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Dr. Michael Depietro

Pulmonary Critical Care
Hockessin, DE
36 years experience male

About

Bio

I am a Pulmonary Critical care physician with residency and fellowship training that included Georgetown University, Johns Hopkins University Hospital and the NIH. I have extensive clinical practice experience in pulmonary and critical care medicine. I have been very involved in medical teaching, specifically resident, medical student and physician assistant education and supervision in multiple ICUs. In addition I have served as medical ICU director in a large tertiary care teaching hospital, and have led a large number of clinical research and performance improvement projects involving multiple aspects of pulmonary critical care. For the last 7 years I have been working in the pharmaceutical industry focused on respiratory drug & device development to improve the care of lung disease

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.

Pulmonary Critical Care

Internal Medicine

Doctor Q&A

531 Answers
203 Agrees
The number of answers this doctor has agreed with.
A 25-year-old male asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Possibly: Shortness of breath is seen with many problems but always needs a prompt medical evaluation. It is difficult to say how serious a problem without addi... Read More
A 58-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Maybe: Viruses can be transmitted person to person, however a virus that causes pneumonia in one person may not necessarily cause pneumonia in another person... Read More
A 27-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Not urgent: Unless symptoms ( non healing wound, bleeding etc or signs of infection or pain, redness etc.. It is not likely to be a problem.
A 21-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
See doctor: Many possible issues and this is best dealt with by discussion with your health care provider.
A 39-year-old male asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Weight training: The best way to increase muscle strength is with resistance exercise, 3 times per week that gradually increases the load ( or the amount) of work the ... Read More
A 16-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
No it does not: Typically neither a brain aneurysm or neurologic ( brain) surgery affect the immune system. Someone who has a complicated brain surgery and has a rela... Read More
A female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Needs evaluation: If someone has blood in the stool it can be related to many different problems from the relatively minor ( like hemorrhoids) to very serious and even ... Read More
A 27-year-old male asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Discuss with doctor: There are several things that can be done to increase odds of quitting smoking. 1) plan quit date 2) Make sure family and friends help 3) Nicotine su... Read More
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Several: There are several and include generalized symptoms seen in any infection, including fever, chills, poor appetitie, and malaise of just feeling ill. Th... Read More
A 31-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Many: Symptoms include cough, phelgm production, fever, weakness, shortness of breath and maybe even chest pain.
A 27-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Infection/antibiotic: Pneumonia is an infection of the lungs, which can be caused by bacteria, viruses, or fungi. Somethings which predispose to pneumonia include impaired ... Read More
A 23-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
May be symptom: The ice cubes themselves do not cause pneumonia. They can injure the teeth. The compulsive eating of ice can itself be a symptom called "pica" . It ... Read More
A 27-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Variable: This is variable but symptoms generally start to improve 3-5 days after getting antibiotics, total resolution may take a little longer.
A 20-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Mucolytic, not very: Nac is also called n-acetylcysteine. It can be used to help break up thick secretions particularly in patients on mechanical ventilation or who are un... Read More
A 42-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: If serious and untreated can even lead to death, patients with suspected pneumonia need medical attention right away.
A member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Hard to say: The answer depends on what is causing these symptoms, but they are serious enough that someone with them should see a doctor asap. Can represent may s... Read More
A 29-year-old male asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
No: It would be unusual to get COPD at the age of 20, but not impossible, especially if you were particularly succeptible. Those who have a hereditary def... Read More
A 48-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
See dentist: See dentist for proper oral teeth cleaning and to address problems that can be causing bad breath such as a tooth abscess or peridontitis. Should also... Read More
A 39-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Enzyme from heart: Troponin is contained within heart muscle cells and in a heart attack the damaged cells 'leak" the troponin into the blood and the elevated levels can... Read More
A 45-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Several reasons: This question is not fully answered. It seems in patients with emphysema the lungs ability to defend against infection is decreased but the specific a... Read More
A 56-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Difficult to say: Difficult to answer specifically, so you should talk with your doctor. In general the "seriousness" of pneumonia can be judged by several factors.The ... Read More
A 33-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Depends: There are a variety of antibiotics the specifics depend on what kind of germs you are likely to be exposed to, if you have an underlying chronic condi... Read More
A 45-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Hard to say: This is really not a medical question, but more of a social political one. That said the amount of exercise provided by school pe is trivial. A larger... Read More
A 37-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Several: Patients typically complain of shortness of breath, cough, or chest heaviness. On exam patients may be breathing rapidly with an elevated heart rate, ... Read More
A 34-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: Also called takotsubo's cardiomyopathy, it is a kind of acute weakness of the hearth muscle in which the apex of the heart tends to "balloon" thus ma... Read More
A 36-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Several things: It takes a medical evaluation to know for sure, and is based on the symptoms the baby is having ( does the baby appear short of breath, coughing up ph... Read More
A 35-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Swollen feet: Not much more to add, swollen feet can be caused by a number of problems, some serious, some less so.
A 36-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
No: Atelectasis is collapse of a portion of the lung or an area that is not not fully inflated. Depending on the degree and the situation it can either ... Read More
A 36-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Either: Most patients who get septic do have an underlying disorder that weakens them and predisposes to severe infection. This does not have to be the case h... Read More
A 45-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: In some cases this may be an option, but the details should be discussed with one's personal doctor.
A 55-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Flare up: Not clear what question is, but if a person with COPD is having these symptoms, there COPD may be worsening and there may be an acute infection. This ... Read More
A 45-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: The prognosis of hepatic encephalopathy really is dependent on how far advanced the liver disease is. If the liver function is still enough to be comp... Read More
A 42-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Nosocomial pneumonia: Pneumonia associated with a stay in the hospital ( hospital acquired pneumonia is also called nosocomial pneumonia. Lack of secretion clearance is one... Read More
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: Asthma most often will not have abnormal chest xray findings and unless very severe episode oxygen levels will be ok as well.
A 38-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Liver -brain problem: Hepatic encephalopathy is a kind of delirium, or brain malfunction caused by liver disease. When the liver is not working toxins are produced or not a... Read More
A 42-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: This is the name for the pathology of a disorder called pulmonary fibrosis. This is a progressive disease, which has no cure, how fast it progresses c... Read More
A 38-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
From brain injury: This is a kind of noncardiac pulmonary edema. Its seen with a variety of acute brain injuries like head injury and large strokes especially hemorrhage... Read More
A 22-year-old male asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Need hosp ASAP: This sounds like and exacerbation of his copd, in this situation he is at risk for getting much worse, even including progressing to respiratory failu... Read More
A 33-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Less severe: "walking pneumonia" just refers to a pneumonia in which patients have relatively milder symptoms.
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Pneumonia: Pneumonia cause by the germ legionella. It is not all that different from any other pneumonia, although it can be very severe and can be associated wi... Read More
A 31-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Several mechanisms: Severe high blood pressure can cause the heart to perform less efficiently causing "cardiogenic pulmonary edema" and the release of chemicals which pr... Read More
A 44-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
2 medicines: Its a combination of a medicine called Pseudoephedrine which is a decongestant that works by shrinking the blood vessels in the nose and an expectoran... Read More
A 48-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
No: If one had 1 year of symptoms they don't have pneumonia that's not getting better, but another disease that is recurrent or progressive that causes si... Read More
A 34-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Particular xray: This refers to a kind of xray change seen in some kinds of pneumonia. It is not associated with a particular germ however. Although this was once thou... Read More
A 30-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: Emphysema can occur with a normal chest xray. Mild changes may only be visible with ct scan, however the underlying physiologic abnormality with emphy... Read More
A 34-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Yes: Blood pressure and cholesterol are risk factors for coronary artery disease, it is possible to have these risk factors under good control and still g... Read More
A 35-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
It does not: Bacterial pneumonia is caused by inhalation of organisms that we are colonized with into the airway. So it is not spread person to person per se. From... Read More
A 24-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Anti seizure drugs: Treatment has 3 parts. The first is to stop the seizures. This can first be done with the medicines used to sedate patients for any reason in the inte... Read More
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
No: The disease affects men more often, but women make up 40% of the cases.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 36 years experience
Sponge: A tiny teflon sponge is used that is inert and not rejected.

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

4
Recommendations
1.2K
Thank you notes
HealthTap member
Mar 30, 2015
Dr. DePietro is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. DePietro is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. DePietro is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
She woke on the first day I visited and was able to be responsive by facial expressions and nodding. She is now off the ventilator. What a relief! Docs say her being non-compliant w' CPAP caused her C...Read More
HealthTap member
Thanks for your quick reply! Thank you for ur quick replay , in terms of to rehydrate intracellular and raise the BP which fluids would be good and why?
HealthTap member
wanted to know a little More about that because i just went through a septic shock and still have kidney problems scared to go back to shock

Education & Training

Medical/Graduate school

Hahnemann Medical College, PA
Graduated 1986MD

Awards

Top Doctor, Third Place, Delaware - Winter
2013
Most Influential, Second Place, Delaware - Winter
2013
Thought Leader, Third Place, Wilmington, DE - 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