Serving all of Eastern Laramie County since 1908
Serving all of Eastern Laramie County since 1908
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The saying goes, "newer isn't always better," and while I typically tend to agree with that, newer might be better when it comes to glucose monitoring technology. In recent years we have seen rapid development and uptake of new types of glucometers, leaving fewer and fewer patients with diabetes using the old standby fingerstick method of blood sugar monitoring. Let me be clear: not every patient with diabetes needs a fancy new continuous glucometer (CGM). The cost might be higher, and there is...
Menopause is one of those things that, let's face it, will ultimately affect everyone with previously functional ovaries. Unfortunately we don't talk about it enough, which makes it a topic riddled with misinformation. So... what is menopause? Menopause is defined by the permanent cessation of menstrual bleeding for 12 months. This occurs naturally when the ovaries stop reproductive activity and a marked decrease in ovarian hormones (estrogen and progesterone) occurs. Symptoms of menopause are...
An exceedingly common question I get in clinic, especially in the heart of a South Dakota winter, is how to remedy dry skin. And the questions aren’t just in clinic; my own kids, family, friends, everyone seems to have an occasional problem with dry and irritated skin. Dry skin is something we are all familiar with; if your dry spots come with a rash or anything else unusual, it may be worth showing it to your primary care provider, as it could be something else entirely. Eczema, a common inflammatory skin condition, often goes along with a...
As a general internist who does primary care for adult and elderly patients, I talk to patients a lot about arthritis and joint replacement surgery. This type of surgery, also known as arthroplasty, is one of the most common types of elective surgery done in the United States. Knees, hips, and shoulders are the most frequently done arthroplasties, and most of those surgeries are done for severe osteoarthritis. Osteoarthritis, the most common type of arthritis, is due to wear-and-tear of the...
"I've got this cough that just won't go away," my patient says, and I know this story all too well. Chronic cough, a cough that lasts more than two months, is a common ailment which in most cases is benign. But for the patient it is both bothersome and worrisome. If your cough has lasted for less than two months it may just be the residual effect of an upper respiratory infection. Dry cough after having one of many viruses can last for weeks and weeks, and the only cure is time. In patients who...