GERD Reflux in Patient with CVID – A Case Study
Three years ago, a 65-year-old morbidly obese woman came to the practice with a 30-40 year history of recurrent respiratory infections of both the lungs and sinuses. The infections had worsened over the last several years requiring several sinus surgeries
Diabetic Foot Ulcers: Casting to Improve Outcomes
The Use of Casting to Improve Outcomes of Diabetic Foot Ulcers by Dr. Andrew Pulgiese In January of this year, a gentleman came to the Emory University Wound Care and Hyperbaric Center at Johns Creek for treatment of a diabetic
The Many Faces of Sleep Apnea
The Role of Sleep Apnea in Chronic Sinusitis One condition that may be associated with chronic sinusitis, which is often missed, is sleep apnea. Sometimes patients may have a syndrome know as CORE (Chronic Cough/Asthma, Obstructive Sleep Apnea, Rhinosinusitis and Esophageal Reflux)
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 very serious medical issues. A clear case sign is snoring, which
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 that, as she got older, her symptoms worsened to the point
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 can lead to prolonged debilitating syndrome with fatigue and pain being
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 factor that allergy and sinusitis sufferers deal with is Laryngopharyngeal Reflux (LPR).
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 overuse of antibiotics creating resistance making it nearly impossible to treat