Douglas Lakin's Podcast
OSTEOPOROSIS TREATMENT OPTIONS AND INSIGHTS FROM DR. HOWARD BAUM
January 26, 2014 09:00 PM PST
DR. HOWARD BAUM IS A GOOD FRIEND OF MINE WHO CURRENTLY IS A PROFESSOR OF ENDOCRINOLOGY AT VANDERBILT UNIVERSITY MEDICAL CENTER. IN THIS INTERVIEW HER PROVIDES COMMON SENSE INSIGHTS INTO TREATMENT OPTIONS FOR THOSE WHO HAVE DOCUMENTED OSTEOPOROSIS AND WANT TO UNDERSTAND THE PRO'S AND CONS OF CURRENTLY AVAILABLE TREATMENTS.DIABETES INSIGHTS FROM DR. HOWARD BAUM FROM VANDERBILT UNIVERSITY
January 26, 2014 08:24 PM PST
DR. HOWARD BAUM IS A MASTER CLINICIAN AND PRACTICES ENDOCRINOLOGY AT VANDERBILT UNIVERSITY MEDICAL CENTER. HERE HE DISCUSSES WITH ME SOME CRITICAL INSIGHTS FOR PATIENTS WITH DIABETES. HIS COMMON-SENSE INFORMATION PROVIDES THE BASIS FOR CONFIDENT MANAGEMENT OF YOUR CONDITION.Enjoy Some Words of Reassurance from Doctor Lakin
December 28, 2011 03:33 PM PST
Here's a simple affirmation that you are healthy......here it is. Most of us are!Keeping your Kidneys Safe and Healthy.....from Doctor Lakin
December 29, 2011 05:25 AM PST
This list of 4 measures to keep your kidneys safe is a quick list to keep in mind. This is particularly useful for patients who have any kidney issues in the health background.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.CAFFEINE IN COMMON FOODS AND DRINKS
March 30, 2012 05:42 AM PDT
CAFFEINE INFORMATION IN FOODS:
SOFT DRINKS (12 OZ UNLESS NOTED):
COCA COLA 34 MG
DECAF 2 MG
BREWED (3 MINUTES…5OZ CUP) 22-46 MG
REGULAR CANDY BAR (APPROX) 25MG
EXCEDRIN 65 MG
December 28, 2011 05:39 AM PST
This podcast outlines, in general terms, the purposes of the general bloodwork done at the time of your physical examLong-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.VITAMIN SUPPLEMENTATION
December 16, 2012 01:07 PM PST
The value of vitamin supplements is debated among physicians. I am not a big fan, based on my general skepticism of the unproven nature of their benefits. Listen to this podcast, or read more about Vitamins in my book THE DIETS and in the upcoming book this January, 2013, THE GUIDE.
You can download these on our website here:C Difficile Diarrhea (antibiotic-induced diarrhea)....General Information from Doctor Lakin
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/
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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