Doctor Q&A for Dr. Robert Nelson

A 30-year-old male asked:
Dr. Robert Nelson
36 years experience Family Medicine
Need both approaches: SSRi's with the fewest drug interactions, which would be probably Zoloft (sertraline) and Celexa; not addictive and few side effects too. Everyone re ... Read More
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A 23-year-old female asked:
Dr. Robert Nelson
36 years experience Family Medicine
Not when pregnant: Asymptomatic Mobitz type I don't usually need any treatment assuming the Wenckebach is not from heart disease, myocardits or previous heart surgery. ... Read More
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A 32-year-old female asked:
Dr. Robert Nelson
36 years experience Family Medicine
Skin and bones.: It is important to know if the lumps are on or part of the ribs or in the soft tissues over the ribs or in the cartilage portion of the rib. Calcinos ... Read More
A 60-year-old female asked:
Dr. Robert Nelson
36 years experience Family Medicine
A picture is worth a: thousand words. I highly recommend you have your doctor or dermatologist look at it. A fixed location skin eruption that doesn't really itch should ... Read More
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A 38-year-old male asked:
Dr. Robert Nelson
36 years experience Family Medicine
Doubt cancer based: on your description. It could be an inflamed sebaceous cyst, which is common in that area. If it swells up from time to time or gets a little red, t ... Read More
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A 32-year-old male asked:
Dr. Robert Nelson
36 years experience Family Medicine
Painful could be key: Is it just on one side of his back? Are there any blister-like areas? Does it follow a line along the path of a rib? Was there any pain or discomfo ... Read More
A 25-year-old female asked:
Dr. Robert Nelson
36 years experience Family Medicine
Not sure, but: Make sure what you are feeling is indeed hypoglycemia (sweaty, hungry, jittery, weak, tired). Not sure if the head symptoms are related. A strategy ... Read More
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A 25-year-old male asked:
Dr. Robert Nelson
36 years experience Family Medicine
Possibly: Low B12 leading to pernicious anemia will cause MCV to rise as can folic acid and thryoid disease. Alcohol related blood dyscrasia can elevate MVC, a ... Read More
A 25-year-old female asked:
Dr. Robert Nelson
36 years experience Family Medicine
Inside or out?: Was the bite on the eyelid? If so, it will tend to be a little more tender than bites in other areas. Also, is the tender swelling noticeable on the ... Read More
A 23-year-old male asked:
Dr. Robert Nelson
36 years experience Family Medicine
Many causes possible: Normally, submandibular lymph nodes should not be palpable, or barely so in a very thin person. Some causes are dental infection, gingivitis, canker ... Read More
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