Douglas Lakin's Podcast
AN INTERVIEW WITH AUDIOLOGIST CATHY KURTH
October 17, 2014 03:10 PM PDT
Cathy Kurth, AUD is arguably the most well known audiologist in Scottsdale and she provides outstanding audiologic evaluation. Listen as we speak about hearing issues, the benefits of hearing testing, and the latest information you can use to understand how great hearing can benefit you.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
November 11, 2014 07:29 PM PST
Lindsay is a health coach and personal trainer who can provide you with actionable information on how to improve your health, nutrition, and physical condition. Listen to how she can help you be your best. Lindsay's information is right here at http://www.walkonthehealthyside.com/SALT...IT'S HISTORY AND A DISCOURSE ON ITS EFFECT ON OUR HEALTH
February 18, 2012 03:52 PM PST
Salt is a staple in our diet and a substance desired the the human taste bud. How do we come to understand its role in our lives and how do we set healthy limits on its use.
Check out this podcast, or you can view the video as an alternative:HOW MUCH WATER DO YOU NEED?
February 18, 2012 02:55 PM PST
This is the audio portion of my talk on water. I discuss the amount of water we need on a daily basis to stay healthy and review the basis for this recommendation. Turns out....it's less than you think.
If you would rather see this as a video, please go to the following link:My Talk with Dr. Nancy Kim.....Dermatologist and MOHS surgeon
September 25, 2012 06:47 PM PDT
Dr. Kim has a year old dermatology practice in the heart of Scottsdale. Come listen to her discuss a variety of important skin issues, both medical and cosmetic topics. You are sure to learn something new.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:MANAGING WOUNDS.....PROPER DRESSING REQUIRED
December 18, 2012 04:46 PM PST
Managing wounds is critical to healing. Having the proper materials is key and in this podcast we discuss what is needed for various situations.
This is all included in the upcoming Minibuk, THE GUIDE, which will be available on our website in January.
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
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
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.
Subscribe to this Podcast