Dr. Lori Wagner

Internal Medicine
Louisville, KY
29 years experience female

Locations

University of Louisville/ Robley Rex Veterans Affairs Medical Center

Louisville, KY

Address

Louisville, KY
Directions

Office

LOUISVILLE, KY

About

Bio

Preventive Medicine Doctor-Patient Communication

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

Languages spoken

English

Doctor Q&A

184 Answers
10 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
No: Being a caregiver is akin to being a parent.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Usually OK: When we talk about liver enzymes, we are usually referring to transaminases (sgot/sgpt, ast/alt). The lower limit of normal is either zero or close to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Vit D +: Osteopenia is a disease state in-between normal bone density and osteoporosis. Vitamin d deficiency is a different disease state. Most certainly your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Protein?: Protein in the urine looks "frothy, " or like there are white bubbles. Need to let your doctor know.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Don't recommend: Weights around the ankles while walking can place abnormal stress/ possibly hurt your knees. These weights are primarily meant to use in specific move... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Stomach Ulcers?: Coffee ground emesis is a sign of stomach ulcers. Your colonoscopy is an examination of the lower part of the GI tract, and this lesion would be from ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Yes: Memory loss can be attributed to marijuana use; marijuana is thought to effect protein synthesis in the brain.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Tremor of aging: It can occur in the wrists/hands or the head and neck (think of kaltheryn hepburn). Although it can cause a lot of problems for patients, it is not as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Prevention: Topomax, like many other seizure medications, is used to prevent or decrease the severity and frequency of migraine headaches.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
No: They infect the intestines.
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Not really.Dry,cream: Fungus is all over your body. When an area of the body stays wet for a long time, it can proliferate. So it is not really spreading...Just popping up ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Who knows?: The expiration date is the date which the manufacturer guarantees it to be effective. It may still be effective beyond that date.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Hot Flashes??: More recently it has been noted that a significant number of women experience hot flashes for approximately a decade prior to cessation of menses (abo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Distilled water: Use distilled water. You can use tap water, if you boil it and then let it cool prior.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Etoh, Meds: Alcohol, non-steroidal use (medications like Ibuprofen and naprosyn), and infections with a bug call h pylori.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Yes: Topical anti-fungals. The treatments labeled for jock-itch will work.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
See an MD: You probably need to see an endocrinologist for a full hormonal evaluation, but i would start with your primary care doctor first - just to make sure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Melanosis Coli: I think you are referring to melanosis coli. This is a discoloration of the inner lining of the colon, which is not cancerous, but can make it difficu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Who knows?: No one really knows if they actually work for anything. There aren't any evidence-based studies to support their use, but it certainly can't hurt to t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Not really: The evidence behind most cough medications, other than narcotics, is not very good. We often prescribe a number of cough medicines without expecting m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Perhaps: Both alcohol and Ativan (lorazepam) are sedatives; withdrawal from either one of the medications (or both together) can cause a hypervigilant/overstim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Yes: There are a number of effective medications for both prophylaxis (prevention) of panic attacks and acute treatment of these attacks. Make an appointme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Psychological assess: I would suggest a psychological assessment; the manner in which your question is posed suggests a somatoform disorder (depression or anxiety expressed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Yes: Perimenopausal hormone levels are highly variable. In fact, it is this variation that is thought to be associated with a lot of the symptoms. Although... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 71-year-old female asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
No, maybe: Essential tremor is different from intention tremor (the tremor associated with cerebellar disease). Gabapentin is one of several medications that can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Yes: Hypothyroidism can be associated with shortness of breath, primarily through its effects on the heart. The heart rate can slow and the heart tissue ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Past surgeries: The primary risk factor is past surgeries, such as gastrectomy, gastric bypass, esophagectomy and sometimes cholecystectomy (gallbladder removal). Mor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Well balanced: The american diabetes association recommends a diet that is well-balanced. But the main issue is not gaining too much weight during pregnancy. Make su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Xray: A kub is a plain film of the abdomen; it is titled "kidneys, ureter, bladder." it actually is not really the best test to look at these organs, but it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Thyroid destruction: Hashimoto's usually results in destruction of the thyroid tissue and dependence on thyroid hormone replacement life-long.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Exercise: Exercise programs have shown great improvement in symptoms and the ability to do more physically in patients with peripheral vascular disease (bad cir... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
PTSD??: I have a number of patients with ptsd; psychiatry has used prazosin at bedtime for their nightmares, which includes acting out, with some success.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
No: Steroid inhalers are the foundation of therapy for recurrent, persistent asthma (occurring more than 2 days per week or 2 nights per month). It target... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Trust your doctor: Both are long acting pain medications and are appropriate for the treatment of chronic pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Physical therapy: Physical therapy and pain medications (as needed) are appropriate first line. Spinal stenosis due to degenerative changes is relatively slowly progres... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Stability is key: Certainly this is below 18.5, which is the low end of normal. However, if you have always been thin, then this is really nothing to worry about. If th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Can keep: Certainly they are more difficult to clean, for both you and the dental hygienist. But they can be kept, especially if you are not having a problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Not really: There are certainly natural entities that are known to make us more likely to bleed, such as garlic. But if you truly have a medically diagnosed hyper... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Xrays: The epiphyseal plates will close when you are done growing; this can be seen on xrays.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Drugs can: There are many drugs associated with an enlarged heart. Some common ones...Alcohol can cause a dilated cardiomyopathy (the walls of the heart are stre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Although: Although glucosamine has not been shown to help osteoarthritis overall, some subgroups benefit.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Half-life & delivery: Both are opioids but stay in your body for different lengths of time (half-life) and, of course differ in their delivery (oral versus patch).
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Our filters: Lymph nodes are our filters to take organisms (bacteria, viruses, etc) out of our bloodstream. Most common reason for a swollen lymph node is infectio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
If: If you have always had a normal blood pressure at 55, you still have 90% chance of hypertension.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Structure involved: Tension headaches involve the muscles over the skull, and they are typically described as constant with "hat-band" like pressure. Vascular/migraine he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Pre-approval: Many insurance companies require pre-approval of genetic testing. They also may not even consider such unless you have been seen by someone with a gen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Can be: Steroids and bronchodilators are the main inhalers used to treat asthma. Albuterol is the primary short acting bronchodilator used.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Yes: Worst case scenerio: if you do not take your replacement thyroid medication for a long time, you can actually go into a type of coma (myxedema coma). ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Not Related: Appropriateness of interventions is not addressed in the affordable care act.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Lori Wagner
Internal Medicine 29 years experience
Listen to your docot: I assume you are concerned about steroid inhalers. But these are the foundation of therapy for recurrent, persistent asthma (occurring more than 2 day... 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.

5
Recommendations
3.2K
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Wagner is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Wagner is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Wagner is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
My wife had this happen recently, and she doesnt think that the mixture had anything to do with her triggered flashback. I feel that it did. she said that she had mixed the two before with no effect l...Read More
HealthTap member
Thank you. I am going to follow-up my question with a specific reason for my doctor's concern, mainly the purity and safety of fish oil supplements (mainly mercury levels).
HealthTap member
This was very helpful. Thanks! This was not on the top 10 list of health worries, but it still was a very nice piece of information for an otherwise somewhat stressful day!

Education & Training

Medical/Graduate school

Medical College of Georgia School of Medicine, GA
Graduated 1994MD

Awards

Leonard Tow Humanism in Medicine Award
Top Doctor, Second Place, Louisville, KY - Winter
2013
Most Influential, First Place, Louisville, KY - Winter
2013
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