General Practitioners

• Osteoporosis
• Arthritis
• Colonoscopy
  Sigmoidoscopy is safer than colonoscopy and may be the preferred test for patients with coronary artery disease. In a recent study, flexible sigmoidoscopy was safe for patients who had a recent heart attack. In this group of patients, this form of screening for colon cancer may be preferable.
• Infectious Diseases
• Pneumonia
• Immunizations
  August is national immunization awareness month. There have been new recommendations for seniors over 65 regarding pnemococcal vaccine. Those patients over age 65 who have not received a dose of pneumococcal vaccine, should be vaccinated with a dose of the conjugate vaccine. This should be followed in 8 weeks by a dose of the polysaccaride pneumococcal vaccine. The two different vaccines protect against different strains of the organism, and work thru a different mechanism. This organism, the pneumococcus organism, can result in life threatening pneumonia and meningitis in the elderly. Any adult with a chronic illness as asthma, diabetes or alcoholism should receive the vaccine. Any patient who has had a splenectomy, anyone with the HIV virus and patients who have had a cochlear transplant. Smokers and adults living in a long term care facility should be vaccinated as well.

Gynecologists

• Pregnancy

Internists

• Internal Medicine
  This office specializes in the treatment of general internal medicine diseases as hypertension, diabetes, arthritis, chronic pain syndromes, chronic obstructive pulmonary disease, and arthritis. We also evaluate infectious disease patients and patients with travel illnesses. Pre-travel consultation can be provided.
• Colon Cancer
  Vitamin D is recognized to promote cellular differentiation. A meta-analysis of case-control studies compared vitamin D levels in patients with and without colon cancer. There was a decrease in the risk of colon cancer by 40% for each increase in vitamin D levels of 20 ng per ml.

Endocrinologist

• Diabetes Care

Radiologist

• MRI
  In an article published in the Journal of Neuroscience on April16, 2014 by Dr. Gilman, et al, showed that the routine use of marijuana impairs motivation, attention, learning and memory. These impairments were associated with changes by brain MRI in the nucleus accumbens and amygdala. These are areas which are important for emotion. Marijuana is the most commonly used illicit drug in the United States. With legalization in many states, the use of this drug is likely to increase along with emotional and brain structural changes of our youth.

Surgeons

• Arthroscopy
  Multiple recent and old studies have demonstrated that knee arthroscopy for osteoarthritis is no better than a placebo operation. Both the 2002 article in the NEJM, as well as a recent study in the NEJM, showed no benefit from arthroscopy over a placebo operation. The 2013 study published in the NEJM showed that arthroscopy for a meniscal tear offered no benefit over a sham operation for a meniscal tear. Physical therapy was as effective as arthroscopy.
• Arthroscopy
• Knee Arthroscopy

Physical Therapists

• Physical Therapy