We see a great many patients from Jackson Heights, Elmhurst and Corona — often for nerve pain and stroke prevention, where the borough carries a heavier burden than most of the city.
Jackson Heights and the neighbourhoods around it — Elmhurst, Corona, Woodside — carry some of the highest rates of diabetes in New York City. Diabetic peripheral neuropathy follows from that, and it is one of the conditions we see most often from this part of Queens.
It is also one of the most under-investigated. Patients are frequently told that burning feet are simply a consequence of diabetes and handed gabapentin, when a structured workup would have found a second, treatable contributor — B12 deficiency, thyroid disease or an inflammatory neuropathy. We perform nerve conduction studies and EMG in the office rather than referring them out.
The same is true of stroke risk. Where hypertension and diabetes are common, TIA and stroke follow, and the visit after a TIA is one of the highest-value appointments in neurology — it is where the next stroke gets prevented.
The full range of adult neurology — headache and migraine, epilepsy and seizures, memory loss and dementia, stroke and TIA, Parkinson's disease and tremor, multiple sclerosis, peripheral neuropathy, and dizziness and balance disorders.
“Patients should not have to cross a bridge for a follow-up appointment that takes twenty minutes.”