Coronavirus Disease 2019 – JULY 14, 2020 UPDATE
Coronavirus Disease 2019 – JULY 14, 2020 UPDADE The disease that is sweeping the world at this moment is caused by a virus named COVID-19 for “coronavirus disease 2019” Testing is done by taking a swab from the respiratory tract which includes the...
COVID-19 UPDATE APRIL 1, 2020
COVID-19 UPDATE APRIL 1, 2020 The latest data from front lines of the COVID epidemic seem to link poor outcomes with obesity. That is, it seems that the heaviest patients (e.g. BMI > 30) have the greatest likelihood of respiratory failure and need for ventilator...
INTRAVENOUS SALINE INFUSION IN POTS
The value of Intravenous saline infusions for acute control of heart rate symptoms in POTS patients was demonstrated in a 1990’s article by Dr. Biaggioni and colleagues entitled Effects of Volume Loading and Pressor Agents in Idiopathic Orthostatic...
POTS CAN MEAN LOSS OF AUTOMATIC CONTROL OF HEART RATE
POTS can quickly transform fit, healthy individuals to a state where even the simplest tasks seem difficult and monumental
POTS vs MAST CELL Navigating the Complex World of Chronic disease
WHAT HAPPENS WHEN TWO OR MORE CONDITIONS THAT ARE VERY COMMON CO-MORBIDITIES RESULT IN OR REQUIRE POTENTIALLY CONFLICTING TREATMENTS OR DRUG THERAPIES? THIS TAKES AN EXPERT WITH KNOWLEDGE OF THE ENTIRE SPECTRUM TO SORT OUT AND PRIORITIZE. HERE ARE...
SOME THOUGHTS ON MCAS/POTS/EDS
Practicing medicine for over thirty years is an exercise in intellectual humility and wonder at the fascinating harmony of the natural order. Each system is delicately balanced by some unseen Force with an intelligence that is outside of the limited power of linear...
USEFUL QUESTIONNAIRES
THER ARE MANY QUESTIONNAIRES THAT HAVE BEEN DEVELOPED OVER THE YEARS WHICH ATTEMPT TO QUANTIFY SYMPTOMS EXPRESSED BY PATIENTS WITH A VARIETY OF CONDITIONS. I HAVE GATHERED SOME OF THE CLASSIC ONES HERE FOR YOUR USE. SF-36 THIS IS A 36...
EHLERS-DANLOS/JOINT HYPERMOBILITY AND DYSAUTONOMIA
There is a definite association between EDS/joint hypermobility and dysautonomia as well as MCAS. These syndromes have been linked in epidemiologic surveys although the mechanisms by which they are connected are still being elucidated. Perhaps the underlying...
