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Adolescent Medicine

I have a year of Fellowship training in Adolescent Medicine and enjoy working with teens.  MORE

Geriatric Care

Attention to the changes age brings, the risks of polypharmacy, and optimizing healthy aging.  MORE

Internal Medicine

Taking time to solve puzzling diagnostic problems and educate regarding a healthy life style.  MORE

Practice Areas & Specialties

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I am a specialist in Internal Medicine, a disease detective. I use your complaints to diagnose your problem.  I help you fix fix it or refer you to someone who can, often a sub specialist of  Internal Medicine such as a allergist, cardiologist, endocrinologist, gastroenterologist, infectious disease doc, nephrologist, neurologist, or pulmonologist.  I am also a specialist in Geriatrics, an age defined subspecialty of Internal Medicine.  Over 80 % of the clues I need to diagnose a problem are based on what you tell me.  That is why I still adhere to the advice of Sir William Osler, MD to "Listen to Your Patient.  He is Telling You the Diagnosis."   I use the physical exam to evaluate your complaints. I may find an unexpected problem (e.g. high blood pressure)   I use our fancy tests to confirm what I suspect.  Tests are not good screening tools, but are useful to confirm diagnoses and monitor treatment.


I am happy to perform your routine physical and support your healthy life style decisions, but I am most interested in solving problems and managing your health over the long term.  I'll cure what is curable and help you manage chronic health problems.   I am trained to treat you with medication, but there is no such thing as a totally safe medication and I do not prescribe without careful consideration of the risk/benefit ratio.  I also help coordinate and monitor your specialty care.

 

I emphasize education. I will explain physiology, pharmacology, and disease processes so that you understand them and can collaborate with me rather than be dependent on my knowledge.