CURRENT AND PAST RESEARCH INTERESTS
Geriatric Emergency Care:
(i) Functional assessment of elderly patients in ED
(ii) Altered disease presentations in the elderlies
(iii) Use of medications in the elderlies- polypharmacy, altered physiological & pharmacological response to medications & drug interactions-e.g. the use of Fibrinolytic vs. the emergency use of PTCA in the elderlies, the use of antithrombotic therapy (non-fractionated heparin versus low molecular weight heparin) & the use of antiplatelet therapy (GPIIA/IIIB Inhibitor) for Acute Coronary Syndromes in the age groups 75 or older.
(iv) Use of fibrinolytics in the treatment of Acute Ischemic Stroke in the Elderlies- Viability rather than age.
Thrombolytic Therapy in the city of greater Rochester
(i) How to improve Door to Drug time in giving thrombolytic in the emergency department?
(ii) How to improve Door to Balloon time with primary angioplasty?
The efficacy and safety of Outpatient versus OBS stress testing for low risk chest pain patients
Risk stratification of CHF patients who are candidates for OBS, and its efficacy and safety versus traditional inpatient management
Treatment of cellulitis in OBS, use of Vancomycin for 2 days and discharge home on Clindamycin + Bactrim or Doxycycline versus Clindamycin + Bactrim or Doxycycline during OBS and discharge home with the same reigmen
The use of Decadron for acute radiculopathic pain versus epidural versus placebo
