Dr. Edward Smith

Neurology
Santa Maria, CA
56 years experience male

Locations

Office

Santa Maria, CA

Address

426 East Barcellus, Suite 202, Santa Maria, CA
Directions

Insurances accepted

Aetna

Blue cross blue shield

Medicaid

United healthcare

About

Bio

After graduation from University of Illinois, Chicago School of Medicine, I interned at Cook County Hospital, then served in United Public Health Service as general medical officer before returning to Chicago for 5 year neurosurgical residency with a strong emphasis on neurology and neuroradiology. From Chicago I came to Santa Maria, California in solo practice, combining both operative neurosurgery and neurology. Lately my chief interests are in traumatic brain injury and behavioral neurology (neuropsychology). Spinal pain and headache have long been prominent in my practice. I purposefully have a low volume practice so that individual patients can be afforded thorough evaluation and then treatment. I have patients I've been treating over 30 years. That is very rewarding.

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.

Neurology

Languages spoken

English

Doctor Q&A

903 Answers
552 Agrees
The number of answers this doctor has agreed with.
A 26-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
2 different things: Prevention is better than reversal. It is far easier to prevent a stroke than to reverse its effects. So lets talk prevention as it is more important:... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Cool water: Simple. Pre-hydrate before exposure to heat, maintain adequate hydration in the heat and stay cool. Wear loose clothing. Pace your work speed.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
After the fact: Physical medicine, a discipline known as physiatry, is probably the go to specialty in stroke rehabilitation, once all neurologic investigations for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Many: There is no "stroke gene". There are many conditions which are genetically determined, such leiden factor v deficiency which leads to stroke. If you h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Choking hazards: No specific food needs to be avoided. It is the size and consistency of the food that matters. In early stages of huntington's you need to be sure tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Maybe: This depends upon the type of stroke which your father had. Was it provoked by hypertension, diabetes, elevated cholesterol or other hereditable strok... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Generally: But the meningococcus is a nasty bug and is no respecter of age. If you are exposed, no matter what your age, prophylactic antibiotics are indicated a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Slow virus: It's viral. It is a type of infection in which infection may not be evident for decades. Slow viruses are notoriously difficult to culture but advance... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Persistence: Tia = transient cerebral ischemia, meaning temporary insufficient blood flow to a brain area resulting in altered function with symptoms. Cva= cerebro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Anybody: The condition is usually genetically determined but may not appear in all generations because of reduced penetrance of the gene. The tremor starts imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Eat the meat: Mad cow disease is a "slow virus" which enters the brain and then causes an ultimately fatal ending. One of the chief ways of acquiring this agent i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
No: Not if the person is truly in coma. Coma includes lack of responsiveness to internal as well as external stimuli, except for maintenance of basic func... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Shunting: If cerebral atrophy is responsible for the effusion, shunting of the subdural space may be needed. If intracranial hypotension is the cause, correctin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Yes but rarely: Most likely hitting your head hard enough to cause internal damage, i.e. Within the skull cavity, will result in bruising of brain tissue, subdural he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Absolutely: One would think that in this modern age, people would have this basic understanding that the brain is the seat of the personality.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Pain plus: In addition to neck pain from continuous spasm, scarring and deformity of the muscles the spine may develop osteophytes (bone spurs) and disc degenera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Yes: Quite dangerous. You need to be taking antiplatelet drugs for life. Avoid estrogen. Avoid smoking, whether direct, secondary or tertiary. Make sure yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Left or right: Every stroke is unique, with effects dependent upon many factors including physical fitness, co-morbidities, size of brain tissue injury, rapidity of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Nice idea but no: It would be very nice if a report could be generated with the physician's interpretation as well as selected abnormal examples. However eegs contain h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Maybe: Pituitary tumors confined to the sella (home of the pituitary gland) won't cause paralysis absent major hormonal disruption. Paralysis will occur only... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Headache etc.: Headache, which in preverbal children may only result in fussiness, failure to thrive, vomiting, lethargy. Other symptoms include neck rigidity, body ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
GI tract: Most likely you have a problem with your digestive system, problems with esophagus, stomach, duodenum, pancreas and gall bladder are common sources. N... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Disc dysfunction: The most frequent cause of precisely these symptoms with or without leg pain is a damaged intervertebral disc. The disc can be cracked (fissured), bul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 64-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Indefinite: In general coma from a brainstem lesion lasting one week bodes poorly. If diaphragmatic weakness, without coma is present, the prognosis is only sligh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
What surgery?: What's the cause of the coma? If it is hydrocephalus (water on the brain), a very simple procedure (shunting or ventriculostomy) may help. Too many un... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Thrombectomy: During the first few hours after a stroke, an acute blood clot (thrombus) in a cerebral artery causing sufficient obstruction can cause a stroke. If y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Delivery or content?: Sperm production should not be affected by spina bifida. Erectile function on the other hand certainly can be affected by this condition.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Surgery on what?: Are you referring to carotid artery surgery? If not, is it heart surgery? If neither of these is the case, then it is most unlikely that there is any ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Relearning speech: Actually speech therapy is much more than simply relearning talking. But mainly it deals with articulation (making speech sounds), loudness, word retr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Aspirin and tPA (alteplase): At the first sign of stroke immediately take 325 mg of Aspirin (unless allergic), then call 911--go to hospital asap. If your symptoms are present for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
News to me: I admit to unfamiliarity with rehabilitation robots although there are machines that repetitively extend-flex limb joints to restore mobility. If this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Be there for him: Your support & willingness to help are what counts. Aid with activities of personal hygiene are important to self-esteem as well as comfort. As your b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Depends: Therapy should be directed at rehabilitating deficits, not at working on "everything". If there is weakness or sensory loss, or incoordination, then t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
BBB: Bbb= blood-brain-barrier. This physical structure (microscopic in scale) is what regulates and limits entry & exit of chemicals (including drugs) in t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
No: Amyotrophic lateral sclerosis (als) is an equal opportunity scourge. Genetic contributions are often dominant but also usually result of random mutati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
A long while: Parkinsonian movement disorder symptoms generally develop only after about 90% of the neurons in the substantia nigra (a potion of the midbrain). This... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Everybody: If you have a brain, you are at risk. The risk of course varies immensely according to many variables, including age, race, gender, blood pressure, bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Edward Smith
Neurology 56 years experience
Yes: Yes. The metabolism of the two compounds are unrelated, so no interference.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Edward Smith
Neurology 56 years experience
Vague: Right side of what hurts? The head, the face, the body. Unilateral (one-sided) headaches are not rare. They are common in migraine and occipital neur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Estrogen: I assume your are talking about injection of long-acting sex hormones, usually prescribed for contraception or excessive uterine bleeding. If so, the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Depends on blood flo: Pressure is the moving force getting blood to a body part including the brain. What counts is not the pressure but the quality and quantity of the blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Edward Smith
Neurology 56 years experience
Guarded: The most difficult problem will be orthostatic hypotension whereby blood pressure is not safely maintained with rapid positional changes. Loss of sphi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Edward Smith
Neurology 56 years experience
Several things: You could have had a vasovagal (reflex) fainting spell stimulated by sudden stimulation of your pharynx (throat) or esophagus. Perhaps you were alread... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Your guess is as: Good as mine. You have provided minimal information about a symptom which has many causes. Statistically, the most common cause is carpal tunnel syndr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Yes: Seizures can result from too abrupt discontinuation. Also you might experience anxiety, panic, insomnia.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Stretch injury: A truly "pulled" nerve is one which is physically elongated beyond anatomic tolerance. This damage cannot be fixed by external means. It has to be hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Possibly: How often? How severe? Is there functional impairment? Is there weakness? Is there pain? Is it progressive? Is it transient or persistent? Analyze you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Edward Smith
Neurology 56 years experience
Many: Commonest: weight gain, hair loss, fatigue, loss of balance, fatigue, mental slowing, interaction with multiple drugs. Depending on the indication for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. Edward Smith
Neurology 56 years experience
Depends: Answer depends on whether this is the first time or a repetitive event. If a single event and no neurologic symptoms, see if pain is lessening over th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Edward Smith
Neurology 56 years experience
Yes: Some examples include anca (antineutrophilic cytoplasmic antibodies), antiphospholipid antibody syndrome, lupus, thrombotic thrombocytopenic purpura, ... 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.

3
Recommendations
1.2K
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Smith is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Smith is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Smith is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you .I am booked to see a neurologist at the end of October. What sort of follow up tests would you advise. What are the best and worse case scenarios with this? I still have headaches, STM is...Read More
HealthTap member
1. What checks are normally done for pituitary. 2. what are best and worse case scenarios with such pituitary problem ? My trauma was to front temporal lobe... I have been signed off with post cons...Read More
HealthTap member
Thank you for your response! She's my first child and I love her very much I never leave her crying for more than a few seconds, but sometimes I need to get away to grab a bite to eat so I get worried...Read More

Education & Training

Medical/Graduate school

University of Illinois College of Medicine, IL
Graduated 1967MD

Awards

HealthTap Founding Doctor

Affiliations

Arroyo grande community hospital
Goleta valley cottage hospital
Marian medical center
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