Growing up in Dallas, Isaac Zinovy Pugach (pronounced POOH-gach) graduated from Richardson High School. He studied as an undergrad at Rice University, receiving a Bachelor of Science degree and graduating cum laude. Subsequently, he attended medical school at The University of Texas Medical Branch at Galveston. After graduating in the top quarter of his medical school class, Dr. Pugach completed post-graduate Emergency Medicine internship and Internal Medicine residency at large teaching hospitals in New York City. After taking American Board of Internal Medicine certification exam and scoring in top 10% of the candidates, Doctor Pugach became board certified in Internal Medicine. He has been licensed and has practiced medicine since 2003.
Dr. Pugach has special interest in diabetes, hypertension, and high cholesterol. In certain cases, Dr. Pugach can treat high blood pressure non-pharmacologically (without pills), by FDA approved methods - other than diet and exercise. Additionally, if you have high cholesterol and cannot tolerate statins, Dr. Pugach can treat you using other methods that either do not involve statins or prescribe them in a fashion that will not cause intolerable side effects. As an Internal Medicine specialist, Dr. Pugach also diagnoses difficult-to-diagnose medical problems.
Most importantly, I believe in treating patients, and not the symptoms. My training in Emergency Medicine and Internal Medicine encompassed a wide array of approaches to medical problems, from conservative to aggressive, so I weigh the risks and the benefits arising from a particular therapeutic modality, as it applies to each patient individually. In situations when there is more than one correct approach, I believe that the patient should have a significant input in their treatment.
I understand that if patients are sick, they cannot wait 2 days for an appointment. I also understand that patients have a life outside of a doctor’s office, so if a patient has made an appointment, then he or she should be seen at that time.
I prefer compassionate and personal way of communication with my patients, and I hope to become a part of every patient's extended family.
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