Technology in healthcare Technology in healthcare systems (hospitals, groups) have not been the solution to healthcare’s ills. As wee know, the use of technology has made a sea-change in other industries- A good example is banking. Most routine banking activities can...

    I was very glad that I scheduled and got the vaccine against COVID. Unfortunately, I did not see a single minority/Latino individual over the half-hour I spent at the site, Fundamentally, African- Americans are worried about the safety- there is a video...

Ataxia management Much like other chronic illnesses successfully managing genetic cerebellar ataxia requires some out-of-pocket expenses that insurance does not cover. For example, Medicare does not pay for a full-on physical therapy treatment; so patients sommetimes...

 emigrated to the USA in 1982. to Maryland, USAI Going into a brand new high school was challenging to say the least. I went to the University of Maryland for undergrad studies. I stayed in the Mayland system. I attended med school at UMAB. After residency, I did some...

Hope this is a timely posting-there are some subtle differences between the cold, influenza and COVID-19. Hope this helps everyone   It used to be that you’d start to get the sniffles or wake up with a fever and body aches and you had a pretty good idea whether it was...

This blog post serves two purposes...it is my daily COVID update and inform you about clinical trials, what they involve (since it is in the news Phase 0 Phase 0 trials are the first clinical trials done among people. They aim to learn how a drug is processed in the...

Steroid use in ENT- -COVID-19 challenges We use steroids quite a bit in ENT- both local and systemic. But COVID-19 poses a unique challenge because most systemic steroids suppress the immune system. But there are instances when their use is clearly indicated-so a...

Unfortunately, before the pandemic, drug use had already burned a path across the country-as we all know. In 2018, the number of people with an SUD related to illegal drugs or alcohol topped 20 million. Of those, 2 millionwere addicted to opioids. Factors that usually...

Surgical Safety-the importance of leadership, communication and teamwork  (I was one of the quality officers-focused on surgery; a blog follows on how developing leadership skills are important and necessary to build surgical safety) As residents and fellows, we focus...

Unfortunately, with COVID-19, a lot of people lose their health insurance with their loss of a job. The USA is one of the only countries where employers provide health insurance’ and a lot of us rely on employer-provided insurance. Why did this happen? There is a...

BALANCE-WHY IT IS SO CHALLENGING. With my diagnosed condition (ataxia) I have chronic balance issues. I was hoping to share some subtleties of this complex set of systems. Hopefully this will lead to improved understanding--understand that this is a very brief...

When I was in practice, I took care of patients with snoring and sleep apnea (where your blood oxygen drops and one actually wakes up). This is a good summary about sleep, its stages and why it's important. During an ideal night’s sleep, you go through several...