MCAS Rising
Recently I was evaluating one of my Mast Cell Activating Syndrome (MCAS) patients, who I hadn’t seen in a while, because she was doing well. She has noticed, in addition to her worsening symptoms, that there are more people being diagnosed
Update on My Patient: Antibody Specific Immunoglobulin Deficiency
A few months ago, I wrote about a patient who had been told by several of her clinicians that her medical concerns were based on anxiety and depression. Back then, after listening to her history, especially with multiple hospitalizations for pneumonia,
Dismissing Symptoms in the Post Covid-19 Era
A new patient came to the office the other day. She is a forty year old woman with multiple vague complaints that began after her last bout of Covid-19 in 2023. Since that time she has experienced fatigue, decreased exercise tolerance
Another Example of the Importance of Diet
Recently, a patient had come to the practice with a long standing history of refractory Crohn’s Disease. She was seeing me because in addition to her Crohn’s Disease barely managed, she had an issue with recurrent Candidiasis in the esophagus, with
Compassion In Medicine
Recently, a Harvard-led study published in Science reported that an AI model outperformed two attending physicians in diagnosing real emergency room cases at the initial triage stage. In that study, the AI produced the exact or very close diagnosis in 67%
Caution Is Not Panic
When WSB News asked me whether passengers tied to the MV Hondius hantavirus outbreak should be isolated, I answered yes. Not because I believed the public faced an imminent pandemic, and not because every uncertain outbreak justifies sweeping restrictions, but because
Update on My Patient
Recently I wrote about a new patient who had multiple complaints about her sinuses only to be dismissed by other clinicians suggesting that her problems were related to anxiety and nothing organic. I do have an update on the case which
Celebrating a Thirty-Year Anniversary: How Far We’ve Come in HIV Care
This past week, I had the honor of celebrating a remarkable thirty-year anniversary, and I am proud to share it with you. Thirty years ago, a couple walked into my office deeply worried about their future after the husband had just