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Adult Protection and Capacity Declarations

By Dr. John Horning

Psychiatric and/or neuro-cognitive decline happens with age in some individuals. This can present a serious risk to persons, especially for those who live alone. When there is concern by family, friends, neighbors, or acquaintances about a person’s ability to safely make their own health care decisions, manage their own finances, or to protect themselves from…

Poison Oak Rash

By Dr. John Horning

I was out hiking in the Marin Headlands yesterday and noticed huge growth of poison oak everywhere due to the exceptionally wet Winter & Spring. For outdoor adventurers, be sure to get familiar with what poison oak looks like before hiking. Here’s a good pic of our local species: poison oak. It is similar to…

Dehydration Treatment

By Dr. John Horning

Dehydration can be caused by vomiting, diarrhea, food poisoning, stomach viruses such as norovirus, extreme physical exertion, hangovers, and many other conditions. Dehydration can progress to become severe enough to require rapid IV fluid rehydration to prevent death or severe illness. Signs of significant dehydration may include severe general weakness, light headedness or fainting, rapid…

House Calls – One ER Doc’s Perspective

By Dr. John Horning

A BROKEN MEDICAL CARE SYSTEM In my years of hospital ER medicine practice, I observed, first hand, the detrimental effects on patient health caused by our standardized system of urgent medical care that patients must endure. It requires patients to travel to get their care, then wait endlessly and unpredictably in the waiting room, surrounded…

Hangover Helper

By Dr. John Horning

We offer IV fluid hydration for fast relief of hangover misery. This amazing service is also useful for anyone urgently needing to perform, including musical, theatre, business, legal, and others. Rapid IV fluid infusions are helpful for those with dehydration who must travel because of motion sickness relief and prevention. Upon request, our doctor responds…

Alternative to stitches

By Dr. John Horning

We are excited to learn of this new alternative to stitches which involves the application of a small bandaid impregnated with microstaples. Initial studies show promise. It will provide a less painful treatment option for small wounds and it appears to provide better long term cosmetic results. It may offer a lower infection rate as…

Do you wake up at night to urinate?

By Dr. John Horning

An interesting study worth a read for those awakening at night to urinate. http://www.bbc.com/news/health-39382339  Nocturia leads to sleep deprivation, among other things. While many factors can contribute to nocturia, a simple solution for many is to reduce your salt intake. Easy……right? Look for foods 1.5g salt (0.6g sodium) per 100g

Norovirus Infections

By Dr. John Horning

Noroviruses are the most common cause of gastroenteritis(inflamed stomach and intestines) in the U.S.  It is estimated that there are 20 million cases worldwide, 70,000 hospitalizations and about 800 deaths per year in the U.S. Symptoms include vomiting, diarrhea and stomach cramps.  Less common symtoms include fever, chills, headache, muscle aches, and general weakness or…

Why finish antibiotics?

By Dr. John Horning

Why it is always important to always finish antibiotics as prescribed? This is a common question.  The answers that you usually hear are: 1) The infection may return if incompletely treated. 2) There is an increased risk of development of antibiotic resistance when infections are not fully treated. What you probably never heard is this:…

Home Hospice Services

By Dr. John Horning

Our Physician Comes to You We offer rapid response for most hospice requests anywhere throughout the San Francisco Bay Area. Why Patients and Their Families Call Us Requests for our service are usually made when no established primary care physician is available for an immediate response home visit, and the patient has become physically ill…

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