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
What is Chronic Sinusitis?
Chronic Sinusitis Symptoms & Evidence Chronic sinusitis, by definition, means inflammation of the sinus cavities. What is confusing about chronic sinusitis is the generalization of this definition and the various causes that can contribute to chronic sinusitis. It has
DNA Sequencing & Antibiotic Resistant Chronic Infections
DNA Sequencing: Extropalating Antibiotic Resistant Chronic Infections I have had a bunch of recent questions on social media in regards to DNA Sequencing and the important role I think it can play in diagnosing and treating diseases. I have
HIV & Sleep Deprivation Correlation
The Correlation Between HIV & Insomnia Dr. Wayne AJ Giles, Director of the Division of Population Health for the National Center for Chronic Disease Prevention and Health Promotion, said it the best - stating that sufficient sleep is not
When a MRSA Infection is Not MRSA
Rickettsia Infection vs. MRSA infection: A Misclassification Recently, a patient of mine came to the office for follow-up care after being seen over the prior weekend at an urgent care center for a cellulitis of the right lower extremity.
HIV Care in the 21st Century – Going Beyond HAART
The Link Between HIV Care & Cardiovascular Risks There have been outstanding changes in the care of HIV since it was first described in 1980. Between the years 1980 to 1995, we had very little to offer patients except for