*Required fields are marked with an asterisk.

Welcome to the Patient Portal - You need to login or register

 

 

   
   

   
   

 

 

Welcome to the secure patient portal of Internal Medicine of Northern Virginia.

In order to initiate emails to us via our secure system on the top of the page to the left, click "register" and follow the prompts in creating your log in name: [ your email address and  password]. This will then provide you access to communicate with us. If you already have registered, simply select log in and enter your password. If you do not currently have an e-mail address please use the links on this page to sign up for an e-mail address. Please be aware that a unique email address is required for each patient. In essence, families should not use duplicate emails. Thank you for your considerations.

Please remember that In order to reply to a message sent from our office, you must first sign in to our web site portal. This will allow for a HIPAA compliant secure communication. Please do not simply hit "reply" unless you have already signed into the our web site.

If you are having difficulty interfacing with this communication, there may be there may be an issue with your version of Internet Explorer. Click here for a possible solution.

Emails are NOT to be used for urgent messages.   For a life threatening emergency call 911. If you are not sure of the appropriate course of action err on the side of caution. Otherwise, please call our office at 703 709-1119 and ask to speak with a nurse urgently. 

CANCELLATION POLICY: We require 48 hour notification to cancel all office visits during regular business hours [i.e. excluding weekends]. Fees will be incurred comensurate to the office visit that had been scheduled. This includes physical therapy appointments as well. We also reserve the right to reschedule any patient who is more than 15 minutes late, at which time a "No Show" fee will be applied that is the same as the cancellation fee.

In addition, we reserve the right to request reimbursement for extended email exchanges and phone calls.

 

  Dr. Shor Speaks about Hyperbaric Oxygen Therapy, Lyme Disease on CBS

 

"Dr. Samuel Shor of Internal Medicine of Northern Virginia, says a tick bite may or may not produce a bullseye rash.  However there are other symptoms to look for.

Dr. Shor says, "anywhere from five days to 15 days after the tick bite there could be a flu-like illness, low grade fever, aches and muscle pain."

Click here to learn more at the HBot NOVA website>>

 

  IMNV Now Offering Labcorp Services On-Site for established patients only.  Call to Schedule.  Walk-ins also Welcome!

   The content contained in this website is based on the opinion, clinical experience and clinical findings of Drs. Samuel Shor, Eboni Cornish and Crystal Barnwell and Nurse Practitioner Irina Nikitina. It may not reflect the opinion of the general medical community, as opinion within the medical community is deeply divided regarding the best approach for treating Lyme disease.

 

Chronic Lyme Disease Complex:

A multifaceted disease entity caused by one or more infectious agents that can adversely impact the function of multiple organ systems. This includes but is not exclusive to the immune, endocrine, vascular and psychoneuronal systems. Symptoms associated with this process include chronic fatigue, fibromyalgia, fractured/nonrestorative sleep and neuro/psychiatric disorders.

We provide a balanced approach to the literature supporting an open minded perspective in the management of Lyme disease and associated conditions

ILADS 2014 Lyme disease guidelines

Comments disputing the present IDSA guidlines by a medical expert

Summary of Dr. Volkman's recommendations to the IDSA Lyme Disease Guideline Committee

 

Dr. Steven Phillips provides an extensive review of the literature in his ILADS annual 2008 meeting In this presentation, Dr Phillips provides both consistent contradictions that IDSA guideline contributors make to their own guidelines, along with an impressive array of literature to support the recommendations provided by the ILADS guidelines.

 

“Confirmation Bias” and the recent IDSA guidelines. In essence, “The tendency to search for or interpret new information in a way that confirms one’s preconceptions, sometimes people see what they want to see”

Additional Examples:

-Igenex is not a reliable lab [in that it is seen to be more positive than most other labs]. HOWEVER, the attached document suggests otherwise, in essence that in fact Igenex has both a more sensitive technology when evaluating Borrelia burgdorferi and associated infections, and consistently rates among the highest of any national labs in reliability

-“there is no convincing biologic evidence for the existence of symptomatic chronic B burgdorferi infection among patients after receipt of recommended treatment regimens for Lyme disease.” Virtually all of their recommended treatment options are for no more than 28days.

HOWEVER, there is a plethora of data supporting the contrary: High Failure Rates in Late Disease; Short term antibiotics fail in 25%-71% of patients with late stage disease: