Dr. Thomas Heston

Family Medicine
LAS VEGAS, NV
31 years experience male

Locations

Internet Medical Association

LAS VEGAS, NV

Address

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

My office hours

Thursday: Closed
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

682 Answers
207 Agrees
The number of answers this doctor has agreed with.
A 52-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Too High: About 1 in 4 people eat fast food every day (https://www.dosomething.org/us/facts/11-facts-about-american-eating-habits). American children now get ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Source of pain?: First step would be to figure out what is causing your pain, then take appropriate action. I'd recommend going to your primary care provider to have ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Appears blocked: A functional occlusion has been defined as a artery that appears completely blocked, but shows some flow of the contrast past the blockage on imaging.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Thomas Heston
Family Medicine 31 years experience
This might adversely affect the recording. Check with the clinic that placed the electrodes and they should be able to sort this out for you.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
It's Political: At this point I guess that the majority of communities will be back to work by early June. This is really a wild guess as the decisions will be almost... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Get checked out: I would get this checked out in person sooner than later. It could be something simple but you don't want to miss finding any damage to your vital org... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Maybe a little : For males, growth in height can continue into the early 20's. It seems reasonable that some men will also experience penile growth during this time. N... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 68-year-old female asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Get Expert Review: Review this with the ordering clinician. However, from the limited info provided, it is very likely that this does not need to be removed, and that do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Benzodiazepines: Benzodiazepines are commonly prescribed for short term anxiety. Hydroxyzine is also used. Anxiety medications have important side-effects, which limi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
No: Usually the camera only images your chest and abdomen. You would need a different scan to image arteries in the neck and head, a common one would be u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
No: It is never to late but you will get more benefits the earlier you start.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Unknown: The cause of sarcoidosis is unknown. Genetic factors may predispose a person to sarcoid. African americans more likely to get than caucasians, and fem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
65 for most women: It is recommended to get a DEXA scan at age 65 for most women, sometimes earlier if significant risk factors for osteoporosis are present. I think whe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: A good place to look is clinicaltrials.Gov where i did a search and found several. See: http://clinicaltrials.Gov/ct2/results?Term=testicular+cancer&s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Usually cancer: A pet/ct scan is usually used to image glucose metabolism in people with cancer to identify the extent of the cancer. It can also be used to image the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Keeps you healthy: Exercising the brain keeps the brain healthy. Exercising the heart keeps the heart healthy. Exercising the muscles keeps them healthy. Numerous studie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Risk increased: Diabetics have increased risk from infections due to the systemic effects of diabetes. However, an increased risk does not mean that you personally wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Better health: Treating anemia typically leads to higher energy levels. The major question to answer is "what is the cause of the anemia?". This is critically import... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: After an angiogram, the perfusion scan may be done prior to stenting to plan the revascularization procedure. In addition, the perfusion scan can be d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
The consequences: Similar to slow onset hypertension, early diabetes can be entirely asymptomatic. The only reason to treat when you feel fine is because you want to pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Not at all: There are no known adverse effects from the radioactivity used in a myocardial perfusion scan. There are theoretical risks, however, these risks have ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Lab tests: You need to have regular lab tests to check your kidney function. The urine is checked for protein and blood tests are used to estimate the glomerular... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Weight control: The most effective way to prevent type 2 diabetes is by maintaining a healthy weight and consuming a diet low in simple sugars. Regular exercise is im... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Not always: Having diabetes doesn't automatically put you at increased risk, especially if you are otherwise healthy and your diabetes is under good control. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: There is a genetic predisposition to some forms of dementia. However, you can delay the onset of many types of dementia (e.g. Vascular) , and some for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
The V/Q Scan: The pulmonary v/q scan is primarily used to evaluate for pulmonary embolism. This involves imaging blood perfusion to the lungs as well as ventilation... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
No: The scan itself should not cause a cough. However, you may experience a cough after performance of a stress treadmill test (due to exercise induced a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Blood vs air: The perfusion scan images blood perfusion of the lungs. The ventilation scan is used to image ventilation by air of the lungs. Generally, both are per... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: In general, a light meal is ok but a heavy meal is not recommended. Check with the clinic where you are going to have the test to get their recommenda... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: You can drive home unless you are administered a medication for relaxation during the test as is sometimes necessary for people with severe claustroph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Adult onset: Type 2 diabetes can start in younger people, but generally it is adult onset. People with diabetes type 1 disease require insulin. Those with type 2 d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Typical: The typical finding is a mismatch between ventilation and perfusion, however in people with small clots or underlying pulmonary disease the findings a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Depends on dose: It depends on the dose but a rough estimate would be 15 to 20 msv.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Resources: In 2010, the rate was about 15 cases per 100, 000 population in the U.S. See: http://sgoti.Ws/zqhkwk.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: Diabetes increases the risk of infection, especially when blood sugar levels are out of control. The best way to lower your risk is to keep your blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Radiotracer + gamma: For a nuclear thyroid scan, you are administered a radiotracer either by mouth (typical for radioiodine) or IV (for tc99m pertechnetate). Some time is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Childhood disease: Reye syndrome is sudden (acute) brain damage and liver function problems of unknown cause. For prevention, do not give a child Aspirin or Aspirin cont... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
The diaphragm: The position of the diaphragm can change depending upon whether you are lying down prone or supine. Scanning from both directions is sometimes used to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: Both type 1 and type 2 diabetes have a genetic predisposition, although other factors also frequently play an important role especially in type 2 diab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: Yes, there is no restriction.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Sometimes: It is possible but more often you will get your results the next business day.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Infection: Hiv infection is a condition caused by the human immunodeficiency virus (hiv). The condition gradually destroys the immune system, which makes it hard... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Images calcium metab: Usually in adults the bone scan is used to detect metastatic cancer. It also is frequently used to evaluate for possible stress fractures in people wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Different Results: This scans look at different things and give the physician different information. The bone scan looks at bone metabolism. The ct and MRI look at bone ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 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 33-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
What age?: Health statistics from the cdc indicate that the average height for a male at 20 years of age is 69.6 inches (5 ft 9.6 inches). This declines slowly s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
No: Basically, no. But one common sexually transmitted disease, hpv, can result in cervical cancer. There is a vaccine available for women to help prevent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Thomas Heston
Family Medicine 31 years experience
They Haven't: Schools continue to teach basic hygiene, the most basic being to wash your hands. They could do better, however, in several areas including how to pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Bile reflux : Duodenogastric bile reflux occurs when bile from the gallbladder backs up into the stomach. This is what it appears that you have based upon your hida... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Thomas Heston
Family Medicine 31 years experience
Yes: Generally a blood test (TSH) and the thyroid scan are sufficient to identify grave's disease.
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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