College First Aid Kit

Happy Fall 2015! I disappeared for the summer, as I finished writing the second edition of my first book (Seductive Delusions), as well as a series of medical articles for Livestrong.org. Since all of my patients are current college students, I thought I would share a series of posts about common health issues for otherwise healthy young adults. Pictured above is my favorite personalized gift for graduating high school seniors- a first aid kit, complete with my instructions for “when and how to use what” to feel better.

Let’s start with one very basic item that is … Read more

An Altitude Adjustment

Going skiing for winter break? Mountains are my favorite destination, but…please remember that the high altitude can come with a couple medical challenges. First of all, don’t be fooled that cool weather means no sunburns! Check out this blog on sunscreen so you don’t end up with a high altitude burn. Secondly, be aware of signs and symptoms of “mountain sickness” (aka. altitude sickness).

HOW HIGH do you have to be for altitude sickness?
There is not a set elevation for typical mountain vacations that affects everyone. Symptoms are uncommon at altitudes below 5000 feet above sea level, and fairly … Read more

Can’t Sleep? You’re Not Alone…

One in ten American adults have suffer from insomnia (defined as inability to adequately sleep for at least fourteen consecutive nights). Whether it is trouble with falling asleep or difficulty staying asleep (waking up either multiple times or simply way too early), this lack of restorative sleep leads to more than simply daytime fatigue. Sleep deprivation causes trouble with concentration and memory, irritability and other mood disturbances, and actually can lead to higher rates of infection, diabetes, heart disease, and cancers. As such, I’m going to spend the next several blog entries talking about insomnia issues and solutions.

While some … Read more

Hormones: Should We Take Them or Not?

Hormone replacement therapy (HRT) for menopausal women has been back in the news. In medicine, we’ve swung from placing virtually every post-menopausal woman on estrogen to barely allowing even the most miserable, hot-flashing, night-sweating woman to have any (after the Women’s Health Initiative- WHI). What’s the answer? Is estrogen safe or not?

As always, the devil is in the details. The WHI never said that we shouldn’t be using estrogen (and progesterone) for women who had menopausal symptoms (such as hot flashes and night sweats). In fact, this is an excellent use of estrogen, and physicians and patients need … Read more