Healthcare for a time of uncertainty

May 10th, 2017

Healthcare can fail in a number of ways: it can fail to find a treatment, it can fail to find a diagnosis, or it can fail to be accessible. I’ve built my practice around the treatment of people with complex or confusing illnesses—people for whom the medical system has failed. I’ve had patients who simply could not figure out what was wrong with them. I’ve had patients who knew their diagnosis, but could not afford or tolerate the treatment. I’ve had patients who had many diagnoses, but no combination of treatments that worked for them. The one thing that is common to these people is that they are uncommon. If there is an 80-20 rule in medicine, they are the 20 percent. Their illness (or illnesses) do not follow conventional wisdom, nor do they respond to conventional treatment. Most importantly, they do not fit in the mold. They are outliers. Medicine in our country has become streamlined to treat the mainstream, and so these people needed to find someone who is not.

Continue reading »

Sick Pet Symptoms: Six Surprising Signs of Illness

September 20th, 2015

Looking back, clues were there. Olivia, a robust Rottweiler/Shepherd mix, knocked at the door to come back in after just a few minutes outside in the yard she used to love–a real change in behavior. She pawed at her ear, had more eye goop, started sneezing. Most telling, our other dog began to lick her face months ago–before any of the other changes. He knew…it wasn’t allergies.
The CT scan showed a huge tumor that went from her nose to her brain, 8 by 4 centimeters. Yet she continued to play, run, love her walks, and adore food. (All food!)
The clues were there; I just didn’t know how to read them. As a doctor, I assumed I’d be able to pick up on signs of serious illness in my dogs. I was wrong! So I’m passing this article on to you, hoping it will help you help your pets.

sick pet symptoms infographic


Risks of Pill-Popping: Side Effects in the News

September 1st, 2015

By Cathie Dunal, MD, MPH:  A few months ago we were astonished to learn that common medications—sleep meds like Sonata and Ambien, anxiety meds like Xanax and Valium, and over-the-counter allergy meds like Benadryl and Chlor-Trimeton—are all associated with increased risk of Alzheimer’s disease.  A five percent increased risk with as little as ninety days of use in your lifetime! Yikes!

The latest medicine surprise is NSAIDS, or non-steroidal anti-inflammatories. They bring a ten to fifty percent increased risk of “cardiovascular thrombotic events”—heart attacks and strokes.  We pop these pills like candy—the most common are Motrin/ibuprofen, Aleve/naproxen, and prescription anti-inflammatories.  The new advisory from the FDA is to take as little as possible for as short a time as possible.

My take is that we ought to wake up to the possibility that popping a pill isn’t the optimal first step to treating medical conditions.  (Note that I’m not talking about serious infections, endocrine conditions, etc.)  The first step should be prevention via lifestyle.  The next first step, assuming a problem is already raising its ugly head, is lifestyle treatment.  Then—but only after addressing immediate and preventive lifestyle interventions—we should delve into non-pharmacological interventions–and prescriptions.

Let’s take aches and pains as an example.  Continue reading »

Face Yoga with Ranjana Kahn

January 20th, 2015

Here is a version of face yoga that feels like yoga, from Ranjana Kahn.

Laser Therapy

July 21st, 2014


Due to the success of our Laser Treatment pilot program, we would like to know how best to expand our services. Please fill out this survey and enter the drawing to win a free 30 minute massage with our Neuromuscular Therapist, Evelyn Francisco.


Lasers provide an anti-aging platform that does not use neurotoxins, harsh chemicals on the surface of the skin, or injection of animal-based products or synthetics into the skin. It does not have a risk of infection at injection sites or allergic reaction to topical or injected substances.

Laser treatments are light-based therapies that heat deeper layers of skin to stimulate collagen formation, target dilated blood vessels, correct diffuse redness, reduce wrinkles, and more.

We use “Lunch Hour” procedures, which are non-invasive and have no down-time.


We offer Laser Services with a Cutera Laser to:

Tighten skin on your neck, jowls and underarms.

We offer Titan, which uses infrared light, to tighten the dermis, in a two session package.

Minimize redness, wrinkles and pore size and even your skin tone.

We offer Laser Genesis in a three session package or for individual touch-ups 

Lighten brown spots.

We offer IPL, or Intense Pulsed Light, which targets hyperpigmentation.

Erase small face veins and spider veins.

We offer Laser Vein Treatments, which deliver pulses of light to coagulate blood in the vessel, which is eventually reabsorbed, and blood is redirected to deeper veins–where it should be!

Treat toenail fungus.

We offer Laser Onchomycosis Treatments, which eradicate fungus in one or two treatments, avoiding the need for daily medication or daily applications of anti-fungal lacquer.