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