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Doctor Q&A for Dr. Arthur Rein

A 24-year-old female asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
Likely not shingles: While it is possible for a person to get shingles more than once, it is quite rare, especially in the wake of the first attack. Your antibody levels to herpes zoster (the virus that causes shingles) are high and should prevent another infection for at least a while. More likely some there is some other cause behind the pain.
A 23-year-old male asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
Your bmi is 28.8: Bmi stands for body mass index. A reading of 20-25 is normal; 25-30 is overweight; and 30 and above is obese. So yes, you are overweight. If you get down to 160 lbs.(easier said than done) your bmi would be 25.8--much better.
A 49-year-old member asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
A cosmetic problem: Toenail fungus is a fairly common condition, more so as a person ages. It rarely leads to any significant medical complications. For that reason insurance companies do not cover the cost of treatment. There are 2 medications that work about 50% of the time. Laser treatments have had similar success. If left untreated the nail thickens and discolors.
A 44-year-old member asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
No right answer: The life span of a patient in hospice is as variable as the medical conditions that have put the patient there. I have seen patients live for an hour or two after hospice, and there have been those that have lived for months and even past a year. As a rule, a patient is admitted to hospice when the life expectancy is 6 months or less.
A 31-year-old male asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
An excellent reading: An ideal blood pressure is 120/70 or less. While it is possible for a person to have too low a blood pressure, this rarely happens unless the patient is on too much medication to treat high blood pressure. A blood pressure of 130/80 or less is still fine. We usually start treatment for readings of 140/90 and higher. In short, your reading is great. Don't touch a thing.
A 41-year-old female asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
Pins and needles: Paresthesia is a symptom, not a disease. In most patients it is described as a pins and needles sensation or burning. The list of conditions that can cause paresthesia is very long indeed. Some of the more common causes are diabetes mellitus, carpal tunnel syndrome, lyme disease, hypothyroidism, low calcium count, vitamin B12 deficiency, alcohol abuse, and pinched nerves.
A female asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
It varies a lot: Some of the basic science courses in medical school are taught to the entire class at the same time in a large auditorium. Others are in small groups of ten or so. In these classes there is a lot of give and take between the students and instructor. In my experience, questions were always encouraged and generally, the better the teacher, the more questions that are asked.
A 31-year-old male asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
Probably ok: Though there are always exceptions to the rule, most blood pressure pills will not be affected if taken with a multi-vitamin.
A 22-year-old female asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
Anusol may help: It sounds like you are dealing with hemorrhoids or possibly a rectal fissure. The former is something like a varicose vein that bulges in the rectum; the latter is a crack in the lining of the rectum. Anusol suppositories used regularly (2-4 times a day) will soothe the area and might promote faster healing. If the blood persists, see your doctor.
A 18-year-old female asked:
Dr. Arthur Rein
Internal Medicine 40 years experience
Have it looked at: Some rashes are hard to diagnose even when the doctor has a chance to see it. Without seeing a skin condition, rendering an opinion is risky at best. Based on the time of year alone, you may describing xerosis, which is an abnormal dryness of the skin that is more common in northern climates during the winter. There are pictures online. Reduce your shower frequency and use lotions for moisture.
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