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Washing Instructions

Women genitalia does not come with washing instructions. Then again, neither does any other part of the body. But, there are numerous products on the market that tell women they need to clean inside their vagina. A human mucous membrane has natural lubricant to keep it wet. …

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Is this REALLY a STEMI?

38 year old male presents to the ER for chest pain. VS normal. No history. Was doing bench presses when it started. He is well appearing. The question is: Is this a STEMI? If you look closely at the EKG, you will notice ST elevation in V1, …

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To Shave or Not to Shave

What is it with women wanting to shave their pubic hair? I hear all kinds of excuses; “I’m cleaner that way”, “it itches”, “hair maintains odor” and my favorite: “men like it gone”. I just shake my head.  We have hair to wick away moisture, it serves …

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Lyme Disease: A Brief Overview

Lyme disease is a multisystem illness with acute and chronic manifestations as a result of infection by the spirochete Borrelli port dorsi. This spirochete is borne by the deer tick Ixodes dsammini. Lyme disease was first encountered in 1975 when several children in a Connecticut town developed …

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Women’s Health after 65

Many providers wonder if women should continue having pap smears and mammograms after age 65. Many of us also wonder what are the most up to date ways to screen women for ovarian cancer. It’s important to note that guidelines are just that, guidelines based upon data …

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I think I have bronchitis

This was a 36 year old female who went to the local urgent care when she got off a plane from a long business trip. She told them she had a cough, and then she also thought she had a “stomach bug” so she took some Imodium. …

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