https://www.podomatic.com/podcasts/douglakin en-us Podomatic RSS Generator Sun, 05 Apr 2026 21:39:27 +0000 Copyright 2026 Douglas Lakin www.DoctorDoug.com episodic false no https://assets.podomatic.net/ts/ee/f7/62/douglakin/1400x1400_5529355.jpg https://www.podomatic.com/podcasts/douglakin Douglas Lakin 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.]]> https://douglakin.podomatic.com/entry/2014-11-11T19_53_41-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2014-11-11T19_53_41-08_00 Wed, 12 Nov 2014 03:53:41 +0000 2018-01-27 2014-11-12 https://www.podomatic.com/podcasts/douglakin/episodes/2014-11-11T19_53_41-08_00 Douglas Lakin 1070 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. Dr. Sunil Ram is a radiologist at SMIL Radiology in Scottsdale www.esmil.com Using the late... https://douglakin.podomatic.com/entry/2014-11-11T19_29_35-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2014-11-11T19_29_35-08_00 Wed, 12 Nov 2014 03:29:35 +0000 2018-01-27 2014-11-12 https://www.podomatic.com/podcasts/douglakin/episodes/2014-11-11T19_29_35-08_00 Douglas Lakin 928 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/ Lindsay is a health coach and personal trainer who can provide you with actionable information on... https://douglakin.podomatic.com/entry/2014-10-17T15_10_42-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2014-10-17T15_10_42-07_00 Fri, 17 Oct 2014 22:10:42 +0000 2018-01-27 2018-01-27 https://www.podomatic.com/podcasts/douglakin/episodes/2014-10-17T15_10_42-07_00 Douglas Lakin interview,audiology 1234 false 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. Cathy Kurth, AUD is arguably the most well known audiologist in Scottsdale and she provides outst... https://douglakin.podomatic.com/entry/2014-01-26T21_00_57-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2014-01-26T21_00_57-08_00 Mon, 27 Jan 2014 05:00:57 +0000 2018-01-27 2014-01-28 https://www.podomatic.com/podcasts/douglakin/episodes/2014-01-26T21_00_57-08_00 Douglas Lakin osteoporosis 1350 false 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. DR. HOWARD BAUM IS A GOOD FRIEND OF MINE WHO CURRENTLY IS A PROFESSOR OF ENDOCRINOLOGY AT VANDERB... https://douglakin.podomatic.com/entry/2014-01-26T20_24_30-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2014-01-26T20_24_30-08_00 Mon, 27 Jan 2014 04:24:30 +0000 2018-01-27 2014-01-28 https://www.podomatic.com/podcasts/douglakin/episodes/2014-01-26T20_24_30-08_00 Douglas Lakin diabetes 1018 false 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. DR. HOWARD BAUM IS A MASTER CLINICIAN AND PRACTICES ENDOCRINOLOGY AT VANDERBILT UNIVERSITY MEDICA... THIS IS THE FIRST IN A SERIES OF PODCASTS ABOUT HORMONE ISSUES, AND THIS ONE FOCUSES ON HYPOTHYROIDISM. DR. BAUM PROVIDES HIS COMMON-SENSE APPROACH TO IMPORTANT CONSIDERATIONS IN THYROID TREATMENT IN AN EASILY UNDERSTANDABLE MANNER, WHILE BRINGING TO THE TOPIC THE HIGHEST LEVEL OF CLINICAL KNOWLEDGE. ENJOY AND LEARN.]]> https://douglakin.podomatic.com/entry/2014-01-26T20_20_55-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2014-01-26T20_20_55-08_00 Mon, 27 Jan 2014 04:20:55 +0000 2018-01-27 2014-01-28 https://www.podomatic.com/podcasts/douglakin/episodes/2014-01-26T20_20_55-08_00 Douglas Lakin hypothyroidism,thyroid,disease 1329 false 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. THIS IS THE FIRST IN A SERIES OF PODCASTS ABOUT HORMONE ISSUES, AND THIS ONE FOCUSES ON HYPOTHYROIDISM. DR. BAUM PROVIDES HIS COMMON-SENSE APPROACH TO IMPORTANT CONSIDERATIONS IN THYROID TREATMENT IN AN EASILY UNDERSTANDABLE MANNER, WHILE BRINGING TO THE TOPIC THE HIGHEST LEVEL OF CLINICAL KNOWLEDGE. ENJOY AND LEARN. DR. HOWARD BAUM IS A FRIEND OF MINE FROM MY HOPKINS DAYS AND IS CURRENTLY ON THE FACULTY OF VANDE...
It all began several years ago when Oprah said she was using some testosterone cream to improve her sex life, and that she 'swears by it'....and the floodgates opened.

Testosterone is the 'male' hormone, as estrogen is the 'female' hormone. Men and woman have both of these hormones in their bodies, with women...99% is estrogen and in men 99% is testosterone. Still, there is a small amount of the opposite hormone in them as well, for a variety of reasons and with a variety of effects.

As women age, estrogen levels drop off at the time of menopause...but there is no equivalent dropping off of testosterone in men---there is no 'male menopause'. Why that is, is not certain, but one presumes it relates to evolutionary effects on fertility and the fact that women cannot bare children at later and later ages without sustaining significant health risks; whereas men, with the smaller contribution to fertility and gestation, can maintain fertility into their later years without sustaining health risks.

Low testosterone levels, truly low levels, are manifested by lack of body hair, lack of any sex drive at all, and is characterized by extremely low levels of testosterone that are barely measurable. Such patients don't complain about no sex drive...it's their wives and girlfriends who do the complaining. Why is that? Because the men don't know that they don't have a sex drive and without hormone to stimulate their libido....they don't care!

These men may have a particular health issue causing such low testosterone. Failure of the testes or the pituitary gland...or some other hormonal imbalance that causes this.

On the other hand, the more common 'low T' patients has levels that are just below the normal range, or at the low end of normal. They do not suffer greatly with symptoms, but can note a variety of milder variations in how they feel (see this quiz to get an idea of the various symptoms related to this.)

What to do about truly low T? We do a thorough evaluation by an endocrinologist and work-up for specific diseases, then supplementation with either topicals or injections (pills are not allowed as they bother the liver).

For the 'borderline low T' the patient will try a supplement as above, and we will observe for improvements in symptoms. Of course, there is a great deal of 'placebo effect' wherein the man may get a sense of well being just from knowing they are getting treated, but we try to monitor levels and see if there is truly a correlation between symptom relief and higher testostone levels. I must say that in my own experience, most of these men to do not feel a great deal of improvement. Some do...and for those, we continue on supplementation, but for those who do not feel any improvement, the supplements are stopped.

Nowadays, there a clinics opening up on the street corner talking about 'fixing' the low-T problem for men. I think one should be wary of this as there is a lot of unknowns both in the diagnosis and treatment of this borderline issue. Much of the concern, having been generated by Big Pharma, educating patients about testosterone and in the process attempting to create a market for their $300 per month treatments.

So....low T is a complicated subject. If you have questions about this we need to talk, do some bloodwork , and then talk again about the results and their implications, with an honest discussion of the value of trying to improve testosterone levels and a healthy amount of skepticism about the treatment regimens.]]> https://douglakin.podomatic.com/entry/2013-10-05T13_37_22-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2013-10-05T13_37_22-07_00 Sat, 05 Oct 2013 20:37:22 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2013-10-05T13_37_22-07_00 Douglas Lakin testosterone,low,t 771 false With all the advertising during Football games about LOW "T".....the topic is becoming increasingly on the mind of men, and women. It all began several years ago when Oprah said she was using some testosterone cream to improve her sex life, and that she 'swears by it'....and the floodgates opened. Testosterone is the 'male' hormone, as estrogen is the 'female' hormone. Men and woman have both of these hormones in their bodies, with women...99% is estrogen and in men 99% is testosterone. Still, there is a small amount of the opposite hormone in them as well, for a variety of reasons and with a variety of effects. As women age, estrogen levels drop off at the time of menopause...but there is no equivalent dropping off of testosterone in men---there is no 'male menopause'. Why that is, is not certain, but one presumes it relates to evolutionary effects on fertility and the fact that women cannot bare children at later and later ages without sustaining significant health risks; whereas men, with the smaller contribution to fertility and gestation, can maintain fertility into their later years without sustaining health risks. Low testosterone levels, truly low levels, are manifested by lack of body hair, lack of any sex drive at all, and is characterized by extremely low levels of testosterone that are barely measurable. Such patients don't complain about no sex drive...it's their wives and girlfriends who do the complaining. Why is that? Because the men don't know that they don't have a sex drive and without hormone to stimulate their libido....they don't care! These men may have a particular health issue causing such low testosterone. Failure of the testes or the pituitary gland...or some other hormonal imbalance that causes this. On the other hand, the more common 'low T' patients has levels that are just below the normal range, or at the low end of normal. They do not suffer greatly with symptoms, but can note a variety of milder variations in how they feel (see this quiz to get an idea of the various symptoms related to this.) What to do about truly low T? We do a thorough evaluation by an endocrinologist and work-up for specific diseases, then supplementation with either topicals or injections (pills are not allowed as they bother the liver). For the 'borderline low T' the patient will try a supplement as above, and we will observe for improvements in symptoms. Of course, there is a great deal of 'placebo effect' wherein the man may get a sense of well being just from knowing they are getting treated, but we try to monitor levels and see if there is truly a correlation between symptom relief and higher testostone levels. I must say that in my own experience, most of these men to do not feel a great deal of improvement. Some do...and for those, we continue on supplementation, but for those who do not feel any improvement, the supplements are stopped. Nowadays, there a clinics opening up on the street corner talking about 'fixing' the low-T problem for men. I think one should be wary of this as there is a lot of unknowns both in the diagnosis and treatment of this borderline issue. Much of the concern, having been generated by Big Pharma, educating patients about testosterone and in the process attempting to create a market for their $300 per month treatments. So....low T is a complicated subject. If you have questions about this we need to talk, do some bloodwork , and then talk again about the results and their implications, with an honest discussion of the value of trying to improve testosterone levels and a healthy amount of skepticism about the treatment regimens. With all the advertising during Football games about LOW "T".....the topic is becoming increasing...

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




]]> https://douglakin.podomatic.com/entry/2013-07-15T16_12_00-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2013-07-15T16_12_00-07_00 Mon, 15 Jul 2013 23:12:00 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2013-07-15T16_12_00-07_00 Douglas Lakin coumadin,atrial,fibrillation,pulmonary,embolism 458 false 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 COUMADIN/WARFARIN INFORMATION Coumadin is a blood thinner that works by blocking the effects... URINARY TRACT INFECTIONS:


Bladder infections, also called urinary tract infections (UTI), are commonplace in women. Although they may occur in men, this is very rare.

Risk Factors:
Most urinary tract infections occur spontaneously and are not the result of personal habits of hygiene. Risk factors for recurring infection include:


Previous UTI
Sexual intercourse
Lack of hormone (post-menopausal state without hormone supplementation)

Symptoms:
Most people are aware of these, but if you’ve not had a UTI previously, here is the list
Frequent urination
Burning with urination (painful)
Cloudy urine
Blood in the urine
Fever (low grade or high temperature)

Evaluation:
If possible it is best to have a urine specimen checked for infection. This is the simplest way to diagnose a UTI. If you have had UTI’s in the past and are familiar with the symptoms, then testing the urine is not required. Typically, the urine specimen shows the presence of white blood cells or red blood cells. Culture can confirm the specific bacterial germ involved

Treatment:

Antiobitcs are the required treatment. As most antibiotics concentrate in the urine, as they are cleared by the kidneys, antibiotics tend to be very effective for treatment and a virtual ‘guaranteed’ cure, so long as the causative bacteria is not resistant.

Antibiotics include:
Keflex (Cephalexain)
Cipro (Ciprofloxacin)
Macrobid (Macrodantin
Amoxicillin
And others

In addition to an antibiotic, we often prescribe an anesthetic agent called Pyridium. This medication provides immediate relief as it acts directly on the surface tissues of the bladder. It turns the urine an orange color, so do be aware of this. Treatment with Pyridium requires that an antibiotic be used as well, or the Pyridium will suppress symptoms but let the infection progress unabated

Expectations:

Symptoms of UTI resolve quickly, often within 12-24 hours. Certainly symptoms should be markedly improved by 48 hours. If they are not, please call and the antibiotic selected will have to be changed.

Prevention:

There are not perfect methods of prevention but here are several that are used, depending on the situation:

Voiding (urinating) after intercourse
Antibiotic (single dose) after intercourse
Antibiotics daily to prevent recurrent infections
Use of hormones (pills or topical) to reduce the changes of germs entering the urethra (bladder drainage tube)



]]> https://douglakin.podomatic.com/entry/2013-02-22T15_44_25-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2013-02-22T15_44_25-08_00 Fri, 22 Feb 2013 23:44:25 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2013-02-22T15_44_25-08_00 Douglas Lakin uti,urinary,tract,infections 318 false URINARY TRACT INFECTIONS: Bladder infections, also called urinary tract infections (UTI), are commonplace in women. Although they may occur in men, this is very rare. Risk Factors:
Most urinary tract infections occur spontaneously and are not the result of personal habits of hygiene. Risk factors for recurring infection include:

 Previous UTI Sexual intercourse Lack of hormone (post-menopausal state without hormone supplementation) Symptoms:
Most people are aware of these, but if you’ve not had a UTI previously, here is the list Frequent urination Burning with urination (painful) Cloudy urine Blood in the urine Fever (low grade or high temperature) Evaluation:
If possible it is best to have a urine specimen checked for infection. This is the simplest way to diagnose a UTI. If you have had UTI’s in the past and are familiar with the symptoms, then testing the urine is not required. Typically, the urine specimen shows the presence of white blood cells or red blood cells. Culture can confirm the specific bacterial germ involved Treatment: Antiobitcs are the required treatment. As most antibiotics concentrate in the urine, as they are cleared by the kidneys, antibiotics tend to be very effective for treatment and a virtual ‘guaranteed’ cure, so long as the causative bacteria is not resistant. Antibiotics include:
Keflex (Cephalexain) Cipro (Ciprofloxacin) Macrobid (Macrodantin Amoxicillin And others In addition to an antibiotic, we often prescribe an anesthetic agent called Pyridium. This medication provides immediate relief as it acts directly on the surface tissues of the bladder. It turns the urine an orange color, so do be aware of this. Treatment with Pyridium requires that an antibiotic be used as well, or the Pyridium will suppress symptoms but let the infection progress unabated Expectations:

Symptoms of UTI resolve quickly, often within 12-24 hours. Certainly symptoms should be markedly improved by 48 hours. If they are not, please call and the antibiotic selected will have to be changed. Prevention:

There are not perfect methods of prevention but here are several that are used, depending on the situation:
 Voiding (urinating) after intercourse Antibiotic (single dose) after intercourse Antibiotics daily to prevent recurrent infections Use of hormones (pills or topical) to reduce the changes of germs entering the urethra (bladder drainage tube) URINARY TRACT INFECTIONS: Bladder infections, also called urinary tract infections (UTI), ... ]]> https://douglakin.podomatic.com/entry/2013-01-26T09_06_17-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2013-01-26T09_06_17-08_00 Sat, 26 Jan 2013 17:06:17 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2013-01-26T09_06_17-08_00 Douglas Lakin shingles,vaccination 752 false Shingles occurs in 1% of adults over age 65 and is avoidable now, through the SHINGLES VACCINE. Listen to this podcast to learn about recognizing the shingles rash and what to do if you get the Shingles. Shingles occurs in 1% of adults over age 65 and is avoidable now, through the SHINGLES VACCINE. ...
This is all included in the upcoming Minibuk, THE GUIDE, which will be available on our website in January.
www.Doctordoug.com
]]> https://douglakin.podomatic.com/entry/2012-12-18T16_46_30-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-12-18T16_46_30-08_00 Wed, 19 Dec 2012 00:46:30 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2012-12-18T16_46_30-08_00 Douglas Lakin wounds 570 false 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 Managing wounds is critical to healing. Having the proper materials is key and in this podcast w...
You can download these on our website here:


http://doctordoug.com/about-dr-lakin/dr-dougs-books/]]> https://douglakin.podomatic.com/entry/2012-12-16T13_07_03-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-12-16T13_07_03-08_00 Sun, 16 Dec 2012 21:07:03 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2012-12-16T13_07_03-08_00 Douglas Lakin vitamins,prevention 518 false 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/ The value of vitamin supplements is debated among physicians. I am not a big fan, based on my ge... Read more about this in my upcoming book THE GUIDE, which will be available after January 1st on the website and in our office.]]> https://douglakin.podomatic.com/entry/2012-12-09T07_41_44-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-12-09T07_41_44-08_00 Sun, 09 Dec 2012 15:41:44 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2012-12-09T07_41_44-08_00 Douglas Lakin travel,medicine 618 false 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. Read more about this in my upcoming book THE GUIDE, which will be available after January 1st on the website and in our office. Travelling can have its travails and being prepared with proper medication is key for your safe a...
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.

http://doctordoug.com/wp-content/uploads/2012/05/Minfo-Home-Medical-Kit.pdf]]> https://douglakin.podomatic.com/entry/2012-11-03T13_33_55-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-11-03T13_33_55-07_00 Sat, 03 Nov 2012 20:33:55 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2012-11-03T13_33_55-07_00 Douglas Lakin home,medication 533 false 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. http://doctordoug.com/wp-content/uploads/2012/05/Minfo-Home-Medical-Kit.pdf Having the proper Over-The-Counter medications in the cabinet at home is crucial. Here is my lis... https://douglakin.podomatic.com/entry/2012-09-25T18_47_21-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-09-25T18_47_21-07_00 Wed, 26 Sep 2012 01:47:21 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2012-09-25T18_47_21-07_00 Douglas Lakin dermatology,skin,cancer 3329 false 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. Dr. Kim has a year old dermatology practice in the heart of Scottsdale. Come listen to her discu... https://douglakin.podomatic.com/entry/2012-08-26T13_46_08-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-08-26T13_46_08-07_00 Sun, 26 Aug 2012 20:46:08 +0000 2018-01-27 2013-12-11 https://www.podomatic.com/podcasts/douglakin/episodes/2012-08-26T13_46_08-07_00 Douglas Lakin overweight,prevention 501 false Yes...a bit of a strange intro, but listen to how Mr. Spock relates to our diets, weight, and modern perceptions Yes...a bit of a strange intro, but listen to how Mr. Spock relates to our diets, weight, and mod... https://douglakin.podomatic.com/entry/2012-04-06T12_35_44-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-04-06T12_35_44-07_00 Fri, 06 Apr 2012 19:35:44 +0000 2018-01-27 2013-12-10 https://www.podomatic.com/podcasts/douglakin/episodes/2012-04-06T12_35_44-07_00 Douglas Lakin influenza,arizona 27 false Flu is leaving town. Still some in The Valley, but we've peaked and are dropping off. Great news. Flu is leaving town. Still some in The Valley, but we've peaked and are dropping off. Great news.
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

]]> https://douglakin.podomatic.com/entry/2012-03-30T05_42_35-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-30T05_42_35-07_00 Fri, 30 Mar 2012 12:42:35 +0000 2018-01-27 2013-12-10 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-30T05_42_35-07_00 Douglas Lakin caffeine 152 false 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 CAFFEINE INFORMATION IN FOODS: SOFT DRINKS (12 OZ UNLESS NOTED): COCA COLA 34 MG DIET ... NAUSEA, VOMITTING & DIARRHEAL ILLNESS

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)
• Vomiting (regurgitating food)
• Diarrhea (excess fluid via the rectum)

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
2. Focusing on Liquids…so that dehydration does not set in

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.

Liquids:

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:
• Plain Water
• Gatorade (or other electrolyte solutions that are similar)….do not use sugar-free versions of these drinks as the calories in these drinks are helpful is treating the illness and may be the only calories the person can absorb for the first hours or days
• Tea
• Cranberry Juice, Apple Juice (watered down…mixed ½ & ½ with water), White Grape Juice
• Broth from Chicken Soup, Matzo Ball Soup, Bullion
• Popsicles

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)
• Crackers
• Plain Noodles
• Macaroni (no cheese)
• Plain Rice
• Bananas
• Apple Sauce


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.

]]> https://douglakin.podomatic.com/entry/2012-03-17T15_58_07-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-17T15_58_07-07_00 Sat, 17 Mar 2012 22:58:07 +0000 2018-01-27 2018-01-27 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-17T15_58_07-07_00 Douglas Lakin diarrhea,diet,nausea,vomiting,gi,virus 486 false DIET: NAUSEA, VOMITTING & DIARRHEAL ILLNESS 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) • Vomiting (regurgitating food) • Diarrhea (excess fluid via the rectum) 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 2. Focusing on Liquids…so that dehydration does not set in 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. Liquids: 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: • Plain Water • Gatorade (or other electrolyte solutions that are similar)….do not use sugar-free versions of these drinks as the calories in these drinks are helpful is treating the illness and may be the only calories the person can absorb for the first hours or days • Tea • Cranberry Juice, Apple Juice (watered down…mixed ½ & ½ with water), White Grape Juice • Broth from Chicken Soup, Matzo Ball Soup, Bullion • Popsicles 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) • Crackers • Plain Noodles • Macaroni (no cheese) • Plain Rice • Bananas • Apple Sauce 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 ong(continued) DIET: NAUSEA, VOMITTING & DIARRHEAL ILLNESS Acute GastroIntestinal (GI) illness is generally ...
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.
2. WASH YOUR BACKSIDE WITH EITHER PLAIN WATER OR CETAPHIL LIQUID CLEANSER (available over-the-counter at any CVS, Waglreens, etc.….) Avoiding soap will prevent harsh irritants from perpetuating the irritation in the area and it will prevent the area from getting ‘dried out’ as soaps often do.
3. DRY YOUR BOTTOM THOROUGHLY. Probably the best way to do this is to use a hair blower on medium heat. Alternatively, you can ‘pad’ the area dry with a dry towel or air dry by leaving your bottoms off and letter nature dry things up.
4. SOAK IN A BATH OF PLAIN WARM WATER. This is the simplest and most effective method to stop pain, irritation, and bleeding. Sitting in a plain tub of warm water (or a sitz bath….a device that goes in the toilet bowl) will provide immediate relief that is impressive. Do this one to several times a day…as often as you need. You cannot do this too much. Do realize that a hot tub is not good for hemorrhoids and will cause increased symptoms due to the chemicals in the water. As well, a warm pool will not do well either.
5. APPLY A TOPICAL CREAM, such as ANUSOL HC (prescription) in a small amount to the inflamed area around the rectum. This works much much better than Preparation H (a product that I think is not very effective). If you would rather use a home cream, you can try a mild cortisone cream such as CORTAID 10 Cream, which is available at any pharmacy or grocery store.
6. KEEP THE BOWEL MOVEMENTS SOFT. Use either a softener such as Colace (Docusate Sodium), Metamucil (fiber product), or Mirilax (over the counter constipation aid) to keep the bowels moving easily. This prevents straining at movement, which can perpetuate the hemorrhoids.
7. USE SUPPOSITORIES IF SYMPTOMS OR BLEEDING IS MORE BOTHERSOME. These are ANUSOL HC SUPPOSITORIES (prescription) and they are sometimes necessary for more vexing cases of irritation or bleeding.

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!)

]]> https://douglakin.podomatic.com/entry/2012-03-17T14_33_48-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-17T14_33_48-07_00 Sat, 17 Mar 2012 21:33:48 +0000 2018-01-27 2018-01-27 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-17T14_33_48-07_00 Douglas Lakin hemorrhoids,rectal 474 false 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. 2. WASH YOUR BACKSIDE WITH EITHER PLAIN WATER OR CETAPHIL LIQUID CLEANSER (available over-the-counter at any CVS, Waglreens, etc.….) Avoiding soap will prevent harsh irritants from perpetuating the irritation in the area and it will prevent the area from getting ‘dried out’ as soaps often do. 3. DRY YOUR BOTTOM THOROUGHLY. Probably the best way to do this is to use a hair blower on medium heat. Alternatively, you can ‘pad’ the area dry with a dry towel or air dry by leaving your bottoms off and letter nature dry things up. 4. SOAK IN A BATH OF PLAIN WARM WATER. This is the simplest and most effective method to stop pain, irritation, and bleeding. Sitting in a plain tub of warm water (or a sitz bath….a device that goes in the toilet bowl) will provide immediate relief that is impressive. Do this one to several times a day…as often as you need. You cannot do this too much. Do realize that a hot tub is not good for hemorrhoids and will cause increased symptoms due to the chemicals in the water. As well, a warm pool will not do well either. 5. APPLY A TOPICAL CREAM, such as ANUSOL HC (prescription) in a small amount to the inflamed area around the rectum. This works much much better than Preparation H (a product that I think is not very effective). If you would rather use a home cream, you can try a mild cortisone cream such as CORTAID 10 Cream, which is available at any pharmacy or grocery store. 6. KEEP THE BOWEL MOVEMENTS SOFT. Use either a softener such as Colace (Docusate Sodium), Metamucil (fiber product), or Mirilax (over the counter constipation aid) to keep the bowels moving easily. This prevents straining at movement, which can perpetuate the hemorrhoids. 7. USE SUPPOSITORIES IF SYMPTOMS OR BLEEDING IS MORE BOTHERSOME. These are ANUSOL HC SUPPOSITORIES (prescription) and they are sometimes necessary for more vexing cases of irritation or bleeding. 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!) Hemorrhoids & TCB (Taking Care of your Bottom): Hemorrhoids can be very bothersome if they bec... https://douglakin.podomatic.com/entry/2012-03-17T14_12_29-07_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-17T14_12_29-07_00 Sat, 17 Mar 2012 21:12:29 +0000 2018-01-27 2018-01-27 https://www.podomatic.com/podcasts/douglakin/episodes/2012-03-17T14_12_29-07_00 Douglas Lakin rectal,issues 404 false Rectal and groin irritation are commonplace. This Podcast gives you 4 simple steps for TCB (Taking Care of your Bottom) Rectal and groin irritation are commonplace. This Podcast gives you 4 simple steps for TCB (Taki...
What are the concerns?
1. Diabetes: There is a very small risk of diabetes of these medications. It is very small and statistical. This risk does not outweigh the benefits to heart and brain from prevention of strokes and heart attacks.
2. Muscle pains: True…this is the most common side effect of these medications and if it is a real bother, the medication should be stopped or the dose lowered to prevent bothersome symptoms.
3. Memory loss: There have been some reports of transient memory loss from these medications, but I must say that I have not seen a case of this that I am certain of. Memory benefits of these medications include a presumed lowered risk of dementia by prevention of strokes and microstrokes, thus resulting in less cases of dementia is patients with associated brain damage from plaque and brain injury from underlying degenerative conditions. Although speculative, I feel this potential benefit outweighs the risks of these medications on this account.

In summary, these medications are not for ‘all people’. That is why in my patients I have selected those who will have a statistical and real benefit from treatment. We have chosen wisely….do not undo these benefits by stopping medication based on vague concerns that are not highly likely to cause you significant harm. Do discuss the issue with me directly before considering stopping the medications. I am certain you will benefit from these medications in the long run.]]> https://douglakin.podomatic.com/entry/2012-02-29T15_33_57-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-29T15_33_57-08_00 Wed, 29 Feb 2012 23:33:57 +0000 2018-01-27 2013-12-09 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-29T15_33_57-08_00 Douglas Lakin statins,dementia,diabetes 226 false Statin medications (LIPITOR, MEVACOR, PRAVACHOL, ZOCOR, CRESTOR) have been around for 25 years and have a proven track record of effectiveness and safety. No drug is perfect and these drugs are no exception, but the recent concerns that are raised for use of these medications are important, but should not disuade patients of using them when properly prescribed. What are the concerns? 1. Diabetes: There is a very small risk of diabetes of these medications. It is very small and statistical. This risk does not outweigh the benefits to heart and brain from prevention of strokes and heart attacks. 2. Muscle pains: True…this is the most common side effect of these medications and if it is a real bother, the medication should be stopped or the dose lowered to prevent bothersome symptoms. 3. Memory loss: There have been some reports of transient memory loss from these medications, but I must say that I have not seen a case of this that I am certain of. Memory benefits of these medications include a presumed lowered risk of dementia by prevention of strokes and microstrokes, thus resulting in less cases of dementia is patients with associated brain damage from plaque and brain injury from underlying degenerative conditions. Although speculative, I feel this potential benefit outweighs the risks of these medications on this account. In summary, these medications are not for ‘all people’. That is why in my patients I have selected those who will have a statistical and real benefit from treatment. We have chosen wisely….do not undo these benefits by stopping medication based on vague concerns that are not highly likely to cause you significant harm. Do discuss the issue with me directly before considering stopping the medications. I am certain you will benefit from these medications in the long run. Statin medications (LIPITOR, MEVACOR, PRAVACHOL, ZOCOR, CRESTOR) have been around for 25 years an...
If you are interested in the video, you can watch it here:

http://vimeo.com/34528566]]> https://douglakin.podomatic.com/entry/2012-02-18T15_56_49-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_56_49-08_00 Sat, 18 Feb 2012 23:56:49 +0000 2018-01-27 2013-12-09 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_56_49-08_00 Douglas Lakin sugar,diabetes 1970 false 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: http://vimeo.com/34528566 Sugar is fine in moderation, but the average American is eating 160 pounds per year! Let's find ...
Check out this podcast, or you can view the video as an alternative:

http://vimeo.com/33308270]]> https://douglakin.podomatic.com/entry/2012-02-18T15_52_19-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_52_19-08_00 Sat, 18 Feb 2012 23:52:19 +0000 2018-01-27 2013-12-09 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_52_19-08_00 Douglas Lakin salt,hypertension 2063 false 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 Salt is a staple in our diet and a substance desired the the human taste bud. How do we come to ...
If you'd rather see the slides and complete video lecture, please go here:

http://vimeo.com/25634858]]> https://douglakin.podomatic.com/entry/2012-02-18T15_10_09-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_10_09-08_00 Sat, 18 Feb 2012 23:10:09 +0000 2018-01-27 2013-12-09 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_10_09-08_00 Douglas Lakin constipation,fiber 2479 false 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: http://vimeo.com/25634858 In this talk, I focus in on a common complaint: Constipation. I review the history of issues r...
If you are interested in the video instead, please visit the following link:

http://vimeo.com/25640041]]> https://douglakin.podomatic.com/entry/2012-02-18T15_02_45-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_02_45-08_00 Sat, 18 Feb 2012 23:02:45 +0000 2018-01-27 2013-12-09 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T15_02_45-08_00 Douglas Lakin memory,alzheimers,disease 2706 false This is the 2nd of my talks, now available as a PODCAST. In it, I review the basis for our knowledge about memory loss and dementia, the latest understanding of the basis of Alzheimer's disease, and potential treatments. If you are interested in the video instead, please visit the following link: http://vimeo.com/25640041 This is the 2nd of my talks, now available as a PODCAST. In it, I review the basis for our knowl...
If you would rather see this as a video, please go to the following link:

http://vimeo.com/25645653]]> https://douglakin.podomatic.com/entry/2012-02-18T14_55_58-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T14_55_58-08_00 Sat, 18 Feb 2012 22:55:58 +0000 2018-01-27 2013-12-09 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-18T14_55_58-08_00 Douglas Lakin water,dehydration 1840 false 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 This is the audio portion of my talk on water. I discuss the amount of water we need on a dail...
Lots of resources of information for you on this topica, primarily on the disease itself:
http://digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/

and also information on preventing constipation, one of the sources of developing diverticulitis. So....learn about preventing constipation and high fiber foods below:

www.uhs.wisc.edu/docs/uwhealth_fiber_190.pdf

http://vimeo.com/25634858
]]> https://douglakin.podomatic.com/entry/2012-02-04T08_02_20-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-04T08_02_20-08_00 Sat, 04 Feb 2012 16:02:20 +0000 2018-01-27 2018-01-27 https://www.podomatic.com/podcasts/douglakin/episodes/2012-02-04T08_02_20-08_00 Douglas Lakin diverticulitis 269 false 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: http://digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/ and also information on preventing constipation, one of the sources of developing diverticulitis. So....learn about preventing constipation and high fiber foods below: www.uhs.wisc.edu/docs/uwhealth_fiber_190.pdf http://vimeo.com/25634858 This is a summary about diverticulosis and diverticulitis. Commonplace, but something you would ... https://douglakin.podomatic.com/entry/2012-01-19T05_48_13-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-01-19T05_48_13-08_00 Thu, 19 Jan 2012 13:48:13 +0000 2018-01-27 2013-12-07 https://www.podomatic.com/podcasts/douglakin/episodes/2012-01-19T05_48_13-08_00 Douglas Lakin osteopenia,osteoporosis 114 false A recent study found that women over 65 can do their bone density testing less often if they demonstrate normal bones or minimal bone loss A recent study found that women over 65 can do their bone density testing less often if they demo...
In this book, I provide 8 essential steps for good health.

Check it out at the link below:

http://doctordoug.com/patient_resources/THE%20KEYS%20WEBSITE%20VERSION%208keys%20pic.pdf ]]> https://douglakin.podomatic.com/entry/2012-01-17T06_03_26-08_00 https://www.podomatic.com/podcasts/douglakin/episodes/2012-01-17T06_03_26-08_00 Tue, 17 Jan 2012 14:03:26 +0000 2018-01-27 2013-12-07 https://www.podomatic.com/podcasts/douglakin/episodes/2012-01-17T06_03_26-08_00 Douglas Lakin 70 false This podcast is a brief description of my Minibuk...THE KEYS. In this book, I provide 8 essential steps for good health. Check it out at the link below: http://doctordoug.com/patient_resources/THE%20KEYS%20WEBSITE%20VERSION%208keys%20pic.pdf This podcast is a brief description of my Minibuk...THE KEYS. In this book, I provide 8 essent...