Fatty Liver Disease And Chronic Medication Use
Lately, I have been seeing several of my patients develop fatty liver disease or what has been termed non-alcoholic steatohepatitis or NASH. They have been on medications for multiple years
Recalcitrant UTIs And DNA Sequences
Recently I assisted a colleague with a patient that was having recurrent UTIs with the same bacteria, E. coli. The concern was that despite appropriate antibiotic therapy the E. coli
Tirzepatide and Chronic Inflammation
When Cromolyn Sodium Isn't Enough Recently I saw a new patient who had been diagnosed with MCAS, where the diagnosis was confirmed with a positive biopsy of the gastric mucosa.
Sugar Blues
The title of this article is taken from a book written by William Duffy in 1975. Think about it, a book published over fifty years ago talking about the ills
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
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,
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
Hantavirus Outbreak: What You Need to Know
Hantavirus is a rare but serious virus that has spread through dried rodent droppings, urine, and saliva. We have learned this airborne virus has been fatal in up to 35%
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
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.