PrEP: False Sense of Security?
The Problems with PrEP In 1978, just before Spring Break, a classmate of mine informed me that he was starting himself on penicillin before traveling to Florida for
Why Do Sinus Infections Smell Bad?
Explaining the Smell Caused by Sinus Infections In my career of dealing with patients that have chronic sinusitis (CRS), many have commented on the constant foul smell they
What Vaccinations Do I Need for Foreign Travel?
Vaccinations and Foreign Travel One question that has been asked, in light of the recent measles outbreak that we are seeing here in the United States lately, is what
Vaccines and the Fight Against Diseases: Measles, Mumps & More…
The Importance of Vaccines in the 21st-century With the most recent outbreak of measles in the Pacific Northwest - once again, the question about the necessity for childhood
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
Narcolepsy and the Immune System
Can Improving Your Immune System Aid Narcolepsy Symptoms? Approximately 18 months ago, I was asked to evaluate a young woman for recurrent urinary tract infections, which were now
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
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
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
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,
