Allergic to Atlanta
I have been in the metro-Atlanta area now for over 25 years and in that time, I have known many people who have commented that they were “allergic to Atlanta”. In this period, and with the work I’ve done in chronic
Covid-19 and Obesity
This is the first article that I’m writing about Covid-19 in the blog. My reason is simple. Things were occurring so quickly and new information was coming at us so rapidly, that it was very difficult for me to formulate what
The Complexity of Chronic Sinusitis
As has been discussed often in the past, here at this blog chronic rhinosinusitis (CRS) is a very complex disease. It takes in both anatomical and physiological changes that bring about the disease state. Without adequate drainage of sinus cavities, secretions
Managing Chronic Sinusitis in 2021
A 43 year old woman came to the office nine months ago with a recurrent history of chronic sinusitis over the last 7-8 years. The patient had recently gone through her second sinus surgery and it was perplexing to her ENT
Playing with Fire
Lately I been noticing a trend in relationship to HIV medications which I find disturbing. I first noticed this two to three years ago when several patients were finding it to be more expensive 2 get older preparations of anti-retroviral therapy
Mast Cell Activation Disorder and Ehlers-Danlos Syndrome
Mast cells (MC) are white blood cells that are found in connective tissues throughout the body such as under skin, blood vessels, nerves, and intestines. They are involved in the body’s innate immune system and release various signaling molecules such as
Syphilis Rising
In the last two weeks we have seen 6 cases of syphilis, ranging from primary to tertiary stages with the seventh to be seen this coming Monday. In any other year prior to the Covid-19 pandemic, we see about 6 cases
Post Covid-19 Syndrome
Post Covid-19 syndrome, or as some people call themselves, “long haulers,” seems to be affecting a certain segment of the patient population that have been infected with Covid-19. These patients have developed long- term symptoms after being infected with the novel