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Patient handouts

IUD

Part 2: Minimizing the pain of the IUD insertion: all effort required

By Dr. Roberto Leon on July 12, 2016

Up until recently, pain management with IUDs (intrauterine devices) insertion was not commonly performed, as most users were multiparous women and the insertion was reasonably straightforward. However, because the IUDs provide unsurpassed protection against a pregnancy along with many other advantages, its acceptance is dramatically increasing, especially in nulliparous women and adolescents.

IUD

Part 1: Who should be offered an IUD, and selection of the appropriate IUD

By Dr. Roberto Leon on April 27, 2016

Intrauterine devices (IUDs) are a safe, very effective, rapidly reversible and highly acceptable contraception amongst women. Yet it is resisted by many physicians. A recent study in Seattle (1) found that half or fewer of the physicians sampled do not follow the recommended guidelines, advising against using an IUD to nulliparous women, 20 years old or less, or women with a prior history of STI, PID or ectopic pregnancy.

Gout

Part 2: Treating Gout – Practice Tips and Clinical Pearls

By Drs. Neda Amiri and Kam Shojania on March 30, 2016

Despite being one of the most common forms of arthritis afflicting adults, optimal care of patients with gout including treatment of acute attacks as well as long-term management is not always achieved.

Headache

Concussion rehabilitation

By Sue Barlow, OT and Jennifer Loffree, OT on December 2, 2015

The statistics regarding recovery from concussion indicate that the majority of individuals will be symptom-free at 3 months; within 6 months 70-75% will be symptom free; and within a year 10% will have 1 persisting symptom and 5% will have 4 or more persisting symptoms

Advance care plan (ACP) for patients with multiple co-morbidities

Hope for patients with fatigue, pain, and unexplained symptoms

By Dr. Ric Arseneau on October 13, 2015

Fatigue, pain, and unexplained symptoms are commonly seen in physician offices, however they are often experienced as “unsatisfying” for doctors. Our patients need an explanatory model to help them understand their illness. If we don’t provide one, patients will create their own or seek one elsewhere.

Exercise during pregnancy

Exercise during pregnancy

By Dr. Karen Nordahl on September 30, 2015

It has been shown that 55% of pregnant patients reported some form of back pain during their pregnancy when questioned. Studies have demonstrated that if we get pregnant women moving, specifically working their pelvic floor with Kegel exercises and their ‘core’ they may have better pregnancy outcomes.

sad child

The unvoiced questions of children experiencing an illness, dying, or death in their family

By Andrea Warnick on April 29, 2015

Serious illness, dying, or death of a family member is one of the most significant life events a child will ever experience. I no longer wait for them to share their concerns and questions with me. I invite questions and address the grief.


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