Douglas Lakin's Podcast
MRSA (Resistant Staph) infections....Information on Treatment and Prevention
January 13, 2012 01:04 PM PST
MRSA infections do get patients worried, but generally, they are readily managed and not a cause for concern.
January 08, 2012 12:13 PM PST
C Diff diarrhea is becoming more common and problematice.
This summary provides you information on the condition, it's treatment, and prevention.
Here is additional information from NIH on this topic:
And here is information on Florastor, a product to prevent recurrent infection http://florastor.com/
Advice on Constipation....Simple Efforts....by Doctor Lakin
January 02, 2012 06:42 AM PST
This short podcast describes the simple methods for dealing with this common issue.
Below are some links to other sources of information, including my video on constipation...which has a good bit of humor as well as useful information.
A like to Sphinx Date Ranch....as I love dates as a great source of natural fiber and Sphinx is 'the place' for the Medjool Dates here in Scottsdale.
And....some good information on Fiber from the University of Wisoconsin.
February 18, 2012 03:10 PM PST
In this talk, I focus in on a common complaint: Constipation. I review the history of issues related to the condition, our misconceptions about it, and common methods of treatment that are worthwhile considering.
If you'd rather see the slides and complete video lecture, please go here:DIET FOR ACUTE GI ILLNESS (Nausea, Vomitting, Diarrhea)....WHAT TO DO
March 17, 2012 03:58 PM PDT
Acute GastroIntestinal (GI) illness is generally caused by either a virus or food poisoning, and results in the three cardinal symptoms of acute GI distress:
• Nausea (feeling sick to the stomach)
During the acute phase of these issues it can be difficult to nearly impossible to keep food and liquids down, but is critical that this be attempted and accomplished, or dehydration will develop and the illness will begin a downward spiral, requiring either an Emergency Room visit for IV fluids, or hospitalization for correction of fluid and electrolyte (mineral) imbalances.
The KEYS are:
1. Settling the Stomach…so that liquids can be taken
3. Eating light foods… if possible (to provide energy for healing). This is not a requirement for healing from an acute GI illness; so don’t feel that the sick person needs to eat food. The only requirement is liquid intake!
Settling the Stomach (treating nausea):
This is the most difficult issue to treat at home as there is very little one can do to settle the stomach during the acute phase. Coca-Cola with the carbonation eliminated (Flat Coke), Ginger Ale, or Ginger Root….can be tried, but these are often inadequate, and the key to getting the stomach to settle is getting a good nausea medication.
If the vomiting does not stop after 4 hours, then calling for a prescription medication is often a good idea. Compazine (prochlorperazine), Phenergan (Promethazine)…are the most commonly prescribed medications and they work by quieting the ‘nausea center’ in the brain. Best given as suppositories (rectally), they will break the vomiting cycle.
Alternatively, these medications can be given as pills but often this is useless as the medications themselves are thrown up and unable to be effective. That said, sometimes the oral form will work, and in addition to the above medications, there are others including Reglan (metoclopramide) and Zofran (ondansetron). These can be quite effective if they are kept down for 15-30 minutes, but if thrown up immediately, then a suppository is necessary.
Preventing dehydration is of utmost importance in this situation, so focusing on the liquids is the key to successful resolution of the acute phase of the GI illness.
Clear liquids (any liquid that light can easily shine through) are the best liquids to use. This includes:
Sipping liquids ..sip, sip, sip….and pushing the fluids progressively with time is the most important treatment provided. Focus on this above all else!
Eating Light Foods:
When the stomach has remained settled enough to consider foods, then trying simple to digest items is worthwhile. That said it is not imperative that a person eat at all during the acute phase of illness. So long as they are taking in good amounts of fluids that have calories in them (sugary drinks are fine when sick) then there is no need to worry about the timing of starting on solid foods
Light Foods include:
• Toast (plain white bread)
As the acute phase resolves, diarrhea may persist for a few weeks. This is commonplace and not a concern. Increase the diet as you tolerate, back to your ‘normal’ foods. Over time, the digestive system will ‘right’ itself, but do not be concerned about ongoing diarrhea if it lasts for 3-4 weeks, but if going on longer that that it is best to come in to review the particulars surrounding your illness and confirm that there are no other issues at play.DIVERTICULITIS.....WHAT YOU NEED TO KNOW
February 04, 2012 08:02 AM PST
This is a summary about diverticulosis and diverticulitis. Commonplace, but something you would know nothing about if you've never had a case of it, it is important to recognize the symptoms and get treatment early to avoid a more complicated infection.
Lots of resources of information for you on this topica, primarily on the disease itself:
and also information on preventing constipation, one of the sources of developing diverticulitis. So....learn about preventing constipation and high fiber foods below:RECTAL IRRITATION...SOME SIMPLE RECOMMENDATIONS FOR RESOLVING THIS BOTHER
March 17, 2012 02:12 PM PDT
Rectal and groin irritation are commonplace. This Podcast gives you 4 simple steps for TCB (Taking Care of your Bottom)HEMORRHOIDS.....DOCTOR DOUG'S SIMPLE STEPS FOR TAKING CARE OF THESE
March 17, 2012 02:33 PM PDT
Hemorrhoids & TCB (Taking Care of your Bottom):
Hemorrhoids can be very bothersome if they become painful or if they start to bleed a lot. If you are reading this, it’s likely that you’ve finally had a ‘run in’ with this problem and can now better understand what all the fuss is about when people mention hemorrhoids or complain about them. Before that, you probably wondered why all the talk and advertisements.
Hemorrhoids are swollen veins in the rectal area and can occur inside the rectum (bottom portion of the colon) or outside the anus (the opening from the rectum). Typically, then occur during times of changes in bowel habits…in particular with constipation or straining to move the bowels. That said, they may come on ‘out of the blue’ or related to other issues that irritate the backside (sitting for prolonged periods, sitting on an irritating surface).
If you’ve tried on your own and failed to achieve resolution of this issue, I have listed below the simple methods you should use as the next steps in treatment.
BASICS OF T.C.B.
1. DO NOT USE SOAP. This may come as a surprise, but this is not a problem OF your ‘cleanliness’. There is no way to sterilize the area and generally speaking, your bottom is happiest when it has some germs around, as this is its normal situation. Trying to use soap will irritate the hemorrhoids, which are only veins that are covered with a thin layer of skin.
This combination of treatments will generally handle most mild to moderate hemorrhoids when used consistently for a few to several days. If symptoms continue despite these efforts, then its time to come in for a check and possible referral to a proctologist (rectum specialist).
So…try these simple steps before worrying about coming into the office for a check on things; if it resolves the situation….you’re all set.
Elvis lived by the moniker TCB….Taking Care of Business. Now you too can TCB (only a in a little different way!)Long-term Diabetes Blood Test...the Hemoglobin A 1 C.......by Doctor Lakin
December 30, 2011 05:47 AM PST
This is a brief overview of the HbA1C (or glycohemoglobin) blood test used in diagnosing diabetes and following-up for diabetic control.SUGAR.....OUR CRAVABLE FRIEND
February 18, 2012 03:56 PM PST
Sugar is fine in moderation, but the average American is eating 160 pounds per year! Let's find out its history and the reasons we crave it so.
If you are interested in the video, you can watch it here:
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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