"My main goal in patient management is to establish a diagnosis, find the underlying cause of symptoms and devise a treatment plan. After obtaining history and physical examination, I usually start a work up to look for underlying causes of the symptoms. This may involve blood testing, nerve conduction studies and electromyography (EMG), skin biopsy and autonomic function testing. Some patients may need additional testing which are individualized based on clinical presentation. I encourage close communication with my patients during their diagnostic and treatment course."