Lyme Disease: Cascade of Prevention
Preventing Lyme Disease By: Ariana Nunez and Alex Pugliese Reduce “Deer Tick” Population Avoid Wooded and High Grass Areas Wear Appropriate Clothing in Wooded Area (long sleeves and pants) Use EPA Recommended Insect Repellants (e.g. DEET)
PrEP: False Sense of Security?
The Problems with PrEP In 1978, just before Spring Break, a classmate of mine informed me that he was starting himself on penicillin before traveling to Florida for Spring Break. This was in order to prevent him from getting
Why Do Sinus Infections Smell Bad?
Explaining the Smell Caused by Sinus Infections In my career of dealing with patients that have chronic sinusitis (CRS), many have commented on the constant foul smell they experience when they have an active sinus infection. Descriptive terms that
What Vaccinations Do I Need for Foreign Travel?
Vaccinations and Foreign Travel One question that has been asked, in light of the recent measles outbreak that we are seeing here in the United States lately, is what vaccinations are important to take if you are planning to travel
Vaccines and the Fight Against Diseases: Measles, Mumps & More…
The Importance of Vaccines in the 21st-century With the most recent outbreak of measles in the Pacific Northwest - once again, the question about the necessity for childhood vaccines has been raised. The reasons for not vaccinating usually fall
CORE syndrome: A Patient’s Journey with Sleep Apnea, Reflux & More
What is CORE Syndrome? A 45-year-old patient that I have been following for several years, who first came to me due to his chronic recurrent sinusitis, was diagnosed with two underlying risk factors for his disease: immunoglobulin deficiency plus
Can Improving Your Immune System Aid Narcolepsy Symptoms?
Narcolepsy and the Immune System Approximately 18 months ago, I was asked to evaluate a young woman for recurrent urinary tract infections, which were now becoming very difficult to treat due to antibiotic resistance. In this particular case, the
Measles Outbreak: Vaccinate or Not Vaccinate?
Should You Vaccinate for Child for Measles, or Not Vaccinate? A Response to two Twitter questions: 1. @PuglieseMD what are your thoughts on the measles outbreak? 2. @childrenshealth @PuglieseMD is there a Measles booster vaccine or are you good if you had