Dr. Combs has been trained in three medical specialties.
Having studied Internal Medicine, Dr. Combs has been trained to provide care to adult patients suffering from a wide range of illnesses and diseases, ranging from the very common to the very rare. Dr. Combs is also trained in general medicine, and is capable of treating patients for diseases that may have overlapping symptoms or complications.
Internal medicine is a specialized field of medicine concerned with the diagnosis and treatment of all types of adult diseases. Due to the fact that there are thousands of different diseases and afflictions that affect adults, internists (physicians who practice internal medicine) often serve as primary care physicians to their patients.
Internists play a crucial role in the diagnosis of disease in adult patients and perform a variety of diagnostic procedures and tests to assist in this process. Internists are trained to perform and analyze blood tests, review family histories, review diagnostic imaging tests, skin tests, biopsies, stress tests and endoscopies, among many other procedures, depending upon the patient’s condition or apparent symptoms.
Doctors of internal medicine are prepared to provide treatment patients with diseases that relate to, or encompass, more than one bodily system. It is this expertise that allows internists to be the “puzzle solvers” of primary care when it comes to making diagnoses; internists are often consulted for their diagnostic capabilities when other primary care physicians are unable to arrive at the correct diagnosis.
Learn more about internal medicine at MD.com.
Having studied Cardiology, Dr. Combs has been trained to provide specialized care for the heart and cardiovascular system in patients. Some of the conditions treated by Dr. Combs may include high blood pressure and cholesterol levels, complications of diabetes, heart disease and defects, general chest pains, and other cardiovascular conditions.
Cardiology is a subspecialty of internal medicine encompassing the diagnosis, treatment, and management of diseases and disorders of the heart and cardiovascular system (also known as the circulatory system). Patients may visit a cardiologist directly, or may be referred to one by their primary care provider when they feel the patient may have a substantial heart condition that is beyond their scope of care.
Cardiologists are trained to diagnose and treat a variety of heart and cardiovascular conditions including congenital heart defects, congestive heart failure, coronary artery disease, heart disease, arrhythmias, high cholesterol, heart attacks, high blood pressure, and many other heart related conditions. To diagnose these conditions, cardiologists utilize a variety of diagnostic tests which may include: echocardiograms (echo), blood tests, cardiac catheterization, electrocardiograms (EKG or ECG) and cardiac stress testing, among other diagnostic procedures.
Some cardiologists may specialize further within the field of cardiology, providing care in one or more specific areas. These may include areas such as nuclear cardiology or interventional cardiology; additionally, some cardiologists specialize in treating a certain condition or demographic – such as congenital heart disease in adults.
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Having studied Sleep Medicine, Dr. Combs has been trained to diagnose and treat various disorders and diseases relating to sleep; this may include disorders such as insomnia, sleep apnea, restless leg syndrome, narcolepsy, nightmares and various other disorders affecting sleep. Dr. Combs can perform a variety of treatments including therapy, injections and prescribing medications, among others.
Sleep medicine is a field of medicine focused on the study, diagnosis and treatment of sleep and sleep-related disorders. Physicians typically practice sleep medicine as part of a comprehensive medical team, which may include specialists in areas such as neurology, psychiatry, internal medicine, pulmonology, endocrinology, bariatrics and pediatrics, among others.
Physicians trained in the area of sleep are trained to diagnose and treat a wide range of conditions including insomnia, narcolepsy, sleep apnea, night terrors, restless leg syndrome, nightmares, periodic limb movement disorder, bruxism (teeth grinding), hypersomnia, delayed sleep phase syndrome (DSPS), cataplexy and sleepwalking, among others. When diagnosing these and other disorders, physicians may ask patients to keep a sleep diary or take the epworth sleepiness scale test, which is a questionnaire that measures daytime sleepiness. Physicians may also perform polysomnograms, actiographies or the multiple sleep latency test (MSLT), which are all diagnostic tests used in sleep medicine.
After diagnosing and pinpointing a patient’s disorder, sleep medicine teams may employ a variety of different treatments. These may include psycho- and behavioral therapies, the prescription of medications, modification of contributing risk factors, rehabilitation and in some cases, surgery, to help manage the patient’s disorder.
Learn more about sleep medicine at MD.com.