Update 2/28/2019: As of today, there have been 65 confirmed and 4 suspected cases of measles in Clark county , Washington; 57 of the cases were in those unvaccinated; 6 cases with […]

Respiratory Infections and Antibiotic Decision-making By Dr. Christopher Cirino Key points: Antibiotics are often used in the outpatient clinic for viral infections. Antibiotic decision-making is subject to a form of bias in […]

Obesity: A health appraisal Key points: History and physical examination can often reveal clues of decompensation due to being overweight and obese. Some of these subtle clues are attributable to other conditions […]

                                                The art of medicine Doctors often spend time looking for medical conditions that are treatable.  For instance, a patient who is diagnosed with an acute bacterial pneumonia has myriad findings […]

A focus on the “endgame” of weight loss can be discouraging as you embark upon a health journey.  The reality is that becoming healthier is a work in progress.  Although a body […]

Homeostasis of the body and development of the diseased state All living organisms have systems which work in concert to maintain functions in the setting of external or internal perturbations.  This process […]