U.S. doctors online nowAsk doctors free

Dr. Gamal Boutros

Neurology
johnson city, TN
42 years experience male

Locations

Office

johnson city, TN

Address

329 weslet street#3, johnson city, TN
Directions

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

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.

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 Boutros
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
A 18-year-old male asked:
Dr. Gamal Boutros
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
A 22-year-old member asked:
Dr. Gamal Boutros
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
A 65-year-old member asked:
Dr. Gamal Boutros
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
A 29-year-old member asked:
Dr. Gamal Boutros
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
A 44-year-old member asked:
Dr. Gamal Boutros
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
A 30-year-old member asked:
Dr. Gamal Boutros
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
A 92-year-old member asked:
Dr. Gamal Boutros
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
A 31-year-old member asked:
Dr. Gamal Boutros
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.
A 44-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
May not: If compression was very long standing return of sensation to normal may not occur.
A 38-year-old member asked:
Dr. Gamal Boutros
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.
A 37-year-old member asked:
Dr. Gamal Boutros
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
A 29-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Paresthesia: Need to check for electrolyte abnormality, vitamin, nutritional status, allergy, neuropathy.
A 34-year-old member asked:
Dr. Gamal Boutros
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
A 35-year-old member asked:
Dr. Gamal Boutros
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
A 30-year-old member asked:
Dr. Gamal Boutros
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
A 46-year-old member asked:
Dr. Gamal Boutros
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.
A 33-year-old member asked:
Dr. Gamal Boutros
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
A 44-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Metatarsal pads: Amazon.Com or footsmart or silipos need evaluation with steroid injection , under supervision of a podiatrist.
A 20-year-old male asked:
Dr. Gamal Boutros
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
A 35-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
The nose: Ent, ear nose and throat, otorhinolaryngologist --if you remove the nose , rhino is left out.
A 18-year-old female asked:
Dr. Gamal Boutros
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.
A 37-year-old member asked:
Dr. Gamal Boutros
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
A 26-year-old female asked:
Dr. Gamal Boutros
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
A 31-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Rectally: This gel is Valium used rectally to stop prolonged seizures.
A 30-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Carpal tunnel: Wear a wrist brace, take advil (ibuprofen) or Neurontin or get surgery or injection steroid in the wrist.
A 39-year-old member asked:
Dr. Gamal Boutros
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.
A 28-year-old female asked:
Dr. Gamal Boutros
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
A 35-year-old male asked:
Dr. Gamal Boutros
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
A 55-year-old male asked:
Dr. Gamal Boutros
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
A 37-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Repetitiv strain rsi: Repetitive strain injury is an overuse syndrome---also tendinitis can give similar symptoms.
A 38-year-old member asked:
Dr. Gamal Boutros
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
A 37-year-old member asked:
Dr. Gamal Boutros
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.
A 44-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Permanent deviation: Originally torticollis pain, intermittent deviation or turn of the neck---with progression it become fixed.
A 24-year-old member asked:
Dr. Gamal Boutros
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
A 33-year-old member asked:
Dr. Gamal Boutros
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
A 34-year-old member asked:
Dr. Gamal Boutros
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
A 34-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Yes,pigmentation?: Multiple causes depending about distribution, spread, etc' need valuation.
A 29-year-old member asked:
Dr. Gamal Boutros
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
A 40-year-old member asked:
Dr. Gamal Boutros
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.
A 51-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Important history: You can be continuing to bleed-you need testing--you can infect others -tell your doctor.
A 20-year-old member asked:
Dr. Gamal Boutros
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
A 38-year-old member asked:
Dr. Gamal Boutros
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.
A 31-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
VYVANCE: One a day--long acting--comes in different doses.
A 19-year-old member asked:
Dr. Gamal Boutros
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
A 39-year-old member asked:
Dr. Gamal Boutros
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
A 50-year-old member asked:
Dr. Gamal Boutros
Neurology 40 years experience
Life style modify: No caffeine or alcohol--add vitamins-relaxation techniques--need to be checked for diabetes--sleep hygiene--exercise.
A 21-year-old member asked:
Dr. Gamal Boutros
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.
A 21-year-old member asked:
Dr. Gamal Boutros
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
A 24-year-old member asked:
Dr. Gamal Boutros
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

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

Testimonials
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
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