"This blog was developed to provide medical updates that are important and have my perspective as additional insight."
Author: Douglas Lakin, M.D.
Born in Michigan, but raised in the Scottsdale/Paradise Valley area, Dr. Lakin earned his undergraduate degree at Arizona State University in 1983. Graduating first in his class of 6,000 as a Philosophy major in the Honor’s Program, he was the recipient of the Mouer Award for outstanding scholarship. He was the first person in the history of ASU to earn a coveted spot at The Johns Hopkins University School of Medicine in Baltimore, Maryland, entering in the fall of 1983.
Originally intending to become a medical research scientist, Dr. Lakin developed a greater interest in patient care. Inspired by his father, Dr. Mervyn Lakin and Sir William Osler, the founder of modern internal medicine and first Chief of Medicine at The Johns Hopkins Hospital, he focused on clinical medicineAfter completing his medical school training from Hopkins in 1987, Dr. Lakin performed his Internship and Residency in Internal medicine at the University of Iowa’s Hospitals and Clinics, among the premier Internal Medicine programs in the country. Dr. Lakin excelled to the highest levels of clinical scholarship, achieving among the highest scores in the country on his Internal Medicine Board Examinations.
With his training complete, Dr. Lakin joined his father in practice in 1990. Shortly thereafter, Dr. Lakin senior retired. Dr. Douglas Lakin continues his practice in the tradition of his excellent training, and provides the quality of patient care established by his father before him.
There have been very few documented cases of flu in Arizona and nationwide at this time. Last year, in 2010, by this time there were over 400 cases of documented flu….this year, only 5. This is a 99% decrease. That said, the flu will be here….just later. We have seen no cases of flu yet. …
Bird Flu (H5N1) has the potential to be a dangerous infection if it were to become readily transmissible to humans. In a recent study, researchers used genetic engineering to do just that….to make the flu germ more transmissible for purposes of their special studies of the virus. Given the potential danger of such a change …
Tekturna is a relatively new blood pressure medication from Novartis. It is used in select patients who otherwise may not tolerate or respond to other, more standard blood pressure medications. I have seen it used in these situations to general good effect, but it is only a handful of instances. A recent study in diabetic …
A recent study showed the benefits of Chlorthalidone, and old-time diuretic, in treated elevated blood pressure. Systolic hypertension (top number high blood pressure) is common as we age and often is difficult to treat adequately. Inexpensive diuretics are particularly good for this issue, but results may seem inadequate with little drop in the blood pressure …
Multaq is a newer medication for treating atrial fibrillation. It’s particular benefit is that it does not require a patient to go into the hospital for initiation of the medications, as many other medications in this category do require. A recent study showed that in patients on Multaq who did not ‘convert’ to normal rhythm, …
A recent article in the NY Times decries the use of computers and mobile devices in the care of patients, with the concern that patients are becoming ‘secondary’ to the interaction with the latest gadgetry. http://www.nytimes.com/2011/12/15/health/as-doctors-use-more-devices-potential-for-distraction-grows.html?_r=2 I know this is a struggle, as I’ve been using the computer in my exam rooms for years. It …
A recent study from Great Britain compared one-on-on nutrition counseling vs. commercial programs such as Weight Watchers or the British equivalent of “Jenny Craig”. It turns out that the commercial programs resulted in superior weight loss and were more effective. Obviously this is one of the most difficult areas for each of us to work …
A recent study reviewed the charts of over 140,000 people and determined that there is no evidence of increased heart attack risk with ADD and ADHD medications such as Ritalin and Adderall. This may seem like minor news, but it is a great reassurance. These medications are ‘stimulants’ and can have the effects similar to …
Good news for patients treated with hormone deprivation therapy for their prostate cancer…..There is no increase risk in heart disease rate from this treatment. This is an important finding and is documented in a 10-year follow-up study out of Sweden. There has been concern that removing male hormone effects, might have a negative effect on …
A new study in the journal Circulation, shows that improving exercise capacity helps you live longer, no matter what weight you are. This study confirms something that I’ve seen…..you can be fat and live long…if you exercise. That said, the opposite is true…..being fat (especially for men) will definitely shorten your life if you don’t …
Prozac is a very effective medication in helping with decreased mood, severe depression, and anxiety. Often these conditions accompany stressful life issues….like when someone has a heart attack. A recent study from Canada, involving 27.000 patients, showed that Prozac, and other SSRI (anti-depressant medications like Zoloft, Lexapro, etc….) and increase the risk of bleeding issues …
as ifokThe pharmaceutical industry has ‘reloaded’ Ambien in a quick acting form that dissolves in the mouth. This new dosing regimen is to be used for people who awaken in the middle of the night and cannot return to sleep. The medication is just an alternate dose and administration of Ambien. Although the data showed …
A recent study in Sweden showed that you can teach old dogs new tricks. The study involved clamping of the umbilical and asked the question: Why do we clamp the umbilical cord quickly after birth and is this a good thing? They did a small study, but it was quite convincing. It demonstrated better blood …
The FDA has denied Avastin and indication for breast cancer. This medication is used in other cancers and works by preventing growth of blood vessels to nourish the fast-growing cancer cells. Although this medication should, in theory, work in all solid tissue cancers, it appears to be less effective in some. Avastin has shown benefits …
A recent study from shows that prostate biopsy, a test done to confirm the diagnosis of prostate cancer and the PSA is elevated, has an increasing risk of serious infection and complications. Since 1996, the risk of significant problems from the procedure has doubled to 7%. This is something I’ve definitely observed over time and …