"This blog was developed to provide medical updates that are important and have my perspective as additional insight."
In the past, the total PSA value over 4.0 was considered suggestive of prostate cancer. Subsequent experience has shown this to be inadequate as an absolute cut-off. Among the ways we have changed our analysis of the PSA is looking at PSA velocity (change of PSA over time) with a rise in PSA over 0.5 …
Read More “PSA….CONTROVERSIAL, BUT STILL WORTHWHILE WHEN USED WITH PERSPECTIVE”
A new large prospective study has cleared the use of Plavix & PPI medications (Prilosec, Protonix, Aciphex, Nexium, Dexilent). This is a reassuring finding and means that there is no need to worry or adjust medication for patients with stents who also require treatment for GERD. This issue has been a hot topic of late …
Read More “PLAVIX FOUND SAFE WITH PRILOSEC AND SIMILAR MEDICATIONS”
Coumadin may be a thing of the past….but not just yet. A recent study in the New England Journal of Medicine, looked at Apixaban (a medication like Pradaxa…the new Coumadin replacement). The new Coumadin-replacement was superior to aspirin in preventing stroke, and had a similar safety profile after 1 year of study in 5000 patients. …
Dizziness is commonplace and when persistently bothersome or severe, leads patients to see the doctor or go to the emergency room. I see approximately 2-3 people each week of the year with this complaint and fortunately it is rarely a sign of something serious. A recent study of 30,000 patients with this symptom, who presented …