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Dr. Douglas Miller

Pathology
Columbia, MO
42 years experience male

Locations

Office

Columbia, MO

Address

1 Hospital Drive MSB M263, Columbia, MO
Directions

My office hours

Wednesday: Closed
Show more

Insurances accepted

BlueCross BlueShield

University of Missouri Hospitals & Clinics, Pathology

Columbia, MO

About

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.

Pathology

Doctor Q&A

379 Answers
35 Agrees
The number of answers this doctor has agreed with.
A 41-year-old member asked:
Dr. Douglas Miller
Pathology 42 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.
A 44-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 33-year-old member asked:
Dr. Douglas Miller
Pathology 42 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
A 48-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 18-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 18-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 39-year-old member asked:
Dr. Douglas Miller
Pathology 42 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
A 45-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 43-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Overall poor, but: As physicians we track, or read from studies that have tracked, survival from large numbers of patients with each type of cancer. So we could tell yo... Read More
A 32-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Size, detectability: Ct scans will indeed show the mass of a pancreatic cancer once it reaches a certain size, but most cases are advanced by the time the primary tumor is... Read More
A 19-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 38-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 36-year-old member asked:
Dr. Douglas Miller
Pathology 42 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
A 48-year-old member asked:
Dr. Douglas Miller
Pathology 42 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
A 27-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 32-year-old member asked:
Dr. Douglas Miller
Pathology 42 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
A 29-year-old male asked:
Dr. Douglas Miller
Pathology 42 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
A 29-year-old male asked:
Dr. Douglas Miller
Pathology 42 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
A 34-year-old male asked:
Dr. Douglas Miller
Pathology 42 years experience
Usually: Pancreatic cancer is usually an aggressive malignancy with a fairly rapid course, even with therapy; with no therapy it is expected to progress quickl... Read More
A 53-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 31-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 40-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 28-year-old male asked:
Dr. Douglas Miller
Pathology 42 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
A 19-year-old male asked:
Dr. Douglas Miller
Pathology 42 years experience
Pretty good: Many brain tumors are relatively asymptomatic until fairly large, so one could easily have one and still have a normal neurological examination at som... Read More
A 22-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A female asked:
Dr. Douglas Miller
Pathology 42 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
A member asked:
Dr. Douglas Miller
Pathology 42 years experience
As : As dr fowler suggested, repeated bad headaches are a serious problem and should be evaluated by a physician. As you have a child yourself, i presume ... Read More
A 49-year-old female asked:
Dr. Douglas Miller
Pathology 42 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
A 33-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
No useful answer: Home pregnancy tests measure the urine level of the hormone hcg. Even if you have a fertilized ovum 2 days after intercourse the embryo will not have... Read More
A 34-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Migraine: What you describe sounds most like migraine headaches, which can be associated with nausea and vomiting and can be preceded by an 'aura' which has var... Read More
A 42-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Close but no: No test is 100% reliable; there are false positives and false negatives. For home pregnancy tests these are rare, but not zero. Furthermore the accu... Read More
A 38-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Read the label: Each test kit package lists the expiration date which depends on the date of manufacture. If you have lost the package, check with the manufacturer b... Read More
A 35-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Highly variable: "brain tumor" covers many kinds of tumor, some fully benign and very slow-growing, and some highly malignant and rapidly growing. If one has a highly... Read More
A 29-year-old male asked:
Dr. Douglas Miller
Pathology 42 years experience
Possible not likely: Brain tumors are particularly uncommon in patients your age. Headache is a common symptom in brain tumor patients but is also seen in many other condi... Read More
A 23-year-old male asked:
Dr. Douglas Miller
Pathology 42 years experience
Yes, possible: There are many causes of headaches, but one that persists for 6 weeks is worrisome. It might be from a brain tumor or from other serious neurologica... Read More
A 24-year-old male asked:
Dr. Douglas Miller
Pathology 42 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
A 49-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
What pill?: The effects of an overdose vary widely from one drug to another, and also on the amount of overdosage. So your question is too vague to give a good a... Read More
A 29-year-old female asked:
Dr. Douglas Miller
Pathology 42 years experience
No, but...: As far as i know methamphetamine isn't a carcinogen, but it us a powerful agent in the brain and it would create a major risk of brain damage to use i... Read More
A 47-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
ABTA: I understand this is very stressful. There are many patient support groups out there which may help; contact the american brain tumor association. A... Read More
A 44-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
No one answer: Brain tumors show up with many different signs or symptoms. Some people just have headache, others get confused, some have focal neurological signs su... Read More
A 44-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Neuropathy plus?: I'm not sure all three things go together. Abnormal skin sensations, such as 'numbness' or itchiness, can result from diseases of the peripheral nerv... Read More
A 39-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Might: Hiv can cause lymphadenopathy, that is enlargement of lymph nodes, and opportunistic infections which arise in the setting of HIV may also do this. S... Read More
A 32-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Not strange: Temodar, (temozolomide) like other chemotherapy agents, may cause nausea and vomiting, may cause a general sense of "malaise", and will have a risk of... Read More
A 23-year-old male asked:
Dr. Douglas Miller
Pathology 42 years experience
Urethral irritation: The pain you have with urination reflects inflammation of the urethra, the tube within your penis that carries urine out. You might have an std, or a... Read More
A 33-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Not likely: Apple cider vinegar has been discussed as a treatment for skin cancers, but is not standard; it has a low probability of working. A small amount of ... Read More
A 42-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
No, autoimmune: Nmda receptor encephalitis is an autoimmune disorder in which the immune system gets sensitized to an antigen which closely matches the normal nmda re... Read More
A 48-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
Maybe: Alcohol in moderation should not complicate a "benign" brain tumor such as a meningioma or schwannoma. If you have a low grade glioma, then the tumor... Read More
A 47-year-old member asked:
Dr. Douglas Miller
Pathology 42 years experience
No: These days most neurosurgeons shave very little; only in the area of the incision, and in some places they clip the hair but don't shave it. Talk thi... Read More
A 20-year-old female asked:
Dr. Douglas Miller
Pathology 42 years experience
UnlikelyNotImpossibe: The standard method for detecting breast cancer is mammography, read by an experienced radiologist who mostly specializes in breast imaging. There ar... Read More
A 40-year-old female asked:
Dr. Douglas Miller
Pathology 42 years experience
Call Poison Control: I'm not sure what you took, or when you posted, but potential emergency questions don't belong here on-line; call your doctor, your local er, or poiso... Read More

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

2
Recommendations
301
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
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