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
Update on My Patient
Recently I wrote about a new patient who had multiple complaints about her sinuses only to be dismissed by other clinicians suggesting that her problems were related to anxiety and nothing organic. I do have an update on the case which
Celebrating a Thirty-Year Anniversary: How Far We’ve Come in HIV Care
This past week, I had the honor of celebrating a remarkable thirty-year anniversary, and I am proud to share it with you. Thirty years ago, a couple walked into my office deeply worried about their future after the husband had just
When it Comes to Chronic Sinusitis Always Listen to the Patient
Recently I had a patient come to me with a very complex chronic sinusitis (CRS) history. To make matters worse, the last two visits to her ENT and PCP these complaints were dismissed. Their response is something heard way too often,
Emphysematous Changes in the Lungs of Nonsmokers
Recently I have seen three patients with emphysematous changes in the lungs that are nonsmokers. All three have presented with a chronic cough and recurrent sinusitis, but have no history of cigarette smoking. They also have one other thing in common