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Dr. Scott Mackinnon

Anesthesiology
RI
34 years experience

Locations

Office

About

Bio

I am an anesthesiologist who trained at university of Massachusetts and Yale University; I subsequently worked as an attending at Yale Medical School and for the past 16 years I have worked at the Brown University Medical School in the departments of surgery and Anesthesiology. I am presently pursuing a career in consulting. I have always enjoyed teaching and answering questions. At the present time I am attempting to consult for investment bankers, venture capitalists in the life sciences industry. I insist on staying abreast of the latest developments in my specialty so I enjoy forums such as this.

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.

Anesthesiology

Languages spoken

English

Doctor Q&A

161 Answers
10 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Possibly: A bulging disc can occur at an adjacent vertebral space after an injury. This often occurs because of the muscle spasm that occurs in one area may al... Read More
A 33-year-old male asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Mouth ulcer: Could be anything from local trauma, infection or, if it persists past several days to weeks, it must be seen by either primary care doctor or your de... Read More
A 41-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Wear a bracelet: Google "mhaus", malignant hyperthermia hot line. Good info source. Essentially, certain anesthetic agents must be avoided. There are safe substitut... Read More
A 43-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: Norepinephrine is epinephrine(adrenalin) minus one small chemical "side group". They are very similar, but do to the molecular difference, even thoug... Read More
A 39-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Anatomic differences: In a spinal block, the local anesthetic is placed in the spinal fluid; whereas in an epidural block it goes into the epidural space or space around th... Read More
A 21-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Prion disease: Creutzfeld jakob is a disease caused by what are referred to as prions. These are small 'virus-like"(but not actual viruses) segments of genetic mate... Read More
A member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: Alcohol and other substance abuse is very common, oftentimes a patient will see their doctor about a minor problem and they may be there, whether they... Read More
A 41-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Depends: A "loaded" question, no pun intended. Some say if you worry or "feel guilty" about your drinking, then you may have a problem. Do you drink in the m... Read More
A 20-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Very quickly: Although there is some variation, for a short procedure such as this, you will be awake several minutes after completion and. Be fully alert within ha... Read More
A 43-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Come right out!: If you have a pain issue, just come right out with it. A good history, with emphasis on exact nature of the pain, coupled with a good physical exam, ... Read More
A 20-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Gynecological proced: This is a block performed in the vaginal region of the cervix for uterine procedures such as hysteria copy or extraction.
A 33-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Dangerous reaction: Nms-a reaction by the body to certain drugs(anti-psych, typically) that may manifest as shivering, increased temperature, swings in blood pressure. T... Read More
A 39-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
More than one.: After the first one, the risk goes up due to the presence of adhesions, which can increase the risk of excessive bleeding. Most will receive no more ... Read More
A 45-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: The patency rate (staying open longer) is greater long term for arteries. The reason they are not used 100% of time is limited availability.
A 43-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
There is no set age : However, as with any medical procedure, one must weight out the risks/benefit ration. As one gets on in age, the risks of undergoing this procedure i... Read More
A 21-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
It helps: An "intervention" is often the first step in treating alcoholism or addiction. The most important aspect, however, is the persons own desire to do so... Read More
A 30-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Splenic trauma: The worst case scenario is having the spleen rupture in an environment where medical help is not close by(falling while hiking in the back country). ... Read More
A 27-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Most of the time: "hypersplenism" or enlarged spleen is a normal reaction by the spleen as it act as a filter for blood cells, bacteria, viruses; cirrhosis also gives r... Read More
A 25-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes. : A calcified aorta typically makes the procedure more challenging, mainly because most heart surgery requires a "bypass" machine to keep blood perfusin... Read More
A 35-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Duration of illness: The fact that one's spleen swells during the course of mononucleosis means that the spleen is functioning properly. It is a filter for bacteria and a... Read More
A 28-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
"Local" is why: "local" anesthesia does just that-a small dose of a numbing agent is injected near a nerve, that, when in a certain concentration, blocks impulses thr... Read More
A 41-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Pediatrician: Seeing an experienced pediatrician and having a frank discussion is worth the investment. At age five, this milestone should have been reached by now... Read More
A 34-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Long term, no: For "critical aortic stenosis" (valve area less than .7cm2) surgery, and occasionally valvuloplasty is the only curative treatment. Prior to the crit... Read More
A 39-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
CABG after MI: Bypass is often done after heart attack. Many times there is still "viable tissue" that is susceptible to further insult(and worse outcome) that may... Read More
A 37-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Varies: This varies from center to center but a good figure is 2-3%. When i say complication, this can range from minor bleeding that may require additional ... Read More
A 23-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Absolutely: Your doctor hopefully will apprise you of the risks/benefits of both valve types. You as the patient, armed with that advise, can make the decision. ... Read More
A 35-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
No: Surgery is only performed for "massive pulmonary embolus" when it is considered life saving. Usually has to be done right away, so most who suffer fr... Read More
A 31-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Not necessarily: Because it is metastatic, this surgery is often times "palliative", in other words not curative. A solitary lesion would undergo a wedge resection, r... Read More
A 37-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: Trick question, but here are my thoughts. A carotid bruit is due to a partial obstruction in the carotid artery. A "sub-clinical" lesion may only gi... Read More
A 40-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: A failed av fistula can be from either clot or "stenosis". A thrombectomy can be performed if the clot is new, a stenosis can be dilated with a ballo... Read More
A 24-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: If you are already on pain killers for a chronic condition there is no reason to stop them, however i would not advocate "upping" your dosage without ... Read More
A 27-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Respiratory Function: Spirometry is performed to assess lung function. There are certain "normal" values for the amount of air a patient a patient can forcefully exhale in... Read More
A 23-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Evaluate cause: A thoracentesis involves removing fluid from the pleural cavity. Laboratory values obtained from the fluid may enable a doctor to determine the cause... Read More
A 50-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: The importance here lies in your ability to reexpand your lungs and you should be instructed on how to do incentive spirometry. These are easy exerci... Read More
A 50-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Not normal but possi: Some people may get pain for this long after open thoracotomy. It usually comes from fractured ribs(usually for 6-12 months). It can, however, come ... Read More
A 29-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
It can vary: With newer developments in this type of surgery, the procedure can often be done through a tiny "keyhole" incision called thoracoscopy. Patient often... Read More
A 41-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
This varies: Keep in mind, some patients travel by plane to get their surgery. In general, some risks of flying involve development of blood clots, that risk is e... Read More
A 24-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Sometimes: COPD results in poorer lung function. While under general anesthesia, a patient typically receives adequate oxygen, albeit less than a healthy athlet... Read More
A 27-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Herniated disc: The c5-6 herniation that you describe may or may not have come from the accident. In general, a disc herniation, which refers to the extrusion of tis... Read More
A 18-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes: Yes, you can, but for the most part will not be recommended because smoking in any post operative period has negative effects on wound healing. Medic... Read More
A 30-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Heightened sensorium: Commonly used to treat "adhd", this compound is a mix of amphetamine and dextroamphetamine, the combination acts on the "mesolimbic" section of the br... Read More
A 43-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
No: One does not need a consult, but it is helpful, from the view point of an anesthesiologist, to be aware of potential problems; for example, a patient ... Read More
A 44-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Don't smoke with IPF: Ipf, if you are referring to interstitial pulmonary fibrosis, is a disease of the lungs in which the tissue surrounding the critical respiratory units... Read More
A 23-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Yes, In a Dry enviro: A humidifier can be helpful if the surroundings are very dry, such as in winter with "forced hot air" warming. Our nose, nasal passages, trachea all ... Read More
A 52-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Respiratory function: Bronchitis refers to swelling of the bronchi or conductive airway passages. When one breathes, air is transported to the the "alveoli" where oxygen a... Read More
A 33-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Potentially serious: Pulmonary tuberculosis is due to lung infection with a "mycobacteria". Historically a serious but treatable infection, there are now strains that can... Read More
A 34-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Sometimes: When being placed under general anesthesia, there are many different methods; IV induction is very common. Further, there are numerous different medi... Read More
A 38-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Generally, no: The spleen may become mildly to grossly enlarged during the course of having mono. In general, your physician will recommend no "rough physical activ... Read More
A 37-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
It depends.: If the child is otherwise completely healthy, then probably no tests are necessary. If there are any co-existing illnesses or genetic factors present... Read More
A 34-year-old member asked:
Dr. Scott Mackinnon
Anesthesiology 34 years experience
Possibly: Tetracaine falls into the "ester" class of local anesthetics, and, unlike the "amide" class of such, may cause an allergic reaction, albeit very rare.... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
333
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Mackinnon is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Mackinnon is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! It ruptured at point of genu, distal or TP/IAT only options, sadly.
HealthTap member
Thank you, your answer was very helpful! Trying to manage a bad situation without insurance .Thank you !
HealthTap member
Thank you, your answer was very helpful! Thank you very much.

Education & Training

Medical/Graduate school

University of Massachusetts Medical School, MA
Graduated 1988MD

Awards

HealthTap Scholar
HealthTap ClubMD
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less