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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Dr. Pat Consults: What Vitamin B12 Can Do For You

November 11, 2013 by Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

Vitamin B12

By Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

“Could you explain why people become anemic when they don’t have enough B12 in their blood, and what supplements in general a woman my age should have been taking? Is there anything else I should have done to prevent this?”

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Sex Over 40

October 14, 2013 by Patricia Yarberry Allen, M.D. and Cecilia M. Ford, Ph.D.

Old Couple

By Patricia Yarberry Allen, M.D. and Cecilia M. Ford, Ph.D.

Learning the physical mechanics—and, more important, the emotional dynamic—involved in a sexual relationship can be a slow process. It takes self-confidence, knowledge of one’s own erotic needs, and the capacity and interest to please a partner in ways that only wisdom and years of sexual experience can bring to the bedroom.

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Dr. Pat Consults: Flu Shots for All!

October 7, 2013 by Patricia Yarberry Allen, M.D. and Jason S. Kendler, M.D.

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By Patricia Yarberry Allen, M.D. and Jason S. Kendler, M.D.

The Centers for Disease Control (CDC) does NOt preferentially recommend any specific vaccine over the others, but DOES recommend that EVERYONE 6 months of age and older (including pregnant women) receive a flu vaccination, unless there are medical reasons for not doing so.

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Dr. Pat Consults: “Does My Mother Have Alzheimer’s?”

September 30, 2013 by Dr. Pat Allen and Dr. Joseph Safdieh

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By Dr. Pat Allen and Dr. Joseph Safdieh

Once the diagnosis of dementia is established, it is important that the diagnosing physician rule out what we call “reversible causes.”

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Dr. Pat Consults: “Do I Need to Take a Statin?” (Part II—What Are the Side Effects?)

September 23, 2013 by Patricia Yarberry Allen, MD and Timothy C. Dutta, MD, FACC

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

A cardiologist reports: “I have noticed that patients seem to worry more about a statin’s side effects than they consider its benefits. Many patients wonder if taking a daily medicine, potentially for the rest of their life, is going to cause problems.”

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Dr. Pat Consults: “Do I Need to Take a Statin?”

September 16, 2013 by Patricia Yarberry Allen, MD and Timothy C. Dutta, MD, FACC

Medical Mondays 2

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

Aside from preventing a heart attack in the short run, statins also slow, or even stop, the gradual formation of plaque that narrows the coronary arteries over a span of decades. Since there is almost no chance of getting rid of plaque once it is there, why not get a head start on prevention by starting the medication earlier, before the plaque forms?

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Dr. Pat Consults: Diarrhea, Gastroenteritis, “the Stomach Bug”—When Should I See a Doctor?

August 26, 2013 by Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

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By Dr. Patricia Yarberry Allen and Dr. Brian Landzberg

This week, Dr. Pat Allen asks gastroenterologist Brian Landzberg to advise a patient who had to skip work for more than two weeks to deal with the diarrhea, exhaustion, and stomach cramps of “that thing that’s going around.”

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Dr. Pat Consults: Rosacea, That Embarrassing Midlife Affliction

August 19, 2013 by Dr. Monica Schadlow

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By Dr. Monica Schadlow

Rosacea is usually diagnosed in both men and women between the ages of 30 and 60. Although the cause of this skin disease has not been definitively proven, there are some effective treatments. But they take time.

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Dr. Pat Consults: The Heartbreak of Psoriasis

August 12, 2013 by Patricia Yarberry Allen, M.D., and Stephen A. Paget, FACP, FACR

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By Patricia Yarberry Allen, M.D., and Stephen A. Paget, FACP, FACR

Dr. Patricia Yarberry Allen is a collaborative physician. This week, during National Psoriasis Awareness Month, she consults with a renowned rheumatologist on behalf of a woman with a family history of psoriasis and crippling psoriatic arthritis.

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