Author: lynnawiensmd
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The Teen Who Can’t Swallow–What is it?
What is the most likely diagnosis? How did you do compared to your colleagues? Your Colleagues Responded: GERD 28% Eosinophilic esophagitis Correct Answer 67% Celiac disease 4% Irritable bowel syndrome 1% Eosinophilic Esophagitis: Definition, Epidemiology, and Pathophysiology Clinical Definition–summary only. Eosinophilic esophagitis (EoE) is chronic, inflammatory esophageal clinico-pathological condition.…
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The Teen Who Can’t Swallow
Try Your hand at diagnosis! This comes from Medscape on-line. The Case Chief complaint. Molly is a 14-year-old teen who presents to your office with a 9-month complaint of that certain foods “get stuck” in her throat. The sensation is intermittent, occurring about once a week, and more frequently when she eats meat, poultry, and crackers.…
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On Your Mark….Get Set….
Today marks the start of the National meeting for the American Academy of Allergy, Asthma, & Immunology in Orlando, FL. The Academy website is www.aaaai.org. Over 6,000+ attendees from all over the world to present the most recent advances in allergy and asthma. Yours truly even has an abstract on the correlation between BMI and…
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Air fresheners–Go Organic…Not!
Tomorrow starts the American Academy of Allergy, Asthma, & Immunology national meeting in Orlando. Great fun and food, but more importantly, great new information about allergy. If you watch the news at all, you’re bound to hear about natural products for your health. Organic anyone? Read this blog about a patient who only THOUGHT she had allergy;…
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Are we harming ourselves?
“I’m allergic to everything!” Ah, you’re smiling. Is this really possible to be allergic to multiple drugs? Evidently this is true according to a recent study published in Ann Allergy Asthma Immunol 108 (2012) 88–93. Multiple drug intolerance syndrome: prevalence, clinical characteristics, and management byEric Macy, MD and Ngoc J. Ho, PhD. So what is…
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Is it Time to Talk?
The National Center for Complementary and Alternative Medicine (NCCAM) has launched a program to start talking! About what? Natural products of course! It is time we bridge the gap between allopathic medicine and natural products for health. Time to Talk is an educational campaign to encourage patients—particularly those age 50 or older—and their health care providers…
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Steroids in Young Children–too Much of a Good Thing?
Intermittent budesonide therapy for children with recurrent wheezing Here’s the issue: my doctor prescribes budesonide (or Pulmicort™) for my child’s asthma and tells me to use it EVERYDAY. Is this really necessary? Conventional wisdom says to use inhaled steroids or anti-inflammatory medications for asthma everyday or they don’t work well. That attitude may now be…
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Does the Tail Wag the Dog in Medicine?
This is a great story for all to read. We (myself included) tend to become very negative about healthcare, especially with the elections heating up. Grab your favorite beverage and enjoy reading how taking care of patients with empathy & concern will never go away regardless of healthcare legislation! The Patient Will See You Now…
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Eczema or Atopic Dermatitis
You or your child has just been diagnosed with eczema or Atopic Dermatitis and this can be overwhelming. Just what is atopic dermatitis and how is it treated? Atopic dermatitis is a condition of the skin that results from a defect in the normal skin barrier. You can see it’s easy for allergens and toxic…
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The Prescription for Wintertime Asthma Control
We haven’t had much of a winter in the Midwest, but the air is still dry enough to cause “winter” asthma. Today I would like to discuss how clinicians can provide evidence-based care for their patients with asthma by advising them on how to control asthma during the cold winter months. Today’s discussion is based…
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