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Doctor Q&A for Dr. Paul Abramson

A 30-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
It depends.: The best method of alcohol or drug detoxification depends on which substances are involved, the degree of dependence, your personal situation, and the financial resources you have available to pay for treatment. If you decide you need a physician's help, it's usually best to start by consulting a specialist in addiction medicine. If you are experiencing a medical emergency, call 911.
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A 64-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
It depends.: The prognosis depends on many variables, such as the patient's age, other health conditions, and underlying cause of the stroke. However the need for mechanical ventilation a week out is, in general, not a good sign.
A 31-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes: Unless you are extremely sensitive to caffeine (there's some caffeine in green tea), one cup a day should be safe for most people. But best in the morning so it doesn't interfere with sleep.
A 40-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes: Refined sugars include table sugar (sucrose), brown sugar, and high-fructose corn syrup (hfcs). However all sugars act similarly on your metabolism whether refined or not. Fructose is metabolically more toxic than glucose: table sugar is 50% fructose; honey 50%; hfcs 65%; agave nectar 75%. So the best approach may be to simply avoid all sugars.
A 21-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes: Elevated blood pressure in children is more commonly due to an underlying medical condition than in adults. But with the rise in childhood obesity this may be changing, similar to the rise in childhood type II diabetes mellitus.
A 21-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes: Most people do need to take warfarin after a pulmonary embolism to prevent serious further complications. Typically the risk of warfarin is outweighed by the benefit of preventing extension of the clotting or recurrent emboli. However you should consult your treating physician or a hematologist about your individual situation and to determine the optimal duration of therapy.
A 21-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes: Absolutely. Many people lose, donate, or are born without one of their kidneys, and do just fine. It's very important for these people to take care of their one kidney, however, by staying hydrated, managing blood pressure approriately, and avoiding kidney-toxic medications such as Ibuprofen and Naproxen ("nsaids") as much as possible.
A 21-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes: Viruses and bacteria that can cause bronchitis (an infection of the large airways) can also affect the throat, causing pharyngitis (sore throat). Or, coughing can independently irritate the throat.
A 21-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
No: This really depends on your health history and the details of the symptoms you are having. You should start by seeing a doctor for a physical examination, and the discuss the possible cause then.
A 20-year-old member asked:
Dr. Paul Abramson
Specializes in Family Medicine
Yes, But...: Over the counter medications such as h2 blockers (famotidine, cimetidine) and proton pump inhibitors (omeprazole) can reduce symptoms of gerd, but an increasing body of literature documents the potential adverse effects of long-term suppression of stomach acid, such as osteoporosis, aspiration pneumonia, and malabsorption of nutrients. Consult your doctor.
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