MRNA VACCINES CAN END THE COVID-19 PANDEMIC

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Any respiratory virus has the potential to become a pandemic. We have had influenza pandemics in the past, and we are always worrying about an influenza pandemic, but this is the first pandemic since 1918. The 2018-2019 influenza season was really bad with hospitals packed to capacity, but it did not reach pandemic level proportions. … Read more

THE LOWDOWN ON LOW T

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Is “manopause” real, and do the benefits of testosterone replacement outweigh the risks? Testosterone levels decrease by 1-3% per year starting at age 30 in men. When testosterone falls, men experience fatigue, loss of bone and muscle mass with an increase in fat, inflammation, joint pain, depression, irritability and loss of libido (interest in sex). … Read more

DON’T FEAR THE HORMONES

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Many women (and their doctors) are afraid of hormone replacement therapy. The Women’s Health Initiative (WHI) study followed over 160,000 postmenopausal women taking premarin (horse estrogen) and medroxyprogesterone (synthetic progestin) for fifteen years, and this combination resulted in a slight increase in the rates of heart disease and breast cancer. Premarin alone showed a decrease … Read more

CURE YOUR ALLERGIES

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It’s allergy season again (does allergy season ever end in Hampton Roads?) If you suffer from allergies, you may be miserable with itchy watery eyes, runny nose, sneezing, sore throat, cough, sinus headaches, earaches, dizziness, and fatigue. You may also get frequent colds, ear infections, and sinus infections. If you have asthma, allergies can cause … Read more

PREVENTING SEVERE COMPLICATIONS OF COVID19

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The virus which causes COVID19 can produce severe inflammation called a cytokine storm, which can then set off a chain reaction which results in thrombosis (tiny blood clots), which can damage all of the organs in the body.  This process is known as DIC (disseminated intravascular coagulation).  As we age, we become more prone to … Read more

TREATING COVID19 WITH HYDROXYCHLOROQUINE AND AZITHROMYCIN

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I have received many questions about azithromycin and hydroxychloroquine.  These medications have been on the news, and some politicians and reporters are touting them as miracle cures.  At this time, these medications are being used experimentally for treating COVID19, mostly on hospitalized patients with severe disease.  The studies which have been done are small with … Read more

AHHH CHOOOO! IS IT ALLERGIES?

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Hampton Roads, Virginia is one of the top two regions of the country for Allergic Rhinitis.  Tucked between the ocean and the mountains with a temperate climate, allergens swirl through the area all year long.  Many people experience a flare of their allergy symptoms during one or more seasons, but some people have symptoms year-round. … Read more

SHOULD I GO TO URGENT CARE?

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In a typical insurance-based primary care office, patients are scheduled months in advance, and there are no appointments available if you get sick or injured.  When patients call for an appointment, they are told to visit an urgent care, where they often wait for hours in a waiting room filled with patients with highly infectious … Read more