A PATIENT ASKS…WHICH FLU SHOT TO GET? OVER 65 IT’S THE HIGH DOSE, TRIVALENT

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Dr Lakin, I read about new types of flu shots.  What do you recommend for me? Ivy   Dear Ivy; It used to be simple to get the flu shot…there was only one type and everyone was to get the same one.  Now, there are multiple options and it’s a bit confusing, so I’d like …

LINZESS….A NEW MEDICATION FOR CONSTIPATION AND IBS

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Linzess (linaclotide) is a new medication for chronic constipation that has a unique mechanism of action.    It binds for receptor sites on the cells lining the intestine, causing and increase in secretion of minerals and chemicals from those cells that result in more fluid entering the bowel, and thus enhancing the bowel movement ….making …

CHANTIX IS GIVEN THE NOD

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Chantix (varenicline) is a great ‘stop smoking’ medication.  It works by stimulating nicotine receptors in the brain, but it was given a black-eye when there were concerns that it caused suicidal thoughts in people and might worsen depression in those who are susceptible. Now, a new study, shows this medication to be safe, and that …

TAKE 100 ASPIRIN AND CALL ME NEXT YEAR

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Should you take an aspirin daily to prevent strokes and heart attacks?  That question seems simple enough, and based on general comments you might think it is a good idea, but the scientific data on daily aspirin remains mixed. Yes….aspirin prevents many heart attacks and strokes, but it does have side effects that are significant.  …

GET YOUR COLONOSCOPY ON….OR AT LEAST CHECK THE BOWELS FOR MICROSCOPIC BLOOD

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Two large studies have shown that screening for colon cancer is an effective tool in reducing your risk for dying from colon cancer.  Both articles appeared in the respected New England Journal of Medicine. One study looked at colonoscopy, and found a 70% reduction in your chances of dying from colon cancer.  A second study …

PARKINSON’S PATIENTS……LISTEN UP!

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Actually….talk up. There is a great new project by MIT students to develop a diagnostic test for Parkinson’s disease using voice pattern recognition. It turns out that the nervous system control of the vocal cords has a strong correlation with nervous system changes, and the students at MIT are in the process of perfecting this …

DO YOU HAVE CRS? DOES IT MATTER?

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What is CRS? Well…it’s not a scientific term….it stands for “CAN’T REMEMBER SQUAT” …and is shorthand for the memory issues that develop as we get older. Memory issues develop as young as 40 years-old, with the latest research showing that the 40+ brain is in decline as regards memory, and this is 10-20 years earlier …

WHY DID YOU DO THAT TO GEORGE WASHINGTON?

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Patients sometimes say to me….” I like to stay away from the doctor”…in such a way that they don’t want to offend me, but just to let me know.  My answer is often….”Yes….we killed George Washington…among other great moves.” In fact, historians do note that blood-letting, common in the age of Washington, was used to …

BRAIN CHEMISTRY BECOMING INCREASINGLY CLEAR IN DEPRESSION

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Eric Kandel’s article in the New York Times this week, echoes the comments made in by Dr. Jim Schulte in our recent conversation on psychiatry (<<<SEE THE VIDEO HERE>>>) The chemistry of the brain, as complex as it is, is becoming increasingly understandable with the use of fMRI (this stands for functional MRI….a type of …

I’LL TELL YOU WHAT YOU DON’T HAVE…WILL THAT DO?

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Chest pain is among the most common symptoms that brings patients in to the Internist.  It’s obvious why this is such a concern….we all know this can be a sign of heart disease and ignoring such symptoms can lead to severe consequences, including sudden death. But….most of the time, chest pains are not related to …

LISTEN UP….E CIGARETTES…A CURIOSITY AND PROBABLY A HEALTH CONCERN

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The new E- cigarettes use a vaporization technique with water to deliver nicotine and flavored substances without smoke.  It sounds like a good idea in ways:  eliminate the over 1000 chemicals in smoke and you will prevent lung cancer and other lung injuries.  But it’s not clear just how safe these E-cigarettes are. I actually …

HOW DO I KNOW……’THAT FAMOUS OLD INTERNET GUY?’

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Art H has been a patient for a long time and he’s 80.  He’s known as ‘the oldest guy playing hockey’ or at least one  of the oldest, and he’s a legend to some. Art’s engagement in life is what keeps him young.  He recognizes he’s growing older but does not let that stop him …