The other day an ER doctor told me that “you shouldn’t use testosterone replacement because it increases your risk for blood clot and stroke.” He told me this in context of a patient on testosterone replacement therapy (TRT) who recently had a blood clot. So, in order to ensure that we’re not doing more harm, I took a really deep dive into blood clot risk and the use of … [Read more...] about What’s The Real Risk Of Blood Clot And Stroke With Testosterone Use?
Are We Still Being Lied To?
In 2022 there were 295 drugs in short supply In 2023 there were 323 active drugs in short supply Just in the last year, there has been a 50-70% rise in drug shortages both short and long term. This has and currently does impact treatment for everything from colds to diabetes to cancer. As of the writing of this email, February 2025, there are ongoing shortages of … [Read more...] about Are We Still Being Lied To?
Your Smart Watch is Killing You
Over 100 million Americans wear smart watches or health devices to monitor their health. I was one of them . . . Not anymore. In fact, they've also become very popular with children, many of whom will show up after holiday break sporting the often unsightly high-tech wrist wear. (Yes, most of them are ugly as sin). While patient after patient shows up in my office … [Read more...] about Your Smart Watch is Killing You
Orientation to Getting Old
I've officially decided that there should be an orientation to becoming old. After practicing medicine for 25 years, I've found that many people who reach their 60's are usually not at all prepared for the challenges of aging. The Baby Boomers and Gen Xers that are now entering their 50's and 60's have struggled with aging, and I've decided that an orientation to aging is … [Read more...] about Orientation to Getting Old
PSA Test & Why You Should Question It
Over the last four years, it has become abundantly clear that any consumer of medical advice really must do their own homework on issues that impact them. COVID made it crystal clear that getting a "second opinion" from a doctor does not qualify as doing your own research into your health. Doctors, medical systems and insurance companies all may be blindly biased and … [Read more...] about PSA Test & Why You Should Question It
How To Destroy A Married Man
Life and relationships, it seems to be a topic on everyone’s mind . . .
Yes, I am a man, so this topic may appear may seem one sided.
But, open your mind and consider . . .
Men are strong and resilient, yet, they are NOT unbreakable.
Many a man shows up in my office . . . broken.
How are they broken?
You and I generally … [Read more...] about How To Destroy A Married Man
No, It’s Not Over
I’ve been a rule follower most of my life . . .
Until three years ago in March 2020.
In my 54 cycles around the sun, I’ve learned something profound.
I learned something I never thought I would say out loud . . . especially to my children . . .
Rules are meant to be broken.
Outside of the Big 10 … [Read more...] about No, It’s Not Over