Dr. Marlis Gonzalez fernandez

Physical Medicine and Rehabilitation
Baltimore, MD
15 years experience female

Locations

Johns Hopkins Hospital

Baltimore, MD

Address

Physical Medicine and Rehabilitation, 600 North Wolfe Street Phipps 186, Baltimore, MD
Directions

My office hours

Thursday: 1:00am - 6:00pm
Show more

About

Bio

Dr. Gonzalez is faculty at the Johns Hopkins University School of Medicine Department of Physical Medicine and Rehabilitation. Her research focuses on the brain control of swallowing and communication disorders and on pain measurement. Her clinical practice is general but has special interest in amputee rehabilitation, stroke and brain injury rehabilitation and swallowing (Dysphagia) rehabilitation.

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.

Physical Medicine and Rehabilitation

Licenses

United States: Maryland

Doctor Q&A

519 Answers
295 Agrees
The number of answers this doctor has agreed with.
A 33-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Yes: If an amputation is necessary it can be done on patients with kidney problems. Leg problems that may require amputation and kidney problems are commo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
On occasion: Every parson is different and treatment depends on their mood prior to the amputation and their adjustment to the situation afterwards. Not everyone ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
It depends: Dysphagia is a descriptive term for difficulty swallowing. when present, it is necessary to determine the cause of the problem before making recommen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Physical therapy: Immediately after am amputation training starts to insure the person can manage the home environment, mobility, and activity of daily living independe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Varies: Every person is different but it heals with time and most start welding less pain after a few weeks. For some it disappears for others it can be mana... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
As soon as possible: Therapy is most successful if it starts as soon as possible. The surgeon who performed the amputation usually makes the determination as to when the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Yes: A good rehabilitation psychologist can help people deal with a leg amputation.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Antibiotics: Antibiotics are the main treatment option. If these don't work opening the area surgically and cleaning it may be necessary. In severe cases the amp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Possibly : You are the only one that can decide if this is the treatment for you. Dysphagia is a possible side effect. From someone that works with Botox and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Nerves: Phantom pains occurs after an amputation and is related to the nerves being cut during the amputation. It is unclear exactly why they occur but one of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Some do: There are many styles of prosthetic feet. The most advanced feet are designed to imitate foot motion and are made of carbon fiber that can flex with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Intrathecal?: A good spasticity specialist should be able to help you. Baclofen delivered directly to the spinal cord is an option. Amputation is not a good idea.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Depends: It depends on many factors including the persons overall health and the reason for the amputation. Healing can happen in as little as 10-14 days but i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Same problem: Dysphasia and aphasia are used as synonyms (although they do not mean exactly the same). They are terms used to describe language problems or dysfunc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
No: For a limb prosthesis the cosmetic cover goes over the regular prosthesis and is only for improving the look of the prosthesis. If you refer to other... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Any specialty: Any physician (md or do) or podiatrist can order. The test itself should be performed by a physiatrist (physical medicine and rehabilitation physicia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Multiple ways: A good PT will help the person by teaching them how to put on the prosthesis appropriately, learning to identify and troubleshoot prosthesis fit probl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
As usual: The skin that is inside a prosthetic socket needs to be cleaned as usual, with soap and water. Generally speaking this skin, especially in the leg, t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Many...: Unfortunately if there is gangrene and infection the problem is likely to spread higher in the leg. If left untreated the infection can go in the blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Depends: It depends on the kind of prosthesis you are talking about. Prosthesis is a general term for devices that replace parts of the body so you could be t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Yes: Both are usually caused by different problems but they can happen together. Occasionally people with paraplegia injure their legs because of lack of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Some parts: Current prosthetics have multiple metal parts but most custom parts of prostheses are not metal. One of the most important parts is the socket (where... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Stand-pivot: Stand-pivot transfers are most commonly used when the person has one-sided weakness as would be the case after a stroke. The person should be seated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Depends on the lift: Lifts can be manual/hydraulic or electric and are used by sliding a sling under the patient to the right position (as recommended by the manufacturer)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Language Problem: Aphasia is the loss of language function due to a problem in the brain. Depending on the type people loose the ability to express themselves or have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Varies by state: Some support for service dogs is available in ca but I do not think they cover the cost of the animal. Several community groups provide the animals t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
2-5 years: Prosthetics usually last 2-5 years depending on wear and tear (i have seen people with 10+ years old prosthesis). The limb changes shape with time re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
No: If she had a TIA (transient ischemic attack) it had to resolve in a short period of time (that is how it is defined). If the symptoms did not resolve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
It depends: I am sorry to hear about your son. Most young people that sustain amputations are healthy otherwise so they heal well and relatively fast. Other inj... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Medical emergency: A needle can puncture through any part of the digestive system and would have to be removed immediately. The person who swallowed the needle should b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Depends: Sorry to hear about the accident. Changes in sensation are common after amputation and usually do not represent a problem. You should have this eval... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
No: Gout does not result in amputation in itself. Something else would have to be going on (most commonly infection).
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Not usually : The fibula is the smaller bone in the lower leg. Fractures may require surgery. There would have to be other injuries to result in the need for such... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Seek medical care: Since this problem has been going on for more than a week a full medical evaluation is necessary. A possible muscle injury that needs further treatme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Part of the foot: This is an amputation of part of the foot. All the toes are lost as the amputation is right above the base of all the toes.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Unclear: Sorry to hear that you sustained so many injuries. Foot reconstruction is possible depending on the injury. Unfortunately, many of those are not suc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Symptoms will return: If injections stop the effect would wear off after about 12 weeks and the symptoms (muscle tightness) would return.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Depends: The duration of a bypass depends on many factors including the vein or graft used. Other procedures can be done to extend the life of the graft. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Not useful: An x-ray will not be useful in this situation. I would not give up on physical therapy. That is the best treatment. Bed rest does not help. If it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Sleepy: The most common side efect of cyclobenzaprine is sleepiness. It does not happen to everyone. Most people tolerate it well.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Take thyroid mess: Thyroid meds are very important and should be takes everyday as prescribed by your physician. Not taking them can affect many hormonal systems. Stil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Time: Shock like pain is usually nerve related. It calms down with time and for some goes away completely. If it is bothersome medications to treat nerve ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Don't: Don't let stroke related weakness stop you. Stay as active as possible.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
No : A physician would have to order an MRI if determined to be necessary.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Depends: It depends on many factors including the persons overall health and the reason for the amputation. Healing can happen in as little as 10-14 days but i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
See doctor: Infection at the stump site by itself is enough to cause pain. That should be evaluated and treated by your physician/surgeon. That said, there are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Not usually : The fibula is the smaller bone in the lower leg. Fractures may require casting or surgery. There would have to be other injuries to result in the ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Control mechanisms: A lot of recent research has concentrated on finding ways to better control artificial arms. Some researchers are working to use the nerves left in t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Good: Good posture is critical. Try walking as if you are balancing a book on your head.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Marlis Gonzalez fernandez
Physical Medicine and Rehabilitation 15 years experience
Many factors: The exact cause of phantom limb pain is not completely clear. Cutting the nerves that went to the limb and later attempts by the body to heal the ner... 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.

6
Recommendations
1.2K
Thank you notes
Oct 1, 2014
Outstanding specialist in Physical Medicine and Rehabilitation. Highly recommend.
Aug 12, 2013
I am grateful for you fund of knowledge and caring responses. Thank you.
Jul 13, 2013
a fantastic doc!
HealthTap member
This made me feel good. Thanks! If the answer was more comprehensive, one I can't google, I'd be happy. I waited for 2 sentences of a reply all day, and my question was not answered.
HealthTap member
Thank you, your answer or tip was very helpful! I realized after I sent that I should have said electrical accident. Hand-Ortho said Schwann Cells Fried, No New Myelin :-(
HealthTap member
Thank you, your answer was very helpful! Did therapy several times, last was 3 per week for 6 weeks. Turned them latent, but no release. Thanks for endorsing the needling

Education & Training

Medical/Graduate school

University of Puerto Rico School of Medicine
Graduated 1999MD

Medical/Graduate school

Johns Hopkins University School of Hygiene and Public Health
Graduated 2008MD

Residency

Sinai Hospital of Baltimore

Awards

Associate professor of PM&R
Medical Director Outpatient PM&R Clinics
Top Doctor, First Place, Baltimore, MD - Winter
2013

Affiliations

Johns Hopkins University School of Medicine
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