Originally published June 2018. Reviewed and corrected August 2026. Summer in the Ozarks is hot, and the sunscreen aisle is overwhelming. Here is how to choose one and use it properly. Which SPF? SPF 30 or higher, broad-spectrum, water-resistant. That covers most people. If you burn easily, have very fair skin, or have a personal or family history of skin … Read More
Fever in Kids: When to Worry and When to Relax
Originally published February 2018. Reviewed and updated August 2026 to follow current American Academy of Pediatrics guidance. Let’s start here: fever is not the enemy. Fever isn’t an illness. It’s your child’s immune system doing its job — raising body temperature slows bacteria and viruses down and revs up the cells that fight them. There’s no evidence that fever itself … Read More
Thyroid Test Results Explained: What TSH, T4 and T3 Mean
Originally published November 2017. Reviewed and rewritten August 2026 to reflect current guidance from the American Thyroid Association, AACE and AAFP. You had blood drawn, the result says “TSH,” and you have no idea what you’re looking at. Let’s fix that. What TSH actually is Your thyroid — the butterfly-shaped gland at the base of your neck — makes two … Read More
Menopause: What Nobody Warns You About
Originally published August 2017. Reviewed and updated August 2026 to reflect current guidance from The Menopause Society, the American Urological Association and the FDA. Being a woman practitioner, I take care of a lot of women, and menopause is one of the most common conversations I have. Almost every time, the patient says some version of: “Nobody tells you it’s … Read More
Poison Ivy: What Actually Works (and What Doesn’t)
Around 85% of people are allergic to poison ivy, oak and sumac. Only about 10 to 15% seem genuinely unable to react. Here are the facts and the fictions, because there is a lot of confident misinformation about this plant. FICTION: “I’ve never gotten it, so I’m immune.” This is the one that catches people out. The reaction is an … Read More
Diet and Zero Sugar Sodas: Are They Actually Helping?
If you switched from regular soda to a diet or zero sugar version to cut calories, you have probably also seen a headline telling you those drinks are linked to stroke, dementia, or weight gain. So which is it? Here is what the research actually says — and what it does not. First: “zero sugar” and “diet” are the same … Read More
Virtual Visits: See Your Provider Without Leaving Home
It’s 6 p.m. on a Friday. Your 3-year-old has a 102°F fever, a runny nose, and a slight cough. Do you load up the whole family and head to urgent care, or wait out the weekend and hope you can get in Monday with your regular provider? Or maybe you have diabetes, your blood sugars are fluctuating more than usual, … Read More