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Doctor Q&A for Dr. Bill Greening

A 28-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
Metabolism Varies: I don't believe metabolism slows due to age but more likely slows because our activities and exercise slows with age. As long as thyroid function remains normal then metabolism depends more on our needs as determined by physical activity. Our body will tend to provide the metabolism to meet our body needs on average.
A 46-year-old male asked:
Dr. Bill Greening
Specializes in Emergency Medicine
Dry the shoes .: If shoes are in very good condition then I would dry them well. Try to leave no moisture in shoes. If completely dry and you wear clean socks then I see no dander of deadly infections. Most bacteria likely to be found would be killed with prolonged heat above 180 degrees for 5-19 minutes. Puncture wounds thru wet or dirty sneekers may be risk for pseudamonas organisms.
A female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
ER not needed.: You should consult your doctor in next few days or see your Ob_Gyn doctor. Could be vaginal infection, pelvic infection, or other problems. In the absence of bleeding or passing large amounts of clots then you can wait and see doctor in a regular visit. Home pregnancy tests are very accurate in determining if pregnancy or early spontaneous abortion is likely.
A 29-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
Folliculitis: Shaving can often lead to skin infections due to using razors that have been used previously and thus may harbor skin bacteria. These bacteria can then seed any place the razor nicks the skin or disrupts the surface of skin. Sort of like seeding a plowed field. Gives bacteria a fertile place to grow. Using a new razor each time you shave or sterilizing razor can help prevent.
A 29-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
Get medical exam.: Wax normally swells with fluid in ear. Peroxide turns to water as it bubbles and becomes water with loss of hydrogen. Thus you are adding water to ear canal and setting up blockage and or environment to breed bacteria. Result likely to be otitis media or otitis externa thus leading to need for medical attention and antibiotics.
A 28-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
Do they in Japan?: The answer is yes and no. Apparently the Japanese have been doing it for who knows how long and are populating the world just fine. The theoretical risks are parasites and mercury but I am not aware of that being anything but an extremely rare occurrence. Possibly eating it daily for 9 months might accumulate enough mercury to cause a problem. I would recommend going to only high quality places.
A 22-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
46 Conditions: This complaint can possibly be associated with up to 46 different conditions. Therefore it would need to be thoroughly worked up by your primary physician and if preliminary workup is negative then he would probably consult with a gastroenterologist. The workup could be from days to weeks to sort out. Make an appointment with your doctor and be ready to provide as much detail as possible.
A 22-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
400mcg daily usually: If pregnant the CDC recommends 400mcg of folic acid starting by at least 1 month before getting pregnant. However, if previous anencephaly or spina bifida then multiply by 10. The daily dose then would be 4,000 mcg daily.
A 30-year-old female asked:
Dr. Bill Greening
Specializes in Emergency Medicine
Probably yes.: It can take up to 2 years for normal hormone levels to return to normal. Lactation does affect ability to get pregnant and the use of prolonged breastfeeding is an acceptable way to try to prevent subsequent pregnancies. Levels have to be normal usually to sustain pregnancy. If trying to get pregnant, I would discuss with your OB-GYN.
Dr. Bill Greening agreed with the answer
A member asked:

Dr. John Chiu
Dr. John Chiu answered
Allergy and Immunology 57 years experience
Yes: The Dayquil would not affect your beer-drinking especially after a nearly 12-hr hiatus.
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