Opinion
Just Call It ‘Chronic Rhinitis’ and Reach for These Treatments
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
One clue that it might be nonallergic rhinitis is the age of onset. If the symptoms are later in onset (older age), then 30%-40% of rhinitis is...
Opinion
Stones, Bones, Groans, and Moans: Could This Be Primary Hyperparathyroidism?
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
The classic symptoms include osteoporosis and bone tumors. People can get nephrocalcinosis and kidney stones.
Opinion
Chronic Neck Pain: A Primary Care Approach
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
There are three types but the most common and least serious is mechanical neck pain.
Opinion
The Management of Anxiety in Primary Care
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
SSRIs are good to reach for first but most patients with anxiety would benefit from cognitive-behavioral therapy.
News
Diagnosing Adrenal Insufficiency: The ‘Quick and Dirty’ Method
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
Evaluate patients with chronic malaise, poor appetite, and unexplained weight loss for adrenal insufficiency.
Opinion

Picking up the premotor symptoms of Parkinson’s
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
Premotor symptoms such as constipation, hyposmia (loss of sense of smell), and REM sleep behavior disorder may be early symptoms if there is no...
Opinion
Back pain: Red flags and when to image
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
‘If the patient has any kind of back pain, they should just not move. Right?’
Opinion
The latest migraine therapies – some you might not know about
- Author:
- Matthew F. Watto, MD
- Paul N. Williams, MD
“Another one that was new to me was venlafaxine as migraine prophylaxis. It’s not something I’d heard about before this episode.”