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Poison Oak Rash

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…

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Dehydration Treatment

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…

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House Calls – One ER Doc’s Perspective

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…

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Alternative to stitches

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…

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Do you wake up at night to urinate?

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

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Norovirus Infections

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…

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Why finish antibiotics?

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:…

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Home Hospice Services

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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Flu Shot? or Not

“Flu shots”, also known as influenza vaccines, only protect patients from influenza, nothing more. Flu shots, or influenza vaccines, are given annually just prior to the flu season, usually in mid to late Fall for those who reside in the northern hemisphere. Each year these vaccinations are reformulated to target the prevailing influenza virus types…

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"Flu" Confusion

There is much confusion surrounding the word “flu”. Many incorrectly use the word “flu” to refer to nonspecific viral winter time illnesses, including colds and stomach viruses. In medical jargon speak, “flu” means “influenza” and nothing else. A result of this confusion is that many people mistakenly believe that “flu shots” protect against more than…

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