Dr. Mary Efremov

Internal Medicine
Holtsville, NY
45 years experience

Locations

Office

About

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

Licenses

United States: New York

Languages spoken

English

Doctor Q&A

224 Answers
1 Agree
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Depends: Depends on age and gender, also which organ is affected...There is a large spectrum. This is inherited so speak to your kids and family to get tested.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
No simple answer: Some physicians use t cell subsets to measure immune impairment but there are many other tests. It is actually quite hard to quantify easily.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See a doctor: Numbness is a neurological symptom, face and arms suggest brain and spinal cord are involved, imperative to see a physician for a thorough neurologica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Check beta hcg: I would do a serum pregnancy test and a sonogram...Late period is suggestive...
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Type of test: Positron emission testing can help localize site of cancer as well as other aspects of tissue being studied. Negative means nothing abnormal was found... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Eat moderately: Any plan that is stable in calorie content is effective..You only gain from calories taken in excess.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Ekg: Simple office test that can determine the rhythm of the heart.....Many different types of rhythm, not all are serious but exact definition is very imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
No Rx: Only treating the underlying cause will help the scarring which is another term for the fibrosis.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Breathing exercises: While any physical or mental activity is suitable, stresses are unavoidable but you can learn better reactions and coping mechanisms. Other useful hab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Can not tell: Healing the fracture requires formation of new bone to unite the pieces. It depends on the method of fixation, the blood supply, and your vitamin d ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Infected node ?: We all have lymph nodes in the armpits. These can get infected. Nodes that swell can mean various things so seeing a physican is useful..They will che... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Cant tell: This is decided after a complete clinical exam and depends what kind of kidney problem is involved/.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Check your values: Most of us enjoy treats and luxuries, however, daily life should also be valued for deep satisfaction. Re-evaluate your values and reflect upon your l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See a doctor fast: Being short of breath is a serious sign. This is the time for a medical examination.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Good for nothing: Why are you thinking of using it. Most fevers are a sign of your body responding to the illness you are having....So there is no scientific reason to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Vaccine: This are routine for children, should be offered to adults with no history of chicken pox. Much more serious in adults than children.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Sounds waves: Sounds waves are bounced over the organ being studied to get the outline on the viewing screen.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Possibly..: If you are making eggs, you can have a baby, ovulating women are fertile, but there is more to getting pregnant than just ovulating, the egg has to ge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Not possible: Gallstones in an inflamed gallbladder do not go away. Low fat diet is a start but you are walking on thin ice here...Confer with a surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
No simple answer: You need to check this out promptly....A good ENT can help resolve the question by a careful examination.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Morphea: Complex localized condition, skin biopsy can be useful. There are some suggested treatment if condition severe enough.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Danger: There are formulas to calculate the rate of heat loss and it depends whether the person is wet or dry, naked or clothed. It is a good idea in bad wea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Depends: Depends on what was actually injured.. We could use more information to properly answer.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
None: Better to exercise and eat less. The pounds come off when calories reduced. Really simple.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Many causes: Many things cause fibrosis which goes on to cirrhosis, alcohol, infections of various types and toxins. She really needs a doctor to work up the probl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See a physican: With treatment, most myastenics do well and have normal lives. The medicine needs to be taken several times a day.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
From the fetus: The fertilized egg develops the placenta which implants into the uterus..Usually the back wall.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Absolutely: Lung damage from smoking is the cause. Stop now!
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Many causes of itch: Lots of things can cause anal itching...Finding a worm or the eggs narrows the the diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Yes: Anxiety and phobia can be treated with anti-anxiety meds. Cognitive therapy and deconditioning wotk too, there just aren't that many spiders out ther... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
NO: These drugs are one of the prime causes, however, there are some products with stomach protective ingredients, so speaking to you doctor may help you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Neither: It means you either had rubella as a child or that you were vaccinated.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
TB prevention: Many countries vaccinate kids for the prevention of tb...Quite effective too.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Neurologic treatment: It is being used for Parkinson's disease..New active research field.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Wrong place: Water gets absorbed and enters the bloodstream, then kidneys filter and produce the urine that fills the bladder. Bladder provides the sonographic win... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See a doctor: You may be infected. The condition may be serious so seeing an throat specialist is important.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Brain and body: Brain and body are one integrated entity....
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See doctor: They may give you medicine if the infection is new.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Try milk: If you get gas, diarrhea, cramps and uncomfortable feelings....Do not use milk products or get the lactase tablets.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Time: Local anesthetics will wear off.....Depending on individual...Adrenaline prolngs the duration and reduces bleeding so it is used by dentists.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Class of drug: Serms are used for a variety of conditions..Breast cancer prevention, osteoporosis and treatment of breast cancer.. They also have some side effects t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Structure: The molecules are similar and do the same thing but their chemical structure is different.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
More info needed: Many medicines work by inhibiting or blocking a substance.. So we need more information for a serious answer.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Depends: Of one or two glands are removed, probably nothing, if all removed you will need life long calcium replacement and vitamin d therapy.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Get better pals: Bad friends, they should quit as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See a doctor: Tarry stools can be a sign of bleeding in the gastrointestinal tract."flu" is actually a respiratory illness with fevers, sneezing and cough". This so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Keep exercising: Whatever your job is, you need exercise, so increase the energy expenditure if you are more sedentary. As always, portion control and watch the weight... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Get sonogram: It is unlikely but get a sonogram to be sure.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
Just ask: Doctors are easy to talk to, if the test is indicated from your symptoms, then it may be done, ordering tests just out of curiosity is not covered by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Mary Efremov
Internal Medicine 45 years experience
See your gyn: Menstruation is normal being so sick is not, you should tell this to a gynecologist for a proper diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
353
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Efremov is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Efremov is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
My heart "flutters" sometimes don't happen for years, then sort of often, then not again for a while. Its hard to pin it down. No pain.
HealthTap member
thank you i was told to get a laporscop done cause my stomach is large an hard.is there any programss that would help me
HealthTap member
Thank you, your answer was very helpful! Recently discovered i have scarring on the liver, i have had hepetitis

Education & Training

Medical/Graduate school

Free University of Berlin Faculty of Medicine, Germany
Graduated 1978MD
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