Disease Prevention

Travel advice comes up often for us in primary care medicine. Health issues can arise in many places that are very different from what we face in the USA. My advice:See your primary care doctor as they are well... continue reading  about  What kind of health precautions should be taken before traveling to South East Asia (Thailand, Cambodia, Vietnam)?

Hearing loss is not always inevitable for everyone. There are many factors that contribute to hearing loss and aging. The most common is noise exposure over many years. Noise exposure can be as slight as workin... continue reading  about  Is hearing loss inevitable as we age? Is there anything we can do to prevent it?

I'm glad that you asked. Gum bleeding after brushing or flossing is a common concern. Gingivitis, or inflammation of the gums, is the most common cause of bleeding gums. Other symptoms of gingivitis may include... continue reading  about  I am experiencing bleeding when I floss or brush my teeth. I recently switched to an electric toothbrush. What can I do to prevent the bleeding?

Herpes zoster, better known as shingles, is a debilitating rash and has the potential to cause chronic pain (post-herpetic neuralgia). The vaccine has proven to decrease the risk of getting shingles and of havi... continue reading  about  My mother, who is 91, had a mastectomy 30 years ago. Luckily, she is still in good health today. Is it okay for her to get a shingles shot now? It's hard to tell whether her immune system is weak or not.

Kidney stones form in several ways but typically start as crystals that form in concentrated urine. So one thing everyone can do to help prevent stones is to drink extra liquids (to produce 2.5 liters of urine ... continue reading  about  I was recently diagnosed with a kidney stone, but my doctor thinks it will pass on its own without treatment. What is a kidney stone, and is there anything I can do to prevent getting them again?

This is a complicated question and involves both assessment of your actual risk, then consideration of how that should inform your screening process. Consult with your doctor to calculate your actual risk, base... continue reading  about  Breast cancer runs in my family (mother). Should I get a mammogram earlier than 40?

The medical name for "shingles" is varicella zoster. It comes from the chickenpox virus that can lay dormant for years after exposure. As we get older it is more likely the virus will reappear and cause a painf... continue reading  about  I am a woman (59) and I have been hearing that one out of three people get shingles. I was wondering if I should get a vaccination. Am I insured for this, if not, how much does this shot cost?

The pneumonia vaccine helps protect you from S. pneumoniae, a bacterial germ that causes serious lung infections like pneumonia as well as blood infections and meningitis. It protects you from the most common t... continue reading  about  At what age should I have a pneumonia vaccination? Thank you!

Urinary tract infections are one of the most common infections doctors treat. More than half of women living in the United States will get a UTI at some point in their lives. Urinary tract infections are caused... continue reading  about  I've heard urinary tract infections (UTIs) are getting harder to treat. Why is this and who's at risk of developing one?