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Kara Diersing Clapp, PhD, APRN
Family Nurse Practitioner
Friday, May 26, 2017
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Doctor Kara, PC
PO Box 901020
Sandy, Utah 84090-1026
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Doctor Kara's Blog

Author: Kara Clapp Created: 7/9/2007
This blog is a place where Dr. Kara can share her personal viewpoints about the health care industry and the practice of health and illness care. Postings about Dr. Kara's various hobbies, readings, and other life experiences may find their way here also. Disclaimer: any subject matter discussed in this blog should not be used for medical advise and self-treatment. Please consult a medical provider who can assist you with making informed medical decisions based upon your unique medical history and needs.

Life Style Changes Can Save You Big Money!
By Kara Clapp on 6/30/2011

Good Morning Readers!

A new study presented at the American Diabetes Association Scientific Sessions in San Diego reveals that lifestyle changes are more cost effective than medications in the long term. The study was conducted over 13 years: 3 years of treatment and 10 year follow up to determine differences between three groups (placebo, metformin drug only, and diet with exercise). The diet and exercise group saved $2,600 per person in medical costs compared to the metformin group that saved $1,500 per person.
 I don’t know about you, but if someone told me I was at risk of developing a disease that would cost me upwards of $1,000 per month and I had a chance to avoid that and save myself another $2,600 dollars per year, I would be asking them how to do that. Wouldn’t you? I don’t know of any honestly gained investment paying that kind of dividend in this economy.< ...
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Soft as a Baby's Bottom
By Kara Clapp on 6/28/2011


Good Morning Readers!

Its a beautiful sunny day outside and I am thinking about skin today, specifically baby skin. Here's some information to consider this summer.

Did you know that a baby’s skin is different than our adult skin and it continues to develop during the first year of life?

 It differs in two ways: (a) the skin is more permeable especially if the baby is not full term, allowing for more transepidermal water loss, and (b) babies skin also absorbs faster than our skin, so they get more sunscreen and other things on the skin crossing into their bodies, including germs.
Baby skin continues to develop the barrier function during the first year of life, as the stratum corneum thickens. Baby subcutaneous fat is richer in saturated oils (palmitic and esteric acid). Th ...
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Pap Smear Update
By Kara Clapp on 6/28/2011

Good Morning Readers!

I'm sorry I've been quiet for the past week----I was in Vegas for a week long medical education conference. Today I am going to share with you what my female patients already know since I have been telling them this since 2007. I apologize if it is a review for you. A very good provider usually is practicing about 3-5 years ahead of guidelines, so for those women who didn't believe me when I was telling them something that they were't hearing about yet---here's your proof that I was really acting in your best interest.

The American College of Obstetricians and Gyncologists have stated it is OK for a woman to have PAP tests less often. A woman in her 20's can wait every two years and a woman age 30 years or older can wait every three years. There are important caveats though. These guidelines are only valid for women who have had three consecutive negative PAP tests prior to extending the wait. If you have HIV, are immunos ...

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There Are No Medications for Acute Grief
By Kara Clapp on 6/17/2011

Good Morning Readers!

Today I am freestyling it. I'm not quoting or referencing research in this blog entry. I'm going to talk about some observations I've made of late. Since the beginning of the year I have been approached at least 4 times (that I can clearly recall) by patients asking for medication. When queries more about their request, I have discovered they all were experiencing acute grief because someone near and dear to them had just died within the last 2-4 weeks. Of course none of them were very happy to hear that I have no medications for acute grief and that the only way to deal with the grief was to live through it and allow time to do its work. Fortunately for them, they listened and will be much less likely to develop chronic dysfunctional grief. Although I have suspicions that the one patient who called several times for "pain" medication might not be so lucky and probably found some one else to give what the patient demanded from me.

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The New Food Guidelines Made Simple
By Kara Clapp on 6/16/2011

Good Morning Readers!

Its not often that I will say that government got something right, but I am going to say that today. The USDA released a new campaign called to help us all eat better. I have to admit, its a vast improvement over the food pyramid. Here's a look at the MyPlate icon. Of course I put a pink placemat underneath it---Its Doctor Kara pink!

The only thing I would add to this campaign is the plate size and a caveat as to what constituents a "grain". Most dinner plates are 10.25 to12 inches and that's just too big. I recommend a 9 inch plate. You know you are eating a whole (seed and kernel) grain if it is the following:  buckwheat, bulgur, millet, oatmeal, quinoa, rolled oats, brown or wild rice, whole grain barley, whole rye, and whole wheat. These grains are very nutritious and very filling. They a ...

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Antibiotic Resistant Staph Aureus
By Kara Clapp on 6/15/2011

Good Morning Readers!

I bear good news today. There are new treatment guidelines in treating skin and soft tissue infections. The first line of defense is no longer antibiotics, but incision and drainage of the infected tissue. There are still about 6-7 patient specific characteristics that would allow use of antibiotic with or without the incision and drainage. This, in part, is due to two simple facts: we have overused antibiotics which has led to resistant superbugs and we have no new antibiotics in development. That means we have to live with the current antibiotics we have on the market and need to use them more wisely and selectively.

The other good bit of news is that a new test has been approved by the FDA that allows quicker identification of MRSA versus MSSA. This test can distinguish the type of staph in about 5.5 after the blood culture is drawn so IV anitbiotic therapy can be started 1-2 days quicker.

In a nutshell, the ...

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Here Fishy, Fishy, Fishy!
By Kara Clapp on 6/14/2011

Good Morning Readers!

A new study published in May in Clinician Reviews reveals that women who eat baked or broiled dark fish (Mackerel, Salmon, or Bluefish) five times a week reduce their risk of heart failure by 30%. Not even high dose fish oil can do that! The key ingredients here of course is: type of preparation, type of fish, and eating a wole food in place of a supplement.

This is important news considering heart disease kills more women than any other illness.

So get out your fishing pole this summer and enjoy the bounty!

To Your Excellent Health!

Dr. Kara

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Good News about Pediatric Food Allergies
By Kara Clapp on 6/10/2011

Good Morning Readers!

I have good news today for parents who are feeling worn out by their child's special dietary needs. It appears that food allergies may be overdiagnosed with the use of IgE skin testing. Besides that, those tests are darn expensive. I rarely can order one for my cash pay patients because the allergy panels start $1,000 per test group! It turns out that the gold standard is still a food challenge---which is affordable.

Here's the link to the article for your reading pleasure.

It is also important to note that of those children who did have a positive food challenge test, the most frequently bothersome foods were: soy, peanuts, wheat, and egg.  So if you are feeling hassled by food restrictions, check things out with an allergy specialist who will adminster a food challenge test. You may find some relief and so&am ...

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Changes Coming to Your Health Care---Be Ready!
By Kara Clapp on 6/8/2011
CNN Money lists six changes coming to health care industry in the next few years. Are you prepared?
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Failing to Plan Ahead Can Hurt Your Pregnancy
By Kara Clapp on 6/8/2011
Diabetes, high blood pressure, and cholesterol problems are common in women of child-bearing ages and can have dramatic impact on pregnancy and pregnancy planning.
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