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PPACA (Patient Protection and Affordable Care Act) has ramifications across the entire health insurance market. Besides the 10-15 million private insurance end of contract notices, now the Medicare beneficiaries are seeing the beginning of the 700 plus billion in cuts from the... READ MORE

Speaking to patients as well as personal friends, I have become aware that many people do not understand what an Internal Medicine physician is or does. We are the broadest specialty that diagnoses and manages adult health problems. Surgery is another example of a broad specialty... READ MORE

 A Simple Nutritious Vegetable Dish This is a quick, simple but loaded dish. I recommend you use liberal amounts of balsamic vinegar at the end to give it a tasty punch. This is a great way to use up your spinach before it goes bad on you.  Patients on vitamin K shouldn’t... READ MORE

Article adapted from my bi-monthly newsletter B12 deficiency is important to avoid as humans cannot naturally make the essential nutrient and it is necessary for proper blood and nerve function.  B12 can be found in calf’s liver, sardines, shrimp, scallops and other anima... READ MORE

Milk thistle extract (silymarin) was studied for potential benefit in refractory hepatitis C.  This study found that this supplement for this situation was no different than placebo. http://jama.jamanetwork.com/article.aspx?articleid=1217238 There were no major harmful side... READ MORE