This week I sat down with our colleague, Dr. Andrew Pugliese, Infectious Disease specialist of Infectious Disease Consultants in Johns Creek. He stopped by to talk about complex patients. He shared how medical studies focus on single illnesses, disqualifying certain age groups and patients with multiple disease states. Dr. Pugliese talked about the fact that in the real world medical office, rare is it that a patient walks in to be treated for a problem who is only dealing with that single disease. More commonly, patients present with obesity, and/or diabetes, heart disease, or any number of other health problems that can affect the way the body responds to a given disease state and treatments for them. Dr. Pugliese shared how these “multi-morbid” (having more than one health issue) patients are very complex and often do not respond to therapies as studies suggest they will. He offered advice for providers to help them be better able to manage patients when they need care for a given problem when other health issues are present. Check out Dr. Pugliese’s blog at http://sinusitisblog.com/.
Andrew Pugliese, MD, Infectious Disease Consultants
- Doctorate in Medicine, St. George University School of Medicine
- Fellowship, Infectious Disease, Winthrop University Hospital
- Triple Board Certified in Internal Medicine and Infectious Disease
- Pioneer in non-surgical treatment of acute and chronic sinusitis
- President of Sinus Solutions