There’s More to the Snore! A Look at Sleep Apnea
Loud snoring is annoying and at times seems comical, but there is more to a snore. Obstructive Sleep Apnea affects more than 40 Million people and leads to many
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
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
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
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
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
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
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
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
Top Five Home Remedies for IBS
Guest Post Courtesy of Carly Trigg Dealing with Irritable Bowel Syndrome (IBS) is a big ask, and something sufferers have to, unfortunately, deal with all by themselves. Symptoms and ‘trigger