Welcome to my telemedicine practice
I primarily see patients virtually, on the computer or over the phone
I can only treat patients who reside in the 3 states in which I am licensed
Florida, Maryland, Virginia -- BUT
I can see patients who reside elsewhere if they travel to my home office near Tampa FL and see me in person
Telemedicine works because diagnosis is 85% patient history, 10% physical exam and 5% lab and ancillary testing. And I do not function as a primary care doctor which requires in person care
I have recently relocated to Florida after spending most of my life in Maryland
I do not participate with any health care plans
Initial visits are scheduled for up to 2 hours and follow ups to one hour
I see patients who have chronic, generally disabling and usually mysterious illness. I have successfully helped patients who had been to scores of doctors without help
I am trained in Family Medicine and have practiced since 1983, inclusive of post-graduate training. Over the past 20 years my practice has taken me down the road less travelled
Some of the illnesses I treat are on the cutting edge. Others are well within the mainstream of medicine but generally misdiagosed. I see disorders which group together in constellations to form a broader syndrome.
For example, a patient presenting with POTS may have a triad which includes mast cell dysfunction and Ehlers Danlos syndrome
Below are chronic presenting complaints of patients I see on a routine basis.
Diagnosed with psychosomatic disorders incorrectly, when nothing could be farther from the truth
Bounced from one specialist to the next, one clinic to the next without satifactory diagnosis or therapy
Patients may be misdiagnosed with or treated poorly for --
fibromyalgia without its connection to broader illness
Chronic fatigue syndrome without connecting crucial dots
POTS--dysautonomia
Mast cell dysfunction as part of a continuum of disease
Ehlers Danlos syndrome --
Poorly understood dietary intolerance, e.g. non-celiac gluten sensitivity
Unrecognized neurological disease such as small fiber neuropathy, in the context of larger illness
Chronic headache disorders in the context of multisystem disease
Psychiatric illness triggered by an autoimmune response to infection, primarily OCD, PANS or PANDAS
Immunological disorders generally overlooked including the spectrum of
Neuroendocrine dysfunction HPA axis, hypothalamic pituitary adrenal axis dysfunction
Chronic disorders connected to infectious disease, especially Lyme and other tickborne disease
My practice is allopathic and science based
But the medicine I practice remains more art than science
Each and every patient I treat is unique
If you wish to learn more call the office to discuss details with my assistant
I have written a BLOG extensively, primarily Lyme disease and related until Covid -- Lymemd.blogspot.com
I treat patients from age 12 and up