
Featured Articles

Sorting Out Knee Pain
When do you need help for your sudden or ongoing knee pain? Our expert sorts through the possible scenarios.

Help for Hip Pain
Pain in the hip is all too common. Learn about some common causes and how to prevent or treat it.

Simple Ways to Build Strong Bones
Osteoporosis can mean fractures and disability. Three steps you can take right now to strengthen your bones.
Ask an Expert
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I've been taking Norco for post-surgery pain. I'm feeling much better now and wonder how long I should take to go off of the pills? I've been taking three a day and I'm afraid of withdrawals.
You did not mention how long you have been on the Norco but if it is a few weeks or even a month there should be no physical withdrawal from stopping it. You may have well controlled pain because you are taking... continue reading about I've been taking Norco for post-surgery pain. I'm feeling much better now and wonder how long I should take to go off of the pills? I've been taking three a day and I'm afraid of withdrawals.
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
I had a pacemaker inserted a year ago. It keeps dropping down and looks like the wires are about to pop out. I've asked my cardiologist about it several times and he said it's fine and should not drop anymore. I exercise 5x/week. Is that too much?
The position of the pacemaker can shift over time. After about a year, however, a strong capsule has formed around the device and it should not move any further. Because the device and the leads are very secure... continue reading about I had a pacemaker inserted a year ago. It keeps dropping down and looks like the wires are about to pop out. I've asked my cardiologist about it several times and he said it's fine and should not drop anymore. I exercise 5x/week. Is that too much?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
My calcium level is high. What foods do I need to cut down on? What about dairy products, orange juice, fortified cereal and eggs, which I thought were good for me? I'm on Tamoxifen and have been through chemo. Does that contribute to high calcium?
The body regulates the blood calcium levels through complex mechanisms. Low calcium can be supplemented with vitamins and eating calcium-rich foods and dairy. High calcium, however is never from any specific fo... continue reading about My calcium level is high. What foods do I need to cut down on? What about dairy products, orange juice, fortified cereal and eggs, which I thought were good for me? I'm on Tamoxifen and have been through chemo. Does that contribute to high calcium?
Steven C. Hao, M.D., FACC
Sutter Pacific Medical Foundation
If you are a cardiac patient, what does it mean when your ankles are swollen? How much is too much, and for how long? Could this be diet, meds or both?
Ankle swelling can be due to a number of issues, with cardiac issues likely to be the most concerning. Other causes include, but are not limited to, venous insufficiency (incompetent valves), venous thrombosis ... continue reading about If you are a cardiac patient, what does it mean when your ankles are swollen? How much is too much, and for how long? Could this be diet, meds or both?
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
My son, 20, is leaving for boot camp soon. He's developed a rapid heartbeat during his work outs and sudden spikes in blood pressure. He had an EKG and all was normal. They thought it was stress. What are the next steps?
There are a number of heart rhythm abnormalities that can cause a sudden rapid heartbeat during exercise. A normal evaluation in the emergency room typically will not reveal the rhythm problem because the evalu... continue reading about My son, 20, is leaving for boot camp soon. He's developed a rapid heartbeat during his work outs and sudden spikes in blood pressure. He had an EKG and all was normal. They thought it was stress. What are the next steps?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading about What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
Lawrence D. Dickinson, M.D.
Sutter Pacific Medical Foundation
I'm concerned about my child getting a concussion while taking part in organized athletics. What can I do?
Teens in organized sports, such as soccer, football and lacrosse, are particularly vulnerable to concussion. Approximately nine percent of all high school athletic injuries are concussions.Before enrolling your... continue reading about I'm concerned about my child getting a concussion while taking part in organized athletics. What can I do?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I heard about “bulletproof coffee” – adding butter or another fat into your morning coffee. Are there really benefits?
The "bulletproof coffee" trend is a new fad, and presented as a way to gain energy, stay mentally sharp, avoid morning hunger AND lose weight. However, there is no scientific merit to the claims being made. The... continue reading about I heard about “bulletproof coffee” – adding butter or another fat into your morning coffee. Are there really benefits?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Are there certain exercises I can do after knee replacement to strengthen my knees to allow for climbing stairs easily?
Immediately after surgery you will learn to climb stairs safely using crutches. As recovery continues and you work on flexion and extension of the new knee, you will be able to climb without crutches. With the ... continue reading about Are there certain exercises I can do after knee replacement to strengthen my knees to allow for climbing stairs easily?