Join Dr. Dean Mitchell on The Smartest Doctor In The Room as he sits down with chronic Lyme expert Dr. Richard Horowitz to explore why Lyme disease can be so difficult to diagnose and treat. Dr. Horowitz shares the history of Lyme disease, explains why standard antibiotic treatments often fall short, and breaks down the science behind biofilms, persistent infections, and chronic inflammation.

The conversation addresses the controversy around Lyme testing, why blood work alone can miss the diagnosis, and how Lyme is ultimately a clinical diagnosis. Dr. Horowitz also introduces his MSIDS model, a comprehensive framework that examines multiple drivers of chronic illness including coinfections, immune dysfunction, gut health, and environmental factors.

This episode offers clarity, insight, and hope for anyone struggling with chronic Lyme disease, post treatment Lyme disease, or complex chronic conditions that do not respond to conventional care.

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Dizziness is one of the most common symptoms patients experience, yet it is also one of the most misunderstood. In this episode of The Smartest Doctor In The Room, Dr. Dean Mitchell is joined by neurologist and dizziness specialist Dr. Amir Kheradmand to explain what dizziness really means, why it is so difficult to diagnose, and when it may signal a more serious condition.

The conversation breaks down the key differences between dizziness, vertigo, and lightheadedness, why medications like meclizine are often outdated, and how careful history taking and eye movement exams can help determine whether symptoms are coming from the inner ear or the brain. Dr. Kheradmand also discusses vestibular migraine, stroke risk, chronic dizziness, medication side effects, and why CT scans frequently fail to identify the true cause.

This episode offers clear guidance for patients seeking answers and valuable insight for clinicians looking to improve how dizziness is evaluated and treated.

Join Dr. Dean Mitchell on The Smartest Doctor In The Room as he reflects on more than 25 years in medical practice and explores how medicine has evolved and what should never be lost along the way. From handwritten charts and prescription pads to electronic records, telehealth, and AI driven information, Dr. Mitchell shares firsthand insights into how technology has transformed the doctor patient relationship for better and for worse.

In this thoughtful conversation, he discusses the importance of eye contact, physical exams, careful history taking, and genuine human connection in an era of screens, shortcuts, and online medical advice. Dr. Mitchell also addresses the risks of self-diagnosis, social media health trends, and direct to consumer medical services while encouraging patients to stay informed without trying to be their own doctor.

This episode is a timely reminder that while medicine continues to advance, trust, connection, and listening remain at the heart of truly effective care.