Clinical Activities

Expertise


My clinical experience has been mainly in the evaluation and treatment of patients with movement disorders of all types, including Parkinson’s disease and other forms of parkinsonism, tremor, dystonia, ataxia, tics, Tourette syndrome, chorea, Huntington’s disease, normal pressure hydrocephalus, and functional movement disorders.

Within the wide spectrum of movement disorders, I have developed the following areas of expertise.

  • Parkinson’s Disease. A major focus of my lab research has been how PD disrupts normal motor control. This understanding can lead to the design of better interventions (physical and technological) to relieve some of the motor symptoms of PD. Patients with PD are the majority of the patients I follow.
  • Huntington’s Disease. Another focus of my lab research has been how HD disrupts normal motor control. This understanding is meant to guide earlier and more precise detection of onset and quantitation of progression of HD. My clinical experience with HD has been a motor rater for the PREDICT-HD study for 12 years, and as a staff neurologist in the HD center at Columbia University, directed by Karen Marder, for 2 years. Thanks to some extra experience in psychiatry as a medical student and resident, and thanks to teaching by colleagues in the HD clinic, I have been comfortable managing several behavioral as well as motor problems caused by this disorder.
  • Functional Movement Disorders. Thanks to the chance to work closely with experts (Stanley Fahn, Daniel Williams) in neurologic and psychiatric aspects of functional (psychogenic) movement disorders, and to some background in psychiatry in medical school and residency, I have appreciable experience with diagnosing and monitoring the treatment of several patients with these debilitating conditions.

Timeline of Clinical Experience


2001-2016, Columbia University Medical Center

  • Evaluate and treat patients with movement disorders of all types (1 session/week 2001-2010; 4 sessions/week 2011-2016)
  • Botulinum toxin injections for movement disorders affecting the face, head, and neck (2001-2016)
  • Evaluate and treat patients with Huntington’s disease (1 session/week, 2016)
  • Supervise residents and fellows in General Neurology Clinic and Movement Disorders Clinic (~8 sessions/year)
  • Inpatient attending duties: Ward or Consult Service, 4 weeks/year (Harlem Hospital, 2002-2010; New York-Presbyterian Hospital, 2010-2016)

2016-Present, Washington University in St. Louis

  • Evaluate and treat patients with movement disorders of all types, including Huntington’s disease (4 sessions/week)
  • Supervise residents and fellows in General Neurology Clinic and Movement Disorders Clinic (~8 sessions/year)
  • Inpatient attending duties: Ward or Consult Service, 4 weeks/year (Barnes-Jewish Hospital)

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