Dr. Jeffrey T. Guptill

Vern Juel is a Neurologist in Durham, North Carolina. Dr. Juel has been practicing medicine for over 36 years and is rated as an Elite provider by MediFind in the treatment of Lambert-Eaton Syndrome. His top areas of expertise are Myasthenia Gravis, Lambert-Eaton Syndrome, Inclusion Body Myositis, Meige Syndrome, and Thymectomy.

I care for patients with neuromuscular disorders, which include muscular dystrophy, neuropathy, autoimmune muscle, and nerve conditions, as well as inherited ones. A lot of my work is focused on a holistic approach, so I don’t just focus on the treatment of the disease, but also the way the disease is affecting the rest of the patient’s life and quality of life. I will spend the majority of my visit talking with the patient, then do a full neurological exam, and then discuss potential options and potential diagnoses. If it is a condition that is autoimmune, we can discuss various therapies that can be used and other needs at home related to mobility or basic function. Our patients have a variety of different conditions that can cause problems with breathing, cardiac abnormalities, endocrine dysfunction, and mobility problems. Our clinic here at Duke is unique because we offer multiple consultants working as a team to give the best holistic care to a patient. Dr. Raja is rated as a Distinguished provider by MediFind in the treatment of Lambert-Eaton Syndrome. Her top areas of expertise are Myasthenia Gravis, Lambert-Eaton Syndrome, Mitochondrial Trifunctional Protein Deficiency, Coenzyme Q Cytochrome C Reductase Deficiency, and Thymectomy.

I am a neuromuscular medicine specialist with specific expertise in neuromuscular junction disorders, such as myasthenia gravis and Lambert-Eaton myasthenic syndrome. I also perform electrodiagnostic testing: EMG, Repetitive nerve stimulation studies, Single fiber electromyography, and EMG-guided chemo-denervation. Additionally, I teach neuromuscular fellows these techniques and lecture nationally and internationally on these diseases and techniques. Dr. Massey is rated as a Distinguished provider by MediFind in the treatment of Lambert-Eaton Syndrome. Her top areas of expertise are Myasthenia Gravis, Lambert-Eaton Syndrome, Drug Induced Dyskinesia, Meige Syndrome, and Thymectomy.