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A Petaluma360 Blog

ER Doctor

Dr. Rick Tietz on allopathic medicine

We All Need To Chill Out

We live in a world where we are constantly being bombarded with stimuli. We surf the net while watching TV. We walk with our eyes glued to a small smart device. We drive and talk or text. At the health club multiple TV screens flash images as music is played and we work out. We blast classical music to our babies in the mistaken belief that the music is better than play for brain development. How about just hanging out?… Read More »

Nutritional Supplements: Not Worth It

Nutritional supplements such as Ensure have been successfully used to treat patients who are underweight and suffer from nutritional deficiencies. Elderly patients with chronic diseases are often placed on these supplements. It seems that the manufacturers of these products realized that their market was too small. They recently have heavily advertised these liquids protein drinks to others, who in all likelihood don’t need these drinks. Chief among these groups are the elderly, who often don’t have a great diet. This… Read More »

No Miracle Cure For Chronic Back Pain

When long ago our ancestors made the leap from crawling around the ground to standing and walking, who would have thought that back pain would for many of us be the result? Back pain is one of the most common and difficult problems to treat. Most of us at some point in our lives will suffer from at least one bout of it. For those unfortunate enough to have chronic severe back pain, options are becoming fewer and fewer. Surgery… Read More »

Texting and Driving Don’t Mix

When you drive a car, you propel a very heavy piece of metal at times at very high speeds.  This is arguably the most dangerous activity which you do in your life-not only dangerous for you but also for others . In years past the dangers of drinking and driving have been well publicized, yet people still drink and drive. Over 30,000 persons are killed each year in this country and drinking remains a major problem. And now with the… Read More »

Reality Check for Baby Boomers

Aging baby boomers like myself now realize that the endless parties, killer workouts and disease free times are coming to an end. Ages ago we could work all day, party all night and be ready for a repeat the next day. Now the idea of staying out past 10 pm seems unpleasant and a good workout might be a short jaunt around the block. Unfortunately for us and for the rest of humanity, strength and endurance are not the only… Read More »

Belly Hernias: A Cause for Concern?

Not all hernias are created equal. The most common type is the inguinal hernia, which due to complicated and boring anatomy, seems to herniate often. A hernia is simply put a tear and through that tear stuff can come out. What comes out? Well that depends where the hernia is located. In the case of an inguinal hernia part of the intestine can be pushed through the opening, but sometimes only a little fat comes out. If the intestine can… Read More »

Hyperthermia

During the dog days of summer life is slow, sweet and oh so hot. Yes, the temperature rises and with the heat so too does the risk of overheating or hyperthermia. How to prevent from becoming too hot? First and foremost: be aware of your environment and what you’re doing. Running a 10k in 100 degree weather on streets without shade is probably not a great idea. Starting your run before 10 am or after 6 pm might be a… Read More »

A New Treatment for Rheumatoid Arthritis?

A Chinese herb Tripterygium wilfordii or thunder god vine (gotta love that name!) was recently studied for treatment of rheumatoid arthritis. This is a disease which can cause serious and permanent deformities in joints and can affect other organs as well. One treatment that is often used is Methotrexate, which has some nasty side effects. In a recent published study the thunder god vine was at least as effective as Methotrexate. Side effects from the herb included loss of hair loss… Read More »

Physicians and Gun Control

An average of 88 people per day die in this country from firearms. It is becoming nearly impossible to discuss this issue rationally due to the politics. Let’s try for a minute to cast aside the grandstanding and look at the data which is available. Two thirds of the deaths are suicides and most of these suicides are committed by the elderly and those living in rural areas. Those, who abuse alcohol or other drugs, feel isolated and have access… Read More »

The Swollen Knee

If your knee swells and you haven’t injured it, what could be going on?   Well, most of the time you probably didn’t even realize that you twisted it just a tiny bit, perhaps when stepping off that curb late last night. Usually, there is some prior wear and tear arthritis. Yes, one of the many joys of middle age is that the knees take the brunt of all those years of sports and of course the ever expanding waistline.… Read More »