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
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,
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,
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
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
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
Obstructive Sleep Apnea and Alzheimer’s Disease: Is There a Link?
Recently, I saw a patient who had white matter lesions on an MRI of her brain. Neurology considered them an incidental finding, but the patient was struggling with cognitive function.
Stay Sharp as a Pepper: The Brain & Blood Sugar Connection
How the Hypothalamus Supports Blood Sugar Regulation The hypothalamus is the brain’s main control center for energy balance. It constantly monitors blood glucose levels through signals in the bloodstream
Tirzepatide and pH Balance: The Alkaline Advantage Explained
Did you know that Tirzepatide can help your body shift toward a more alkaline state? While it's known for supporting blood sugar and weight loss, there's a lesser-known benefit: Tirzepatide
The Rat Race and Chronic Inflammation: How Modern Lifestyles Affect Health
A Patient’s Struggle With Fatigue and Thrombocytosis Recently, I saw a patient in the office who was complaining of fatigue associated with thrombocytosis, an abnormally high platelet count. She had