Dr. Michael Depietro

Pulmonary Critical Care
Hockessin, DE
37 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 37-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Depends: Depends on the environment the body is in, faster if dead person is in the northern canada or on a beach in the south pacific.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Depends: " interstitial pneumonias" really are a group of diseases, that have some factors that make them more likely, for example one type called idiopathic p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Slow heart rate: The heart rate and blood pressure drop, in some cases the person may become confused or lethargic. If severe overdose cardiac arrest can occur.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Time: This is not something covered in medical school, but i can tell you as a one time guitar player myself, if you practice a lot over time finger tips w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Depends: This really depends on the specifics of ones situation, how much one wishes to discuss and the relationship with family members etc. If this is an iss... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
No: The drugs given for the most common type of pulmonary fibrosis, would include anti-inflammatory medicine and an immune suppressant called azathioprine... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Depends: There are cases in which the physical signs and symptoms are so characteristic that the diagnosis can be made on the first office visit, or at least s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Not with care: While ALS is ultimately a fatal disease, patients can be treated both to prolong life and to ease discomfort. For some patients wihen the breathing m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
The nerves: Als or amyotrophic lateral sclerosis ( or "lou gehrig's disease") is a disease in which the motor nerves in the brain, or in the spinal cord degenera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Before coma: Patients with the most common cause of sporadic encephalitis do best if treated with a specific antiviral agent called Acyclovir before they lapse int... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Very: It is one of the most common causes of pneumonia in the community.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Will anticoagulant: People who survive a pulmonary embolism must be treated to lower their risk for a second event. This is usually done by taking blood thinners for a mi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
History/exam/labs: Pneumonia is suspected when there are compatible symptoms this may include shortness of breath, fever, chills, cough productive of foul sputum. On exa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Not really: Vascular eds does not affect the lungs, the confusion may be caused by the fact that medicines used to treat eds like viagra (sildenafil) work by dila... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
By changing genes: This is not completely understood, but there is experimental evidence from animal experiments and such, that the pseudomonas grown in a low phosphate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Varies: This bacteria is a relatively common cause of hospital acquired infections. It is also an important cause of infection in patients with cystic fibrosi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Well maybe: Hand washing may decrease your risk of getting infections like the flu. In some cases the flu can lead to secondary infections like pneumonia that ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
No: Aspergillosis infects the lung when the immune system does not work well, or when the lung is damaged in some way, such as when there is a cavity or c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Yes: Bird flu is very serious, but you should speak with your doctor to determine what you really have if you have lung symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Treat cause: Encephalopathy is a non specific term that refers to brain impairment or delirium. It is caused by a number of things ranging from drug intoxication, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Small: About 5-10 % of cases of COPD are not linked to smoking. The bulk of these have poorly controlled asthma, in which the asthma which is mostly reversib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Sometimes: In lou gehrig's disease the motor neurons ( the nerves that supply the muscles) die. Your brain is connected to your muscles by 2 nerves, an "upper m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Its not : There is no direct link between hypertension ( high blood pressure )and pneumonia, sometimes with a severe pneumonia the blood pressure can be too lo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
No: Scoliosis tends not to worsen in adulthood, but patients with scoliosis may get back pain, stiffness with a long drive from poor posture etc.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Varies: High blood pressure over years damages blood vessels leading to things like stroke & heart attack. BP > 140/90 over time increases the risk for the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Neither: 90-90% of case of ALS are not inherited, it occurs at random at its cause is not known. In 5-10% of cases there is a familial form of the disease. In ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Very serious: Malaria is a potentially fatal infection with a parasite that is transmitted by mosquito bite. It can cause fever, anemia, brain swelling, lung injury... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Just flu: For the most part the only virus that causes pneumonia in adulthood with a vaccine is the flu. However some childhood illnesses can be associated with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Does not usually: Pneumonia does not typically decrease the hemoglobin levels. Patients, critically ill with severe pneumonia may have severe inflammation throughout th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
No: No it involves the lung tissue and so is a lower respiratory tract infection.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
For brain protection: It is thought that repetitive seizures if not controlled can themselves injure the brain. If the seizures are hard to control it is necessary to give ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Refers to density: Hounsfield units are a measure of how easily xrays penetrate the object, and therefore how dense it is. For example structures with lots of air in the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Arginine containing: The Amino Acid arginine is a precursor to nitric oxide. It is found in dairy products, poultry and fish. In fact its normally made by the body and th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Many: No doctor specializes in pneumonia but some doctors have special expertise in broader fields and may manage more severe pneumonia. Pulmonary -critical... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Difficult to say: The fact that he continues to need life support may mean other problems beyond the drug overdose. The overdose itself would improve once the drug was ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Trauma: Pneumocephalus is air within the cranial cavity and would be seen after a traumatic head injury and skull fracture. Rarely after a neurosurgical proce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Comfort: Historically it has been felt patients need to be sedated to tolerate the procedures administered in the intensive care unit such as mechanical venti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Nothing: Viral pneumonia is often milder, however if severe it is problematic in that outside the flu and some rare infections affecting only people with damag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Neither: Pulmonary edema is fluid in the lungs, while it can look similar to pneumonia on chest xray its really a different disease. Sometimes severe pneumonia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Not usually: There are some lung problems however which can vary with the menstrual cycle. One of these is asthma. Some women with asthma find their symptoms wors... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Yes they are: Patients who abuse alcohol are more likely to become septic, and less likely to survive critical illness. This was demonstrated by a large study of ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Maybe: Poisoning with aluminum phosphide used in insecticide can cause hemolysis.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Does not: At least not in humans. Ethylene glycol is metabolized to a number of toxic compounds that can damage kidney, brain and heart. In animals particularly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Depends how sick: In a patient who did not need to be hospitalized , usually most people will start to feel better after 3-5 days of antibiotics and be close to normal ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Apsiration: Most bacterial pneumonia is due to a small amount of oral pharyngeal secretions being aspirated or trickling into the windpipe and entering the lungs.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Yes: Patients who use albuterol too much may have side effects like fast heart beat and palpitations. More importantly albuterol does not treat the real pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Many possibilities: First it is not always the case that there is decreased urine output. If it is, there are a couple of possibilities. The main ones are 1) the patient ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Not likely: You are not diagnosed with mrsa, per se. Mrsa is a bacteria, it is not even really a disease. People with chronic illness and even hospital personnel ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
Imaging: The diagnosis is a combination of history, chest x ray, often a chest ct scan and pulmonary function tests.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Michael Depietro
Pulmonary Critical Care 37 years experience
No: Pulmonary edema is fluid in the lungs and occurs from a variety of causes. One cause is impaired heart function causing fluid to "back up" into the lu... 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.

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
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