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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.
Vascular Surgery
Languages spoken
English
Doctor Q&A
36 Answers
2 Agrees
The number of answers this doctor has agreed with.
A 25-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
No ointment: There is no cure for gangrene, it usually requires surgical debridement and correction of any underlying circulation abnormality that may be contribut... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
It might: Excessive salt intake can lead to fluid retention and may make conditions such as lymphedema and venous insufficiency more difficult to control.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Some Nerve 2: Like my previous post on a similar issue, compression of the sciatic nerve while sitting may lead to many symptoms, including numbness ("falling aslee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
All seeing : While ultrasound is not necessarily "all seeing" it can be and is used by most physicians to diagnose and follow most conditions involving the extracr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
ED: There are several causes for a "weak erection". From a vascular standpoint this may relate to poor arterial flow as a result of "clogged" arteries su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Usually: Arteriovenous fistulas are usually permanent. Even if they are no longer being used they are typically left in place. Exceptions may include removal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Indirectly: While amputating a limb can be lifesaving depending on the reasons for doing the amputation, complications including death can occur. Often these are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 18-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Thrill: This sounds like you are describing a thrill which may be due to a strong heart murmur or other arterial abnormality. Further evaluation by your medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Pain in the back: The set of symptoms described most likely relates to nerve compression as they exit the spine. This is most commonly due to spinal stenosis or possib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Yes, if indicated: Actually by being thin the operation is often technically easier and wound complications are less compared to an obese patient. You may, however, be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Sometimes: While not all patients develop significant depression following an amputation, they can especially if it was unexpected. If they do, grief therapy an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Permanent: Arterial stents are meant to be permanent and are rarely ever removed. They can, however, develop restenosis or renarrowing that may require further ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
No: Bee stings can cause an allergic reaction with significant swelling, but this is not lymphedema. It is an acute self limiting response, whereas lymph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Yes: While heart disease and arterial disease are strongly related, heart rate and blood pressure alone are not necessarily related. A history of angina o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Not necessarily: Cramps, tightness or "charley horses" during walking or activity might be intermittent claudication. This is a symptom common with pad. Cramps at ni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Yes: Any person with a AAA can die. Typically the larger the aneurysm, the greater the risk. Younger individuals, especially less than 40, typically do n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Brief: For renal artery stents, most are sent home the following day with light duty for about 3-5 days. After that there are few limitations. A very brief... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Popliteal aneurysm : The only pulsating object in proximity to the knee is the popliteal artery. Usually this is not easily felt. If it is then it may need further evalu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
The short answer: Many ulcers have combined venous and arterial features. Venous ulcers are due to high pressures in the veins either from previous DVT or insufficienc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Typically not: Claudication most commonly affects the legs. Occlusive disease can develop in the arms but symptoms are much less common. If exertional pain is note... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Can B Normal: An audible pulse or whooshing sound is not uncommon. It is often a normal finding and can be due to mild compression of the temporal artery, which is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Fairly quickly: If it is being done for claudication, pain while walking, then once you recover from the bypass, which may take a couple of weeks, you will notice a d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Hyperemic Response: In many individuals cold exposure to the hands causes the vessels to dilate and a hyperemic response occurs. The result is usually very warm, very re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
AAA Risks: It depends on the age at which the aneurysm was repaired. I am not aware of any data to suggest that an uncomplicated repair, open or endovascular, r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Some Nerve: Most likely this relates to compression of the sciatic nerve or its roots in the lumbar portion of the spinal cord. It is a fairly common "non-vascul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Low flow: This can result when the flow of blood and nutrients to the intestines is less than what is needed. This can occur when the intestines have higher th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Fight or flight: During periods or stress or peril our body compensates by releasing adrenaline (norepinephrine) to increase our abilitly to repond to those situations... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Perhaps: It is not uncommon to feel the treated vein as a "lump". It could be a reactive lymph node as well or a superficial thrombosed vein. It would be som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
No quick fix: While strict avoidance of tobacco, exercise, aggressive control of cholesterol and statin use can slow progression or even halt the development of art... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Wait and See: "watchful waiting" or observation is commonly utilized in medicine for many reasons. Often it is used in situations where the diagnosis is unclear or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Sure: Typically in the young if a dissection is considered it is related to trauma or a congenital connective tissue disease such as ehler's danlos or marfa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
No: The abdominal aorta is deep in the abdomen and situated on the spine. A rupture can eventually lead to bruising on the back, days later and if the pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Short: Some do these as outpatients, but most admit overnight. Light lifting and activity for 3-5 days is typical if there are no complications.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Compression: Most likely you are describing some type of nerve compression while you are sleeping. Changing slightly the postion you sleep in may help, however thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 19-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Seek medical care: The swelling could be a venous issue, however with the discoloration you need to worry about poor arterial circulation and possibly impending gangrene... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Shane Parmeranswered
Vascular Surgery 25 years experience
Fight or flight: During periods or stress or peril our body compensates by releasing adrenaline (norepinephrine) to increase our abilitly to repond to those situations... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
163
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Parmer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Parmer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
My feet burn and hurt so bad I can't keep them still. I am in so much
HealthTap member
I definitely will bring this up to my neurology Dr
HealthTap member
Thank you, your answer or tip was very helpful!
Education & Training
Medical/Graduate school
Eastern Virginia Medical School, VA
Graduated 1998MD
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