Doctor Dude

Dr. Teitz

"I am a middle aged physician who still fancies himself to be twenty something. Undergraduate training in Germany and medical school at USC in California. My postgraduate training was through UC Davis affiliated programs. I am board certified in Emergency Medicine and have practiced at Petaluma Valley Hospital since 2002. I am married with two great kids and love most outdoor sports as well as astronomy, foreign languages and juggling."

“Doctor Dude” is Dr. Frederick Teitz who has been on the PVH Medical Staff as an Emergency Room Physician since 2002.

Subscribe to Doctor Dude feed
Dr. Rick Tietz on allopathic medicine 2017-11-13T15:00:34Z
Updated: 7 hours 59 min ago

What To Do With Skin Cuts?

Mon, 04/18/2016 - 7:00am
Do you need sutures for every cut? Of course not! Some gashes especially those under 2 cm or a little less than an inch usually don’t need anything except some soap water and a bandage. Of course if you see some funny things underneath which could be anything from a tendon, nerve or bone to a pebble, then you might need to see us. Ditto if you have diabetes, are on chemotherapy or are in general poor health. What about… Read More » 0

What In God’s Name Is A Subungual Hematoma?

Mon, 04/11/2016 - 7:00am
Our hands have evolved as powerful tools to explore the world. Along with these amazing body parts are included many, many nerves. In fact other than the tongue, our fingertips have the greatest concentration of nerves anywhere in the body! More nerves unfortunately means more pain when structures nearby are injured or inflamed. A small cut on your forearm or leg for example won’t be nearly as painful as the same cut on your fingers. A skin infection in your… Read More » 0

A Brief Primer On Blood Thinners

Mon, 04/04/2016 - 7:00am
Blood thinners play a very important role in treating conditions in which blood clots cause strokes, heart attacks and breathing problems. They work in different ways. Some will prevent the body from making blood clots. Others will help break the clots down when they are formed. Still others will prevent platelets from sticking together and helping form clots. Newer versions are more expensive but easier to dose. Whatever the mechanism, these medications are powerful and effective if used for the… Read More » 0

Profits and Chemotherapy

Mon, 03/28/2016 - 7:00am
Should cancer doctors be paid more when more expensive cancer drugs are given? Absolutely not! Yet the government has been doling out money this way for years. Medicare Part B pays for drugs. When cancer doctors or oncologists administer chemotherapy in their office, they are currently paid about 6% of the price of the drug plus a little more. What that means is that if the oncologist chooses a drug which costs say $ 100 he or she will be… Read More » 0

Vagal Nerve Stimulation For Weight Loss

Mon, 03/21/2016 - 7:00am
There are many treatments out there for weight loss, which involve either taking medications or surgery such as gastric bypass. Ideally,diet and exercise should be tried first before starting any medications or undergoing surgery. Recently a novel device for weight loss has been approved. This is an electric stimulator which essentially sends small bursts of electricity through wires. These wires are attached to electrodes. Finally, the electrodes are attached to the skin and the energy is transferred to the patient.… Read More » 0

Sialolithiasis: Funny Name Common Condition

Mon, 03/14/2016 - 7:00am
Sialolithiasis is one of those conditions which have a funny, hard to spell and pronounce name but which is simple to explain. Sialolithiasis means stone in the salivary duct. The salivary glands are located near the tongue and secrete saliva through the ducts. if a stone forms in one of the ducts, it can cause obstruction of the duct. The gland, not aware that there is something blocking the flow of saliva, continues to put out more saliva. This in… Read More » 0

Hypothermia After Successful CPR

Mon, 03/07/2016 - 7:00am
Hypothermia or low body temperature is used in patients, whose heart has stoppped and then was restarted. If the patient still remains unconscious, this usually means that the brain did not get enough oxygen during the time the heart was stopped. If nothing is done to help out the brain other than usual measures such as giving oxygen and supporting normal vital signs, then the brain is more likely to be permanently injured. The result is a patient who survives… Read More » 0

How to Control Pain in Children

Mon, 02/29/2016 - 7:00am
When adults undergo painful procedures, we doctors place an iv and can give medications through the iv to relieve the pain. What about kids? Sure you can put an iv and give them medications as with adults, but even putting the iv in is painful and anxiety producing. For newborns up until about a month or two of life, having the baby suck on a sugar stick works as well if not better than narcotics. This is not suprising, considering… Read More » 0

Burned out ER doctors?

Mon, 02/22/2016 - 7:00am
Emergency medicine can be a very trying career. I should know. I’ve been at it for almost 30 years! I still enjoy the ER-making a difference in patients’ lives, thinking on my feet, solving complex problems (or at least trying to) and of course meeting some great people, both patients and health care team members. Still, there are times when I wonder, what in God’s name was I thinking? Awful hours, not being able to cure everything and dealing with… Read More » 0

A Primer On Thrush

Mon, 02/15/2016 - 7:00am
There are some nasty bugs out there and our mouth is often the first place these bad boys land. Thrush is an example of one such infections. Thrush is caused by yeast, which are slow growing microorganisms that exist just about everywhere. Most of the time our immune system wards these invaders off. However, if for some reason either the immune system is on the blink ( ie cancer, chemotherapy, patients on Prednisone and other drugs which slow down the… Read More » 0

Become An Organ Donor

Mon, 02/08/2016 - 7:00am
Nobody plans on a sudden death. I mean you don’t walk out of your house and think, “Jee I could be hit by a drunk driver, have a heart attack or be struck by a meteorite. Yet, as my father was so found of saying: Man plans and God laughs. Why I am bringing up this depressing topic? Well, we live in a golden age where our death can lead to another’s life. What I mean is that organ donation… Read More » 0

Serious Beesting Reactions

Mon, 02/01/2016 - 7:00am
Bee stings are usually painful but no big deal otherwise. Sure, your face might look like a ripe tomato or your arm like a large watermelon, but what’s the beef? If the same allergic reaction, which causes the area near the bee sting to swell occurs in your airway, then you won’t be able to breathe. If your immune system mounts too vigorous of a response, then something called anaphylactic shock develops. Any phrase with the word shock in it… Read More » 0

The Heart As An Electrical Generator

Mon, 01/25/2016 - 7:00am
Our hearts need a solid electrical system to synchronize the heart muscle so that blood is effectively moved around. Sometimes, this electrical system can malfunction. The heart can end up beating too slow, too fast, chaotically or with only some parts working. For example, in atrial fibrillation, the right atrium, which pumps blood from the body into the right ventricle, receives way too many signals. This is often due to a malfunctioning circuit. The right atrium then contracts ineffectively and… Read More » 0

Some Medical Risks of Flying

Mon, 01/18/2016 - 7:00am
What are some of the risks of flying? What I’m not talking about here is a plane crash, which is very rare. However there are some other, much more common problems. To begin with, the cabin pressure is set to an altitude between 6000 and 8000 feet. This means that the level of oxygen is about that you would breathe if you were hanging out between 6000 and 8000 feet of elevation. The pressure is gradually adjusted so that as… Read More » 0

Whole Body Cryotherapy: Quackery?

Mon, 01/11/2016 - 7:00am
If it sounds too good to be true, it probably is. Cryotherapy or the use of extreme cold temperatures claims to cure quite a few problems. Granted, there are a few studies here and there which point toward possible improvements in chronic headaches, muscles soreness after working out, rheumatoid arthritis and multiple sclerosis. What happens is that you enter a spa like structure where the air temperature is very cold like below minus 110 Celsius, which by the way is… Read More » 0

When Belly Pain Is Serious

Mon, 01/04/2016 - 7:00am
Many times abdominal pain is nothing to worry about. What about those times when belly pain can be concerning, even life threatening? Not every one with a heart attack will have chest pain. If the area of the heart attack is near the bottom of the heart, a patient might only have belly pain up high and nothing else. If you are at risk for a heart attack (high blood pressure, diabetes, high cholesterol, known history of heart disease, smoker… Read More » 0

Childhood Stress Is A Risk For Adult Diseases

Mon, 12/28/2015 - 7:00am
Childhood stress it turns out is a big deal. In fact children who have suffered ongoing emotional stress and anxiety have an increased chance of developing damaging health effects well into adulthood. A British study followed over 6000 children born in 1958 for a remarkable period over 40 years. During that time the study subjects physical and emotional well being were assessed multiple times. By the age of 45 the risks for diabetes and heart disease were determined. Those unfortunate… Read More » 0

When You Should Be Concerned About A Hoarse Voice

Mon, 12/21/2015 - 7:00am
Just about everyone has sometime or another experienced the joys of a hoarse throat. You wake and when that first call comes in you realize that you sound like a frog or even worse like your friend’s grandfather. Most of the time the hoarse voice is due to infection. Laryngitis or inflammation of the larynx is quite common. It is almost always caused by a virus so antibiotics won’t work. Try talking softly rather than whispering, as whispering can strain… Read More » 0

Can Premature Birth Be Prevented?

Mon, 12/14/2015 - 7:00am
When babies are born early it is considered a premature birth. Premature babies have a greater risk of developing problems involving the brain. These issues include seizures, developmental delay and hydrocephalus or water in the brain. The standard theory has been that all of these diseases are related to a premature brain. In other words, if the birth had occurred on time at about 38 to 40 weeks of pregnancy, that there wouldn’t have been any such problems. Newer research… Read More » 0

Wonder Drug For Alzheimers

Mon, 12/07/2015 - 7:00am
Dementia is a horrible disease. The body may work ok, but the brain is slowly destroyed. What is left is a life without awareness of being alive. Alzheimers is perhaps the most common and well known but certainly not the only type of dementia. Drugs used to treat dementia are minimally if at all effective in stopping progression of the dementia. These drugs at best can slow the disease down. Even worse, they have some serious side effects and in… Read More » 0