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Columbia, MO
University of Missouri Hospitals & Clinics, Pathology
Columbia, MO
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SpecialtiesDoctors 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.
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.
Pathology
Doctor Q&A
379 Answers
35 Agrees
The number of answers this doctor has agreed with.
A 30-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
No: Some brain tumors cause no symptoms and are discovered incidentally when a head scan is done for other reasons, such as after a car accident. There a... Read More
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4.9k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Changed tissue: "metaplasia" refers to one tissue type undergoing a change to another, such as bronchial lining (which is usually a single layer of cells, "respirator... Read More
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5.4k viewsAnswered >2 years ago
A female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
What : What you describe is not typical for epileptic seizures but you should definitely see a neurologist to be evaluated to make sure you do not have seizu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Dr : Dr krob is correct; huntington's disease is not associated with hearing loss, except perhaps by coincidence as older individuals with hd may also have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
maybe: Brain tumors are not common in people your age, but they can occur. You describe neurological problems which need to be addressed: diagnosed and then... Read More
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4.8k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Years, but variable: Most cancers are thought to have long "hidden" development periods in which they are not clinically detectable. Many, but not all, go through "pre-ca... Read More
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5.4k viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Complex: You may have a recurrence of your cerebellar tumor, or you may have a new and different neurological problem. You should see your physicians asap and... Read More
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4.9k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
As : As dr mccarren has written, your case description is atypical for guillain-barre syndrome, although we would not rule out the diagnosis from what you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Peripheral : Peripheral neuropathies are often quite painful, indeed. If you have been previously diagnosed with neuropathy, assuming it was not called "pure moto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
I : I share dr fox'es dismay at your problem. While conservative treatment in general is often a good idea, you should probably not have physical therapy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
I : I am very sorry to hear about this, and as you have likely heard by now (avvo says you posted 19 hours ago) there is not likely much good news i can g... Read More
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5.5k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Probably muscle stra: It seems most likely you have a muscle strain. It is unlikely this relates to your blood pressure, but might have something to do with your "heavy ba... Read More
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5.4k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
No: Despite deliberately misleading propaganda to the contrary, there is no evidence whatsoever, nor any plausible mechanism, which would relate having an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Yes: The aids virus, hiv, has been detected in saliva and at least theoretically could be transmitted by exchange of saliva during kissing. This is a low ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Clever cancer: Cancers are composed of populations of cells which divide and multiply rapidly and which have various abnormal metabolic pathways. Anti-egfr drugs ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Yes: "cbc" (complete blood count) is a measure at a particular time of how much of the blood is composed of red blood cells, and what the size and hemoglo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Not very: These are done with local anesthesia and with very thin needles. After the anesthesia wears off you will be a little sore but not too much. Talk to ... Read More
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5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
They are not: Aids was first identified in a population of gay men who engaged in anonymous sexual intercourse with multiple partners without protection. This beha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 53-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Careful watching: Barrett's esophagus by itself isn't dangerous, but it can be a premalignant lesion. In some circumstances it can be surgically removed, but most ofte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Negative: The test directions tell you to read these when they are fresh. They may undergo changes over many hours which do not indicate anything about the pos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Proper pathology: If the removed tissue was properly evaluated by a competent expert neuropathologist or endocrine pathologist there should be virtually no room for con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Talk to your doctor: Clearly most of what can be done to prove you are not pregnant has been done, so there must be other explanations for your symptoms. You have not sta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Fairly reliable: Home pregnancy tests are marketed with the oversight and approval of the fda. The use a proven technology, and if used correctly are usually reliable... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
More data?: A sensible answer would need more information. What was his hematocrit? His rbi count? His WBC count? Without those the single number for hemoglobin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
1 comment
A 38-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Yes: For an adult the neutrophil numbers might be a little low and the lymphocyte numbers a little high, but for a 6 year old this is within expected param... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
No: If i understand your question correctly, the report says your blood tests are "non-reactive" for hiv. That means there are no antibodies in your bloo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Unlikely: There is no reason to think you would have a bacterial infection in your blood (septicemia, "blood poisoning") from a rib fracture you had a month ago... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 29-year-old male asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Viral liver disease: Hepatitis b is a viral liver disease. Until vaccines were developed this was a very common cause of hepatitis, and still is in some countries. Hep b ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Tumor: "tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
No proven danger: There is no convincing scientific evidence to suggest that cell phone use, heavy or otherwise, causes brain tumors. This has been looked at in several... Read More
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4.9k viewsReviewed >2 years agoMerged
A 45-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Won't: Cabergoline is a specific antagonist to prolactin release from the pituitary; it should not affect the pituitary's release of thyrotropin, or the thyr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Non-specific: Uterine cancer can certainly be a cause of post-menopausal bleeding, but more often the cause is something benign. You should not panic about one epi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Probably not: You should see your doctor. It is most likely that if you did the pregnancy tests as per instructions then with 4 negative tests you are not pregnant... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Yes: Water is fine before a blood glucose test, but don't eat any food or drink other liquids which might falsely elevate the glucose level in the blood.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
What?: Sorry i can't figure out what you might mean by "ensysopathy". There is no such word. An elevated ESR indicates a systemic inflammatory condition, p... Read More
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5.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Family: Unless you die under circumstances which require a medical examiner to do an autopsy (possible homicide, suicide, unexpected death not under doctor's ... Read More
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5.2k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Investigate: You need to have a talk with your physicians. Why was an ESR even done on a 4 year old? What other tests were run, what are her symptoms, what is sus... Read More
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4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Sleepiness: There are many ways a brain tumor patient may die, but commonly in the last stages the patients are progressively sleepier. They usually report littl... Read More
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4.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
In nervous system: Rabies virus doesn't actually 'avoid' white blood cells, but when it is inside brain cells (having traveled to them from a bite site on the skin or in... Read More
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4.9k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Not very: Chiari malformations are fairly rare, and brain tumors are not very common either. So the combination of the two is fairly unlikely but certainly not... Read More
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4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
History: Pain is almost never a symptom of breast cancer. If you have pain in one breast, you might have had trauma to it, or you may have an infection in it.... Read More
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4.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
What's in them?: Your question is very general. All sorts of things might be sold as 'breast enhancements'; most don't work and might contain dangerous chemicals. If... Read More
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4.9k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Not likely prostate: At your age the risk of prostate cancer, or of an enlarged benign prostate, is very small, so i don't think this can anything to do with your prostate... Read More
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4.9k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Variable: I will presume you mean grade iv, not 'stage', and that grade is the highest grade of malignancy in brain tumors. Often these don't become symptomati... Read More
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4.9k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Not enough space: This is a very complex question. There are a great many types of brain tumor and they all have different statistical associations. If you want avera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Very few: The cause of most brain tumors is unknown, but it is fairly clear that most are "sporadic", not caused by an inherited abnormalities. A small number ... Read More
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4.9k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Not very: Vertigo is sometimes caused by a brain tumor affecting the vestibular nerve, a so-called 'acoustic neuroma' (vestibular schwannoma). However there ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Somewhat: The most common cause of a high urine white cell count is an infection of the bladder. This won't show on ultrasound, which is done to exclude other ... Read More
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5.1k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
Unlikely: There is no significant risk for a brain tumor documented for medically necessary, appropriately performed ct scans. These tests use xrays and in the... Read More
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4.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Douglas Milleranswered
Pathology 43 years experience
No: Brain tumors are relatively uncommon, and the peak age for the most common type of brain tumors is between the fifth and seventh decades of life (40-7... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
302
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Miller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Miller is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! Thank you! I have made an appt with my Doctor for Monday. Hopefully i will get some answers! I will keep in touch if i have any questions!
HealthTap member
thank u doctor.i had an intercourse on 13th april n tested -ve on same day.when can i get tested again.if again -ve will it confirm im safe?
HealthTap member
Thnx dr :-), my Esr is 2mm & c relative protein is -ve,still polymalgia?my vit d is low n I m taking med,not sure wht causing all this.
Education & Training
Medical/Graduate school
MD, University of Miami School of Medicine
Graduated 1978MD
Medical/Graduate school
PhD, University of Miami
Graduated 1980MD
Residency
Neuropathology, Massachusetts General Hospital
Awards
First Prize, Neurology, British Medical Association Book Awards
Top Doctor, First Place, Columbia, MO - Winter
2013
Most Influential, First Place, Columbia, MO - Winter
2013
Affiliations
American Association of Neuropathologists
College of American Pathologists
American Society for Clinical Pathology
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