whats happening in the clinic, football

WHATS HAPPENING IN THE CLINIC 

this week have been seeing a lot of strep throat

still am seeing a lot of bronchitis      most of it is viral but

some cases have developed a bacteria infection which 

requires antibiotics 

some of the bronchitis cases have been wheezing a lot 

and have responded to bronchodilators in form of 

inhalers or nebulizing treatments

spent a hour with a dad who came in for fatique

but the real problem was his daughter was arrested

for the second time using metamphetamine 

he is devastated      they have spent several thousand

dollars on attorney fees on the two arrests plus has 

had her in drug rehab more than once and has 

used up all of the insurances benefits for rehab

this time she was caught in the county where i practice

thats not a good place to get caught even for speeding 

much less doing met

she probably will not  get off this time without jail time 

she may qualify for a 6 month drug rehab program with 

the legal system that requires incarceration the full 

6 months 

his fatique is all related to the stress from his daughters

legal problems

the same day saw a patient for depression followup who 

has a son that sneaked out at night and wrecked the fathers

car     the son had drug paraphernalia in the car and in 

his room       he is a senior who has done well up to now 

but now his grades are dropping a lot       she is afraid 

they will loose him in his senior year 

they are having him see counseling and has done restrictions 

on his activities

parents hug your kids     be thankful if things are going 

right with them 

FOOTBALL 
well have one more chance for one of my teams to win this weekend
come on razorbacks beat lsu

first the cowboys lost     if you saw the game you know it was
the cowboys game until the end before drew brees blew in
and did his thing
will say the cowboys seem to have the umph again

well the longhorns lost to the aggies     will have to deal with
that now for a year
the aggies did look good though   
was the first loosing season in a long time for the longhorns

theres always next year

the organicgreen doctor

happy thanksgiving

HAPPY THANKSGIVING TO ALL
hope everyone has a happy thanksgiving today
think of all we have to be thankful for

hope every one enjoys their get togethers with
friends and families

thanks to the troops overseas
am thinking of them today

eat turkey, watch football, visit with family
and take naps
that will be my thankgiving today

have a good one

FOOTBALL
cowboys play today at 3:00 pm cst
could this another step to a winning season
go cowboys       is hard to root against drew brees

longhorns at texas am aggies today at 7:00 pm cst
it will be windy cold with temperatures in the 40s
this game could make the longhorns season

the razorback vs lsu game is saturday at 230 pm cst
in little rock     should be a good game

the organicgreen doctor

cancer screening

CANCER SCREENINGS

here are some of the recommended cancer screening tests

skin cancer-look at your skin for changes in moles or new 

lesions      have a good skin survey by your doctor

do it in my practice when i do an annual exam or if the 

patient comes in with a suspicious skin lesion

the three skin cancers are squamous cell, basal cell, 

and melonoma

breast cancer-despite what may be written in the papers 

and what is on television, do a self breast exam yourself or 

your partner once a month looking for skin changes, lumps, 

unusual rashes, dimpling, or nipple discharge

if you find any of these have your doctor check them out

do an annual breast exam by your doctor 

do an annual mammogram starting at age 40 

this recommendation could change later 

most of the breast cancers i have seen have been  detected
from either findings on mammograms or on self breast exam 

most are found early and have a good outcome 

cervical cancer-have your daughters and sons immunized

against the hpv virus with the hpv shot(gardisil) 

this virus is what causes cervical cancer 

the younger they are immunized the more antibodies that are 

made against the virus so that when exposure occurs later in 

life the antibodies will attack the virus and prevent infection 

remember 80% of all adults may have been exposed to this
hpv virus

it is this exposure that causes changes in the cervix which 

causes cervical cancer  years later 

do regular pap smears starting at 21 years old or 3 years after 

first sexual encounter 

how often to do the pap smear is not agreed upon

i just recommend annual exams as it is easier to have patients 

come in annually to get the exam done than trying to keep up 

with is it annually,or is it every 2 years, or is it every 3 years 

two vaccines can prevent cancer-the hepatitis b vaccine can
prevent some cases of liver cancer(what happened to mickey mantle)
and the hpv vaccine can prevent cervical cancer 

prostate cancer-can be detected by annual prostate exam
and by doing a psa blood test      in my practice do this annually
on men starting at age 40 years old    
the psa test is not perfect but as of right now it is all we
have along with the exam to detect prostate cancer   

most of my patients who have a  positive 

psa levels turn out to not have prostate cancer    they 

sometimes have to have a prostate biopsy(ouch!!)

but have detected several prostate cancers with this test 

and with the exam

ovarian cancer-go to google search to the right and
type in ovarian cancer for an earlier blog on this cancer

colon cancer-can be detected by colonoscopy starting at
50 years old and then every 10 years if the colonoscopy is
normal    
if there is a family history of colon cancer it is
done every 5 years or more often if certain polyps are found

in my practice do an annual rectal exam starting at age 40  and
do an  annual fecal occult stool test for blood       if i feel a
mass or if the stool test is positive  then refer for a colonoscopy

testicular cancer-is a young mans disease      most of the
cases i have seen were detected by the patient with a
self examination

tell young boys at their sport exams or annual well child
checkups about doing this monthly exam
it is a curable disease especially if detected early
this is what lance armstrongs cancer was     he had a
10% chance of survival because his was so advanced

thankfully now most insurances and medicare now pay
for these cancer screens

always tell my patients i dont want to die from something
i could have prevented or have detected early

the organicgreen doctor