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Dr. Dima Rami Dandachi, MD

(Dr. Dima Dandachi, M.D)

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Specializes in: Internal Medicine (Adult Medicine) and Infectious Disease

Professional interests include: immunization (preventive vaccines), syphilis, meningitis, and more.

1 Hospital Drive
Columbia, MO

(573) 882-4141

Dr. Dima Rami Dandachi, MD is an internist in Columbia, MO specializing in internal medicine (adult medicine) and infectious disease. Dr. Dima Rami Dandachi, MD is affiliated with University of Missouri Health Care and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

1 Hospital Drive
Columbia, MO

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1 Hospital Drive
Columbia, MO 65212

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Some issues Dr. Dima Rami Dandachi, MD can help you with:

Lyme Disease

Lyme disease is a condition caused by bacteria (borrelia burgdorferi) that are transmitted via infected ticks. Most cases of Lyme disease are found in the United States East Coast and parts of the Midwest. The three main vectors of transmission for Lyme disease are:

Blacklegged (deer) ticks, which spread Lyme disease in the Northeastern, North -Central, and mid-Atlantic United States.
Western blacklegged ticks, which spread Lyme disease in the Pacific and Coastal regions of the United States.
A mother infected with Lyme disease may pass it onto a fetus.

As background, ticks lay on the tops of grass and brush, clutching onto leaves with their legs and with their arms outstretched. This formation is called "questing" and allows ticks to quickly latch onto passers-by. Within two hours of biting a person's skin, the tick slowly begins to feed from the blood of its host, which can transmit the bacteria that causes Lyme disease. This tick activity generally occurs seasonally and tick bites mostly occur during the springtime.

After being infected, people with Lyme disease may develop symptoms like fever, exhaustion, headache, joint aches, and skin rash, usually three to thirty days after the tick bite. Lyme disease is characterized by a particular skin rash called erythema migrans, which is an enlarged red rash that starts at the site of the tick bite and expands outwards. The rash is a strong indicator that someone has developed or is at risk of developing Lyme disease.

In the following few months, symptoms may worsen and progress to include:

Facial palsy (facial droop)
Headache and neck pain
Arthritis
Nerve pain and numbness
Spinal and brain inflammation
Abnormal heart rhythm (Lyme carditis)

Most cases of Lyme disease dissipate over a few months. Lyme disease may be cured by a course of oral antibiotics, such as amoxicillin or doxycycline. Other treatments may include:

Nerve blocking drugs for pain, such as gabapentin
Topical ointments for rashes

People can take action to prevent Lyme disease by exercising caution when in environments with ticks. Using insect repellant and wearing long socks and protecting clothing can help prevent tick bites. Outdoor enthusiasts should regularly perform "tick checks," evaluating their skin for small ticks, especially in areas where ticks may easily burrow. Showering within two hours of returning indoors also can reduce the likelihood of developing Lyme disease.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

In The News (see more mentions in the news)

“A second study presented at the meeting, from researchers led by Dima Dandachi, MD, of the University of Missouri-Columbia, showed that men who have sex with men and transgender men who chose...”—"Pharmacists Can Address Gaps in Long-Acting PrEP Care for HIV", MedPage Today, December 2024

"https://www.youtube.com/embed/7VL7uJ_VSJI?autoplay=1&start=0&rel=0", University of Missouri Health Care

"https://www.youtube.com/embed/KxZYyTd42Zs?autoplay=1&start=0&rel=0", University of Missouri Health Care

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Dima Rami Dandachi, MD treated as an internist in Columbia, MO during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

doctor visit	108
hospital care	134
inpatient care	134

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	66
Female	66

**Ethnicity**
Non-Hispanic White	118
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	0
85 and over	0
Less than 65	45

Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD in 2018

The most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated during 2018 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	75
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	40
Depression	48
Chronic Kidney Disease	55
Asthma	8
Osteoperosis	11
Atrial Fibrilation	14
Heart Failure	30
Chronic Obstructive Pulmonary Disease	31
Diabetes	42
Dementia	20
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Dima Rami Dandachi, MD treated as an internist in Columbia, MO during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

doctor visit	195
hospital care	333
inpatient care	333

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	154
Female	138

**Ethnicity**
Non-Hispanic White	264
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	105
From 75 to 84	48
85 and over	23
Less than 65	116

Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD in 2019

The most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated during 2019 were hypertension, chronic kidney disease, high cholesterol and depression.

Hypertension	75
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	46
Depression	50
Chronic Kidney Disease	66
Asthma	13
Osteoperosis	9
Atrial Fibrilation	18
Heart Failure	42
Chronic Obstructive Pulmonary Disease	35
Diabetes	44
Dementia	24
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Dima Rami Dandachi, MD treated as an internist in Columbia, MO during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

doctor visit	106
hospital care	333
inpatient care	333

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	145
Female	104

**Ethnicity**
Non-Hispanic White	209
Black	19
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	86
From 75 to 84	0
85 and over	0
Less than 65	108

Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD in 2020

The most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated during 2020 were hypertension, chronic kidney disease, high cholesterol and depression.

Hypertension	75
High Cholesterol	57
Stroke	8
Ischemic Heart Disease	43
Depression	47
Chronic Kidney Disease	67
Asthma	8
Osteoperosis	7
Atrial Fibrilation	14
Heart Failure	42
Chronic Obstructive Pulmonary Disease	28
Diabetes	44
Dementia	23
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Dima Rami Dandachi, MD treated as an internist in Columbia, MO during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

doctor visit	173
hospital care	169
inpatient care	169

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	122
Female	85

**Ethnicity**
Non-Hispanic White	179
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	83
From 75 to 84	35
85 and over	13
Less than 65	76

Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD in 2021

The most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated during 2021 were hypertension, chronic kidney disease, high cholesterol and diabetes.

Hypertension	73
High Cholesterol	54
Stroke	7
Ischemic Heart Disease	44
Depression	42
Chronic Kidney Disease	60
Asthma	10
Osteoperosis	9
Atrial Fibrilation	17
Heart Failure	31
Chronic Obstructive Pulmonary Disease	23
Diabetes	47
Dementia	22
Cancer	7

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Dima Rami Dandachi, MD treated as an internist in Columbia, MO during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

doctor visit	101
hospital care	159
inpatient care	159

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	93
Female	62

**Ethnicity**
Non-Hispanic White	135
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	0
85 and over	0
Less than 65	56

Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD in 2022

The most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated during 2022 were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	75
High Cholesterol	66
Stroke	14
Ischemic Heart Disease	32
Depression	41
Chronic Kidney Disease	41
Asthma	12
Osteoperosis	16
Atrial Fibrilation	26
Heart Failure	31
Chronic Obstructive Pulmonary Disease	33
Diabetes	46
Dementia	14
Cancer	15

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

doctor visit	60

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	45
Female	19

**Age**
From 65 to 74	20
From 75 to 84	0
85 and over	0
Less than 65	31

Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD in 2023

The most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated during 2023 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	69
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	28
Depression	36
Chronic Kidney Disease	36
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	20
Chronic Obstructive Pulmonary Disease	27
Diabetes	36
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2018 - 2023

Volume of procedures performed by Dr. Dima Rami Dandachi, MD for Medicare patients.

The highest averages for the top procedures that Dr. Dima Rami Dandachi, MD treated as an internist in Columbia, MO were hospital care and inpatient care.

doctor visit	123
hospital care	225
inpatient care	225

Average Medicare Patient Data From 2018 - 2023

Information about Medicare patients treated by Dr. Dima Rami Dandachi, MD.

**Gender**
Male	104
Female	79

**Ethnicity**
Black / African American	5
Asian / Pacific Islander	0
Non-Hispanic White	150
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	13
85 and over	6
Less than 65	72
65 to 74	65

Average of Total of Conditions of Medicare patients treated by Dr. Dima Rami Dandachi, MD From 2018 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Dima Rami Dandachi, MD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	73
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	38
Depression	44
Chronic Kidney Disease	54
Asthma	8
Osteoporosis	8
Heart Failure	32
Chronic Obstructive Pulmonary Disease	29
Diabetes	43
Atrial Fibrillation	14
Cancer	9
Dementia	17

Education & Training

She completed residency at Ascension St Francis. She is certified by the American Board of Internal Medicine/Infectious Disease and has a state license in Missouri.

Residency: Ascension St Francis

Board Certification: American Board of Internal Medicine/Infectious Disease

Licensed In: Missouri

Affiliations & Hospitals

Dr. Dima Rami Dandachi, MD is associated with these hospitals and organizations:

University of Missouri Health Care

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Dr. Dima Rami Dandachi, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Gilead Sciences, Inc.	$47,328 Biktarvy $31,397	$15,931
ViiV Healthcare Company	$16,788 DOVATO $6,264	APRETUDE $53	RUKOBIA $19	CABENUVA $2	$10,450
Astellas Pharma US Inc	$191 Cresemba $64	MYCAMINE $63	AmBisome $40	$24
AstraZeneca Pharmaceuticals LP	$150 $150
The Medicines Company	$96 MINOCIN IV $96
Other	$277 BREO $47	TEFLARO $44	ELIQUIS $37	DALVANCE $28	PREVNAR - 13 $22	Other $99

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$36,495
Consulting Fee	$16,568
Travel and Lodging	$8,837
Food and Beverage	$2,893
Education	$37

Research Payments

Dr. Dima Rami Dandachi, MD has received 58 research payments totaling $473,870.

Biography

Dr. Dima Dandachi is a physician who specializes in infectious disease. Dr. Dandachi's areas of expertise include the following: recurrent infections, osteomyelitis, and syphilis. She has received the following distinctions: Fellow of the Infectious Diseases Society of America (FIDSA); Outstanding Clerkship Didactic, University of Missouri, Columbia, MO; and Journal Club Award for the best presentations, Baylor College of Medicine, Houston, TX. She is professionally affiliated with the University of Missouri Health Care.