tag:blogger.com,1999:blog-59238985850325168372024-03-14T11:06:37.264-04:00Family Practice PearlsTips and stories for surviving as a Family DoctorDavid Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.comBlogger105125tag:blogger.com,1999:blog-5923898585032516837.post-84995280171410132322020-12-11T09:41:00.000-05:002020-12-11T14:18:17.061-05:00Algorithms for Low Back Pain<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcyXuMuuP07TYZCC28jDRysDpGY4pe-fOx9LphYelH4cT5yQcDymSP5QzOpoqQCL2EFqIFfPkVuqz4THuPzi95Ho4TlcrgrqBt5J08Pwfsjxvo7SUTL-KTZmi-0WX-o0F9N9czBkZq9bpo/s1600/Screen+Shot+2015-08-07+at+8.37.17+AM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="478" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcyXuMuuP07TYZCC28jDRysDpGY4pe-fOx9LphYelH4cT5yQcDymSP5QzOpoqQCL2EFqIFfPkVuqz4THuPzi95Ho4TlcrgrqBt5J08Pwfsjxvo7SUTL-KTZmi-0WX-o0F9N9czBkZq9bpo/s640/Screen+Shot+2015-08-07+at+8.37.17+AM.png" width="640" /></a></div>
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Here are the lecture handouts for the FAFP Low Back Pain lecture. Enjoy! Click on the following links to download high quality PDF files for <a href="https://www.dropbox.com/s/hu8vbkidpeyw28p/Acute%20Back%20Pain%20algorithm.pdf?dl=0" target="_blank">Acute Back Pain</a> and <a href="https://www.dropbox.com/s/o1dpfi619nhx7xp/Chronic%20Low%20Back%20Pain.pdf?dl=0" target="_blank">Chronic Back Pain</a> and <a href="https://www.dropbox.com/s/b87cpowy2ngn8qy/Back%20Radiculopathy%20Chart.pdf?dl=0" target="_blank">Radiculopathy Chart</a>.David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com1tag:blogger.com,1999:blog-5923898585032516837.post-60771938766096172792019-05-04T16:27:00.003-04:002019-05-04T16:36:37.375-04:002019 Hypertension Medication Chart<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjW_ETxuq3eldZ-cREHA0hHwCpSJMPfNT200nDhLxM50TD_Lhs_1wFwA52o92IUUDxWn80yFI_j50K0xLKlw4Zwc32TvIUHk3zvi69gxs7qWZGmHlydEOenvCySIvKiUkMwmjrbJMm2ZdHd/s1600/Screen+Shot+2019-05-04+at+4.26.11+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1164" data-original-width="1506" height="492" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjW_ETxuq3eldZ-cREHA0hHwCpSJMPfNT200nDhLxM50TD_Lhs_1wFwA52o92IUUDxWn80yFI_j50K0xLKlw4Zwc32TvIUHk3zvi69gxs7qWZGmHlydEOenvCySIvKiUkMwmjrbJMm2ZdHd/s640/Screen+Shot+2019-05-04+at+4.26.11+PM.png" width="640" /></a></div>
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This chart is based on the 2017 AHA/ACC guidelines. <a href="https://www.dropbox.com/s/3hzk3j0o6nxd2z3/2019%20Hypertension%20Chart.pdf?dl=0">Click here</a> to download the PDF file. Enjoy!</div>
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com2tag:blogger.com,1999:blog-5923898585032516837.post-85655758028765600152016-06-28T08:13:00.003-04:002018-07-02T05:36:35.680-04:00Controlled Medication Agreements<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9t_P1X06EDT0CTWwzhXFuXtFKaVN7rfv6ZLEJIrmC6iX6K2DW9T5Y3wmD_aHIe-iPBymUsiG5aCB6OT0Rc3jkS7eYCTcLIAwfP17-ddNM0iqxbkvGFB8-dRbxrg5AqGiXLmBvddaRcPbL/s1600/Screen+Shot+2016-06-28+at+7.58.12+AM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9t_P1X06EDT0CTWwzhXFuXtFKaVN7rfv6ZLEJIrmC6iX6K2DW9T5Y3wmD_aHIe-iPBymUsiG5aCB6OT0Rc3jkS7eYCTcLIAwfP17-ddNM0iqxbkvGFB8-dRbxrg5AqGiXLmBvddaRcPbL/s640/Screen+Shot+2016-06-28+at+7.58.12+AM.png" width="500" /></a></div>
Controlled Medication Agreements for controlled substances are an important part of pain management. For the patient, they offer informed consent on the dangers of longterm opioid therapy and clearly explain the expectations and monitoring requirements of the practice. For the physician, they can offer significant legal protection. This document is offered for educational purposes only and is provided "as is". It is not intended to provide any legal advice or supplement legal counsel. Before initiating any agreement within your practice, I would run your your agreement by a pain medicine specialist and a lawyer. <a href="https://www.dropbox.com/s/gwprtxrytcmywar/Controlled%20Medication%20Agreement.pdf?dl=0" target="_blank">Click here to download a PDF version</a> of this document. Best wishes!David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com1tag:blogger.com,1999:blog-5923898585032516837.post-430203841547746622015-12-07T20:39:00.002-05:002015-12-07T20:39:51.136-05:00COOL MEDICAL APPS (REVISITED)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2ryLEV1LXdTN1ggj3r1vfLnWlZ20TKSiSrZ_75thFnj85ohJM_j9o86PGOZd2B5T4ZzzOi-DZWapv4xnTvbKli_ByFo8tX5M6-rpCUCWT6qvPBtywfJhXo6sE8nzMsv-SFwXJirxETQll/s1600/Screen+Shot+2015-12-07+at+8.36.27+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2ryLEV1LXdTN1ggj3r1vfLnWlZ20TKSiSrZ_75thFnj85ohJM_j9o86PGOZd2B5T4ZzzOi-DZWapv4xnTvbKli_ByFo8tX5M6-rpCUCWT6qvPBtywfJhXo6sE8nzMsv-SFwXJirxETQll/s1600/Screen+Shot+2015-12-07+at+8.36.27+PM.png" /></a></div>
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It's almost impossible to practice medicine now without using technology. <a href="https://dl.dropboxusercontent.com/u/5108048/2015%20Apps%20Handout.pdf" target="_blank">CLICK HERE</a> for a small PDF file with working links! This file is a compendium to a lecture that I gave on Technology and Medicine at the 2015 FAFP Winter Conference. Enjoy! (DISCLOSURE: I have <i>no</i> financial relationship with and of these companies, and I have personally bought every single one of these iOS apps myself—unless, of course, they offer it FREE!)David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-4132905370218869802014-05-10T19:44:00.000-04:002014-05-10T20:04:05.820-04:00REVIEW: PhoneSoap UV Sanitizer and Universal Charger<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEin9g2Tno0vH9LMtykyRUJD1dOcfZ0JRv18NaQdBQHXYnG4u1lM9JUsga6gv0ScGFTrQbhP0iGRQmiyLlgXOBM2HGxceTyAnv4Z-_Oubk67D0v5fbxBZBw_2k-c0eQtofhoMHTlHc3L_RDV/s1600/EscherichiaColi_NIAID.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEin9g2Tno0vH9LMtykyRUJD1dOcfZ0JRv18NaQdBQHXYnG4u1lM9JUsga6gv0ScGFTrQbhP0iGRQmiyLlgXOBM2HGxceTyAnv4Z-_Oubk67D0v5fbxBZBw_2k-c0eQtofhoMHTlHc3L_RDV/s1600/EscherichiaColi_NIAID.jpg" height="336" width="400" /></a></div>
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<span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">As a hospitalist, the amount of horrific infections that I see everyday is enough to make a person hide underneath a bed and never want to interact with humankind again. MRSA, H1N1, vancomycin resistant enterococcus, C. diff, and pseudomonas—just to name a few. My job is surrounded with the nasty, oozy, crusty, feculent foulness of human sickness and decay! </span><br />
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<span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">To combat this virulence, I diligently wash my hands, use antiseptic foam, and sanitize my stethoscope obsessively so that I don't spread these microbial minions to other patients or bring those nasty gremlins home to my family. But what about my cell phone? There have been some reports from the </span><a href="http://online.wsj.com/news/articles/SB10000872396390444868204578064960544587522?mod=e2tw&mg=reno64-wsj&url=http%3A%2F%2Fonline.wsj.com%2Farticle%2FSB10000872396390444868204578064960544587522.html%3Fmod%3De2tw" style="font-family: verdana, arial, helvetica, sans-serif;" target="_blank">Wall Street Journal</a><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;"> that our phones are a bacteriological house party. Does that prove cause and effect? Not really. But am I going to wait for a double blind, placebo controlled study? Ummmm... No. </span><br />
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<span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">So a couple of months ago, I bought this interesting </span><a href="http://www.amazon.com/PhoneSoap-Charger-White-Sanitizer-Universal/product-reviews/B00H2IKY1I/ref=dpx_acr_txt?showViewpoints=1" style="font-family: verdana, arial, helvetica, sans-serif;" target="_blank">UV sanitizer from Amazon</a><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;"> call the PhoneSoap UV Sanitizer and Universal Charger: </span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8KcBJWQzi2JJRqcv4uUVUWO2MnjBrHR9IfvIqxATPhsBFEpHZk-HFlqWS-rLEozxGrOukjqZMrmCuL2FZACsnUaVvZLlp2_cOiJLf2aqzt8DdeH62_a_pFU2aUa9w_78Sbv5OuiEnt0YK/s1600/PhoneSoao.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8KcBJWQzi2JJRqcv4uUVUWO2MnjBrHR9IfvIqxATPhsBFEpHZk-HFlqWS-rLEozxGrOukjqZMrmCuL2FZACsnUaVvZLlp2_cOiJLf2aqzt8DdeH62_a_pFU2aUa9w_78Sbv5OuiEnt0YK/s1600/PhoneSoao.jpg" height="368" width="400" /></a></div>
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<span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">Before I bought this UV sanitizer, I was using alcohol wipes. But who knows what damage that was doing to my iPhone over time. Now with this gadget, I can FRY, FRY, FRY! those germs and still have a working PDA!</span><br />
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<span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">So does this thing really work? Well... who knows? Without taking cultures from hundreds of phones before and after the "treatment", it would be impossible to definitively know for sure. BUT this much I do know:</span><br />
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<li><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">UV light is HIGHLY DESTRUCTIVE to the DNA of bacteria and viruses and fungi. When I worked in a research lab, we used UV lights in our sterile hood all the time to zap away all the baddies. UV light works!</span></li>
<li><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">The UV lights in this unit seem powerful! I actually have to remove the plastic case from my iPhone because the UV radiation was actually BURING the case!—just think what it must be doing to the germs! Note that the UV sanitizer appears to be perfectly safe for my iPhone and other plastic gadgets (i.e. no frying or burning smell). Not sure why my iPhone case reacted that way, but it was kind of cool (and weirdly reassuring) to know that the UV light was able to do that.</span></li>
<li><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">There is a light element on both the top and bottom of the unit so that it completely bathes my phone and other small gadgets in the beautiful glow of non-ionizing radiation.</span></li>
<li><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">My FitBit One also fits inside the case so I can sanitize my iPhone 5 and Fitbit One at the same time.</span></li>
<li><span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">The unit automatically turns on when closed and shuts off when open. That's good because I would not want to subject my retinas to UV light. Also there is a timer that automatically shut off the light after a few minutes.</span></li>
<li><span style="font-family: verdana, arial, helvetica, sans-serif;">Unfortunately, the unit is too short to fit my watch (which, I suspect, is another harbor of grossness).</span></li>
<li><span style="font-family: verdana, arial, helvetica, sans-serif;">You need to supply your own charger. The cord tucks neatly into the side.</span></li>
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<span style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">So in summary, I love how this UV sanitizer brings me some small peace of mind. My kids use my cellphone all the time, and the last thing that I want is for them to pick up a nasty infection from the hospital. So a message of doom to you microscopic legions of pestilence and woe, be ready to meet your Maker! DIE A HUNDRED DNA-FRYING DEATHS!!!! DIE!!! DIE!!!! DIEEEEE!!!! </span><i style="background-color: white; font-family: verdana, arial, helvetica, sans-serif;">(Insert bug zapper sound effect here... Also insert funny look from my wife).</i><br />
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<span style="font-family: verdana, arial, helvetica, sans-serif;"><i>NOTE: I'm not getting paid for writing this review, I don't work for the company. and I didn't get a free sanitizer (oh how I wish!). I'm only writing this review because I want to make the world a better place... one cellphone at a time.</i></span>David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com6tag:blogger.com,1999:blog-5923898585032516837.post-17995942848826091732014-03-02T20:08:00.001-05:002014-07-03T06:18:23.613-04:00RED FLAG FRIDAY: Don't Blow Off Anemia<div class="separator" style="clear: both; text-align: center;">
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In a population-based study, 9 percent of adults older than 65 years with iron deficiency anemia had gastrointestinal cancer. Yikes! I know, nine percent doesn't sound like a lot. But think about how many geriatric patients we see each year with anemia! In fact, older adults with anemia had gastrointestinal cancer 31 times as often as adults without anemia. (REFERENCE: Ioannou GN. Am J Med 2002;113:276-80).
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com4tag:blogger.com,1999:blog-5923898585032516837.post-19824907855419079442013-07-19T05:56:00.000-04:002013-07-19T05:58:21.272-04:00Diagnosing Dizziness<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVN-757XAoDnqYRfGPKyD6AObJNJVff3tWpBWrqIMXLb4NusGHSP_gm3u7xi4v6_WRhEtIjx9ufhTpKFdCirKvPTtF8QEpMTGrPLBxInFUmzNn-24sJCG6a5KXicICh4pxMkD9bnFkGxYz/s1600/Screen+Shot+2013-07-19+at+5.55.01+AM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVN-757XAoDnqYRfGPKyD6AObJNJVff3tWpBWrqIMXLb4NusGHSP_gm3u7xi4v6_WRhEtIjx9ufhTpKFdCirKvPTtF8QEpMTGrPLBxInFUmzNn-24sJCG6a5KXicICh4pxMkD9bnFkGxYz/s1600/Screen+Shot+2013-07-19+at+5.55.01+AM.png" height="522" width="640" /></a></div>
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Since dizziness can be cause by anything from BPPV to brain tumor, diagnosing the cause of dizziness can be a hugh challenge! This is an algorithm (or map) that I made to help simply the process. Hope it helps! A <i>much</i> higher quality PDF version of this algorithm is available <a href="https://dl.dropboxusercontent.com/u/5108048/Dizzy%20Algorithm.pdf" target="_blank">by clicking here</a>.David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com7tag:blogger.com,1999:blog-5923898585032516837.post-32626410905173063272012-12-29T07:22:00.003-05:002012-12-29T07:25:00.169-05:00Physician Heal Thyself<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBnQ0XI9LvYop5k-aSxQazXaGejbYq3JUTLmxpOAHZ0tppVHcQMNg8ftq_P9QZYPKsPfCjsIEOqaGGdxDzoKQu68RK2JWfwg_iiyWDzcwL49ILjzP4jW2sRXaqcn1bswx5Zxgf7SdhrwrK/s1600/Yawning+Man.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBnQ0XI9LvYop5k-aSxQazXaGejbYq3JUTLmxpOAHZ0tppVHcQMNg8ftq_P9QZYPKsPfCjsIEOqaGGdxDzoKQu68RK2JWfwg_iiyWDzcwL49ILjzP4jW2sRXaqcn1bswx5Zxgf7SdhrwrK/s1600/Yawning+Man.jpg" width="290" /></a></div>
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Let's face it, as physicians, we make the <u>worst</u> patients! <i>I don't have high blood pressure! Eh, I'll go on a statin next year. My blood sugar isn't that high! Let me put off my colonoscopy until next year.</i> And I'm not any better! For years I was struggling with fatigue. I blamed it on everything else outside of me—<i>my job is too stressful, I have to wake up too early, I was on call, etc.</i> And for years, my wife kept urging me to get a sleep test. <i>There's no way </i><i>I have sleep apnea,</i><i> </i>I reasoned to myself,<i> I'm not overweight, I exercise daily, and I don't snore (at least not that badly). </i>Finally, when I could take the fatigue no longer, I acquiesced and got my sleep test done. After the test was over, I felt stupid! <i>There's no way I have sleep apnea! What a complete waste of time! There goes a hugh deductible thrown out the window. </i>The next day, the result came back: I stopped breathing over 80 times that night!<br />
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Wow!<br />
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Yet, in a way, I was totally relieved! There was a possible <i>cure</i> for my fatigue. The first night I started using the CPAP machine, my brain started making up for years of lost sleep!—I had a crazy and vivid dream about standing on an cliff beside a frothing ocean teaming with sharks.<i> It was so cool! </i>That's when I realized that this was my first dream in years! YEARS!<br />
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Now I'll admit it... Using a CPAP machine is not the world's sexiest thing. But, since I am a Star Wars fan, there is something really cool about looking like a <a href="http://starwars.wikia.com/wiki/TIE_pilot" target="_blank">Kotobukiya Star Wars TIE Fighter Pilot!</a> And beside, my kids dig it (and I like to chase them around the house with my mask on).<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTdK7aqsbTz5741IzZV8W1-lWyXG7ty2DctsCFxEt85qsqrnPqu0nU2kfSnO0EgwhV1QkXzMkumMB_G3L2ab-X1OKdqV8IWSQdXttEPHtrAilXa_dQW2tmm4RxnhHZo_-FwwcL2s0Ymxkp/s1600/review_kotopilot_4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTdK7aqsbTz5741IzZV8W1-lWyXG7ty2DctsCFxEt85qsqrnPqu0nU2kfSnO0EgwhV1QkXzMkumMB_G3L2ab-X1OKdqV8IWSQdXttEPHtrAilXa_dQW2tmm4RxnhHZo_-FwwcL2s0Ymxkp/s1600/review_kotopilot_4.jpg" width="265" /></a></div>
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Of course, I'm just exaggerating—the <a href="http://www.resmed.com/us/products/nasal_pillows/nasal-pillows.html?nc=patients" target="_blank">mask</a> and machine are <i>much</i> smaller than I anticipated! Frankly I was shocked by how far technology has come. And the CPAP machine is no bigger than a <a href="http://en.wikipedia.org/wiki/Breadbox" target="_blank">"breadbox"</a> (whatever the hula hoop that is). It's a cinch to take on vacations.</div>
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So the take-home-message for me is this: <i>Physician heal thyself! </i>Before I can heal others, I need to work on healing myself first. </div>
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So good night and pleasant dreams! Oooooooooo... SHARKS!!!! </div>
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-66884593869990470412012-12-27T06:00:00.000-05:002012-12-27T18:48:34.693-05:00What to say to a patient after a miscarriage?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8XvgufEtjg2YvKdgI6GZDUP8enDYN5ZlICPJApRArnNqtTMZrmEJb1181m4X6TzsqjjdUSAiIFX4mylEuWsMFrGFzAhtnzkNtX4FTMNDBVS3LRvE9AMSTLMBDjhxVzqbxYTdyRuvsLW-P/s1600/sad.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8XvgufEtjg2YvKdgI6GZDUP8enDYN5ZlICPJApRArnNqtTMZrmEJb1181m4X6TzsqjjdUSAiIFX4mylEuWsMFrGFzAhtnzkNtX4FTMNDBVS3LRvE9AMSTLMBDjhxVzqbxYTdyRuvsLW-P/s1600/sad.jpeg" /></a></div>
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<b><i>What do we say to a patient after a miscarriage?</i></b><br />
<ol>
<li>You didn't do anything to cause this miscarriage...</li>
<li>You didn't do anything to cause this miscarriage...</li>
<li>You didn't do anything to cause this miscarriage...</li>
</ol>
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Then...<br />
<br />
Listen and weep with the patient.<br />
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(Or something like that)</div>
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com4tag:blogger.com,1999:blog-5923898585032516837.post-15685377410599802422012-12-22T21:12:00.000-05:002012-12-29T06:38:35.385-05:00BMJ Study: Why is Rudolph's Nose Red<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiviYSVhSMePCR617Qg8e6NT5x4D9kntgeHR_rKYXricUyQhf3A1mNMajNoE2DTQmGPeBY_tRb6RV_KO4KbtQbyxmRTy9urT1ED_EsiLTtYLoGT2YQW3hyoThD6n0PH19bA0iXAn6qz74S4/s1600/Rudolph.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiviYSVhSMePCR617Qg8e6NT5x4D9kntgeHR_rKYXricUyQhf3A1mNMajNoE2DTQmGPeBY_tRb6RV_KO4KbtQbyxmRTy9urT1ED_EsiLTtYLoGT2YQW3hyoThD6n0PH19bA0iXAn6qz74S4/s1600/Rudolph.jpg" /></a></div>
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The BMJ just <a href="http://www.bmj.com/content/345/bmj.e8311" target="_blank">published an observational study</a> explaining the redness of Rudolph's nose—evidently, reindeer have 25% more capillaries carrying oxygen-rich blood in their nasal architecture than humans. Now, I'm not sure that this investigation answers all the questions—it might answer why reindeers have red noses, but it doesn't answer why Rudolph has a <i>luminescent</i> one! My personal belief?—elf fairy dust.David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-91903219582660632002012-12-05T07:00:00.000-05:002012-12-10T20:41:22.431-05:00Depression Medication Chart<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg83GfaxDoo04mOT3XzHnqJG_j55mmE3PirxYh3XJvO0wXzJYvP9Db1cKHQB0fR7PA_lT0KYKOXldbf14_P7ujihtSRDC0bTebz_F7Sw0ZeUw_SpLAT43Q9jUkXMEz6TQy37GeMg9Sv5M5S/s1600/Screen+Shot+2012-12-03+at+3.47.07+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg83GfaxDoo04mOT3XzHnqJG_j55mmE3PirxYh3XJvO0wXzJYvP9Db1cKHQB0fR7PA_lT0KYKOXldbf14_P7ujihtSRDC0bTebz_F7Sw0ZeUw_SpLAT43Q9jUkXMEz6TQy37GeMg9Sv5M5S/s1600/Screen+Shot+2012-12-03+at+3.47.07+PM.png" height="492" width="640" /></a></div>
<a href="https://dl.dropbox.com/u/5108048/Depression%20Medications%20Chart.pdf" target="_blank">Here is a chart </a>that I adapted from UpToDate. It lists the most commonly used antidepressants and their side effects, cost, and other random note. Hope it helps...David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com3tag:blogger.com,1999:blog-5923898585032516837.post-29697771470423777482012-12-03T09:43:00.001-05:002012-12-03T09:44:02.218-05:00COOL APPS: Walmart $4 Dollar Medications<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNVJKsOV5E3HhH8tH_o_djE727mpzbFbsrH-pJEGclL7Yv-1JIZwIwgxbCe4Kq9gPNv7WVyz3tT4f7FVdrI1gx9n9aV_oTVVfm76pvp6Sfci_-Y388JkkO2cZmQa23pognNJMZSKMXvKqM/s1600/Walmart.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNVJKsOV5E3HhH8tH_o_djE727mpzbFbsrH-pJEGclL7Yv-1JIZwIwgxbCe4Kq9gPNv7WVyz3tT4f7FVdrI1gx9n9aV_oTVVfm76pvp6Sfci_-Y388JkkO2cZmQa23pognNJMZSKMXvKqM/s1600/Walmart.jpeg" height="195" width="400" /></a></div>
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Most of us doctors know about the Walmart $4 Medications. Heck, they started it all and now it seems every pharmacy has their own $4 list! That's great for patients! But sometimes, as physicians, it hard to remember what's on that list. So here's the solutions... The Walmart App!<br />
<br />
If you have an iOS device, <a href="https://itunes.apple.com/us/app/walmart/id338137227?mt=8" target="_blank">just go to iTunes and download the App!</a> It's a FREE download.<br />
<br />
Then, once you run the App, click on the Pharmacy link on the bottom of the page. Then you will have glorious access to the $4 list! And the medications are conveniently listed by categories. It's NICE when technology actually makes our lives easier (unlike some EMR programs).<br />
<br />
AND you get to do your Christmas shopping!<br />
<br />
<i>(NOTE: Walmart did not pay me to say that... I do most of my shopping on Amazon. NOTE: Amazon did not pay me to say that).</i>David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-7520058311002774592012-10-31T07:04:00.000-04:002012-10-31T07:04:00.292-04:00Zombies and the CDC<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkR9wBAXjTJhEDQh1icijKvLL8e246R5T3Nmtk5E8bRMGXIUXfCJ0Sv4-5EAox00c70srpRSZp4lOSV92qhrueoD94awkPLhVSA2apaffjqEMjNW2AF4kvB7HbALKqxcL81wzbWqmDfXHs/s1600/stockvault-zombie126363.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkR9wBAXjTJhEDQh1icijKvLL8e246R5T3Nmtk5E8bRMGXIUXfCJ0Sv4-5EAox00c70srpRSZp4lOSV92qhrueoD94awkPLhVSA2apaffjqEMjNW2AF4kvB7HbALKqxcL81wzbWqmDfXHs/s1600/stockvault-zombie126363.jpg" height="640" width="464" /></a></div>
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<br />
It's about time that the CDC started to take <a href="http://blogs.cdc.gov/publichealthmatters/2011/05/preparedness-101-zombie-apocalypse/" target="_blank">Zombies invasion</a> seriously! Geeeeesh! I mean how many people need to succumb to the vile ranks of the undead before our governmental agencies finally develop policies that protect our frightened innocent!<br />
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<br />David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-15047907869222672512012-10-13T12:29:00.001-04:002012-10-18T04:59:55.276-04:00Algorithm for Work-up of Pediatric AnemiaHere is a <a href="https://dl.dropbox.com/u/5108048/Microcytic%20Anemia%20Algorithm.pdf" target="_blank">simple algorithm</a> for the workup of pediatric anemia. Hope it helps. This handout is from a lecture that I recently presented at the 2012 AAFP Scientific Assembly. (NOTE: Click on the "simple algorithm" link above to download the algorithm. The image below is low resolution).<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgq7tWFZTkXlvczR0dUkh3PnkceKKiw0JkU1Y4MdPAq8gndMkNKf2S51XK8j_ISWCOog7L3VBlPOTDZlGP1afDelUxJGyJEpev_2Y35lrVxHpzgHaFpBXw7g8xPEg3xvuzFTUzx59NSab79/s1600/Screen+Shot+2012-10-13+at+12.28.00+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgq7tWFZTkXlvczR0dUkh3PnkceKKiw0JkU1Y4MdPAq8gndMkNKf2S51XK8j_ISWCOog7L3VBlPOTDZlGP1afDelUxJGyJEpev_2Y35lrVxHpzgHaFpBXw7g8xPEg3xvuzFTUzx59NSab79/s1600/Screen+Shot+2012-10-13+at+12.28.00+PM.png" width="494" /></a></div>
<br />David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-7898854062188043052012-10-13T11:20:00.003-04:002012-10-18T05:04:59.808-04:00Diagnosing DiabetesThe ADA guidelines for diagnosing diabetes are not always straight forward—there is a barrage of random numbers to memorize. See if <a href="https://dl.dropbox.com/u/5108048/AAFP%20Diabetes%20Diagnosis%20Algorhythm.pdf" target="_blank">this handout</a> which has an easy pneumonic that I made up for the residents helps to ease some of the pain. Also I have included a handout explaining how to use the Homeostatis Model Assessment (HOMA) to determine whether a diabetic patient has an insulin production problem, a peripheral resistance problem, or both. (NOTE: Don't click on the image below since it will only give you a low quality image; click instead on the "this handout" link above).<br />
<br />
Finally, I want to give Dr. George Guthrie <i>profuse</i> thanks for his help in putting together these handouts, and for lending his expertise at the 2012 AAFP Scientific Assembly. Thanks George, you are a blessing. He also added feet and toes and eyes to the pneumonic (to help us remember to do our diabetic feet exams and eye exams). Cool!<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbErQBifnbxmwaWKPUlbYF9owJ7UKVtZusZI8nj-VN2bffPUIOtowNxjlVMo86KWHdv8ochApZ9emAjzmDfsafvWgYe_XbvtKm3C-9umhA-R4Spz_FCxkyMxeC3o4kYhq0KT5tKQmOFGdL/s1600/Diabetes+Diagnosis.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbErQBifnbxmwaWKPUlbYF9owJ7UKVtZusZI8nj-VN2bffPUIOtowNxjlVMo86KWHdv8ochApZ9emAjzmDfsafvWgYe_XbvtKm3C-9umhA-R4Spz_FCxkyMxeC3o4kYhq0KT5tKQmOFGdL/s640/Diabetes+Diagnosis.png" width="493" /></a></div>
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David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com1tag:blogger.com,1999:blog-5923898585032516837.post-6372295354990070292012-10-11T21:31:00.000-04:002012-10-13T11:54:13.108-04:00COOL MEDICAL APPS<div class="separator" style="clear: both; text-align: left;">
It's almost impossible to practice medicine now without using technology. <a href="https://dl.dropbox.com/u/5108048/Cool%20Apps.pdf" target="_blank">CLICK HERE</a> for a small PDF file with some cool links for some iPhone and Android Apps that you might find useful. This file is a compendium to a lecture that I gave on Technology and Medicine at Florida Hospital. Enjoy! (DISCLOSURE: I have <i>no</i> financial relationship with and of these companies, and I have personally bought every single one of these iOS apps myself—unless, of course, they offer it FREE!)</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4VWd5w2kXNv4fVXgjukIVErbBnhN3ESbHb2QFa16hVcEtc8N-e4wu_xrfwQEoTAKghVLcIxKj3uV7FNICHr57e4V_Jmbw3Vwjcz2ll_0J3AehiRi2hj7TsFf0hlyIn2aD488NHDLTxoai/s1600/Screen+Shot+2012-10-11+at+9.28.57+PM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4VWd5w2kXNv4fVXgjukIVErbBnhN3ESbHb2QFa16hVcEtc8N-e4wu_xrfwQEoTAKghVLcIxKj3uV7FNICHr57e4V_Jmbw3Vwjcz2ll_0J3AehiRi2hj7TsFf0hlyIn2aD488NHDLTxoai/s1600/Screen+Shot+2012-10-11+at+9.28.57+PM.png" /></a></div>
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-79528772873428343712012-09-23T17:22:00.002-04:002012-09-23T17:34:42.198-04:00Teaching A Child to Ride A BikeOk... I know what you're thinking: what in Sam Hill does "teaching a kid to ride a bike" have to do with medicine? Well, we do have a pediatric obesity epidemic in the good old USA, and I figure that anything we can do to encourage kids to get outside and enjoy some fresh air must be a good thing. That's the <i>official</i> excuse.<br />
<br />
Here's the real reason: I've been spending the last two weeks trying to teach my 5-year-old daughter how to ride a bike and I've been saying to myself between bouts of extreme dyspnea, "There must be an easier way!" Imagine a middle aged man profusely sweating while trying to hold up a frightened 5 year old who is wobbling like a drunk dude with meniere's disease on a bicycle!<br />
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Anyway, I failed <i>again</i> today! It ended when she fell off and scraped her hand on the pavement. She was frustrated and slightly tearful. So I went inside, wiped the sweat from my face, and looked for help on YouTube...<br />
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<b>AND LO AND BEHOLD! <a href="http://www.rei.com/learn/expert-advice/teach-child-to-ride-a-bike.html" target="_blank">THE SOLUTION!</a> GENIUS!</b><br />
(Especially since I don't have to run like a sweaty pig behind her)!<br />
<br />
<b>THE SECRET TIPS:</b><br />
<ol>
<li>Lower the seat so that her feet can rest comfortably and<i> flat on the ground</i></li>
<li><i>TAKE OFF THE PEDALS</i></li>
<li>Let her just practice scooting and balancing first!</li>
</ol>
<div>
<b>AWESOME!</b> I'm so excited to try this out tonight!<br />
<br />
I always knew the best teacher are able to break down complicated skills into manageable bits. By simply lowering the seat and taking off the pedals, my daughter will be able to learn to balance first without worrying about pedaling, catch her own falls without having me always running beside her, and learn to do starts by herself. Lowering the seat and taking off the pedals! Simply genius!</div>
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com1tag:blogger.com,1999:blog-5923898585032516837.post-43764731382864812182012-08-27T07:00:00.000-04:002012-10-13T11:53:00.301-04:00Tips on Neonatal Jaundice<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTjfozPLtJc9OAf1_Qz5QGazwVDClDNfHJI1nF1OOtNEDIYJ7GPXHC2fwA5wUAiq6FkMFzP3BldE-khEhEwOh52BQKz_vX1mCT8fx9iOd1sy8BfL4uprfSFzQVeFhWq4CWGFom7YgP1Ipt/s1600/400px-Jaundice_in_newborn.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTjfozPLtJc9OAf1_Qz5QGazwVDClDNfHJI1nF1OOtNEDIYJ7GPXHC2fwA5wUAiq6FkMFzP3BldE-khEhEwOh52BQKz_vX1mCT8fx9iOd1sy8BfL4uprfSFzQVeFhWq4CWGFom7YgP1Ipt/s1600/400px-Jaundice_in_newborn.jpg" /></a></div>
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<b><i><span style="font-size: x-small;">(SOURCE: Wikipedia)</span></i></b></div>
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Neonatal jaundice! Should I start bili lights or not? AHHHHHHH! Nomograms! Charts! Calculating lab draw times! Assessing risk factors! There has to be an easier way to do this. We <i>are</i> in a technological age aren't we? For goodness sake, we have computers that can calculate the prime derivative of thirty billion electrons playing hop scotch in <a href="http://www.nasa.gov/multimedia/imagegallery/image_feature_1837.html" target="_blank">Andromeda</a>! All I want is for the computer to do some pretty basic math and plot it on a simple nomogram! Ok...</div>
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Check this website out: <a href="http://www.bilitool.org/">www.bilitool.org</a>. Makes all the calculations MUCH easier... And... You're welcome!</div>
David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com5tag:blogger.com,1999:blog-5923898585032516837.post-18880262033105959832012-08-20T12:13:00.000-04:002012-08-20T12:13:00.165-04:00Lice! Lice! Lice!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPOKsv7KsQqFh_T4QgN-WGBhTwUXZ-czElOEtnABT0czIFmTyF9V1FuuIsigs5Ld-Yp7Hrwt73JmYoZaNYIPub21_Jo6HDnn1kiI3OOO5GBVPEZTaQCv2BbkqVtTeOq6FQ_CdE0Xy_Esvs/s1600/dermnet_rf_photo_of_lice_in_hair.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPOKsv7KsQqFh_T4QgN-WGBhTwUXZ-czElOEtnABT0czIFmTyF9V1FuuIsigs5Ld-Yp7Hrwt73JmYoZaNYIPub21_Jo6HDnn1kiI3OOO5GBVPEZTaQCv2BbkqVtTeOq6FQ_CdE0Xy_Esvs/s1600/dermnet_rf_photo_of_lice_in_hair.jpg" /></a></div>
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What do you do when the Nix (1% permethrin) does not get rid of the patient's lice? Well... Assuming that you are doing all the other stuff (using the lice comb, treating family members, etc.), consider using Elimite cream. "But Dave, the patient doesn't have scabies!" you say. Well Elimite cream is 5% permethrin which is 5 times more concentrated than the permethrin in Nix. And, for me, this tip usually does the trick.<br />
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Of course there are many other Lice tips and tricks and medications (and some are quite flammable!). This is just what works for me.David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-78168092424467756472012-08-16T06:00:00.000-04:002012-10-18T05:10:21.705-04:00Vagisil Cream and Manliness?Ok... I admit it. Vagisil cream is not the most manly thing a guy can pick up at the neighborhood Walgreens. Heck, I'd rather pick up a box of tampons! But, the stuff does relieve minor topical pain. The main ingredient is benzocaine, a local anesthetic. I've used it on patient's with shingles, minor first degree burns, etc. It's much cheaper than the Lidoderm Patches. And I don't have to fill out a prior auth form only to have the Lidoderm Patch denied because I'm using it off-label!<br />
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BUT I do recommend that the wives purchase the Vagisil for their man. Real men do NOT purchase Vagisil... NOT EVER!David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-70876031921817610132012-08-13T07:15:00.000-04:002012-08-13T07:15:00.082-04:00Making Your Own Jeopardy GameHave you every wanted to make your own custom Jeopardy Game for a lecture or class or your daughter's 10th birthday party? Why of course you do! Why doesn't? "But it's too hard!" you say. Well fear not! Here's an online tutorial that I did for the STFM Spring Conference on just this topic. It's really easy (and quite fun) with some FREE online tools!<br />
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<iframe allowfullscreen="allowfullscreen" frameborder="0" height="375" mozallowfullscreen="mozallowfullscreen" src="http://player.vimeo.com/video/40905872" webkitallowfullscreen="webkitallowfullscreen" width="500"></iframe> </div>
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<a href="http://vimeo.com/40905872">Make Custom Game Shows for Education</a> from <a href="http://vimeo.com/davekoo">David Koo</a> on <a href="http://vimeo.com/">Vimeo</a>.David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-5291880805582957392012-08-07T07:00:00.000-04:002012-08-10T12:05:16.811-04:00When to start medications for osteopenia?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNxHQiypKOBxheOPxxeyuKyxTbwqCBe9RV8WeTFCnemlZbUuvVddNPlui4IR_67ODFYzG6D355M1lZufJ3jmMuRFBL_Em163F-eU8_YY1iITnVw4uQX1kbc-AHnViBsaKdKOIMkF_qFeAH/s1600/EE5AF70AOAZ.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNxHQiypKOBxheOPxxeyuKyxTbwqCBe9RV8WeTFCnemlZbUuvVddNPlui4IR_67ODFYzG6D355M1lZufJ3jmMuRFBL_Em163F-eU8_YY1iITnVw4uQX1kbc-AHnViBsaKdKOIMkF_qFeAH/s1600/EE5AF70AOAZ.jpg" /></a></div>
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Consider medications in osteopenia if the 10-year probability of hip fracture <b><span class="Apple-style-span" style="font-size: large;">≥ 3%</span></b> or a 10-year probability of a major osteoporosis- related fracture <b><span class="Apple-style-span" style="font-size: large;">≥ 20%.</span> </b>These percentages can be calculated using the online <a href="http://www.sheffield.ac.uk/FRAX/" target="_blank"><span class="Apple-style-span" style="font-size: large;">FRAX calculator.</span></a> <b><span class="Apple-style-span" style="font-size: large;">Enjoy!</span></b>David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-65772188353818721262012-07-30T06:00:00.000-04:002012-07-30T06:00:11.904-04:00Refills on Albuterol InhalersEach albuterol inhaler has 200 puffs. And since we advised patient to give themselves TWO puffs per treatments. There are about 100 "treatments" in one inhaler. Knowing this, I rarely give out more than 1 inhaler at a time (and I rarely give refills). The reason is that I can use the patient's refill history to give me a rough estimate of the patient's asthma control. If the patient is requesting a refill of their albuterol inhaler every three months, that means they are using their inhaler on the average 1 to 2 times a day (definitely not in control). And if they are requesting their refill only after one month, that means that they are using their inhaler at least three times a day! Yikes!David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-63946741310720296982012-07-26T09:26:00.000-04:002012-07-26T19:30:38.626-04:00Imaging for Chronic SinusitisDo you have a patient with <b>"chronic sinusitis"</b> and you want to order some imaging?<br />
<ul>
<li>Order a <i><span class="Apple-style-span" style="color: #cc0000;">limited CT scan of sinuses</span></i> (without contrast)</li>
<li>This costs about the same as a sinus x-ray</li>
<li>But it gives <i>way</i> better images!</li>
</ul>David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0tag:blogger.com,1999:blog-5923898585032516837.post-42580454887693124712012-07-23T09:13:00.000-04:002012-10-13T11:59:23.607-04:00Women's Health Screening RecommendationsThe Florida Academy of Family Medicine published a <a href="https://dl.dropbox.com/u/5108048/Women%20Health%20Screening%20Recommendations.pdf" target="_blank">Women's Health Screening Recommendations </a>(last edited 4/23/12). It's an interesting read that summarizes the recommendations made by various organizations such as the USPSTF. Here is the official <a href="http://www.fafp.org/index.php/news/FP_News_R/womens_health_screening_recommendations" target="_blank">New Release. </a> (NOTE: Don't click on the image below to see the recommendations—you will only see the first page of the recommendations—click on the link above instead).<br />
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<br />David Koohttp://www.blogger.com/profile/00656191898064289529noreply@blogger.com0