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
Hantavirus Outbreak: What You Need to Know
Hantavirus is a rare but serious virus that has spread through dried rodent droppings, urine, and saliva. We have learned this airborne virus has been fatal in up to 35% of confirmed cases. A current outbreak aboard a cruise ship traveling
Chronic UTIs, Crohn’s Disease, and the Grain-Free Diet Connection
A patient came to me several years ago with a history of chronic urinary tract infections (UTIs). Her case was a bit unusual because, theoretically, she should not have UTIs at all. The patient had Crohn’s Disease and had a total
Topical Medicated Rinse for Targeted Chronic Sinusitis Therapy
Recently, I treated a patient with recurrent Pseudomonas aeruginosa sinusitis with intravenous (IV) meropenem after he had failed oral Levaquin. The patient had underlying reflux, GERD, which was being exacerbated by mild to moderate obstructive sleep apnea (OSA). An oral