Welcome to my practice. I have 30 years experience and i have narrowed my focus to the care of patients left behind by the mainstream medical system. At paradigm medicine i practice medicine on the leading edge of shifting paradigms and i help patients who have been disenfranchised by the rigid mainstream system. I successfully treat patients with chronic Lyme disease, tickborne coinfections, fibromyalgia, chronic fatigue syndrome, migraine/headache, MCAS (mast cell activation syndrome) POTS- postural orthostatic tachycardia syndrome, dysautonomia and other chronic illness difficult to diagnose and treat conditions. My practice is science based and evidence based. Please see my blog: Lymemd.blogspot.com. My office is in Rockville Maryland a short distance from Washington DC airports. Appointment available: 301-528-7111