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Dr. Dean Giannone

Internal Medicine
Staten Island, NY
26 years experience male

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.

Specialties
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 30-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Acute sinusitis.: This could certainly be a sinus infection, yes. And sinus infections tend to be bacterial, so you should be evaluated by a doctor for consideration o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
NSAIDs for OA.: Either would be fine, as they both have both anti-inflammatory and analgesic properties. Naproxen is twice daily dosing, so may be easier to take. B... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Dental work.: Check with your dentist for his/her preference, but you’d be OK with Clindamycin, Azithromycin or Erythromycin, to name a few.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Hemorrhoids. : If you’ve increased your fiber intake without increasing your water intake adequately, then the fiber could actually make you strain more with bowel m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Evaluation.: Your doctor should generally start from the beginning with a thorough history of your current plight, complete physical examination and delineation an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Angina?: If you were concerned about a heart related cause of your pain, it would not be unreasonable to pursue further testing. Especially being that you are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Diagnosis?: With your considerations, specialist consultation (Rheumatologist, gastroenterologist, infectious disease) and relevant testing should help elucidate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Bloating.: Bloating as described could be related to gastrointestinal pathology - gallbladder, pancreas, stomach, esophagus, small intestines. There are many po... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Traction alopecia.: This sounds like traction alopecia, in which keeping the hair pulled back tight results in said hairs being pulled out from the scalp by the roots. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
ED or UCC. : I’d think your first stop would be an emergency department of urgent care center. Someplace where you can get an X-ray right away to look for any obvi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Intervention.: At this point in her life, she may really need an intervention with a lot of loved ones and an ultimatum. She will need to be surrounded by loved one... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Possibly : Your hypertension could cause this to progress. You should have an echocardiogram once or twice yearly, and seek more intensive monitoring if you get ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Fiber is fine...: But some people can't tolerate a lot all at once. The current recommended amounts of 35 grams daily for women and 50 grams daily for men should be div... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
What's done is done.: Do you feel confident in the information you've studied to this point? If so, then relax, do something fun, get to bed early and get ready for tomorr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Yes. Need doctor.: I think your husband does need to see the doctor for this, if he hasn't by now. Gout should not cause a chronic swelling of the feet. A heart issue c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Good start.: Walking for 30 minutes daily is a great way to start a cardiovascular fitness program. Eventually, though, you may find that this routine becomes too... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Nag him/her.: Tell him/her that weight training sensibly and carefully is a healthy thing to do that can help control several common medical problems and can add vi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Weights and Cardio: Light weight training will strengthen the muscles around the joints without taxing the joints too much. Low impact aerobic work such as swimming and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Niacin.: Supplementing with 2000-3000mg of flush free Niacin daily can help to control your cholesterol levels quite nicely, even increasing your HDL and conve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Sleep hygiene.: To reset your sleep clock, go to bed at the same time every night, awaken at the same time every morning, don't nap during the day, use the bed for sl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Don't know. : You didn't mention the name of the pills.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
PNA and low O2.: In pneumonia, fluid fills the spaces that need to be filled with air for the acquisition of oxygen, so pneumonia can in fact cause hypoxemia.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
In the long term.: Technically, yes, high triglycerides and low HDL are vascular risk factors which can contribute to heart disease and stroke. Aerobic exercise in the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Local bleeding.: That would usually indicate a bleeding source right at the exit, such as a hemorrhoid or anal fissure. Fissures usually cause tremendous pains as the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Check it fasting.: The first thing to do would be to check these values after an overnight fast. Your triglycerides could have been elevated just because you had eaten.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Good idea.: Your symptoms seem strong and unrelenting, and in this regard it couldn't hurt to be evaluated in an ED or Urgent Care Center, just to make sure there... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Palliative care. : Palliative care places less emphasis on the aggressive treatment of medical issues and more emphasis on keeping the patient with those medical issues ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Good medication.: If you don't actually have diabetes right now, the risk versus benefit would be in favor of your taking the medication for your cholesterol and for pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
More energy: (1) Make sure you're getting 6-9 hours of sleep on a regular schedule. (2) Eat small frequent meals (every 3 hours or so) containing lean proteins an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Follow the following: Exercise most days of the week (aerobic work), eat fruits and vegetables liberally, limit saturated fats, increase fish and fish oil intake, have fibe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Coffee intake.: More and more research is showing us true health benefits of drinking coffee. Weighing those benefits against the negative effects of drinking too mu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Sinus headache.: That sounds like a sinus headache to me. Could be allergies or perhaps a bacterial or viral infection. An infection would usually be accompanied by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Viable option.: If the bone has not healed over nineteen weeks now, more should be done and surgery is certainly an option.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Sleep hygiene.: For effective and high quality sleep, go to bed at the same time every night, awaken at the same time every morning, don't nap during the day, use the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Check kidneys.: At first read, this could be a kidney issue. You should have a urine test for protein and creatinine. You should also have blood testing for BUN, cr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
No, just can't sleep: When we go through tough times, we often ponder those tough times during our quiet times, such as when we're lying down at night to sleep. Thinking a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Dyspepsia.: We may generally term this "dyspepsia". Some possibilities for you specifically may include reflux, gastritis, stomach ulcer, duodenitis, duodenal ulc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Should be checked.: There is something called lupus nephritis, in which the process of SLE inflames the kidney. Any new hematuria deserves investigation into the true ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Pregnancy test!!: When you're this late you need to do a pregnancy test first and foremost and as soon as possible. After that, whether the test is positive or negative... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Prediabetes.: This sounds like your at the beginning of Prediabetes with A1C>5.7. Prediabetes implies the eventual development of diabetes, which is usually gen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Uncommon but true.: There are two processes - tolerance and tachyphylaxis - whereby the body gets used to a medication, rendering the medication less effective. Not comm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
That's high.: If you've had your prostate removed, then the PSA should technically be zero. So any elevation would be concerning. This would need to be investigat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
High bilirubin.: An elevated bilirubin does not result from gastritis. I feel this needs further investigation right away. You can seek a consult with one of us here... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Chronic pain.: Pain would be considered chronic based on its regular presence over weeks to months, and not by episodes within one specific day.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Sinusitis.: All those symptoms could be consistent with a sinus infection. Antibiotics might be necessary.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Part of manic phase.: A symptom like that can accompany the bravado of the manic phase of bipolar disorder.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Location, location.: A shunt is situated in a fluid-filled cavity within the brain. No blood, and no structures to damage. The surgeons are adept at placing them just ri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Nothing.: No worries. Your stomach acids will take care of it.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Need to see it.: Rashes need to be seen to be properly diagnosed. In the armpit, for example, this could be something as simple as tinea cruris or as aggressive as hy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Dean Giannone
Internal Medicine 26 years experience
Hope she's better.: This could certainly happen when someone drinks too much in an evening. Hydration is a good idea, as long as she doesn't just vomit up the water. Ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
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 Dr ,helpful and to the point answer which i have been looking for ,appreciated to you ,Difficult when you see a warning in leaflet for fostair 100/6 and Cardio...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

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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