About
Bio
As a physician Board Certified in Internal Medicine, I see two levels of value in the virtual practice of Medicine, and HealthTap is the ideal medium to champion the virtual medicine movement.
First, HealthTap is a perfect resource for those lifestyle-type questions that just don't require an office visit. I enjoy answering those everyday questions about anything from breakfast choices to exercise regimens to making a smoothie. These questions can pop into your mind in a moment, and in the next moment could be gone, so it's nice to be able to answer these questions that people are inclined to post in that moment.
Second, I find great importance in being able to field questions about symptoms, be them simple or complex. Truth be told, it's been suggested that as many as 33% of presentations to a doctor's office are for issues that can be successfully handled virtually. It's great to be able to handle these issues for patients in this virtual environment, be it by just giving advice or by prescribing medication or even ordering blood testing for future review.
I would encourage you to read through my HealthTap feed or seek a consultation with me when I'm online, or post an Inbox consult for us to review at our leisure. It's a pleasure to be a part of your health maintenance team.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Internal Medicine
Licenses
United States: New Jersey, New York
Doctor Q&A
5.5K Answers
157 Agrees
The number of answers this doctor has agreed with.
A 37-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Gallstone symptoms.: Generally gallstones cause a gripping or squeezing discomfort in the upper right part of your abdomen, under the right ribs, associated with nausea. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 31-year-old male asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Light weights.: As you're exercising with weights, the struggle of pushing or pulling heavy weights can spike your blood pressure acutely, which could lead to problem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: Yes, yes yes! warfarin is the only blood thinner currently available to help you dissolve a pulmonary embolism, which is a potentially fatal conditio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: COPD risk is increased two fold in those exposed to second hand smoke. Furthermore, in people with copd, second hand smoke can lead to attacks of suc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: Second hand smoke increases an individual's risk of developing COPD two fold, and this could of course affect children as well.
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Lifestyle measures.: The best way to raise cardioprotective HDL is cardiovascular exercise. Shoot for forty or forty-five minutes daily. Supplementation with no-flush Ni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
CPAP/BiPAP: The first treatment is application of a mask attached to a positive pressure breathing machine. This apparatus creates a pneumatic splint which keeps... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Down time.: Like any laparoscopic operation, there will be some down time afterwards, but you should be up and about fairly comfortably within a week.
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 23-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes.: A registered dietitian will counsel you on dietary requirements before and after the operation to maximize your healthy weight loss success.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
CT scan & 'tics.: A CT scan can generally detect diverticuli,,but a colonoscopy would be better.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes - high fiber: Eating more vegetables, as part of a diet generally high in fiber, will help prevent hemorrhoids by easing the passage of stool.
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: There are 4 different types of IBS - constipation-predominant, diarrhea-predominant, bloating-predominant, and a "no holds barred" version which is a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Hemorrhoids. : Hemorrhoids can be internal or external, with the former generally causing more pain.
Created for people with ongoing healthcare needs but benefits everyone.
536 viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
No: The common cold, given its viral etiology, will resolve no matter what you do. Chicken soup, like any warm soup for that matter, helps your symptoms ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: Not so much for cancer, as hpv causes no medical concern to the man other than genital warts, but vaccination of the man can prevent warts and transmi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 23-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Weakness of heart.: CHF is primarily caused by an issue in the heart that prevents it from being able to supply your body with the oxygen it needs. This can be caused by... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Where do I begin...: Can rid you of obesity, diabetes, hypertension, high cholesterol, sleep apnea, back pains, hip and knee pains, neck pains. You'll sleep better, you'l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
When there's OA: The combination of glucosamine and chondroitin has been shown in studies to (1) provide a degree of pain relief in the short term, and (2) trigger gro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Great 4 weight loss.: Jogging, any form of cardiovascular exercise for that matter, is great for weight loss. You can only eat so little, so adding exercise like jogging a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Daily chore..: Sorry to say, but reactive hypoglycemia, which is typically what we experience, is not curable. Proper management includes smaller more frequent meal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
502 viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
No: COPD is related to smoking, so you can't "catch" COPD from somebody. You can, however, acquire COPD from the damage related to second hand smoke, so ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Salt and BP.: Salt alone will not give you hypertension if you wouldn't have developed it anyway. However, people with high BP will notice higher numbers after ing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
No.: Shouldn't have been smoking before Bariatric surgery. Take the opportunity to do something else healthy for yourself and quit smoking.
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Diverticulitis: Assuming you have diverticulosis in the first place, the symptoms of diverticulitis would include fever, chills, sweats, nausea, diarrhea and abdomina... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Fish oil in shrimp.: The cholesterol in shrimp, like that in other fish, is predominantly healthy monounsaturated and polyunsaturated fats. The problem with shrimp is tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsAnswered >2 years ago
A 22-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Blood flow: An erection is a vascular phenomenon, with the penis being engorged with blood on demand, if you will. That being said, vascular risk factors such as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: With obesity, increased abdominal girth increases intra abdominal pressure, which then exceeds the pressure in the chest cavity and promotes the backw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: A qualified "yes" - there are alternatives - the barium enema, and the virtual colonoscopy, but long story short, they're just not as accurate as the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Similar risk factors: First, some risk factors are the same, i.e. Obesity and sedentary lifestyle. Second, these are both components of the metabolic syndrome, a constella... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: Athlete's foot is a fungal infection (yeast) of the skin of the foot, brought on because of the warm moist environment created by the sock and shoe.
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
No: There are more straight forward and common causes of a chronic cough, such as gerd, allergies and asthma, so pulmonary fibrosis, while on the list, sh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 52-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Cause and effect.: A sedentary lifestyle can increase the risk for CAD by contributing to obesity, diabetes, high blood pressure and high cholesterol.
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Yes: Chronic bronchitis is a component of copd, the other being emphysema. These are permanent conditions related to cigarette smoking. While there are m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Barrett's.: This is a change in the esophagus in response to longstanding reflux. It is a precancerous change which requires frequent surveillance EGDs to make su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Not necessarily: If you are referring to daily inhalers, these are required for those using their rescue inhalers (albuterol) more than once weekly. If you don't use ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.5k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Forever!!: Once you have a bout of acute bronchitis, you can never smoke again. Well, you shouldn't really smoke ever again. Nobody should. Very bad and damagi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Emphysema.: Emphysema is a destruction of lung tissue with resultant reduction in oxygen and carbon dioxide exchange and respiratory effort. It's usually due to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Infection or not.: Diverticulosis is the presence of diverticuli, while diverticulitis is an infection of same (technically a micro perforation which leads to infection)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Sport and the heart: Sports are great for keeping the heart healthy, providing you don’t already have some sort of heart disease. If you do have heart disease, or symptom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
505 viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Lifestyle measures.: The best way to raise cardioprotective HDL is cardiovascular exercise. Shoot for forty or forty-five minutes daily. Supplementation with no-flush Ni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Weight train: If you're trying to gain weight, it should be healthy weight. Sounds like you've put on more fat than muscle. Weight training along with moderate aer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 54-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Protect them: Assuming you have heel spurs, heel inserts in your shoes may help. Think of raising your heel farther away from the floor; this is why a shoe with a h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Walk and talk.: Conversing with someone while walking is fine for two reasons. (1) keeps you engaged in something while walking to combat boredom and keep you going ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 45-year-old male asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Leaner pizza.: Just about any food can be made a bit leaner. As far as pizza, try with light or even no cheese. Try vegetable toppings rather than sausage or peppe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsReviewed >2 years ago
A 39-year-old male asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Sleep and obesity.: Sleep deprivation has been linked to difficulty losing weight. And diabetes. And high blood pressure. And early death. Get enough sleep. Six to nine h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Creative scheduling.: If you want to get everything done, you have to schedule it to fit it all in. Set up a weekly schedule, including time for homework, exercise, friend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Pneumonia.: Pneumonia is an infection of a love of the lung. Symptoms include cough, chest discomfort, shortness of breath, chills and sweats. Can develop quick... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsReviewed >2 years agoMerged
A 27-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
OSA and hypertension: The mechanisms underlying OSA and sleep apnea are reported to be closely linked. Patients with OSA tend to have high blood pressure that can be more e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
704 viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Both, actually: In actuality, they're both important for their own reasons. The systolic pressure should be lower than 120 and the diastolic lower than 80 for optima... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Dean Giannoneanswered
Internal Medicine 27 years experience
Barrett's.: This is a change in the esophagus in response to longstanding reflux. It is a precancerous change which requires frequent surveillance EGDs to make su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
37
Recommendations
2.4K
Thank you notes
Oct 27, 2014
Expert specialist in Internal Medicine. Highly recommend.
HealthTap member
Sep 30, 2014
Dr. Gianonne is an excellent Doctor. Very knowledgeable and current! Makes his patients feel comfortable/safe, extremely personable, Always available! fast/efficient, maintains patients good heath!
HealthTap member
Mar 31, 2016
He spent the time and really cared that I might have a serious condition that other Dr.'s overlooked. He was correct. His actions saved my mobility! #nationaldoctorsday2016 #virtualflower1
HealthTap member
This made me feel good. Thanks! Thanks! I have an appointment Tuesday. I have had -some- BM's, but it doesn't seem normal. I also had some pressure on my mid-right side before this came up, so thought...Read More
HealthTap member
This was very helpful. Thanks! Thank you so much for your help! No physical trauma, no injury, no fracture, nothing malignant to cause such spinal conditions. However, I do have Lupus (SLE) it's my u...Read More
HealthTap member
This made me feel good. Thanks! Thank you! I was very concerned that since the phlebotomist didn't wash/use hand sanitizer and then forgot to clean the site after touching it that bacterial infection ...Read More
Education & Training
Medical/Graduate school
State University of New York Downstate Medical Center College of Medicine, NY
Graduated 1996MD
Residency
STATEN ISLAND UNIVERSITY HOSPITAL
Completed 1999
Awards
Top Doctor, First Place, New York - Fall
2014
Top General Internist, First Place, New York - Fall
2014
Most Influential Doctor, First Place, Manhattan Region - Fall
2014
Affiliations
American Medical Association
American College of Physicians
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