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AN INTERVIEW WITH AUDIOLOGIST CATHY KURTH
October 17, 2014 03:10 PM PDT
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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
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Dr. Sunil Ram is a radiologist at SMIL Radiology in Scottsdale www.esmil.com
Using the latest in MRI imaging, he describes the Neuro-Quant imaging technique that allows him to provide specific diagnostic information about dementia and Alzheimer's Disease.

Doctor Doug Interviews Personal Health Coach Lindsay Hunt
November 11, 2014 07:29 PM PST
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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
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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:

http://vimeo.com/33308270

HOW MUCH WATER DO YOU NEED?
February 18, 2012 02:55 PM PST
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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:

http://vimeo.com/25645653

My Talk with Dr. Nancy Kim.....Dermatologist and MOHS surgeon
September 25, 2012 06:47 PM PDT
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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
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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:

http://doctordoug.com/about-dr-lakin/dr-dougs-books/

MANAGING WOUNDS.....PROPER DRESSING REQUIRED
December 18, 2012 04:46 PM PST
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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.
www.Doctordoug.com

CAFFEINE IN COMMON FOODS AND DRINKS
March 30, 2012 05:42 AM PDT
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CAFFEINE INFORMATION IN FOODS:

SOFT DRINKS (12 OZ UNLESS NOTED):

COCA COLA 34 MG
DIET COKE 34 MG
PEPSI 34 MG
DIET PEPSI 34 MG
DR. PEPPER 38 MG
MT. DEW 52 MG
RED BULL (8OZ) 80 MG
7-UP 0 MG
SPRITE 0 MG

COFFEE:

DECAF 2 MG
DRIP REGULAR (5OZ) 146 MG
STARBUCKS GRANDE COFFEE 330 MG
STARBUCKS GRANDE CAPPUCCINO 150 MG
STARBUCKS GRANDE LATTE 150 MG
STARBUCKS BOTTLED FRAPUCCINO 90 MG
DUNKIN DONUTS COFFEE (REG) 132 MG
MCDONALDS COFFEE (SMALL) 109 MG

TEA:

BREWED (3 MINUTES…5OZ CUP) 22-46 MG
LIPTON ICED TEA (20 OZ) 50 MG
NESTEA ICED TEA (16 OZ) 34 MG
SNAPPLE TEA (16 OZ) 42 MG
CRYSTAL LIGHT ICED TEA (8OZ) 11 MG

CHOCOLATE:

REGULAR CANDY BAR (APPROX) 25MG

MEDICATIONS:

EXCEDRIN 65 MG
VIVARIN 200 MG
NO-DOZ 200 MG

WEBSITE: http://www.energyfiend.com/the-caffeine-database

COUMADIN.....YOUR BLOOD THINNER
July 15, 2013 04:12 PM PDT
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COUMADIN/WARFARIN INFORMATION

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)
• Pulmonary Embolism—blood clots in the lungs (goal protime 2.0-3.0)
• DVT (Deep Venous Thrombosis)—blood clots in the legs (goal protime 2.0-3.0)
• Congestive Heart Failure (goal protime 2.0-3.0)
• Peripheral Vascular Disease (goal protime 2.0-3.0)
• Strokes (goal protime 2.0-3.0)
• Mechanical Heart Valve(goal protime 2.5-3.5)
• Post-operative blood clot prevention (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):

1MG=PINK
2MG=PURPLE
2.5MG=LIGHT GREEN
5MG=PEACH
7.5MG=YELLOW

DIET:

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
2. If you are demonstrating wide fluctuations in the Protime.
3. If you have consistently perfect Protimes, you can go to every other month testing
4. Home monitoring can be arranged if you are interested…ask us about this

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.
Often the pharmacist will mention interactions of other medications with Coumadin. This is rarely a concern.

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
• Collard Greens
• Green Onoins
• Kale
• Mustard Greens
• Parsley
• Spinach
• Swiss Chard
• Turnip Greens

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