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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.
Anesthesiology
Languages spoken
English
Doctor Q&A
114 Answers
38 Agrees
The number of answers this doctor has agreed with.
A 38-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Within time: Generally lung volumes are changed by general anesthesia. The type, duration of your surgery and your body habitus will determine your recovery rate
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811 viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Local anesthetic : Generally a "Caine is used" I.e. Lidocaine, carbocaine
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1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Indirectly: I can't say for sure but either the pain of an injection or your watching it may cause what is called a vasovagal reaction. This reaction causes a dr... Read More
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5.3k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Depends: Both orthopedists and rheumatologists treat joint problems. It depends on what the problem is.
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5.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Maybe: Usually feinting from a blood draw is called a vasovagal reaction. It causes a drop in blood pressure which decrease blood flow to your brain and you... Read More
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5.2k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Usually nothing: Allthough it is not truly necessary most epidurals today are done with the patient sedated. Accordingly coughing is not an issue. If however you did... Read More
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5.2k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Maybe: I am not sure what "twilight anesthesia" is but most medications can have side effects. In addition the type of your procedure might play a roll. Ho... Read More
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5.2k viewsAnswered >2 years ago
A 51-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Depends: Ketamine has a number of uses. Its most common is as an intravenous analgesic. It is almost never used by itself because may cause hallucinations, ... Read More
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5.2k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Not that I know of: Not to my knowledge however certain antidepressants, anticonvulsants and drugs such as Gabapentin or Lyrica (pregabalin) maybe helpful.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Can be: Urinary retention from narcotics is not uncommon especially after surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Nitrous oxide?: I think you meant nitrous oxide. Long term exposure can cause vitamin B12 deficiency, neurologic consequences and reproductive side effects (in pregn... Read More
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5.3k viewsAnswered >2 years ago
A 25-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Two definitions.: Mac is an abbreviation for two things. 1) monitored anesthesia care: refers to the anesthesia personnel present during a procedure and does not indic... Read More
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5.3k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Minor injury: There are a number of things that could cause this. A small nerve was pierced. A mechanical phlebitis ( inflammation of the vein), a hematoma. These ... Read More
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5.3k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Depends: Pain mgmt doesn't consist just of drugs. Drugs may be given to alleviate pain or treat the underlying problem. Depending on the particular problem ... Read More
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5.3k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Muscularskeletal : X-ray is not an extremely useful tool here. Although there are other possibilities the most likely are an inflammation of what is called a facet join... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Maybe: In general the medications given to you during general anesthesia . Have long ago worn off. However the stress of the surgery probably has not. As... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Maybe: 1) is this acute or chronic 2) get a diagnosis 3) depending treatment may include nsaids like aleve, (naproxen) muscle relaxants or procedures like e... 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. Gary Ritholzanswered
Anesthesiology 32 years experience
Unlnown: The understanding of "nothing by mouth" times has changed in recent years. The length of time being far shorter. However a person with gastro paresi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Allergic to ibuprofe: You maybe allergic to ibuprofen. Vicodin contains Acetaminophen and vicoprofen (hydrocodone and ibuprofen) contains ibuprofen.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Yes: Naproxen or naprosyn (naproxen) is classified as a non steroidal anti inflammatory. It is non narcotic. It may be taken with narcotics, which hydroc... Read More
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4.9k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Yes and no: The active ingredient is an alcohol but not ethyl alcohol which is the alcohol in liquor. Other alcohols do not produce the same effects necessarily ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
No: In general epidural steroid injections are given in multiples of three. They maybe spaced out from anywhere over a month or two months. If the firs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Separate: Oxycodone is a narcotic valium is a benzodiazepine (sedative). They both depress respiration. So depending on your health the dose of medication. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Yes and no: You certainly can take ketoralac and tramadol together. However ketoralac should not be used for aprolonged period of time and would not be my choice... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Potentially: This depends on both the skill of the surgeon and the anesthesiologist. Ultimately you run the risk of having to general anesthesia anyway.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Adrenaline like: Albuterol is a medication used to treat asthma. It is a bronchodilator and relaxes smooth muscles in the airway. It is what is called a beta agonist... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Evaluate and treat : Pain mgmt treatment depends on what the pain is from. It maybe acute or chronic in nature. A thorough history and physical will be performed. Then ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Indeterminant : The description "chest pain" by itself is not enough information to make a diagnosis. Chest pain maybe cardiac in origin but it may also be esophagea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Drug side effect: Cataflam (diclofenac) belongs to a class of drugs called nsaids. They may all cause stomach upset. I would say that while a 4mm stone has a good cha... Read More
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5.3k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
The answer depends: On the severity and what sort of heart disease exists. Some anesthetic agents are cardiac depressants. Others are not. Some increase heart rate other... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
See your doctor: Need more details, however it is possible that turning your head is decreasing the blood flow to your brain causing you to feint. I would follow up w... Read More
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5.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Reat: Generally speaking the medications given to you during your surgery will just wear off on their own. It is best however just to relax as your body re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
916 viewsAnswered >2 years ago
A member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
1.1 per million: The anesthesia-related death rate was 1.1 per million population> anesthesia complications were the underlying cause in (10.9%) and a contributing fac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
See below: Post intubation being put on a positive pressure ventilator may cause hypotension . The positive pressure ventilation causes increased intathoracic p... 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. Gary Ritholzanswered
Anesthesiology 32 years experience
Euphoria: Twilight is an antiquated term. Anesthesia is a spectrum from almost awake to unconscious and paralyzed. I think you are referring to IV sedation. ... Read More
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5.3k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Versed: Versed (midazolam) is a shot acting benzodiazepine similar to valium. It is an anxiolytics and sedative which gives amnesia.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
No: Aceprimazine is closely related to Chlorpromazine and is a veterinary drug. These drugs in humans are antipsychotic medications. Ketamine is not rela... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Benadryl (diphenhydramine): You might try melatonin or benadryl (diphenhydramine).
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Unconscious: Is its fullest sense is where a patient is unconscious and insensate to pain. Depending on the surgery involved the patient maybe paralyzed and intub... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Anesthesia injuries: Anesthesia complications would encompass all direct or indirect bad outcomes, disabilities and injuries that could occur as a consequence of having be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Indeterminate: Anesthesia can wear off in anywhere from ten minutes to hours. It depends on the medication used. How your individual processing of the medication w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Subtle: Psychotropic drugs cross into the brain, act on the central nervous system and are mood altering. Narcotics have receptors in the central nervous sys... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Potentially: Taking a multivitamin in general will not harm you. It is unlikely that you will have more energy from it though. In general I do not recommend taki... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Compounding pharmacy: It maybe the case that compounding pharmacies make steroid solution from steroid powder. However to my knowledge in clinical practice all steroid for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Bad idea: Not generally a good idea. You are mostly probably dehydrated in preparation for your procedure . Alcohol will will dehydrate you more. Alcohol als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Depends: I'm not sure by what you mean by how early. In general how often a medication can be bought is determined by your insurance plan. How often a prescr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Probably not: It is possible that when you put in your contacts you maybe pressing on your eyeball. This can cause a drop in heart rate which can cause a drop in b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Both: In general spinal anesthetics carry lower risks of complications. These in general would be infection (which would be serious), and under special cir... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
Yes: There should be no reason that you could not take a valium before you proceedure. However speak to your surgeon first.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Gary Ritholzanswered
Anesthesiology 32 years experience
No : Barbiturates or benzodiazepines are never given via epidural. It is possible you were given something intravenously during delivery however.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k 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
170
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Ritholz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Ritholz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you so much I really appericate your reply going to take it easy, meds and ice here I come. I really do appericate your help.Thank you
HealthTap member
Thank you, your answer was very helpful! It's so great that you answered. Thank you so much! You have no idea how much it meant to me!
HealthTap member
Could 20 yrs of army service as bomb dog handler/military police non combat, cause GAD and panic disorder with agrabaphobia
Education & Training
Medical/Graduate school
New York Institute of Technology New York College of Osteopathic Medicine, NY
Graduated 1991MD
Residency
MAIMONIDES MEDICAL CENTER
Awards
Top Anesthesiologist, First Place, New York - Winter
2013
Top Anesthesiologist, Third Place, New York - Summer
2013
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