Prasad Hayes, M.D.

Medical Mondays 2

By Patricia Yarberry Allen, M.D. and Monica Prasad Hayes, M.D.

The patient’s concern: ” Is this new world of women’s health not only impersonal, but—my greatest concern—are these new screening guidelines safe, or will we find out in 10 years that infrequent Pap smears have led to an epidemic of cervical cancer?

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Dr. Pat Consults: How Not to Care for Red, Cracked Skin

November 18, 2013 by Patricia Yarberry Allen, M.D. and Monica B. Schadlow, M.D.

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By Patricia Yarberry Allen, M.D. and Monica B. Schadlow, M.D.

“Together, your genetic makeup and the change in hormones after menopause are a setup for easily irritated skin. Add a retinoid and cold, dry weather and you have a perfect storm of factors leading to the condition you describe [red, dry, cracked skin].”

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