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Dr. Donald Steinmuller

Nephrology and Dialysis
Santa Rosa, CA
35 years experience male

Locations

Donald Steinmuller MD

Nantucket, MA

Address

25 Equator Drive, Nantucket, MA
Directions

My office hours

Thursday: Closed
Show more

About

Bio

I have been in practice for 40 years taking care of patients with serious medical problems including hypertension, autoimmune disease, organ failure and transplantation, kidney and cardiac disease. Although not a cancer doctor I have personal experience with dealing with cancer and its complications and have consulted on many patients with medical problems from cancer. My specialties based on my formal training include internal medicine (adult medical care), kidney disease (nephrology), high blood pressure (hypertension), organ failure and replacement ( organ transplantation). Many visitors to Healthtap ask questions about sex - problems with sexual functioning and their causes, treatment of these problems, and how sexual issues are affected by medical problems. I want to try and help in this area as well because it is often ignored by patients and doctors due to discomfort with discussing the issue. Virtual visits may be more successful in dealing sex topics and questions. My goal at HealthTap is to help patients get the care they need and avoid the care that is not indicated and is more risky than beneficial. Consultations will include individual history and evaluation of specific patient problems with review of current standard of care based on scientific evidence and expert reviews and guidelines. Literature reviews can be performed in certain cases. All this information will be summarized for you with your questions addressed so you can go to your current caregivers to have a more educated discussion and to help make better decisions about your care for the medical problems discussed and reviewed. After 43 years I have ceased my patient practice and will be focusing solely on virtual internet consults here at HealthTap providing help as described above. I will not be able to provide usual patient visits, but will act as an ongoing virtual consultant if you wish.

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.

Nephrology and Dialysis

Internal Medicine

Licenses

United States: Illinois

Doctor Q&A

76 Answers
6 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Some may decrease it: Meds can sometimes decrease desire or impair orgasm (SSRI antidepressants). Occasionally some meds may increase desire (pramipexole/Mirapex; Bremelano... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Hours to weeks: The oral medications for treating high blood pressure start to work as soon as they are absorbed and the full effect of a single dose occurs within ho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Probably not: Masturbation is considered a normal part of learning about one's sexuality and sexual response. Anything done to excess may cause issues however, suc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Control high BP: No matter the cause (and mitral valve prolapse is not likely a cause of or caused by high BP) high blood pressure (BP) at level of 140/90 or higher ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Keep trying: High blood pressure can be complicated and difficult to treat. There are many unusual causes. Response to treatment and medication can vary from pati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Maybe: Many medications have been associated with sexual dysfunction in men and women. However it is difficult to prove. From an individual perspective the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Diabetes, High BP: Diabetes and high blood pressure are the most common causes for kidney disease. However there are very many other reasons the kidneys may be damaged o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Unlikely: Eating eggs is not likely to have much of an effect on blood pressure in usual quantities.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Probably not related: Pain, anxiety, fear, physical activity (both aerobic and anaerobic) and other factors can increase BP. Passing gas without pain or other symptoms is u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Yes: People with high blood pressure should eat a healthy diet. Specific dietary recommendations include modest (less than 4 gms sodium/day) low salt diet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Yes: GFR is borderline but with history of diabetes and preeclampsia you may have related kidney disease which can cause or worsen high blood pressure. You... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
May need higher dose: The drugs work the same way. Viagra (sildenafil) works and wears off quickly. Cialis has longer effect and is approved for daily use to be ready for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Effect on heart: They reduce heart rate and cardiac output which can reduce BP. Most BP lowering drugs do dilate blood vessels to lower BP and those are generally the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Rarely: BP meds like minoxidil (also used topically for hair loss) can effect sexual functioning but this is uncommon with minoxidil. See this link: http://t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Can be seen: Fatigue and sleepiness due to kidney failure, effects of dialysis,medication side effects and disordered normal sleep are common problems in dialysis ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Check with your MD: Insulin is more potent rx to lower blood sugar for better diabetes control. But, there is more risk of low blood sugar which can cause symptoms of swe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Excess salt + water: With no kidneys dialysis is needed and excess intake and inadequate removal of salt and water during dialysis is the major factor that causes high blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Ignore: Drink fluids generously (3 qts/day). Petition FDA and insurance companies to approve Tolvaptan.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Ignore: To feel better and live longer more dialysis, not less or get a transplant. Diet-no Na,K,H2O,PO4!
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Less risk: High BP(hypertension) is a risk factor for cardiovascular disease-stroke, heart attacks and disease, kidney impairment and atherosclerosis (hardening ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
About a week: With no kidney function at all (0%) usually 3 days to 2weeks. This sometimes is allowed to occur if a patient stops dialysis due to some other medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Not in small amounts: High protein intake, defined as more the 1-1.3 gm/kg body weight will begin to increase the uric acid which is a breakdown product of protein. Increa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Safety: Falls are a leading cause of injury, leading to risk of impaired quality of life and even death. Patients may be intolerant of sustained standing and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
11/6-11/15: Calculated date of conception (DOC) is 14 days after LMP or 11/8. But this is based on 28 day cycle. Normal menstrual cycles vary 28-35 days. If your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
May be later: You are born with the condition but manifestations may vary. Diagnosis may not be made till adulthood or not until a serious complication occurs. Se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Probably not: But - high blood pressure(hypertension) can be treated and controlled to reduce risk of stroke, heart disease to near normal levels. Creatinine of 1.9... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
See her doctor: It sounds like a bloody discharge. She should see her doctor for exam and check. Probably seeing the doctor who did the hysterectomy would be best. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Unlikely: Cialis effects wear off when you stop taking the medication. It helps men who have problems with getting or maintaining an erection. But, If the medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Need medications: Supplements are of little or no help to treat congestive heart failure and hypertension. However, there are many medications and diet interventions t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Low antigen diet: Patients with IgAN have an immune problem. An Italian study by Ferri reported a marked reduction in proteinuria in IgAN patients put on a strict low-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Caffeine is safe: Most studies show no detrimental or even beneficial effect of moderate caffeine intake ~ 2-4 cups coffee per day. High doses may cause problems altho ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Dialysis: When the kidneys have failed entirely only dialysis and kidney transplantation are effective for treatment unless the kidneys recover function on thei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Usual exercises: The key issue is controlling the BP in the goal range 110-130/60-80 If controlled and no other serious medical problems aerobic (walking, running, swi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Technical inaccuracy: Usually the top number (systolic) and lower number (diastolic) go up and down together within the normal or abnormal range but with some variation. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Lisinopril (ACE inh): Angiotensin converting enzyme (ACE) inhibitors are generally effective and well tolerated and for patients with PKD may help to preserve kidney functi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Yes: See link below: http://www.uptodate.com/contents/nausea-and-vomiting-of-pregnancy-beyond-the-basics?source=see_link Several drugs can be used. It is o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Needs evaluation: Bilirubin is not affected directly by kidney failure or dialysis. Various types of medication can cause elevation or a variety of liver and biliary t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Yes: Celexa (citalopram) is an SSRI antidepressant and those medications can have effects on sexual function especially difficulty having an orgasm. There... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Rest your voice: Laryngitis can be caused by shouting or straining your voice too much. It sounds like that is what happened. You should give your voice a rest. If yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
They do.: Both are used for high blood pressure. Eplerinone is specifically used for high BP due to aldosterone excess which is not the usual kind of high BP. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Creatinine elevation: Creatinine, produced by muscle cells,is not toxic. The level in blood is a marker of kidney function. Increased level usually indicates reduced kidney... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Yes: Patients receiving dialysis can be sexually active. However, the problems that cause renal failure (high BP, diabetes, and CV disease), renal failure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Increased pigment: Kidney failure often causes increased pigmentation similar to tanning. The mechanism may be related to molecules and toxins that build up and are inc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
"Free" all over USA: If you need a transplant due to irreversible kidney failure, there are centers all over USA that can evaluate you and do transplants if needed. All re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Enter study: This is a common problem. There is no FDA approved treatment, but one medication is undergoing the final trials for approval and has shown some benefi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Multiple options: For diagnosis see:http://www.uptodate.com/contents/sexual-problems-in-women. Lifestyle changes like weight loss, exercise and avoiding drugs like alco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Maybe: ABSTRACT “LEOPIN ROYAL®” (LER), a non-prescription health-promoting medication in Japan, is a preparation containing six natural medicines, namely, ag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
93% survive 2 years: Based on data from United States Renal Data System (http://www.usrds.org) for 2010-2012 there is a 6.7% 2 year mortality after starting home peritonea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Multiple Causes: Psycho-social problems, partner issues, chronic medical problems especially diabetes, surgery, medications and other factors can cause or worsen sexua... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Donald Steinmuller
Nephrology and Dialysis 35 years experience
Not for the dialysis: No needle sticks are needed to do the peritoneal dialysis procedure. But routine blood tests, which require a needle stick each time they are done, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

6
Recommendations
87
Thank you notes
HealthTap member
Oct 22, 2015
A Wonderful Doctor, so much knowledge and he cares for his patients, very good at explaining his answers to your questions.
HealthTap member
Mar 31, 2015
Dr. Steinmuller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Steinmuller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! This corresponds to what I am doing as I toook the ALCAT test and was to,d to avoid these foods among some other I'm intolerant to. I appreciate your insight and validat...Read More
HealthTap member
This was very helpful. Thanks! Thank you for this fast answer. Wish I wouldn't need Prograf, but trying to reduce it now. Hope the UC will not flare up again. Again, thank you very much!!
HealthTap member
This was very helpful. Thanks! Extremely informational & helpful. Just what I was looking for!

Education & Training

Medical/Graduate school

Weill Cornell Medical College of Cornell University, NY
Graduated 1971MD

Residency

HARLEM HOSPITAL CENTER
Completed 1974

Residency

BOSTON UNIVERSITY
Completed 1978

Residency

Boston University Medical Center
Completed 1977

Awards

America's Top Doctors, US News & World Report
Most Influential, Second Place, Massachusetts - Spring
2015
Top Nephrologist, First Place, Massachusetts - Spring
2015

Affiliations

American College Of Physicians
American Society Of Transplantation
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