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Dr. Thomas Heston

Family Medicine
LAS VEGAS, NV
30 years experience male

Locations

Internet Medical Association

LAS VEGAS, NV

Address

848 N RAINBOW BLVD, SUITE 1288, LAS VEGAS, NV
Directions

My office hours

Tuesday: 9:00am - 5:00pm
Show more

About

Bio

Tom Heston MD earned his MD at St. Louis University and completed post-grad training at Duke, Oregon Health Sciences, University of Washington, and Johns Hopkins Hospital. Dr. Heston is a Fellow of the American Academy of Family Physicians, a Fellow of the American College of Nuclear Medicine, and a Fellow of the American Society of Nuclear Cardiology.

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.

Family Medicine

Healthcare Professional

Hospital-based practice

Nuclear Medicine

Public Health

Licenses

United States: Idaho, Oregon, Washington

Doctor Q&A

680 Answers
202 Agrees
The number of answers this doctor has agreed with.
A 20-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Cosmetic appearance: x-ray along with examination by a experienced clinician is best way to tell. Some people think that if it looks cosmetically okay and you can breathe ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Maybe: Scoliosis is common and usually will not affect the interpretation of the bone scan. A pet/ct bone scan can help eliminate benign bony abnormalities f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Find out the cause: If you could figure out why you always keep shaking your leg, then fix that, your problem would be solved. Sounds like you might have a repetitive use... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Assigning causes: A common pitfall is to not try long enough. Another common pitfall is to assume that it is a problem with the woman. A third is to not get medical hel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Lifestyle & Genetics: There is a genetic predisposition to diabetes, but the precise mechanism of triggering diabetes type 1 in particular is not well known. Staying active... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Cardiac risk: The scan is used primarily to assess a person's risk of an adverse cardiac event (heart attack, cardiac death, urgent revascularizatioin) and to help ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Probably not: In most clinics, you will need to stay still for 20 to 30 minutes while being scanned. If unable to do this, you may want to investigate other imaging... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Initial prevention: Primary prevention is the prevention of disease, in this case coronary artery disease through actions such as exercise and diet. Secondary prevention ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
V/Q mismatch: "ventilation - perfusion mismatch consistent with a high risk of pulmonary embolism.".
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Movement: Am unclear as to your question, but if i understand right, then moving during the scan would cause problems. Not removing a bra containing wires could... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Blood Sugar Disorder: From the nih: "type 2 diabetes is a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. Type 2 diabetes is the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Not necessarily: Your craving most likely is not a genetic disorder than would be passed onto your child. However, if you regularly give into your craving, and teach (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
H & P & Tests: The first step is obtaining a good history and physical. Next is ruling out reversible causes of mental decline such as toxicity, sepsis, or hormone p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
In some cases: There is some evidence that multi-infarct dementia can be prevented through good blood pressure control, good cholesterol levels, and regular physical... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Blood pressure: In addition to the previous answers given, there is some evidence that controlling your blood pressure, controlling your cholesterol, and staying acti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Pulmonary embolism: The v/q scan is a nuclear medicine study that is used to evaluate for possible pulmonary embolism or to evaluate resolution of previously known pulmon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Risks: It all depends upon concentration. Low concentration (10% or less) for infants 2 months of age or older appears to be safe (http://goo.Gl/gr5mm) . In ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Yes: For adults with type 2 diabetes, in general, annual eye exams, annual lab tests, and regular physical exams (including the feet). Regular dental care ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Yes: Many causes of cancer are not genetic and the risk greatly decreased through lifestyle. Don't smoke. Exercise. Eat a healthy diet. Protect yourself fr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Several: There are several new medications for diabetes and diabetes related conditions. One of the newer classes of medications for diabetes are the dpp-4 inh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Yes: A pacemaker should not adversely affect the myocardial perfusion scan in any way and you should be confident going ahead with the scan. The scan will ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Blood Perfusion: The angiogram shows anatomic blockage of coronary arteries. The myocardial perfusion scan shows blood flow to the heart. Blood flow can get past large... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Usually none: People with diabetes most often can work like everybody else. All employees deserve respect. The degree of diabetes experienced by people varies widel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Probably: There probably are gender differences in the response to medications, however, this has not been well studied and it is common to start off with metfo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Yes: If you are released from the clinic, you will meet federal and state regulations designed to make it safe to be around other people, including childre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Oral and Insulin: Both oral medications and Insulin are used to treat type 2 diabetes. Usually, an oral medication is started first, and if it fails, then Insulin is us... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Assess risk: 1. Determine blood flow to the heart at rest and at stress. The difference between these two can help determine risk of a major cardiac event such as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
No delay necessary: When you are released from the clinic, you have been determined to be safe to be around other people, so you can visit them immediately when you are s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Yes/No: Cardiovascular disease is the most common cause of death world wide. Not everyone who gets heart disease will die from it however.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Unlikely: Unlikely but not impossible since sometimes a period is just spotting. Some couples are very fertile. The rhythm method isn't very effective, so conti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Tolerance breakdown?: Not sure what you are referring to, "tolerance breakdown." ? Could you restate the question? If you are referring to an increase in Insulin requiremen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Needs FNA: Typically you will undergo fna first. Correlation with ultrasonography is important as well as other lab tests including antibody testing.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Yes: A complete thyroidectomy in which all of the tissue is removed will result in a reduced thyroid hormone in the body (zero). But sometimes only part of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Bone metabolism: The bone scan images bony metabolism, specifically the formation of new bone (osteoblastic activity) which is usually increased in response to an inju... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Possibilities: Possibly tension from the sexual act, anxiety, or exhaustion.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Habit: Habits sometimes can be hard to break and hard to establish. This is why it is important to establish healthy habits early in life. One of the best th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
It doesn't: Thyroid hormones at normal levels do not cause exophthalmos. Increased swelling of the orbit and surrounding muscles can be a consequence of grave's d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Sugar: The sugar isn't great, and getting a fast load of sugar and caffeine can sometimes over stimulate. Like most foods and beverages, you can overdo it. A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Lifestyle: Given all that we know about the health benefits of exercise and a healthy diet, it is surprising that only a small percentage of people get the recom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Talk with your doc: This is highly variable, depends upon how many previous childbirths (if any) and how far away you are from the hospital and many other factors like ho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Sounds OK: You might be having some recurrence of your hemorrhoids. Stool shape really varies quite a bit and would not be diagnostic of hemorrhoids.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Maybe: Only take prescription medications as prescribed and do not share with friends. There can be significant side-effects.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Best to follow dirs: It is best to follow directions and take medications as prescribed. If you want to change how you take your medications, talk with your doctor first.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
CCB: A calcium channel blocker used for high blood pressure and angina. See http://goo.Gl/s7kqx.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Use a chart: There is no formula to convert t-scores to z-scores. The T-score compares your bone density with that of healthy young women. The z score compares yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
No: Hot spots indicate increased bone metabolism or artifact or urine pooling. Hot spots in the bone can indicate cancer, trauma, arthritis, infection, or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Dx thyroid disease: A "thyroid scan" may refer to an ultrasound, which can document size and nodules. Helps with needle biopsy. Also may refer to a nuclear scan, which im... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Heston
Family Medicine 30 years experience
What height?: Average weight should be discussed in the context of height, since children experience growth in height at different times, expecially during 12 and u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Could be...: Could be muscle spasm or strain. Pain with movement like this often is related to joint or muscle issues. Symptoms like these deserve a full evaluatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Thomas Heston
Family Medicine 30 years experience
Could be: New symptoms like this could indicate a vascular problem or change in blood flow. Vascular problems can be quite serious, and although your symptoms m... 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.

3
Recommendations
1.2K
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Heston is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Heston is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Heston is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! thank u for that information I always said," it all started when I was 22."seems you know what your talking about.now i should listen to my body
HealthTap member
One onther thing can diabetes cause you to lack in having sexual feelings or not having it at all I loose having the drive a lot more now.
HealthTap member
Thank you dr Thomas. I'm always worried that my gp will say that they are cysts and they are not cancerous and that I'm worrying too much

Education & Training

Medical/Graduate school

Saint Louis University School of Medicine, MO
Graduated 1992MD

Residency

Oregon Health and Sciences University

Residency

Duke University / Fayetteville Area Health Center

Residency

University of Washington / Southwest Washington Medical Center

Awards

Distinction in Research, St. Louis University School of Medicine
Fellow of the American Academy of Family Physicians
Fellow of the American Society of Nuclear Cardiology

Affiliations

American Academy of Family Physicians
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