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Thursday, August 5, 2021
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  • How you get, take care of, and treat stress fractures
    Monday, August 2, 2021 4:00 AM
    I saw a young athlete last week who complained of shin pain. He had been upping his running mileage in preparation for the cross country season. His pain was due to a stress fracture. It is estimated that between 5 and 30 percent of athletes develop a stress fracture each year. Briefhaupt first described the condition in 1855 when examining military recruits, a group that is at high risk for stress fractures.
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  • Becoming a member of the kidney stones club
    Monday, July 26, 2021 4:00 AM
    Kidney stones are a topic near and dear to my heart as I’m a member of the club. Stones are also known as calculi, from the Latin for pebble. They can be found in the kidneys (renal calculi or nephrolithiasis) or move down the ureters, the tubes connecting the kidneys to the bladder (ureteral calculi or urolithiasis). Stones may also be found in the bladder.
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  • Should you buy name brand medications or generics?
    Monday, July 19, 2021 4:00 AM
    This week I want to tackle the subject of generic vs. name brand medications. There are a number of reasons this topic is important. First of all, medications in general have become prohibitively expensive for many patients. Insurance companies are also pressuring patients and physicians to prescribe generics whenever possible to reduce health care costs. This is generally a good thing, with some exceptions.
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  • Swimmer’s ear and how to avoid this hot and irritating infection
    Monday, July 12, 2021 4:00 AM
    We’re in the middle of swim season and I’ve been seeing patients complaining of “swimmer’s ear.” Doctors tend to see more of this malady in hot, humid weather, but it can also be the result of other conditions as well.
    The medical term for swimmer’s ear is otitis externa, indicating inflammation of the ear canal and, less frequently, the external ear. This is in contrast to the more common otitis media, or infection of the middle ear (the air filled cavity just behind the ear drum).
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  • Urinary tract infections and how to best avoid them
    Monday, July 5, 2021 4:00 AM
    Urinary tract infections (UTIs) account for about eight million doctor visits each year in the United States. These infections are much more common in adults, particularly in women. Children account for one to two percent of all UTIs, but their infections are often more serious. About 40 percent of women and 12 percent of men have a UTI at some time in their lives.
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  • Heat-related emergencies start to rise significantly with the summer months
    Monday, June 28, 2021 4:00 AM
    Now that we’re officially out of, it’s time to start thinking about the dog days of summer. Although I don’t see a significant number of heat-related emergencies in my office, many patients do end up in emergency departments suffering from heat illness.
    These illnesses account for tens of thousands of visits each year to doctors’ offices and emergency rooms. 
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  • Incidences of meningitis and how it affects people
    Monday, June 21, 2021 4:00 AM
    The mother of one of my patients asked me to write about meningitis. Meningitis is a very rare condition. The incidence of all types of bacterial meningitis in the United States is about two to three cases per 100,000 people per year, while viruses cause about 11 cases per 100,000 per year. I frequently witnessed the devastation of meningitis during my medical training in the 1980s. However, with the advent of vaccines to prevent the most common causes, physicians rarely see a case today.
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  • Reviewing food safety as we approach barbecue season
    Monday, June 14, 2021 4:00 AM
    Barbecue season is in full swing and it’s a good time to review food safety. Foodborne illness (food poisoning) is something that almost all of us have experienced at some point in our lives.
    Foodborne illness is defined as more than two people having a similar illness with evidence of food as the source. 
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  • More summer safety as you pedal your way into warmer months
    Monday, June 7, 2021 4:00 AM
    Readers have asked me to address more summer safety issues. It’s great to see kids and adults out on their bicycles now that the weather has warmed up. The downside is this will undoubtedly result in more bike accidents. Some of the most difficult experiences I had during my medical training were when I took care of kids who were brain injured as a result of bike accidents.
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  • Sun and water safety leads to summer fun
    Monday, May 31, 2021 4:00 AM
    It’s been a bit cool lately, but it should be warmer soon which means it’s time to start thinking about summer. Most people enjoy a good day in the sun. Whether it’s lounging by the water or working outdoors, we all get our fair share of sun every summer. This week, I want to briefly review some sun and water safety tips. 
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  • If there are leaflets of three…leave it be!
    Monday, May 24, 2021 4:00 AM
    Summer is almost here and a lot of folks are getting out in the yard playing with vegetation. This will probably result in a lot of rashes showing up in our office. Most of the rashes we see in the summer are caused by poison ivy, one of three plants in Indiana in the genus Toxicodendron. This genus also includes poison sumac, and poison oak.
    The physical appearance of the poison ivy plant is highly variable, though it always has leaves in sets of three (see illustration). 
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  • Summer sports lead to sprains and strains
    Monday, May 17, 2021 4:00 AM
    Summer sports are about to begin and gardening and other outdoor chores are well underway. If they haven’t already, weekend warriors will soon be doing all sorts of things to keep doctors who treat musculoskeletal injuries busy. I want to give everyone some pointers in how to take care of the inevitable sprains and strains of spring and summer.
    It’s interesting to me how many people come to my office after suffering an injury and don’t have any idea how to administer some basic first aid.
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  • Antibiotics are really good for you . . . right?
    Monday, May 10, 2021 4:00 AM
    There is no doubt that antibiotics have saved millions of lives. But, is it all good news? I you have been noting the increasing number of news stories related to problems with overprescribing antibiotics that can result in resistant bacteria. We have known this was coming since Alexander Fleming, who discovered penicillin, warned of it in his Nobel Prize speech in 1945.
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  • Looking into cause of shoulder pain – part 2
    Monday, May 3, 2021 4:00 AM
    Welcome back to my two-part series on shoulder pain. First, I want to do a quick review of shoulder anatomy (see the diagram the right shoulder looking from the front). The upper arm bone (humerus) joins to the scapula at the glenoid and is held in place by two structures: (1) a rim of cartilage (glenoid labrum) that forms a shallow cup for the head of the humerus to sit in, and (2) the rotator cuff which is made up of four tendons that wrap around the head of the humerus.
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  • Looking into the cause of shoulder pain – part 1
    Monday, April 26, 2021 4:00 AM
    The next two weeks, I’d like to address shoulder pain and injuries. Most people experience shoulder pain at some point in their lives. Doctors see it in athletes, people who overuse their shoulders, and others who may have fallen directly on their shoulder or on an outstretched arm.
    To understand shoulder pain, it’s important to know the basic anatomy of the shoulder joint itself (see diagram of the front of the right shoulder). 
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