Locations
Office
johnson city, TN
Phone
Practice website
Insurances accepted
Aetna
Blue cross blue shield
Cigna
Humana
Medicaid
United healthcare
UHC Choice Plus POS
About
Bio
after graduation from medical school,i did pediatric residency in Mitchigan-then did child neurology fellowship in University of Texas southwest at Dallas and Dallas children hospital
i also did neuro-oncology fellowship in UCSF,followed by pediatric neurology staff physician role in children hospital of Oakland
board certified in pediatrics,neurology with special qualifications in child neurology, sleep medine,vascular neurology and became a member of ASIPP
SpecialtiesDoctors 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.
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
211 Answers
25 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Electrolytes: Alcohol have a lot of effects on every organ system--the issue you are describing is common but short lived, unexplained but theories are :--1/dehydra... Read More
5.6k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Are you athletic?: There a lot of reason for low back pain in your age group, the most common are stress injury to lower lumbar vertebra---the key word is recurrent--nee... Read More
5.6k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
No: Could be brain or peripheral nerves--need good exam and testing--
is it intermittent or continous?How long it last?Previous injury?Compression to the ... Read More
6.1k viewsReviewed >2 years ago
A 65-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Osa: Dirrent reasons from obstructive sleep apnea to poor sleep hygiene--a lot of other causes like fibromyalgia, ptsd
need more hx like how many night--h... Read More
6.1k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Difficult: Tonic seizures are harder to treat , if there is intractable epilepsy, but some of the usual meds work, like Dilantin or Keppra (levetiracetam) or new... Read More
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Hypertension: Hypertension need treatment, because it is serious--can cause stroke, kidney damage, overload the heart
regardless pre-existing and white coat or any... Read More
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Yes,start with pcp: Muscle twitch can be a tic, myoclonus, myokymia, fasciculations or muscle spasms each has brief rare occurence usually insignificant--frequent but sh... Read More
6k viewsReviewed >2 years ago
A 92-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
May be wise?: Every treatment has risk--i do not know your circumstances, but if you are above 90 and in fairly good health till stroke, you probably doing good
you... Read More
6k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Mostly at 10 hz: In people who are susceptible to photosensitive seizures only 3%, abnormality on eeg usually appear at 10hz, meaning 10 flashes per second.
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
May not: If compression was very long standing return of sensation to normal may not occur.
5.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Exercise: Resistive exercise like lifting weights, doing sit ups, bench press, etc--
if really weak after muscle break down, this is very gradual.
5.8k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Neuropathy: From entrapment of the nerve or generalized nerve damage from hundred causes--
low potassium, anxiety, hyperventilation, tight wrist bands all cause f... Read More
5.9k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Paresthesia: Need to check for electrolyte abnormality, vitamin, nutritional status, allergy, neuropathy.
6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Yes: There is a sense of loss, grief, denial, anger, guilt, unclear if it was a punishment from god?--, but also hormonal changes, like post partum depress... Read More
5.9k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Fears of tumours: You need to know all the different causes of headaches---then if you feel there is pressure in the head still could be a variety of causes other than ... Read More
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Individual,age: The older the person the less need for sleep, but 6, 5 hours is probably minimum--teen ager need close to 8 hr, younger age need more--male seniors st... Read More
5.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Scarry: You feel the person may die, or injure himself, but that may not happen if you are a good witness
you job is to protect that person from injury.
5.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
50%: If eeg is abnormal, chances are there is more seizures to follow
for first seizure with normal eeg depend on cause of seizure, only 50% may have a re... Read More
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Metatarsal pads: Amazon.Com or footsmart or silipos
need evaluation with steroid injection , under supervision of a podiatrist.
5.9k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Yes and yes: Ssri the most common meds for depression do not cause addition, like desire to achieve a high, neglect other activity, drug seeking...But if stopped a... Read More
6k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
The nose: Ent, ear nose and throat, otorhinolaryngologist
--if you remove the nose , rhino is left out.
5.9k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Post concussion: Post concussion have a lot of symptoms headache, dizziness, nausea, inattention, memory loss, etc
dry mouth is not one of them.
5.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Back pain braces: Back pain has plenty of causes, nerves, bones, facets, muscles, discs
treatment depends on cause..
There situation were a brace can help but we do n... Read More
5.9k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
L5 radiculopathy: It seems you already got some imaging because you say slipped disc l5-s1--you need examination, then possibly EMG to confirm--you could get epidural i... Read More
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Rectally: This gel is Valium used rectally to stop prolonged seizures.
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
A 39-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Protect: Make sure child on his side, no hard object to cause trauma, breathing is good, call for help, see what is the medicines available.
5.9k viewsReviewed >2 years ago
A 28-year-old female asked:
Simple partial seizure- fuzzy feeling in head. pressure in nose, teeth and neck pain can last hours?
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Unlikely: Most simple partial seizures are shorter duration just few minutes--they are like aura to other seizures--most simple seizures are unlateral, meaning ... Read More
5.7k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Only peds rheumatolo: Psoriasis affect 2-4% of adults, psoriatic arthritis affect 30% of those
a 20 month old child with psoriatic arthritis is very rare--arthritis in c... Read More
5.7k viewsReviewed >2 years ago
A 55-year-old male asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Many causes: Face sensation is suppied by trigeminal nerve--so anything affecting the nerve could cause it
multiple sclerosis, neuropathy, tumour vascular compre... Read More
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Repetitiv strain rsi: Repetitive strain injury is an overuse syndrome---also tendinitis can give similar symptoms.
5.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Dextromethorphan: Cough medicine should be used for only few days and only small amount------
only allergic reaction like hives or difficulty breathing or overuse with ... Read More
5.8k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
EB VIRUS: Other than causing sore throat, lymph node enlargement and enlarged spleen which could rupture, I am not aware eb virus affect the kidney.
6.1k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Permanent deviation: Originally torticollis pain, intermittent deviation or turn of the neck---with progression it become fixed.
6.1k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Thrombocytosis: You really need to work with your hematologist--depending how high platelets, genetic factors, your bone marrow tretment low dose aspirin, hydroxyurea... Read More
6.1k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
No: Astrocytoma more fiffuse and infiltrative--ganglioglioma more circumscribed and enhance early on scans--also likely different brain locations--agree s... Read More
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Diagnostic/therapy: 2 kinds of injection with 2 different goals---either you put steroid, lidocaine, bupivacaine in the facet joint or just block or num the nerves to the... Read More
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Yes,pigmentation?: Multiple causes depending about distribution, spread, etc'
need valuation.
6k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Yes: The reviews were by the psychiatric association for implementation in 2013 as part of dsm5--
this will narrow the criteria, currently one in 110 as pd... Read More
6k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
High: Practically most patient are happy, but few cases did not repond because there is neuropathy, or repetitive strain injury not nerve entrapment.
6k viewsReviewed >2 years ago
A 51-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Important history: You can be continuing to bleed-you need testing--you can infect others -tell your doctor.
6k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
See your doctor: Is it burning just the skin ---can you move the joint lying down---fever, tenderness on pressure, swelling, how long, what other joints, a lot of othe... Read More
6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Not that common: Rotator cuff tear , really cause inability to move the arm up, not just pain--more common inflamation of the tendons called tendinitis--get an exam.
6k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
VYVANCE: One a day--long acting--comes in different doses.
6.1k viewsReviewed >2 years ago
A 19-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Could be significant: Your presenting syptom is not described in detail---how frequent?How long it last?Does the same happen after you sleep or bend over?---the question ha... Read More
6.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Hypomagnesemia: Some people get problems with magnesium absorption in small bowel or you may be on diuretics or have malabsorption--so you could measure magnesium in ... Read More
6.1k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Life style modify: No caffeine or alcohol--add vitamins-relaxation techniques--need to be checked for diabetes--sleep hygiene--exercise.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
RELEASE PHENOMENA: The brain inhibit the babinski sign by controlling the lower neuron--when the corticospinal tract is injured(umnl)there is a release.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Evaluation: Common causes depending on distribution are low potassium, nerve compression, diabetic neuropathy, anxiety, multiple sclerosis
so you see can be trea... Read More
6k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Gamal Boutrosanswered
Neurology 40 years experience
Brain infection: Encephalitis is infection caused by viruses or other organisms with or without infection of the brain covering called meningitis--
encephalitis presen... Read More
6k viewsReviewed >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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.
5
Recommendations
470
Thank you notes
Feb 28, 2013
Consider yourself fortunate to have such a doctor caring for you. He is exceptional.
Jan 12, 2013
Great answers!
HealthTap member
Mar 30, 2015
Dr. Boutros is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This saved my life. Thank You! I have partial, complex, "strobe light"AND adult absence seizures! Im ONLY taking 400 mgs of Lamictal? Is there a Minimum/Maximum doses?! JW
HealthTap member
Thank you, your answer was very helpful! I have numbness in half my face, legs and right arm/neck. This is helpful
HealthTap member
im 20 it kinda feels like they being sraped on the inside of the bone. its eased a lil bit when i sit or lay down
Education & Training
Medical/Graduate school
Ain Shams University Faculty of Medicine, Egypt
Graduated 1980MD
Awards
Top Doctor, First Place, Johnson City, TN - Winter
2013
Most Influential, First Place, Johnson City, TN - Winter
2013
Thought Leader, First Place, Johnson City, TN - Winter
2013
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