Primary Care
January 11, 2015
Annual “Physical” Without Value? I Think Not.
Dr. Ezekiel Emanuel just wrote a piece in the NY Times declaring the annual physical a waste of time and money. I contend he is wildly off base and his view is harmful to primary care.
January 11, 2015
Easy Way to Irrigate Congested Nose
You can readily irrigate your nose by leaning back in the shower and breathing in.
January 11, 2015
Tanning Beds Are Stupid and Dangerous
Tanning salons provide intense UV radiation that ages your skin and induces deadly skin cancers. How stupid to pay to seriously damage yourself.
December 10, 2014
Short, Intensive Exercise Looks Promising
Studies in exercise physiology may teach us more effective and efficient ways to exercise for our health. I intend to look carefully into this area.
November 30, 2014
Sore Feet
Aging feet have less padding and are more likely to become sore if you walk on hard surfaces. Highly resilient replacement shoe insoles can help substantially.
November 23, 2014
Comfortable Beds
Good beds make a good night's sleep. The essence is a firm underneath in the mattress with a soft and resilient top. That can be accomplished relatively inexpensively with certain mattresses and foam or polyester toppers. Getting a mattress that requires a mortgage is not necessary nor superior.
April 2, 2014
Mammography: More “Guidance” But No Clarity
New review of mammography in JAMA explores our lack of coherent or easily applied decision-making about the benefits and risks of the test and whether and when women should undergo screening mammograms
February 8, 2014
Why I Didn’t Give You a Z-pak for Your “Sinus Infection”
Antibiotics do not kill viruses. Most common winter "sinus infections" are really viral infections that are not helped by a Zpak. I explain the criteria we use to determine when to give you an antibiotic for a nasopharyngitis-tracheitis syndrome.
February 8, 2014
Hypertension Guidelines: Less Pressure to Treat?
Recent hypertension guidelines by the ACC/AHA substantially relax treatment standards. I explain why I disagree with the changes, as do various other professional groups. Here's the short story.
February 8, 2014
Osteoporosis Screening and Treatment
Hip and spine fractures caused by osteoporosis are serious. We can detect and treat osteoporosis safely and effectively. Here's a quick update.
January 8, 2014
Vitamins Do Not Prevent Cancer or Heart Disease
Last month the USPS Task Force released a comprehensive analysis of studies that looked at possible benefits of vitamins and vitamin/mineral combinations in reducing cancer and preventing heart disease. The report reiterated that they found no evidence that vitamins helped either class of disease.
January 7, 2014
Everyone Who’s Fat Eats Too Much
We all can use practical help to maintain our weight. Many of us need a sustained plan to attain a proper body weight and avoid the adverse health consequences of diabetes, high blood pressure, and heart disease that frequently accompany overweight. Dr. Kanner's short slide show has been helpful to many of his patients since…