Topical Medicated Rinse for Targeted Chronic Sinusitis Therapy
Recently, I treated a patient with recurrent Pseudomonas aeruginosa sinusitis with intravenous (IV) meropenem after he had failed oral Levaquin. The patient had underlying reflux, GERD, which was being exacerbated by mild to moderate obstructive sleep apnea (OSA). An oral
Chronic Sinusitis & Migraines: Is Immunoglobulin Deficiency to Blame?
Several months ago, I diagnosed a patient with antibody-specific immunoglobulin deficiency. Her chief complaint was recurrent chronic sinusitis (CRS). Besides fatigue, the patient also complained of debilitating migraines. Since she has been on IgG therapy, her migraines have been much more
Obstructive Sleep Apnea and Alzheimer’s Disease: Is There a Link?
Recently, I saw a patient who had white matter lesions on an MRI of her brain. Neurology considered them an incidental finding, but the patient was struggling with cognitive function. Most concerning to the patient was her inability to recall names
How Boron Affects Mineral Metabolism and Hormone Balance
In our bodies’ complex symphony of nutrients and signals, one trace mineral often flies under the radar — Boron. Yet there’s growing evidence suggesting boron plays a crucial role in how minerals, hormones and even brain function operate. In this article,
How Diagnostic Stewardship Slows Antimicrobial Resistance
Antimicrobial resistance (AMR) is not a modern invention. It is evolution in fast forward. Every time bacteria encounter antibiotics, the susceptible die and the resistant survive. Over time, that survival pressure transforms the microbial landscape. Imagine a weekly endurance challenge where
Stay Sharp as a Pepper: The Brain & Blood Sugar Connection
How the Hypothalamus Supports Blood Sugar Regulation The hypothalamus is the brain’s main control center for energy balance. It constantly monitors blood glucose levels through signals in the bloodstream and hormones. When blood sugar rises, the hypothalamus signals the pancreas
Tirzepatide and pH Balance: The Alkaline Advantage Explained
Did you know that Tirzepatide can help your body shift toward a more alkaline state? While it's known for supporting blood sugar and weight loss, there's a lesser-known benefit: Tirzepatide reduces the acidic load on your body—and here's why that matters.
Pseudomonas Sinusitis and GERD: What Patients and Doctors Should Know
Introduction: A Complex Case of Chronic Sinusitis A little over a year ago, a new patient came to me with a twenty-five-year history of chronic sinusitis with multiple cultures growing Pseudomonas aeruginosa. Despite multiple courses of both Levaquin and Cipro, the infections