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 vaccines has been raised. The reasons for not vaccinating usually fall
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 with two underlying risk factors for his disease: immunoglobulin deficiency plus
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 becoming very difficult to treat due to antibiotic resistance. In this
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 a Measles booster vaccine or are you good if you had
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 the various causes that can contribute to chronic sinusitis. It has
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 think it can play in diagnosing and treating diseases. I have
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, said it the best - stating that sufficient sleep is not
Rickettsia Infection vs. MRSA infection: A Misclassification Recently, a patient of mine came to the office for follow-up care after being seen over the prior weekend at an urgent care center for a cellulitis of the right lower extremity.