Hypersomnia: Diagnosing Narcolepsy’s Cousin
Why Work-Ups are so Critical for Proper Diagnosis by Dr. Andrew Pugliese Several months back a college senior came to see me because of excessive fatigue and sleepiness. It appeared that, as she got older, her symptoms worsened to the point
Post Infectious Syndrome
Time to Bridge the Gap - A Look at Post Infectious Syndrome by Dr. Andrew Pugliese For the past several decades it has been well documented that certain infections can lead to prolonged debilitating syndrome with fatigue and pain being
Silent Reflux and Sinusitis
Do You Have Reflux & Not Even Know? As I have discussed before, there many other factors to managing your chronic sinusitis. A silent, but often hazardous major factor that allergy and sinusitis sufferers deal with is Laryngopharyngeal Reflux (LPR).
The Evolution of Bacteria & Antibiotics
How Bacteria & Antibiotics Have Evolutionized Over Time The antibiotics era is approximately sixty years old and though antibiotics have life-saving properties there has been concern about the overuse of antibiotics creating resistance making it nearly impossible to treat
The Overuse of Antibiotics
An In-Depth Look at Antibiotic Overuse I recently received a question via Twitter regarding the overuse of antibiotics a recent study by, the World Health Organization (WHO). It was a great question and I'm excited to give my viewpoint! The World
The Fungal Side of Sinusitis
The Role of Anti-fungal Agents by Dr. Andrew Pugliese A 39-year-old female presented to my office several weeks ago with a history of recurrent chronic sinusitis. According to the patient, her symptoms of chronic sinusitis were pretty much persistent
Biofilms In Treating Chronic Sinusitis
According to the CDC, chronic rhinosinusitis (CRS) affects approximately 33 million people annually. In past writings, I discussed the complexities of CRS in that it involves both the anatomy and physiology of the sinuses. However, research over the past decade
Stop the Itching! Testing Tells Why – Prurigo Nodularis
Prurigo Nodularis In a Patient I wanted to share a post today from a former patient who came to me with PN (Prurigo Nodularis). PN is an agitating condition causing patients severe itching and intense mental stress. PN is