My OB/GYN doctor told me that I have been exposed to HPV virus, and this puts me at risk for cervical cancer. How did I contract this, and what should I do about it?
HPV, or human papilloma virus, is a virus that is contracted through sexual contact. Men can carry this virus and remain asymptomatic. Not all women who are exposed will develop cervical cancer, so the most important thing is to follow-up with your gynecologist for regular exams, including a PAP smear. For those not exposed, there is a new vaccine which prevents you from contracting the virus, and thus can lower your risk of
Pericarditis
January 27th, 2012 Posted by Dean Heller MD | Ask the Doctor
I am 32 years old and had chest pain a few weeks ago that I thought felt like what people describe for a heart attack, so I went to the doctor. He told me it was not a heart attack, but it was inflammation around the heart due to a viral infection that I recently had. He treated me with medication, and I felt better for a week or so, but now the symptoms have recurred. Should I see another doctor; could he have given me the wrong diagnosis?
Your doctor probably told you that you have pericarditis. This is
Your doctor probably told you that you have pericarditis. This is
Raw Cookie Dough
January 20th, 2012 Posted by Dean Heller MD | Ask the Doctor
I have been eating raw cookie dough since I was a kid, and I can't remember ever getting sick from it; however, a friend recently told me that doing this can make you ill. Please tell me I don't have to stop eating raw cookie dough; it is my favorite part of making cookies.
Unfortunately, I have bad news for you. There is some risk of food bourne pathogens (basically bad bacteria) from eating raw cookie dough, just like eating some other raw food. It is the flour and eggs that can carry these bacteria, such as E Coli. The
Unfortunately, I have bad news for you. There is some risk of food bourne pathogens (basically bad bacteria) from eating raw cookie dough, just like eating some other raw food. It is the flour and eggs that can carry these bacteria, such as E Coli. The
Psoriatic Arthritis
January 13th, 2012 Posted by Dean Heller MD | Ask the Doctor
I have had psoriasis for many years, and now I have developed arthritis in multiple joints. It causes quite a bit of pain, and Advil has not been helping recently. My general doctor told me that it may be related to the psoriasis. Do you think that may be the case? If so, what kind of doctor should I see, and are there treatments other than the usual anti-inflammatory medications?
If you suffer from psoriasis, a common skin condition, there is a 30% chance that you will develop arthritis in your lifetime; this is known as Psoriatic Arthritis. It causes
If you suffer from psoriasis, a common skin condition, there is a 30% chance that you will develop arthritis in your lifetime; this is known as Psoriatic Arthritis. It causes
Gout
January 6th, 2012 Posted by Dean Heller MD | Ask the Doctor
Over Christmas my right big toe became swollen, painful, and red. My cousin said that he has gout, and it caused the same symptoms. Do you think he may be correct about my big toe?
Your cousin MAY be correct. Although there may be other causes, the big toe is a common place for a gout attack. The symptoms of gout are a painful, red, swollen joint, as it is a form of arthritits. There are a number of causes; the most common is just an elevation of the uric acid levels in the blood, which accumulates in the joint,
Your cousin MAY be correct. Although there may be other causes, the big toe is a common place for a gout attack. The symptoms of gout are a painful, red, swollen joint, as it is a form of arthritits. There are a number of causes; the most common is just an elevation of the uric acid levels in the blood, which accumulates in the joint,
Pulmonary Artery Hypertension
December 30th, 2011 Posted by Dean Heller MD | Ask the Doctor
I have been diagnosed with PAH pulmonary artery hypertension. I am frequently short of breath when cleaning my house and while chasing after my 3 kids. I know there are newer treatments; what do you think of these treatments?
Pulmonary artery hypertension (PAH) is a condition that causes higher pressures in the lungs and subsequently thickening of the arteries in the lungs. It causes symptoms of fatigue and shortness of breath, just like you are having. The newer PDE5 inhibitors are similar to the medications that you see advertised for erectile dysfunction, and have been found to improve the symptoms in patients with PAH. See your doctor
Pulmonary artery hypertension (PAH) is a condition that causes higher pressures in the lungs and subsequently thickening of the arteries in the lungs. It causes symptoms of fatigue and shortness of breath, just like you are having. The newer PDE5 inhibitors are similar to the medications that you see advertised for erectile dysfunction, and have been found to improve the symptoms in patients with PAH. See your doctor
Healthy Lunches
December 23rd, 2011 Posted by Dean Heller MD | Ask the Doctor
I find this time of year so hectic, and I eat so much junk. There is always candy all over the office. What can I eat quickly at lunch to be healthier?
Lunch is an important meal for working people. It gives you the energy to finish your day productively. A healthy lunch should include a good balance of vitamins, protein, and carbohydrates. Try to bring a small lunch from home. Use your leftovers from dinner, and add some fresh vegetables such as tomato, cucumber, and lettuce. You can also put a small amount of your dinner meal on a
Lunch is an important meal for working people. It gives you the energy to finish your day productively. A healthy lunch should include a good balance of vitamins, protein, and carbohydrates. Try to bring a small lunch from home. Use your leftovers from dinner, and add some fresh vegetables such as tomato, cucumber, and lettuce. You can also put a small amount of your dinner meal on a
Macular Degeneration
December 16th, 2011 Posted by Dean Heller MD | Ask the Doctor
I was recently diagnosed with macular degeneration, and they called it wet macular degeneration. I have been having trouble seeing at night and stopped driving. Does this usually progress to blindness? I am still waiting to see the specialist for treatment. Is there good treatment? I am very nervous.
Macular degeneration is a common condition; it is the leading cause of blindness for people over age 50. Usually the central vision is affected; however, there is a new treatment for this condition that seems to be very promising. Doctors have been using laser and other treatments for a number of years to slow the progression. The new treatment appears to
Macular degeneration is a common condition; it is the leading cause of blindness for people over age 50. Usually the central vision is affected; however, there is a new treatment for this condition that seems to be very promising. Doctors have been using laser and other treatments for a number of years to slow the progression. The new treatment appears to
Flu Prevention
December 9th, 2011 Posted by Dean Heller MD | Ask the Doctor
Winter is coming, and it seems like it is going to be a rough one, so I want to decrease the risk of getting the flu. How can I do that?
With winter right around the corner, you are on the right path and should be preparing to decrease your risk of flu. Most importantly, the flu vaccine can lower your chance of getting the flu by 70-90%. Then throughout the winter months you have to use good handwashing to decrease risk of infection and the flu. You should never put your hands to your mouth and face without washing your hands first. Everyone should also make
With winter right around the corner, you are on the right path and should be preparing to decrease your risk of flu. Most importantly, the flu vaccine can lower your chance of getting the flu by 70-90%. Then throughout the winter months you have to use good handwashing to decrease risk of infection and the flu. You should never put your hands to your mouth and face without washing your hands first. Everyone should also make
Autism
December 2nd, 2011 Posted by Dean Heller MD | Ask the Doctor
My brother's little boy is three and was diagnosed with autism recently. I have been reviewing all of the possible causes of autism, and it seems as though no one is sure. What is your opinion, and is there any truth that the vaccinations can cause it?
This topic if frequently debated, and there is quite a bit of information, and misinformation, about the causes of autism. You are absolutely correct; no one is sure what the cause of autism is. As you may know, autism is really a group of related problems that all have at their core, some form of learning or developmental issues. There
This topic if frequently debated, and there is quite a bit of information, and misinformation, about the causes of autism. You are absolutely correct; no one is sure what the cause of autism is. As you may know, autism is really a group of related problems that all have at their core, some form of learning or developmental issues. There
Healthy Holiday Eating
November 25th, 2011 Posted by Dean Heller MD | Ask the Doctor
My father is 82 and has multiple medical problems including heart disease, high blood pressure, and high cholesterol. He is coming to my house for Thanksgiving dinner, and I want to make it as healthy for him as I can. What should I do?
It is great that you are thinking of him on Thanksgiving (and throughout the holiday season). While you want to make it healthy, you also want to let them enjoy the meal.
Here are a few suggestions. First, suggest that he eats the white meat turkey, without the skin,and avoid ham or other meats that may be higher in sodium. Obviously,
It is great that you are thinking of him on Thanksgiving (and throughout the holiday season). While you want to make it healthy, you also want to let them enjoy the meal.
Here are a few suggestions. First, suggest that he eats the white meat turkey, without the skin,and avoid ham or other meats that may be higher in sodium. Obviously,
Stroke and Muscle Spasticity
November 18th, 2011 Posted by Dean Heller MD | Ask the Doctor
My grandfather had a stroke about 1 year ago. He went through intensive rehabilitation, and is now able to walk, and is doing well, but he complains of muscle spasms and difficulty moving his arm fully because it feels too tight. What can he do for this?
It sounds like your grandpa has muscle spasticity. This is a very common problem after stroke. While rehabilitation can help, sometimes it cannot completely resolve this problem. Many people get improvement with the use of Botox. This is the same medicine that plastic surgeons use for cosmetic reasons, but because its mechanism of action is through relaxation of muscles, it
It sounds like your grandpa has muscle spasticity. This is a very common problem after stroke. While rehabilitation can help, sometimes it cannot completely resolve this problem. Many people get improvement with the use of Botox. This is the same medicine that plastic surgeons use for cosmetic reasons, but because its mechanism of action is through relaxation of muscles, it
Weight Loss Surgery
November 11th, 2011 Posted by Dean Heller MD | Ask the Doctor
I have lost over 300 pounds over the past 7 years, and unfortunately I have gained 285 pounds back over the same time period. I just keep on losing and then gaining back. I have tried everything, and now I am considering a surgical procedure. Are they safe?
This is a very common scenario, with a yo-yo of weight loss, followed by gaining all of the weight back. If you are over 100 lbs. over your ideal body weight, then you may be a candidate for weight loss surgery. There have been constant improvements in how weight loss surgery is performed.
This is a very common scenario, with a yo-yo of weight loss, followed by gaining all of the weight back. If you are over 100 lbs. over your ideal body weight, then you may be a candidate for weight loss surgery. There have been constant improvements in how weight loss surgery is performed.
Asthma
October 28th, 2011 Posted by Dean Heller MD | Ask the Doctor
My child was diagnosed with asthma. How can I make my house healthier for her?
The air pollutants in the house can be just as bad as the triggers that cause asthma attacks outdoors. The more you reduce the chemicals, particles, and dust in your house, the better for your lung health. You MUST change the filter in your air conditioner monthly. Keeping humidity low will also decrease the risk from dust mites. Open windows some times to let fresh air in. Hard floors, rather than carpet are easier for cleaning, and keep the air cleaner. Also, when you cook
The air pollutants in the house can be just as bad as the triggers that cause asthma attacks outdoors. The more you reduce the chemicals, particles, and dust in your house, the better for your lung health. You MUST change the filter in your air conditioner monthly. Keeping humidity low will also decrease the risk from dust mites. Open windows some times to let fresh air in. Hard floors, rather than carpet are easier for cleaning, and keep the air cleaner. Also, when you cook
Asperger’s Syndrome
October 14th, 2011 Posted by Dean Heller MD | Ask the Doctor
My friend’s child was diagnosed with Asperger’s syndrome. What is it?
Asperger's syndrome is a disease that is grouped into the spectrum of Autism. It is similar to other types of Autism, but in this syndrome their language development is normal, although they do struggle with social language, such as understanding sarcasm. They will frequently have hyper focus, meaning that they are only focused on one thing, that they involve their entire life around.
Expert: Children's Mercy Family Health.
To learn more about Asperger's Syndrome, watch this video from VideoMD.com.
Asperger's syndrome is a disease that is grouped into the spectrum of Autism. It is similar to other types of Autism, but in this syndrome their language development is normal, although they do struggle with social language, such as understanding sarcasm. They will frequently have hyper focus, meaning that they are only focused on one thing, that they involve their entire life around.
Expert: Children's Mercy Family Health.
To learn more about Asperger's Syndrome, watch this video from VideoMD.com.
Managing COPD
October 7th, 2011 Posted by Dean Heller MD | Ask the Doctor
My COPD symptoms always seem to worsen this time of year. What can I do to decrease these symptoms?
As you know you have COPD, I assume that you do not smoke any longer. That is the most common cause of COPD, which is a chronic lung disease. The most common symptoms are shortness of breath and cough. It is true that we see a winter peak in COPD exacerbations. One of the reasons for this is transmission of mild upper respiratory illnesses in the winter, and around holidays, and this puts you at risk. If you can avoid large crowded places when possible, always wash
As you know you have COPD, I assume that you do not smoke any longer. That is the most common cause of COPD, which is a chronic lung disease. The most common symptoms are shortness of breath and cough. It is true that we see a winter peak in COPD exacerbations. One of the reasons for this is transmission of mild upper respiratory illnesses in the winter, and around holidays, and this puts you at risk. If you can avoid large crowded places when possible, always wash
Sinusitis
September 30th, 2011 Posted by Dean Heller MD | Ask the Doctor
I am frequently sick with symptoms in my nose and face. My doctor says I may have sinusitis. How do I know when it is not just a cold or a case of the flu?
The symptoms of sinusitis include: nasal discharge, facial pain, headache ,fatigue, and bad breath. The treatment is different than that of the cold or flu and includes a nasal steroid. If you are concerned about any of these symptoms, you should see your doctor.
Expert: News Canada
To learn more about sinusitis, watch this video from VideoMD.com.
The symptoms of sinusitis include: nasal discharge, facial pain, headache ,fatigue, and bad breath. The treatment is different than that of the cold or flu and includes a nasal steroid. If you are concerned about any of these symptoms, you should see your doctor.
Expert: News Canada
To learn more about sinusitis, watch this video from VideoMD.com.
Gestational Diabetes
September 23rd, 2011 Posted by Dean Heller MD | Ask the Doctor
My OB doctor says I have developed diabetes of pregnancy. Is that common, and why did I get it?
Diabetes developed during pregnancy is called gestational diabetes, and it is common. It occurs in about 5% of all pregnancies. You are at risk for gestational diabetes if diabetes runs in your family, if you become pregnant after the age of 30, or if you are overweight. All women should be screened for gestational diabetes between the 24th and 28th week of pregnancy.
Expert: Mercy Family Health Partners
To learn more about gestational diabetes, watch this video from VideoMD.com.
Diabetes developed during pregnancy is called gestational diabetes, and it is common. It occurs in about 5% of all pregnancies. You are at risk for gestational diabetes if diabetes runs in your family, if you become pregnant after the age of 30, or if you are overweight. All women should be screened for gestational diabetes between the 24th and 28th week of pregnancy.
Expert: Mercy Family Health Partners
To learn more about gestational diabetes, watch this video from VideoMD.com.
Depression Symptoms
September 16th, 2011 Posted by Dean Heller MD | Ask the Doctor
I have been seeing my doctor for many problems recently, but all the testing has been normal. He has suggested that the symptoms may be related to depression. Is that possible?
Yes, the mind is very powerful. People can have many different symptoms from depression including fatigue, pain, lightheadedness, and shortness of breath. If your doctor has ruled out other causes for your symptoms, then certainly, depression maybe the cause.
Expert: News Canada
To learn more about depression, watch this video from VideoMD.com.
Yes, the mind is very powerful. People can have many different symptoms from depression including fatigue, pain, lightheadedness, and shortness of breath. If your doctor has ruled out other causes for your symptoms, then certainly, depression maybe the cause.
Expert: News Canada
To learn more about depression, watch this video from VideoMD.com.
MRSA
September 9th, 2011 Posted by Dean Heller MD | Ask the Doctor
My friend's child developed a skin infection called MRSA. He was very sick for a while. How do I prevent my children from getting this?
MRSA stands for Methicillin resistant Staph. Aureus, which is a bacteria. Many of us live with Staph. Aureus bacteria on our skin without getting sick from it. This bacteria frequently attacks the elderly or the immunocomprimised. MRSA is a type of this bacteria, but one that is resistant to the typical treatment. It can cause serious infections in some people.
To prevent it you should:
1. Cover any open wounds, and shower with soap and hot water.
2. Don't
MRSA stands for Methicillin resistant Staph. Aureus, which is a bacteria. Many of us live with Staph. Aureus bacteria on our skin without getting sick from it. This bacteria frequently attacks the elderly or the immunocomprimised. MRSA is a type of this bacteria, but one that is resistant to the typical treatment. It can cause serious infections in some people.
To prevent it you should:
1. Cover any open wounds, and shower with soap and hot water.
2. Don't
Osteoporosis
September 2nd, 2011 Posted by Dean Heller MD | Ask the Doctor
My doctor tells me I have Osteoporosis, and she gave me medicine. I have no symptoms, and I am not sure if I want to take it, should I?
Yes, if your doctor gave you this medicine, you should definitely take it. This means that your doctor thinks you are at risk for complications of osteoporosis, such as bone fractures. There are new medicines that recently came on the market that need to be taken only once or twice a year, so ask your doctor about them.
Expert: News Canada
To learn more about osteoporosis, watch this video from
Yes, if your doctor gave you this medicine, you should definitely take it. This means that your doctor thinks you are at risk for complications of osteoporosis, such as bone fractures. There are new medicines that recently came on the market that need to be taken only once or twice a year, so ask your doctor about them.
Expert: News Canada
To learn more about osteoporosis, watch this video from
Diagnosing Kidney Disease
August 26th, 2011 Posted by Dean Heller MD | Ask the Doctor
My doctor told me my kidneys are not functioning well. How does he know this, and what causes that?
A simple blood test tells doctors if your kidneys are not functioning well. They look for something called, creatinine. People who have hypertension, diabetes are particularly at risk for chronic kidney disease. So a basic blood test should be done in conjunction with your regular physical exams.
Expert: News Canada
To learn more about diagnosing kidney disease, watch this video from VideoMD.com.
A simple blood test tells doctors if your kidneys are not functioning well. They look for something called, creatinine. People who have hypertension, diabetes are particularly at risk for chronic kidney disease. So a basic blood test should be done in conjunction with your regular physical exams.
Expert: News Canada
To learn more about diagnosing kidney disease, watch this video from VideoMD.com.
Heartburn
August 19th, 2011 Posted by Dean Heller MD | Ask the Doctor
My schedule recently changed, so I work later, and I get home and eat dinner later. I have been getting heartburn at night recently, and my wife says I have been coughing in bed. What should I do?
It sounds like you are correct that you have developed "heartburn." These symptoms are related to acid refluxing back into your esophagus. Eating larger meals later in the evening can certainly be playing a significant role. The cough is also likely related; some people even experience chest pain from gastroesophageal reflux disease (GERD), the disease that frequently causes heartburn. Eating earlier in
It sounds like you are correct that you have developed "heartburn." These symptoms are related to acid refluxing back into your esophagus. Eating larger meals later in the evening can certainly be playing a significant role. The cough is also likely related; some people even experience chest pain from gastroesophageal reflux disease (GERD), the disease that frequently causes heartburn. Eating earlier in
Pradaxa
August 11th, 2011 Posted by Dean Heller MD | Ask the Doctor
I saw a commercial for a new medicine called Pradaxa that apparently takes the place of Coumadin, which I have been on for 10 years. Is this new medication safe?
Pradaxa is a new blood thinner that is effective for some patients that have atrial fibrillation, a heart rhythm that puts you at risk for stroke. The advantage that Pradaxa has over Coumadin is that you do not have to have regular blood tests as you do with Coumadin. See your doctor if you think you may be a candidate for Pradaxa.
Expert: News Canada
To learn more about Pradaxa, watch
Pradaxa is a new blood thinner that is effective for some patients that have atrial fibrillation, a heart rhythm that puts you at risk for stroke. The advantage that Pradaxa has over Coumadin is that you do not have to have regular blood tests as you do with Coumadin. See your doctor if you think you may be a candidate for Pradaxa.
Expert: News Canada
To learn more about Pradaxa, watch
Quitting Smoking
August 5th, 2011 Posted by Dean Heller MD | Ask the Doctor
I am having trouble quitting smoking cigarettes. I have been smoking for 50 years, and I have tried to quit this bad habit at least 8 times. I am so frustrated, do you have any suggestions?
One of the reasons it is so difficult to quit smoking is that it is not just a bad habit, it is an addiction. Your body becomes physically addicted to nicotine. Because of that, some people will need to slowly decrease their nicotine intake, and to use one of the nicotine patches. There are also medicines which can decrease the physical craving. See your
One of the reasons it is so difficult to quit smoking is that it is not just a bad habit, it is an addiction. Your body becomes physically addicted to nicotine. Because of that, some people will need to slowly decrease their nicotine intake, and to use one of the nicotine patches. There are also medicines which can decrease the physical craving. See your
Urinary Incontinence
July 29th, 2011 Posted by Dean Heller MD | Ask the Doctor
I have incontinence of urine, and it is very embarrassing. A doctor recommended a bladder pacemaker, and I never even heard of that, have you?
Yes, this procedure does have proven benefits in some patients. It helps the bladder function more normally, and it decreases the incidence of incontinence. This device is similar to pacemakers that are used in the heart, so it is a well-proven technology.
Expert: Nebraska Medical Center
To learn more about urinary incontinence, watch this video from VideoMD.com.
Yes, this procedure does have proven benefits in some patients. It helps the bladder function more normally, and it decreases the incidence of incontinence. This device is similar to pacemakers that are used in the heart, so it is a well-proven technology.
Expert: Nebraska Medical Center
To learn more about urinary incontinence, watch this video from VideoMD.com.
Sun Exposure
July 22nd, 2011 Posted by Dean Heller MD | Ask the Doctor
Since I live in a cold weather state, I rarely wear sunscreen. But with this heat wave, it seems like the sun is stronger. Should I be wearing sunscreen in these hot months?
Absolutely! You actually should wear sunscreen all year round if you get sun exposure. Even if it is cold out, or even cloudy, you are still getting exposure to the sun’s damaging UV rays. You should use a sunscreen with a SPF factor of at least 15 to all sun exposed body parts. In the summer, when you may be sweating, or even going in the pool,
Absolutely! You actually should wear sunscreen all year round if you get sun exposure. Even if it is cold out, or even cloudy, you are still getting exposure to the sun’s damaging UV rays. You should use a sunscreen with a SPF factor of at least 15 to all sun exposed body parts. In the summer, when you may be sweating, or even going in the pool,
Sprained Ankles
July 18th, 2011 Posted by Dean Heller MD | Ask the Doctor
While my son was playing in a baseball game, he slid into 2nd base and twisted his ankle. It became swollen immediately, then turned black and blue. The x-ray did not show any broken bones, and the doctor told him it was just a sprain, and that it will get better after a week or two. This looks bad, and I am worried. What exactly is a sprained ankle?
A sprained ankle occurs very commonly with this type of twisting motion. It can swell up, and become bruised. It occurs when the ligaments in the ankle joint are damaged. Usually
A sprained ankle occurs very commonly with this type of twisting motion. It can swell up, and become bruised. It occurs when the ligaments in the ankle joint are damaged. Usually
Juvenile Diabetes
July 7th, 2011 Posted by Dean Heller MD | Ask the Doctor
I am 17 and started having some funny symptoms, including weight loss and going to the bathroom a lot. I heard one of the Jonas brothers talking about his diabetes, and I think I may have this. Do you think I do?
You have to see a doctor as soon as possible. Your symptoms certainly could be from diabetes. Frequent urination, weight loss, increased thirst, and hunger, as well as being tired are the common symptoms of diabetes.
Expert: David Cook
To learn more about juvenile diabetes, watch this video from VideoMD.com.
You have to see a doctor as soon as possible. Your symptoms certainly could be from diabetes. Frequent urination, weight loss, increased thirst, and hunger, as well as being tired are the common symptoms of diabetes.
Expert: David Cook
To learn more about juvenile diabetes, watch this video from VideoMD.com.
Sparkler Safety
June 30th, 2011 Posted by Dean Heller MD | Ask the Doctor
My kids all love to play with sparklers on July 4th. I have heard of people getting injured from them. Are they safe?
Almost everyone uses sparklers on July 4th; however, they are not as safe as you might suspect. The tip of the sparkler is actually very hot - almost 1,000 degrees. So it is easy for a child to be burned if you are not careful. Make sure to tell the children this information, so they can handle the sparkler appropriately. Also, with all of the recent wild fires, make sure you dispose of the sparklers in a
Almost everyone uses sparklers on July 4th; however, they are not as safe as you might suspect. The tip of the sparkler is actually very hot - almost 1,000 degrees. So it is easy for a child to be burned if you are not careful. Make sure to tell the children this information, so they can handle the sparkler appropriately. Also, with all of the recent wild fires, make sure you dispose of the sparklers in a
Aneurysm of the Aorta
June 23rd, 2011 Posted by Michele | Ask the Doctor
My father has what they call an aneurysm of the aorta, where the walls of this major blood vessel bulge out, and apparently can rupture. Is there an alternative to surgery for this?
Great question. You are correct. This is a bulging of the wall of the aorta, which is usually weakened due to atherosclerosis, and is prone to rupture. While the treatment traditionally has been surgery, sometimes an aortic stent graft, which can be put in more non-invasively, can be helpful. In this procedure, doctors perform a stent graft, which is similar to stents that are put in the heart,
Great question. You are correct. This is a bulging of the wall of the aorta, which is usually weakened due to atherosclerosis, and is prone to rupture. While the treatment traditionally has been surgery, sometimes an aortic stent graft, which can be put in more non-invasively, can be helpful. In this procedure, doctors perform a stent graft, which is similar to stents that are put in the heart,
Remembering Medication
June 16th, 2011 Posted by Dean Heller MD | Ask the Doctor
I get very busy in the morning at work and sometimes forget to take my medication, what should I do when this happens?
In general you should take the medication as soon as you remember, even if it later than you usually take the medication. However, if you take the medication more than once a day, and the time is getting close for your next dose, you should just wait, and take the next dose only. You should NOT double the dose at that time, this can be very dangerous.
Expert: Good Neighbor Pharmacy
To learn more about missed doses of medication,
In general you should take the medication as soon as you remember, even if it later than you usually take the medication. However, if you take the medication more than once a day, and the time is getting close for your next dose, you should just wait, and take the next dose only. You should NOT double the dose at that time, this can be very dangerous.
Expert: Good Neighbor Pharmacy
To learn more about missed doses of medication,
Preventing Heart Attacks
June 9th, 2011 Posted by Dean Heller MD | Ask the Doctor
My brother just had a heart attack. How do I prevent getting a heart attack myself?
If your brother had a heart attack at a young age, that puts you at risk. You should:
1. Avoid smoking.
2. Lose weight so that your BMI or body mass index is less than 25.
3. Eat five servings of fruits and vegetables a day.
4. Exercise.
Taking omega three fatty acids can also help. Also, see a doctor who will check your cholesterol, and consider medication if appropriate, including aspirin, and medicine to lower cholesterol.
To learn more about preventing heart attacks, watch this video from
If your brother had a heart attack at a young age, that puts you at risk. You should:
1. Avoid smoking.
2. Lose weight so that your BMI or body mass index is less than 25.
3. Eat five servings of fruits and vegetables a day.
4. Exercise.
Taking omega three fatty acids can also help. Also, see a doctor who will check your cholesterol, and consider medication if appropriate, including aspirin, and medicine to lower cholesterol.
To learn more about preventing heart attacks, watch this video from
Liposuction
June 2nd, 2011 Posted by Dean Heller MD | Ask the Doctor
I am thinking about liposuction, and I heard about something called cold liposuction. What is that?
You are referring to a procedure called CoolSculpting or selective cryolipolysis. This device pulls out the fat cells by cooling them off. You can loose 25% of your fat cells in a treated area, which will decrease the amount of fat in that area.
To learn more about selective cryolipolysis, watch this video from VideoMD.com.
Expert: Carlin Vickery, MD
You are referring to a procedure called CoolSculpting or selective cryolipolysis. This device pulls out the fat cells by cooling them off. You can loose 25% of your fat cells in a treated area, which will decrease the amount of fat in that area.
To learn more about selective cryolipolysis, watch this video from VideoMD.com.
Expert: Carlin Vickery, MD
Carpal Tunnel Syndrome
May 26th, 2011 Posted by Dean Heller MD | Ask the Doctor
I am having pain in my thumb and hand from Carpal Tunnel Syndrome. Medicines and the brace I wear at night are not helping with the symptoms. What can I do?
There is surgery for people who have symptoms that are refractory to medical therapy, including medicines and a night time brace. Surgeons can cut the ligament that can frequently push on the nerve that causes the symptoms. Frequently, this will completely eliminate the symptoms.
To learn more about Carpal Tunnel Syndrome surgery, watch this video from VideoMD.com.
Expert: Detroit Medical Center
There is surgery for people who have symptoms that are refractory to medical therapy, including medicines and a night time brace. Surgeons can cut the ligament that can frequently push on the nerve that causes the symptoms. Frequently, this will completely eliminate the symptoms.
To learn more about Carpal Tunnel Syndrome surgery, watch this video from VideoMD.com.
Expert: Detroit Medical Center
Brain Surgery
May 19th, 2011 Posted by Dean Heller MD | Ask the Doctor
I am researching surgeons and places to have surgery for a tumor that was found in my brain. A few doctors have told me it is best to have "awake surgery," so they can map out the tumor better. I am nervous about this and looking for opinions.
In certain cases it is very helpful to have the patient awake during brain surgery, as it makes it easier to map out certain parts of the brain, to help guide the resection of the mass or tumor. It is very safe, and you are usually sedated enough during most of
In certain cases it is very helpful to have the patient awake during brain surgery, as it makes it easier to map out certain parts of the brain, to help guide the resection of the mass or tumor. It is very safe, and you are usually sedated enough during most of
Parkinson’s
May 12th, 2011 Posted by Dean Heller MD | Ask the Doctor
My father has severe Parkinson's, and the medicines that his doctor has him taking are not helping anymore. The medicines just wear off too quickly. Is there anything else that can help?
There has been a treatment that has been used for a number of years called "Deep Brain Stimulation." It can help people that are in your dad's situation, as it improves the symptoms of Parkinson's Disease. It is very helpful when medicines fail to improve symptoms for too long a time taking the medicine. It is basically like a pacemaker for the brain.
To learn more about Parkinson's, watch
There has been a treatment that has been used for a number of years called "Deep Brain Stimulation." It can help people that are in your dad's situation, as it improves the symptoms of Parkinson's Disease. It is very helpful when medicines fail to improve symptoms for too long a time taking the medicine. It is basically like a pacemaker for the brain.
To learn more about Parkinson's, watch
Hearing Loss
May 5th, 2011 Posted by Dean Heller MD | Ask the Doctor
My teenage son is always listening to loud music from his "earbuds" as he calls them. These are right in his ears. Is this dangerous?
Great question.Yes, having loud music played directly into the ears can cause multiple problems including high frequency hearing loss and tinnitus (ringing in the ears). Until manufacturers make safer products that limit the volume that can be played from these earphones, you should tell your son about the danger, and ask him to not listen with the volume quite so loud.
To learn more about hearing loss watch this video from
Great question.Yes, having loud music played directly into the ears can cause multiple problems including high frequency hearing loss and tinnitus (ringing in the ears). Until manufacturers make safer products that limit the volume that can be played from these earphones, you should tell your son about the danger, and ask him to not listen with the volume quite so loud.
To learn more about hearing loss watch this video from
Morbid Obesity
April 28th, 2011 Posted by Dean Heller MD | Ask the Doctor
I have gained about 90 lbs. since my kids were born 5 and 6 years ago. I am 5 ft. 4 inches and now weigh 230 lbs. What are the medical problems associated with this type of weight gain?
Morbid obesity (greater than 100 lbs. above ideal body weight) causes many medical problems. These include cardiovascular disease, such as heart attack and stroke, as well as diabetes and all the complications associated with diabetes, and arthritis. If you can not lose weight with traditional diet and exercise, bariatric surgery is an option.
To learn more about morbid obesity, watch
Morbid obesity (greater than 100 lbs. above ideal body weight) causes many medical problems. These include cardiovascular disease, such as heart attack and stroke, as well as diabetes and all the complications associated with diabetes, and arthritis. If you can not lose weight with traditional diet and exercise, bariatric surgery is an option.
To learn more about morbid obesity, watch
Tubal Ligation
April 22nd, 2011 Posted by Dean Heller MD | Ask the Doctor
How does tubal ligation stop you from getting pregnant?
Tubal ligation is a means of birth control, so it is basically only used in women who already have a family. The fallopian tubes are tubes on both sides of the uterus that bring eggs from the ovary to the uterus. A tubal ligation is surgery to cut these tubes, so the egg and sperm can no longer meet and produce pregnancy.
To learn more about tubal ligation, watch this video from VideoMD.com.
Expert: Dr. Ron Sancetta
Tubal ligation is a means of birth control, so it is basically only used in women who already have a family. The fallopian tubes are tubes on both sides of the uterus that bring eggs from the ovary to the uterus. A tubal ligation is surgery to cut these tubes, so the egg and sperm can no longer meet and produce pregnancy.
To learn more about tubal ligation, watch this video from VideoMD.com.
Expert: Dr. Ron Sancetta
Multiple Myeloma
April 14th, 2011 Posted by Michele | Ask the Doctor
My aunt has been diagnosed with Multiple Myeloma, I have never heard of that, what is it?
Multiple Myeloma is a disease of the bone marrow and is a form of blood cancer in a particular cell line called a plasma cell. Multiple Myeloma causes these cells to be produced out of control. While it is not a curable disease, it does have good treatment to decrease the bone destruction, which is one of the problems with this form of blood cancer.
To learn more about palliative care, watch this video from VideoMD.com.
Expert: Nebraska Medical Center
Multiple Myeloma is a disease of the bone marrow and is a form of blood cancer in a particular cell line called a plasma cell. Multiple Myeloma causes these cells to be produced out of control. While it is not a curable disease, it does have good treatment to decrease the bone destruction, which is one of the problems with this form of blood cancer.
To learn more about palliative care, watch this video from VideoMD.com.
Expert: Nebraska Medical Center
Palliative Care
April 7th, 2011 Posted by Dean Heller MD | Ask the Doctor
My mother is 85 and has dementia, she also has pain from arthritis. I want her to be out of pain, but I don't want to be too aggressive with her treatment. What are my choices?
Certainly quality of life for your mother is most important, and being out of pain is an important part of this. There is a branch of medicine called palliative care that helps with these type of patients exactly. The goal of this care is to help improve the patient's quality of life but consider the appropriate amount of care given. Try and find a
Certainly quality of life for your mother is most important, and being out of pain is an important part of this. There is a branch of medicine called palliative care that helps with these type of patients exactly. The goal of this care is to help improve the patient's quality of life but consider the appropriate amount of care given. Try and find a
Pectus Excavatum
March 31st, 2011 Posted by Dean Heller MD | Ask the Doctor
I am 16 and the middle of my chest is "caved in". Not only do kids make fun of me, but I also have shortness of breath, what can I do?
The condition that you have is called Pectus Excavatum, and it is exactly as you describe, when the chest is "caved in". In addition to causing anxiety, especially when the patient has to take off their clothes in front of another person, it can cause shortness of breath. Luckily there is a minimally invasive surgery that can fix this problem, it is called the Nuss Procedure.
To learn more about
The condition that you have is called Pectus Excavatum, and it is exactly as you describe, when the chest is "caved in". In addition to causing anxiety, especially when the patient has to take off their clothes in front of another person, it can cause shortness of breath. Luckily there is a minimally invasive surgery that can fix this problem, it is called the Nuss Procedure.
To learn more about
Fat Embolism
March 23rd, 2011 Posted by Dean Heller MD | Ask the Doctor
My brother was in a car accident and luckily survived with only a few broken bones. However, in the hospital, after surgery he developed what doctors called a Fat Embolism. This required him to be in the ICU for a week. I never heard of this, what is it?
Fat embolism occurs in patients that have a broken bone. It is more common with more traumatic injuries, especially when there is multiple organ trauma. It is also more common with broken legs-femur bone. Fixing the broken bone early can help prevent this complication, which causes shortness of breath, and breathing
Fat embolism occurs in patients that have a broken bone. It is more common with more traumatic injuries, especially when there is multiple organ trauma. It is also more common with broken legs-femur bone. Fixing the broken bone early can help prevent this complication, which causes shortness of breath, and breathing
Age Spots?
March 16th, 2011 Posted by Dean Heller MD | Ask the Doctor
I turned 70, and I am starting to get too many of the brown spots that so many older people get. They are on my arms and I hate the way they look. Is it easy to get rid of those?
These are very common as you get older. Some people have sun damage that causes more diffuse browning of the skin, while others have isolated brown spots, which are frequently seborrheic keratosis. These are very slightly raised, skin colored, or brownish spots. Both can be treated in a number of different ways. A good way to treat these quickly
These are very common as you get older. Some people have sun damage that causes more diffuse browning of the skin, while others have isolated brown spots, which are frequently seborrheic keratosis. These are very slightly raised, skin colored, or brownish spots. Both can be treated in a number of different ways. A good way to treat these quickly
Smoking Cessation
March 10th, 2011 Posted by Dean Heller MD | Ask the Doctor
I stopped smoking about a year ago, but my wife continues to smoke. I want to convince her to stop, what should I tell her?
Tell her that smoking is a major risk factor for cardiovascular disease, that smoking puts her at higher risk of heart attack and stroke. In addition, tell her that heart disease is actually the number one killer in women. Although breast cancer happens more commonly in women, they are still more likely to die of heart disease.
To learn more about cognitive impairment, watch this video from VideoMD.com.
Dr. Elizabeth Klodas
American College of Cardiology
Tell her that smoking is a major risk factor for cardiovascular disease, that smoking puts her at higher risk of heart attack and stroke. In addition, tell her that heart disease is actually the number one killer in women. Although breast cancer happens more commonly in women, they are still more likely to die of heart disease.
To learn more about cognitive impairment, watch this video from VideoMD.com.
Dr. Elizabeth Klodas
American College of Cardiology
Congestive Heart Failure
March 5th, 2011 Posted by Dean Heller MD | Ask the Doctor
My husband was diagnosed with CHF-congestive heart failure. Is that why he is so short of breath?
CHF, which stands for congestive heart failure occurs when fluid backs up into the lungs, and sometimes builds up in the legs, because the heart is not functioning well enough to move the blood forward. This happens frequently in people who have suffered large heart attacks, but there are other reasons why the heart muscle may fail.
Shortness of breath is the most common symptom from CHF.
To learn more about congestive heart failure, watch this video from
CHF, which stands for congestive heart failure occurs when fluid backs up into the lungs, and sometimes builds up in the legs, because the heart is not functioning well enough to move the blood forward. This happens frequently in people who have suffered large heart attacks, but there are other reasons why the heart muscle may fail.
Shortness of breath is the most common symptom from CHF.
To learn more about congestive heart failure, watch this video from
Forgetfulness
March 1st, 2011 Posted by Dean Heller MD | Ask the Doctor
My husband just turned 68, he still works and is a great husband, but I recently noticed that he started forgetting some things. Not all of the time, but on occasion, should I be worried?
Mild Cognitive Impairment is very common as we age. It is exactly as you are describing; although mild, it is clinically relevant. While this is more common in men, more advanced forms of impairment, such as Alzheimer's dementia, are more common in women. Men can spend many years with only mild impairment.
To learn more about cognitive impairment, watch this
Mild Cognitive Impairment is very common as we age. It is exactly as you are describing; although mild, it is clinically relevant. While this is more common in men, more advanced forms of impairment, such as Alzheimer's dementia, are more common in women. Men can spend many years with only mild impairment.
To learn more about cognitive impairment, watch this
Exercise
March 3rd, 2010 Posted by Dean Heller MD | Ask the Doctor
How much exercise do I need each week?
In general, the Center for Disease Control and Prevention recommends 5 30-minute workouts per week. You can learn more about the specific amounts, based on your age, you can visit their website.
In general, the Center for Disease Control and Prevention recommends 5 30-minute workouts per week. You can learn more about the specific amounts, based on your age, you can visit their website.