Robert Killeen

May 13, 2024 | kevinmd.com | Nancie Wiseman Attwater |Robert Killeen |L. Joseph Parker |Leslie Mattson

The prevalence of coronary artery disease (CAD) and stroke is increased in patients with chronic inflammatory diseases such as rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). These are also known as IMID: immune-mediated inflammatory diseases. Rheumatic IMIDs, including rheumatoid and osteoarthritis, are associated with multiple cardiovascular issues with an enhanced cardiovascular risk, including premature coronary artery disease.

Apr 4, 2024 | kevinmd.com | Nancie Wiseman Attwater |Robert Killeen |Janet Tamaren |Dan Rosandich

Autoimmune diseases occur when the immune system mistakenly attacks healthy cells and tissues in the body. More than 80 recognized autoimmune diseases exist, including alopecia areata, rheumatoid arthritis, psoriasis, lupus, multiple sclerosis, celiac disease, scleroderma, and Raynaud’s. These conditions can cause a wide range of symptoms, making management crucial for maintaining a good quality of life. Why the immune system attacks healthy cells is a bit of a mystery in most cases.

Sep 25, 2023 | kevinmd.com | Robert Killeen |Grace Shadid |Leslie Mattson |Christopher Medrano

In recent years, public attention has been focused on the presence of Fentanyl-laced cocaine. It has overshadowed another new threat just as heinous yet relatively unknown – that of levamisole. Since the turn of the century, the use of levamisole has grown as a “filler” to cut or increase the amount of cocaine sold. Other than for veterinary use, this compound has been largely abandoned by human medicine due to its toxicity, especially that of necrotic vasculitis.

Aug 1, 2023 | kevinmd.com | Robert Killeen |Kasey M. Johnson |Horacio Romero Castillo |Jingyi Liu

When I started visiting patients in nursing homes, a good many of them had some degree of dementia. In its earliest form, a person with dementia could recall what they were doing when they found out about 9/11, or when Kennedy was shot, or when Pearl Harbor was bombed in the Second World War. However, they couldn’t recall their most recent events.

Jul 27, 2023 | kevinmd.com | Robert Killeen |Martha Rosenberg |Eugene Chan |Paul Pender

Reportedly, there are at least 1.6 million people who identify as transgendered in the United States. Approximately one-third of them are transgendered male-to-females, referred to as “T-girls.” These individuals have a strong desire to be passable without undergoing surgery, relying instead on hormone therapy. However, hormonal therapy is not without risks. Testosterone, used in protocols for transgendered males, can increase the chances of venous thromboembolism (VTE).