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Chronic Lyme Disease

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Chronic Lyme Disease

Chronic Lyme Disease

This week, on Dr. Andrew Pugliese’s monthly special edition of Top Docs Radio we talked about chronic lyme disease.  Also known as post-treatment lyme disease syndrome, this chronic, debilitating condition is frequently overlooked outside of the Northeast, where it’s known to be prevalent.

As we learned from David Baird, a patient experiencing chronic lyme disease, and Karen Huppert, the mother of a college-age student who dealt with the illness, its severe symptoms, and treatment for several years as well.  They both shared their poignant stories and described how they moved from specialist to specialist trying to find a diagnosis.  And they shared how they were told that, “Lyme disease doesn’t exist in Georgia,” leading to a significant delay in the diagnosis that allowed them to seek appropriate care.

David brought his wife, a local veterinarian, also talked about how comparatively easy it is to diagnose a canine, for whom there are straight-forward tests that identifies the infection, and treatment is also effective and readily available.  She talked about how frequently she treats pets for Lyme disease here in her local Atlanta office.

We strongly encourage patients to seek second opinions and to seek to learn all they can about their symptoms and diseases to facilitate timely treatment, which can affect outcomes.

I was also pleased to host Dr. Leanna Kart, DC, a chiropractor whose practice is located on Howell Mill Road in west Atlanta.  May is National Posture Awareness Month.  We talked about how technology has affected neck/back health through creating a tendency to sit with the head in a chin-down orientation for long periods of time.  This causes an increased strain on the connective tissues and muscles in the neck, which can lead to headaches, neck and back pain, and neurologic symptoms.

Special Guests:

Andrew Pugliese, MD, Infectious Disease Consultants twitter_logo_small  linkedin_small1  facebook_logo_small3  Blogger 2  

Infectious Disease Consultants

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis
  • President of Sinus Solutions

David Baird, Chronic Lyme Disease Patient

Karen Huppert, Parent of a young Chronic Lyme Disease patient

Dr. Leanna Kart, DC, of NW Chiropractic  linkedin_small1

kart

  • Doctor of Chiropractic, Life University
  • Owner of NW Chiropractic for over 26 years
  • Board Member, Georgia Chiropractic Association

 

Start Exercise Fitness Training Without Injury

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PUGLIESE NICHOLSON

 

Start Exercise Fitness Training Without Injury

This week, our new monthly partner, Dr. Andrew Pugliese stopped by to introduce us to Randy Nicholson, of Fitness Firm Studio.  He’s a certified trainer who shared some very helpful information on how folks who have not previously trained or former athletes who haven’t trained in a while start exercise fitness training without injury.

As a former athlete who has experience in high intensity and high volume cardiovascular and weight/resistance training, I know too well what it’s like to resume working out after a prolonged layoff and experience overuse injuries.  These come from a burst of activity with or without heavy weight/resistance.  Too much exercise too soon can easily result in a incapacitating measure of pain or even injury that prevents continuing without another break to recover.

Randy shared what a person who’s motivated to start or resume training should ask a prospective personal trainer to determine what their philosophy is regarding the initial training phase.  He also shared the value of using a roller to help facilitate muscle recovery as well as releasing trigger points that can cause muscle spasm.

We talked about the best way to approach beginning training in a step-wise fashion to insure that muscular imbalances, postural weaknesses, and flexibility have been improved upon before moving on to more intense training moves/activities.  If you or someone you care about is thinking about resuming or wants to start exercise fitness training without injury they need to check out this week’s episode.

Special Guests:

Randy Nicholson  Fitness Firm Studio  facebook_logo_small3  twitter_logo_small-e1403698475314

Randy

  • NASM
  • EGOUSE
  • 4th Degree Black Belt in Tae Kwon Do
  • BS Engineering, University of Chattanooga

Andrew Pugliese, MD, Infectious Disease Consultants twitter_logo_small  linkedin_small1  facebook_logo_small3  Blogger 2

Andrew

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis
  • President of Sinus Solutions

Complex Patients

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Infectious Disease Consultants

Complex Patients

This week I sat down with our colleague, Dr. Andrew Pugliese, Infectious Disease specialist of Infectious Disease Consultants in Johns Creek.  He stopped by to talk about complex patients.  He shared how medical studies focus on single illnesses, disqualifying certain age groups and patients with multiple disease states.  Dr. Pugliese talked about the fact that in the real world medical office, rare is it that a patient walks in to be treated for a problem who is only dealing with that single disease.  More commonly, patients present with obesity, and/or diabetes, heart disease, or any number of other health problems that can affect the way the body responds to a given disease state and treatments for them.  Dr. Pugliese shared how these “multi-morbid” (having more than one health issue) patients are very complex and often do not respond to therapies as studies suggest they will.  He offered advice for providers to help them be better able to manage patients when they need care for a given problem when other health issues are present.  Check out Dr. Pugliese’s blog at http://sinusitisblog.com/.

Special Guest:

Andrew Pugliese, MD, Infectious Disease Consultants twitter_logo_small  linkedin_small1  facebook_logo_small3  Blogger 2  

Infectious Disease Consultants

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis
  • President of Sinus Solutions

Innovations in Treating Chronic Sinusitis

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Top Docs RADIO

THIS WEEK’S TOPIC:

Innovations in Treating Chronic Sinusitis

Chronic sinusitis, a problem affecting as many as 50 million Americans, is an irritation of the sinus/nasal passages that lasts at least 12 weeks or longer.  In the Southeast, the problem is very common due to our high average humidity and mild winters.  These conditions lead our environment to be heavy with mold and fungus that can take hold in the nasal passages and sinuses leading to chronic infections.  Many persons will deal with slowly-worsening symptoms such as difficulty breathing through their nose, decreased sense of smell, facial or headache pain, frequent sinus infections, and more.  Eventually, folks with chronic sinusitis find their quality of life severely impacted, driving them to seek help.  It’s important to get help from infectious disease and ENT specialists who are well-versed in diagnosing and treating this problem and who use a team approach to achieve the best outcome.  This week, two such specialists, Dr. Pugliese and Dr. French stopped by to share information about diagnostic innovations in treating chronic sinusitis that are available to help them get more specific about what organism(s) are causing the allergic response and inflammation.  One such evolving diagnostic test is DNA sequencing that now lets physicians learn exactly what is causing the problem.  We talked about the various treatment measures used to treat chronic sinusitis as well as got some great advice on things we can do in the home to help reduce the frequency and severity of recurrences when they do happen.  It’s very likely you or someone you know is dealing with chronic sinusitis so please share today’s episode with your network!

The host of Top Docs Radio is Charles “CW” Hall with Hyperbaric Physicians of Georgia.

SPECIAL GUESTS:

Andrew Pugliese, MD, Infectious Disease Consultants twitter_logo_small  linkedin_small1  facebook_logo_small3  Blogger 2  

Infectious Disease Consultants

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis
  • President of Sinus Solutions

Courtney French, MD, Ear, Nose & Throat Institute  facebook_logo_small3

ENT Institute

  • Doctorate in Medicine, Loma Linda University School of Medicine
  • Residency, Otolaryngology/Head & Neck Surgery, Loma Linda University Medical Center
  • Regular presenter of research material at numerous national/international ear, nose & throat conferences

 

Chronic Sinusitis

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5.15.14-TopDocsRadioHeader

Top Docs Radio features healthcare providers and professionals sharing their expertise to “Get the Word Out” about a variety of health problems, treatments and community concerns to elevate our community’s well-being.

THIS WEEK’S TOPIC:

Chronic Sinusitis

Chronic sinusitis, a problem affecting millions of Americans, is an irritation of the sinus/nasal passages that lasts at least 12 weeks or longer. We will discuss what causes this condition, how to diagnose it, and how to treat it.

The host of Top Docs Radio is Charles “CW” Hall with Hyperbaric Physicians of Georgia.

SPECIAL GUESTS:

Andrew Pugliese, MD, Ear, Nose & Throat Institute

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis
  • President of Sinus Solutions

Courtney French, MD, Ear, Nose & Throat Institute 

  • Doctorate in Medicine, Loma Linda University School of Medicine
  • Residency, Otolaryngology/Head & Neck Surgery, Loma Linda University Medical Center
  • Regular presenter of research material at numerous national/international ear, nose & throat conferences

Faria Khan, MD, Georgia’s Allergy & Asthma Insititute

  • Doctorate in Medicine, University of Alabama, Birmingham
  • Residency, Emory University Hospital
  • Fellowship, Allergy, Asthma, & Immunology, Baylor College of Medicine
  • Special interests in allergic rhinitis, allergic conjunctivitis, food allergies, asthma, and allergic skin conditions
Top Docs Radio, May 15, 2014

Andrew Pugliese, Faria Khan, Courtney French, Charles “CW” Hall