Areas of Practice
Epidemiology is the scientific study of causation. In order to understand the validity of scientific research, it takes careful evaluation to assess whether the design, methods, analysis, and results support a valid conclusion. In the modern era of digital publications and pay-to-publish journals, it is more important than ever to be able to distinguish between what is generally accepted and what is junk science.
I have extensive experience teaching, publishing, and communicating about sources of bias, confounding, and chance that can influence the results of epidemiological studies. I have experience designing epidemiological and clinical research studies. I have served as a resource to public health and regulatory authorities including the Centers for Disease Control and Prevention, and the United States Environmental Protection Agency. My goal as an epidemiologist is to translate the results of complex studies into findings that are understandable and relevant to solving real-world problems.
Medical Toxicology focuses on the diagnosis, management, and prevention of poisoning and other adverse health effects due to medications, occupational and environmental toxins, and biological agents. I have experience in the treatment of acute poisoning emergencies as well as chronic occupational and environmental exposures.
My research and publications have included health effects of naturally occurring bacterial and mold toxins (mycotoxins), heavy metals (lead, arsenic, mercury), pesticides, and other chemicals including hazardous waste contaminants. I provide assistance and expertise in the interpretation of environmental and clinical laboratory testing results in cases of suspected exposure.
My training also includes the management of pharmaceutical overdoses, and the assessment of adverse effects or drug-drug interactions from pharmaceuticals and dietary supplements. I have provided consultation to Fortune 500 companies, as well as smaller employers and manufacturers, to assist them in risk assessment, product stewardship, and the enhancement of workplace safety
Addiction Medicine focuses on the prevention, evaluation, diagnosis, treatment, and recovery of persons with substance use disorders. My training and experience includes the diagnosis and treatment of substance use disorders involving alcohol, tobacco, opioids (fentanyl, oxycodone, Dilaudid), opiates (heroin), stimulants (cocaine, methamphetamine, amphetamine), sedatives (benzodiazepines, Ambien), and newer designer drugs.
I maintain an active clinical practice in addiction medicine, and provide treatment to patients with opioid dependence using medications including buprenorhine (Suboxone) and naltrexone. I have provided consultation and expert witness services in matters involving standard of care including overdose management, and the diagnosis and treatment of substance use disorders. I also provide consultation to State licensing boards to assess fitness for duty, and conduct chemical dependency evaluations for safety-sensitive positions and other occupations including physicians, nurses, and other health professionals.