Patients have changed. How do we manage them?

Physician
January 13, 2015

In the past half century or so, medicine has changed the complexity of the human population as it has never been seen in the past. Think about it, there are people walking around today that fifty years ago, wouldn’t even be alive.   This evolution in medicine has not only brought about transformation in the human population, but it is also changing the approach of how clinicians need to treat these complex …

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Patients have changed. How do we manage them?

The mystery of diagnosing Lyme disease

Conditions
November 23, 2014

Four months ago, a 44-year-old woman was referred to me by her audiologist and ENT for acute deafness of the right ear. She is a healthy woman without any past medical history and was not on any medication. Her otolaryngologist (ENT) could not find any physical reason for the patient’s acute unilateral deafness, including a negative CT scan. She was being referred to me to determine if there was an …

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The mystery of diagnosing Lyme disease

Immunoglobulin deficiencies and its association with infectious disease

Conditions
November 4, 2014

The largest challenge facing the infectious disease community in the 21st century is the increasing number of resistant organisms found in various disease processes.  The reason is much more complex than the over prescribing of oral antibiotics for sore throats.  This is not to say that good antibiotic stewardship is an important concept because it is but it must be recognized that the medical challenges of the human population today is …

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Immunoglobulin deficiencies and its association with infectious disease