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Caring for the Patient- A Physician Assistant’s Perspective

My mantra for practicing medicine is to treat a person and not a number.

We treat a wide variety of patients with an even wider variety of complaints. When someone comes in saying, “I have back pain,” that is just the beginning of figuring out what kind of back pain we are dealing with. Is this muscle, disc, joint, or nerve pain? Or is this coming from something else entirely? And once we determine what […]

By |March 21st, 2019|Categories: Uncategorized|Tags: |Comments Off on Caring for the Patient- A Physician Assistant’s Perspective

Being sick: 3 lessons learned

I had a very humbling experience a few weeks ago. Shortly after posting on how to be healthy I became sicker than I have ever been in my life.

I don’t get sick very often and so I was oblivious to how sick I really was. Fortunately I got great medical care and was quickly back on the road to health. I like to practice growth mindset, so here are 3 things […]

By |February 7th, 2019|Categories: Healthier Lifestyle|Tags: |Comments Off on Being sick: 3 lessons learned

Dr. Vlach’s 4 Simple Health Principles to Live By

 
Yesterday, a patient took me by surprise (doesn’t happen that much after 14 years of clinical practice!).  She asked, ‘what do you do for your own health?’

 
I was flattered that she asked and thought that I represented a model of good health.  Many doctors don’t.  I’ve always wondered how you would take advice to change your diet from an obese/overweight cardiologist.

 
My answers were pretty quick and simple, as I really believe health does not […]

By |January 10th, 2019|Categories: Healthier Lifestyle|Tags: |Comments Off on Dr. Vlach’s 4 Simple Health Principles to Live By

Two Knees: A Story

It’s been a good day for stem cell procedures. I had the pleasure of seeing a 68 year old patient 8 weeks out from his RIGHT knee stem cell procedure. He reported 30% improvement.

30% you might say, that’s not very good. However, I told him from the start that his candidacy was poor (this means <30% chance of good improvement). His poor candidacy was due to very severe osteoarthritis with loose bodies in the […]

By |October 29th, 2018|Categories: Knee Pain|Tags: |Comments Off on Two Knees: A Story

Treating Knee Problems: An Innovative, Modern Approach!!

Hi All,

My last blog was on the different type of injuries/problems/pathology that can occur in the knee. Today we will tie things together with the common and perhaps not so well-known treatment protocols.

Once again, I would add the caveat that this is a basic/informational discussion. When it comes to medicine even the smallest region or anatomical part can be quite complicated and detailed. So, considering the knee, there are medical professionals who solely practice […]

By |October 26th, 2018|Categories: Knee Pain|Tags: , , |Comments Off on Treating Knee Problems: An Innovative, Modern Approach!!

Should you do the minimum amount of daily exercise?

A colleague recently forwarded an article to me with this title:
If Your Workouts Last Longer Than 13 Minutes, Science Says You’re Wasting Your Time.

The opening line is “Unless you have unlimited time and an unnatural enthusiasm for exercise, chances are you want to work out as little as possible to reap all the benefits.” The article goes on to say that you can get all you need in 13 mins.

This got me thinking, […]

By |September 27th, 2018|Categories: Healthier Lifestyle|Tags: |Comments Off on Should you do the minimum amount of daily exercise?

Why does your knee hurt?

Knee 101 August 2018 Blog Part II
Hi All,
My last blog was Knee 101, a basic lesson on anatomy.  Today we will cover the more common types of injuries/problems/pathology and how they affect the joint.  This is Part II in a III part series.  In III we will discuss possible treatments.
As with all my blogs, I would add the caveat that this is a basic/informational discussion.  If you desire more education on this topic, there […]

By |September 18th, 2018|Categories: Knee Pain, Pain Management|Tags: |Comments Off on Why does your knee hurt?

Knee 101

Hi All,
It has been a few months since I have written a blog.  The biggest reason was devoting my time to the River of No Return Race in Challis.  We have been the medical providers for 5 years and I’m happy to report another successful year with no serious issues.  Anyway, I’m now back on track and ready to resume a monthly blog. 
As a PA, or I would assume any medical provider it is […]

By |August 10th, 2018|Categories: Knee Pain|Tags: |Comments Off on Knee 101

PRP for Knee Arthritis

When talking with other physicians about regenerative injections and PRP (platelet-rich plasma injections), I commonly hear the response “well, it is worth a try and I can’t see that it hurts, but until there is more data out there I don’t recommend it to my patients”.

The tides are changing. I recently read an editorial commentary, “The Time Has Come to Try Intra-articular Platelet-Rich Plasma Injections for Your Patients With Symptomatic Knee Arthritis”, […]

By |June 22nd, 2018|Categories: Knee Pain, Platelet Rich Plasma|Tags: |Comments Off on PRP for Knee Arthritis

I HURT MY BACK!

Last week, I was lifting weights at 5 am (trying to practice what I preach! the importance of exercise!) and while bending forwards, I felt the dreaded tug/pull in my lumbar spine. I limped through the rest of my workout, but was pretty miserable by the afternoon.

Here’s what I wanted to do:
-lie on the couch, eating potato chips, while taking hydrocodone and ibuprofen, binge watching netflix and hoping that symptoms would pass.

Here’s what I […]

By |June 14th, 2018|Categories: Back Pain, Pain Management|Tags: |Comments Off on I HURT MY BACK!