Douglas Lakin's Podcast
ARIZONA INFLUENZA UPDATE FEB, 2017
February 12, 2017 11:37 AM PST
Flu season is very mild this year. Hear the latest update from Doctor Doug.YOU'VE GOT THE FLU...DOCTOR DOUG KNOWS WHAT TO DO
January 07, 2015 11:32 AM PST
Here Dr. Doug tell you how to handle getting sick with the flu.UPPER RESPIRATORY TRACT INFECTIONS THIS TIME OF YEAR...WHAT TO DO....BY DOCTOR LAKIN
December 30, 2011 05:57 AM PST
This is a quick review of the symptoms and recommended treatment for respiratory infections this time of year.
November 03, 2012 01:33 PM PDT
Having the proper Over-The-Counter medications in the cabinet at home is crucial. Here is my list...take a listen;
You can find the written list in my upcoming book THE GUIDE, which will be out in January, 2013. Or, go to our medical library for your copy...it's great for shopping when someone is moving to a new place or a child is going out on their own.Dr Sunil Ram: MRI Neuro-Quant To Diagnose Alzheimer's Disease
November 11, 2014 07:53 PM PST
Dr. Sunil Ram is a radiologist at SMIL Radiology in Scottsdale www.esmil.com
December 09, 2012 07:41 AM PST
Travelling can have its travails and being prepared with proper medication is key for your safe and enjoyable vaciationing. This list of medications to take for travel complements the HOME MEDICAL KIT and provides additional assistance as you require.
January 26, 2014 08:20 PM PST
DR. HOWARD BAUM IS A FRIEND OF MINE FROM MY HOPKINS DAYS AND IS CURRENTLY ON THE FACULTY OF VANDERBILT MEDICAL SCHOOL IN THE DEPARTMENT OF ENDOCRINOLOGY. HE IS A MASTER CLINICIAN.
July 08, 2012 08:35 AM PDT
Learn about the vaccine, it's benefits and indications.COUMADIN.....YOUR BLOOD THINNER
July 15, 2013 04:12 PM PDT
Coumadin is a blood thinner that works by blocking the effects of Vitamin K in the liver. Vitamin K allows for production of clotting factors—Coumadin blocks this effect.
Coumadin begins to work 3-5 days after first starting the dose. Prior to that, it can cause alterations in the Protime (blood test for blood thickness that is monitored for Coumadin), but it will not actually thin the blood.
Coumadin is used to prevent blood clots in:
• Atrial fibrillation (goal protime 2.0-3.0)
Facts and Recommendations for taking Coumadin:
THE PROTIME BLOOD TEST:
The name of the blood test for monitoring Coumadin is called the Protime. This test is expressed as a ratio of normal blood clotting vs. blood clotting in your body on Coumadin.
GOAL NUMBERS (SEE ABOVE)
Normal people have a PROTIME=1.0
Atrial Fibrillation: Goal PROTIME=2.0-3.0
Blood Clot Prevention (leg or lung): Goal PROTIME= 2.0-3.0
Artificial Heart Valve (mechanical): Goal PROTIME= 2.5-3.5
KNOW YOUR DOSE OF COUMADIN/WARFARIN---KNOW YOUR COLORS (COMMON DOSES):
I do not make any specific recommendations and dietary restrictions. We will adjust your Coumadin dose to your diet. That said, if you eat a very large and unusual quantity of Vitamin K-containing vegetables (See list below) then a check of your protime may be indicated.
TESTING FREQUENCY—HOW OFTEN DO YOU CHECK THE PROTIME?
Generally speaking, monthly blood tests are appropriate. Special exceptions are:
1. When you begin Coumadin, at first, blood level testing is frequent until your baseline is established
INTERACTION WITH OTHER MEDICATIONS:
Coumadin does interact with other medications often, but the amount of interaction tends to be mild. Testing the PROTIME if you are on an antibiotic for a week is a reasonable thing to do, but is not required.
ASPIRIN AND COUMADIN:
Aspirin is not to be used with Coumadin unless you ask specifically and get the OK. We do combine them on occasion in patients with heart disease, but only for specific purposes
TYLENOL AND COUMADIN:
This is fine to combine. No worries. Tylenol is the preferred mild pain medication for patients on Coumadin. If you use high dosages (4000mg daily) for over a week, then checking the protime blood test is sensible, as it can interact with high dosages of ongoing Tylenol.
ADVIL/ALEVE AND COUMADIN:
Generally, these medications are avoided when you are on Coumadin, but they can be used at times. Generally, this should be under my direction. If you choose to use these medications, the safest way to do so it to take a ‘stomach protector’ pill like PRILOSEC or PREVACID. This will prevent excessive bleeding in the stomach. Ranitidine (Zantac) and Famotidine (Pepcid) will not prevent such bleeding and are not used as a stomach protector in this situation generally.
HIGH VITAMIN K CONTAINING VEGETABLES:
• Brussel Sprouts
November 11, 2014 07:29 PM PST
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Born in Michigan, but raised in the Scottsdale/Paradise Valley area, Dr. Lakin earned his undergraduate degree at Arizona State University in 1983. Graduating first in his class of 6,000 as a Philosophy major in the Honor’s Program, he was the recipient of the Mouer Award for outstanding scholarship. He was the first person in the history of ASU to earn a coveted spot at The Johns Hopkins University School of Medicine in Baltimore, Maryland, entering in the fall of 1983. The Johns Hopkins Hospital 1905Originally intending to become a medical research scientist, Dr. Lakin developed a greater interest in patient care. Inspired by his father, Dr. Mervyn Lakin and Sir William Osler, the founder of modern internal medicine and first Chief of Medicine at The Johns Hopkins Hospital, he focused on clinical medicine. After completing his medical school training from Hopkins in 1987, Dr. Lakin performed his Internship and Residency in Internal medicine at the University of Iowa’s Hospitals and Clinics, among the premier Internal Medicine programs in the country. Dr. Lakin excelled to the highest levels of clinical scholarship, achieving among the highest scores in the country on his Internal Medicine Board Examinations. With his training complete, Dr. Lakin joined his father in practice in 1990. Shortly thereafter, Dr. Lakin senior retired. Dr. Douglas Lakin continues his practice in the tradition of his excellent training, and provides the quality of patient care established by his father before him.
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