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. The patient was prescribed cromolyn sodium, but unlike most of my
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 of sugar and how the food industry has abused it. Unfortunately,
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