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Dr. Mary Efremov

Internal Medicine
Holtsville, NY
44 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 51-year-old female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
See your doctor: this is not specific enough to hazard an answer.. an clinical exam by your doctor will be importnat
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Need more info: Cerebellum is the part of the brain..Integrates input from the other parts of brain and body. More details about what is being described as cerebellar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Hives: Hives is the common term for urticaria..Generally swelling, redness and itching are about it.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Complex problem: Brain damage from stroke, hemorrhage, trauma, drugs all can present like this including brain or associated structure infection.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
The blood cells: The blood cells contain the parasite and a thick smear preparation is used to look for the parasite.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Complicated: The words mean the person in question has a depressed immunity, many causes, many treatments, complicated topic.More vulnerable to infections from par... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
See a doctor: Bleeding in the stool can be very serious... You need to see a doctor to check this one out.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
More data needed: Rashes are very different, some cause itching others not..We need more information and it should be looked at. Literally hundreds of causes are possib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Medical consultation: There mare so many causes of joints pains that a medical consultation is a good idea. Arthroscopy really examines the joint space and possibly some de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Rding in a car: No special tests, it is a very individual thing motion sickness affects different folks differently, dramamine (dimenhydrinate) can help.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Not enough data: Hormones are usually involved in nipple discharge outside of lactation. The key hormone may be prolactin, but certain drugs, nipple stimulation and a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
YES!!!: Low white count, IV fluids, supportive care and take precautions about mosquitoes in the future. Prevention is key.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Loss of pigment cell: The melanin made by the pigment cells stops being made and the skin has no color, it is very vulnerable to sun damage and needs plenty of sunblock to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
More info needed: It makes a big difference whether one or both kidneys are affected. If both, you will need to start dialysis of which there are two types in order to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
More info needed: Bleach is not used medicinally. It is a whitener, cleaner and disinfectant...Dilute solutions may be used sparingly by dentists, deep smelly infected ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
No simple answer: Salmonella is a family of different types, the common ones are food borne and resolve in a week or so. Better to ask is how you know you have it?
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old male asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
See a doctor....: Testicles are hormone producer organs, and they do get smaller when hormones not made by the body are used...Performance enhancing steroids, both shot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Pretty unlikely: This myth has been around for a while. No substance to it.
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Confer with doctor: Sulcrafate is pretty benign, it is a sort of "covering" for raw and inflamed spots in the digestive tract.. Having reflux is a complex problem, and yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Support hose: These help fight gravity, but you should see a vascular docotr amd get fitted for a prescription pair if needed, and discuss other options.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
None known: Paget's is accelerated and unregulated bone remodeling...Osteoclasts. Osteoblasts and osteocytes are involved. Bone metabolism is very complicated
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Avoidance: Avoiding what caused is the single biggest help.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
GI signs: Usually it is an illness with diarrhea, vomitting but also includes things like hepatitis as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
More info needed: Severity depends on the site. Most kids and adults recover without treatment if immune system is normal. Very complicated topic if there are immunolog... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Less common germs: The "typical" are caused by certain bacteria such as streptococcus, and hemophilus...Atypicals included mycoplasma, chlamydia and are treated differen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Cough ,phlegm: Could be from smoking or other irritants, associated with sinuses too, and mainly smoking.Good time to quit.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Yes: Dialysis followed by transplant if possible.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Trouble swallowing: Many causes, mostly involve the nerves and muscles of the throat. Need a doctor to assess the severity....Complex actions in swallowing, involving ton... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Stop smoking: Often a disease of vessel narrowing from smoking related illness, key is to stop smoking, get more exercise, and confer with your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Need results: During colposcopy, abnormal tissue is removed and then sent to lab.. So the results are not immediately available.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
More info needed: Cmv, toxoplasmosis and ebv all cause a mononucleosis like syndrome. In healthy folks, these generally resolve.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Pain or cloudy visio: Corneas are very important in vision, you should promptly see an eye doctor...They are called ophthomologists.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Surgery likely: Joint used in weight bearing, so broken bones need to be fixed. Healing faster after surgery, lying around for six months or so is very dangerous.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
More info needed: How do you know you have giardia?. Any tests. Lots of diseases cause cramping and diarrhea.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Talk to doctor: What kind of dialysate, what kind of mebrane, all can and should be discussed with your renal doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Behavior therapy: This is a phobia and cognitive therapy with antianxiety medicines can help. It is done by many psychiatrists. Sometimes antidepressants are used as we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Unclear question: Using a bar soap is certainly not sanitary. If there is a dispenser, that is better. Purell doesn't remove particles and debris. Handwashing and rinsi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Complicated: It depends on the circulatory and pulmonary system, and the oxygen in the ambient system.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Complicated: Smoking marijuana has many effects on mood and motivation, not to mention harm of inhaled smoke. Better question is why do you do it and what is so va... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
See a doctor: These symptoms are not specific enough, but examining the foot will help clarify the problem. It should be looked at professionally.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Commonly done: It is quite common and the anticipatory dread does respond to various treatments....
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Complex topic: Children's behavior is very variable, depends on age and context and more information needed to make an assessment. Age of child determines how much ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Depends: In newly born boys, there is projectile vomitting.. And it must be quickly treated. In adults, same signs and xrays can define the problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
? menopause: We age and the cycle changes, and then menses stop...Very variable collection of symptoms and signs... See a doctor and check it out.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Many things: The sensation suggests a neurologic phenomen that may be related to some abdominal organ. It is sensible to have a medical evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Can't tell: These blood tests are just tests, and specific diagnoses have complex criteria. Your doctor can explain more fully. Positive ANA can be related to me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Can't answer: there are bacteria in all fecal materials. Crows and other birds have bacteria but we also have acid in the stomach, and some salivary enzymes that pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Location useful: there are numerous sites of the malformations and location is important in making the correct assessment. The adjacent structures may be affected and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Avoid smokers: It may be an idea to tell people around you that the smoking bothers you. Courtesy on their part will help you.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Mary Efremov
Internal Medicine 44 years experience
Depends: It depends on the type of injury you are treating.
Created for people with ongoing healthcare needs but benefits everyone.

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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
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