Category Archives: House Calls

Dr. Caroline Prochnau discusses issues regarding your health.

How do doctors get behind? Let us count the reasons

Caroline Prochnau
Caroline Prochnau

I am always late. I try to apologize to most of my patients for running late. I even joke and say that “sorry that I am running late” is my middle name. I have not always been habitually tardy.  In fact, I used to take pride in my punctuality.

Just like no two snowflakes are alike, no two days of seeing patients are alike. In the perfect world, each patient visit and documentation of that visit would only take the allotted 15 minutes. But as we all know, our world, which includes the field of medicine, is not perfect.

Continue reading How do doctors get behind? Let us count the reasons

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Vitamin deficiencies can wreak havoc with body

Caroline Prochnau
Caroline Prochnau

Vitamin deficiency anemia occurs when the body does not have enough of the vitamins needed to produce adequate numbers of healthy red blood cells. Red blood cells carry oxygen from the lungs throughout the body. If the diet is lacking in certain vitamins, vitamin deficiency anemia can develop. It may develop if the body cannot properly absorb the nutrients from foods.

Vitamin deficiencies usually develop slowly over several months to years. Vitamin deficiency symptoms may be subtle at first, but they increase as the deficiency worsens.

Continue reading Vitamin deficiencies can wreak havoc with body

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Muscle stiffness, swelling could be signs of this

Caroline Prochnau
Caroline Prochnau

There is an inflammatory disorder that causes muscle pain and stiffness called polymyalgia rheumatica. The pain and stiffness often occur in the shoulders, neck, upper arms and hips. Symptoms of this condition usually begin quickly, such as within two weeks. Continue reading Muscle stiffness, swelling could be signs of this

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Understanding myasthenia gravis and how to control it

Caroline Prochnau
Caroline Prochnau

Myasthenia gravis is a rare, chronic auto-immune disease characterized by weakness and rapid fatigue of muscles. Though myasthenia gravis can affect people of any age, it is more common in women younger than 40 and in men older than 60. The prevalence of myasthenia in the United States is estimated to be about 20 per 100,000 people. Continue reading Understanding myasthenia gravis and how to control it

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The story on rabies, and what to do if you get it

Caroline Prochnau
Caroline Prochnau

Rabies is a very serious disease caused by a virus. Rabies is mainly a disease of animals but humans can get rabies if bitten or scratched by an infected animal. The virus infects the brain, causing an animal to exhibit unusual, often aggressive, behavior. Continue reading The story on rabies, and what to do if you get it

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Anaphylaxis can be life threatening; how to avoid it

Caroline Prochnau
Caroline Prochnau

Anaphylaxis is a potentially life-threatening allergic reaction.

The immune system produces antibodies that defend against substances that are foreign to the body. This antibody production is important when the foreign substance is something harmful like certain bacteria or viruses. At times, though, the immune system overreacts to substances that should not cause an allergic reaction. Continue reading Anaphylaxis can be life threatening; how to avoid it

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Hypothyroidism, its causes and problems

Caroline Prochnau
Caroline Prochnau

The thyroid is a butterfly-shaped gland in the middle of the lower neck. The thyroid produce two hormones, triiodothyronine (T3) and thyroxine (T4), which regulate how the body uses and stores energy (also known as the body’s metabolism). Thyroid function is controlled by a gland in the brain, known as the pituitary. The pituitary produces thyroid stimulating hormone (TSH), which stimulates the thyroid to produce T3 and T4. Continue reading Hypothyroidism, its causes and problems

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Is sleep apnea keeping you awake?

Caroline Prochnau
Caroline Prochnau

Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. It can also affect a person’s ability to safely perform normal daily activities and can affect long-term health. Approximately 25% of adults are at risk for sleep apnea of some degree.

There are two main types of sleep apnea: Obstructive sleep apnea (OSA), which is the more common form that occurs when throat muscles relax, and Central sleep apnea, which occurs when the brain does not send proper signals to the muscles that control breathing. Continue reading Is sleep apnea keeping you awake?

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Peripheral artery disease and claudication

Caroline Prochnau
Caroline Prochnau

Peripheral artery disease is a problem with circulation where deposits of fatty plaques called atherosclerosis develop on the blood vessel walls. These plaques may progress and result in narrowing or completely blocked blood flow in the arteries. When this happens, the extremities do not receive enough blood flow to keep up with demand. The location of the pain depends upon the location of narrowed artery. Continue reading Peripheral artery disease and claudication

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Constant acid reflux? You may have GERD

Caroline Prochnau
Caroline Prochnau

Acid reflux occurs when the stomach contents back up into the esophagus and/or mouth. Reflux is a normal process that occurs in healthy adults. Most of these episodes are brief and do not cause bothersome symptoms or complications.

People with gastroesophageal reflux disease (GERD) experience bothersome symptoms as a result of the reflux. Continue reading Constant acid reflux? You may have GERD

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