Healthspan Immunology

07/21/2026

Sample IVIG orders. IVIG is typically dosed 0.4-0.8 g/kg for immune deficiency, and for PANS/PANDAS/other neuroimmune disorders, "high dose" is typically required. High dose is 1.5-2 g/kg. Begin infusion at 0.8 mg/kg/min.
30 minutes after beginning the infusion, if no adverse reaction occurs, increase infusion to 1.7 mg/kg/min.
Infuse over 7 hours (for high dose; shorter duration for regular dosing)
and continue at this rate until remaining volume is infused. This may take two days for high dose. Patients receive 500-1000mL of IV fluids prior to infusion, as well as acetaminophen and diphenhydramine. Sometimes we add a dose of oral prednisone prior to infusion.

06/10/2026

Textbook of pediatric metabolic disorders, in electronic form. In your diagnosis and treatment of PANS/PANDAS, look for genetic, metabolic, mitochondrial disorders that mimic PANS/PANDAS. We dig deep to identify underlying causes.

05/24/2026

Jordan's Syndrome- rare genetic disorder with epilepsy, neurodevelopmental delay, hypotonia, characteristic facial features, and sensory issues https://nirdp.org.uk/jordans-syndrome/

05/20/2026

https://www.mdpi.com/2076-0817/12/4/576
Common Neurologic features of Lyme Disease

Lyme disease, caused by Borrelia burgdorferi (Bb) infection, has a broad spectrum of clinical manifestations and severity. Patients with possible Lyme disease may seek out or be referred to rheumatologists. Today, the most common reason to engage a rheumatologist is due to complaints of arthralgia.....

05/19/2026

So you want to rule out porphyria with neurovisceral symptoms? Here's a nice set of figures to help: Porphyria: Laboratory Evaluation: https://testdirectory.questdiagnostics.com/test/test-algorithm-detail/TG_Porphyria_Fig2/

05/07/2026

Quest has a financial assistance program to help people who cannot afford labs? https://www.questdiagnostics.com/patients/get-tested/conditions/hereditary-cancer/financial-assistance-and-support-programs

Another resource is jasonhealth.com, where patients can order reduced cost labs, pay for them on the website, and take the invoice to Quest.

Any other low cost lab resources? Please comment below!

New page

04/19/2026

There is a new Mayo Clinic trained concierge rheumatologist in Tampa! Dr. Sehreen Mumtaz www.remissionrheum.com

04/15/2026

A patient told me about this acupuncturist in Tampa, Dr. Yali Fan. She can help children who are afraid of needles! And of course she helps with all kinds of ailments. https://baofp.com/contact-us/

Another great resource is local acupuncturist and DPC primary care doctor is Dr. Victoria Menold in Odessa w-eprimarycare.com

Contact Us. Welcome to Bay Area Oriental Practice. We are an acupuncture clinic in Tampa, FL dedicated to our patient's health and furthering research for natural medicine.

04/13/2026

Private equity and the insurance industry are destroying medicine.

Six to twelve months to see a neurologist. That's the reality near some major metro hospitals right now.

Scott Tzorfas has run a solo neurology practice for 30 years. He spends half his time not on patients but on prior authorizations, billing audits, and insurance phone trees that lead nowhere.

Even generic headache medications now require prior authorization. He can't get a cervical spine MRI approved through some commercial insurers. No explanation given.

Fifteen years ago, 75 percent of doctors were in private practice. Now it's roughly 25 percent. Patients are paying the price in access.

What would it take for the system to actually support independent physicians again?

Episode is in the comments.