Locations
Somnia anesthesia
New Rochelle, NY
Scarsdale medical group-anesthesia
Harrison, NY
About
Bio
First in the United States to perform Anesthesia Assisted Opiate Detoxification. Expertise in pain control in patients with prior addiction.
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
Pain Management
Doctor Q&A
239 Answers
919 Agrees
The number of answers this doctor has agreed with.
A female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Weeks: Kenalog (triamcinolone) is a depot form of steroid. It is designed to slowly release steroids over the course of a couple of weeks.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 43-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Yes: But only if the prescribing doc agrees. If you did it without notifying that doc, you would be violating the opiate maintenance agreement.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Only in theory: While it might work, spend a couple of bucks and get the real thing!
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Out of date concept: The guidel signs of anesthesia relate to an ether induction and maintenance. The last ether anesthetic was done in '55. There were 4 stages. Stage 1 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Not well: In this case you have two issues that work against one another. Opiates lead to decreased mentation and slower reaction times. Most of the meds to t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 49-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Very sedating: Yes, but it will be very, very sedating which might be the thing you are looking.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Yes, that oxygen reading is very borderline. You need to follow up with the physician who discharged home. He may need more ongoing therapy. Was he va... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered >2 years ago
A 16-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Two factors here: you maybe obstructing blood flow causing swelling and/or fluid from your abdomen May be going into your scrotum.
You need to see a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered >2 years ago
A 32-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Sciatica: Step one is usually a trial of nsaids, along with physical therapy.
If the pain lasts more than 6 weeks, need to get MRI of the back to look for the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
NO: Small amounts of Aspirin will be absorbed and can be concentrated in the breast milk. In turn, this can lead to major problems for your baby.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Constant: Constant that is not influenced by position of the legs. Usually described as biting or sharp; not electric or shooting.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
No: There is evidence to favor one over the other.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Should be able to it: That small a stone should be passable but it will still hurt terribly. There are other meds like Flomax (tamsulosin) which will help in passing the s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
NO: Any surgical stress can delay your period.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
BS: It is extremely rare to have false positive for mj in the urine screen.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Nope: No relationship between maternal opiate use and the development of melanoma. Major risk factor is number of times you have been sunburned.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Detox slowly: The safest way is just a very slow taper of the opiate, ie just reduce the dose by 10% every third or fourth day...Example go from ten oxy a day to ni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Heart issues: First issue is whether your friend has any heart disease. The symptoms sound very serious and your should definitely see a doctor for a complete work... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
48 hours: While the analgesic effect lasts 4 to 6 hours, you pick it up to some degree for at least 48 hours.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Oxytocin: When you have an orgasm from master- bating , the uterus contracts and there is some vascular congestion. There is nothing wrong with symptoms you a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Not much: At a bmi of 17, there is little subcutaneous fat or visceral fat.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Cut nerve: In harvesting a strip of skin (and slicing it up for transplant) the nerves that innervate the scalp can be cut. They may re grow at a rate of 1mm pe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 50-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Final days: The patient should seek hospice care as this sounds like the disease is very advanced. Hospice can make him comfortable.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Withdrawal: When you go through withdrawal, so will the baby. This will put the baby through some stress. If you deliver while in the middle of withdrawal the ba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Need GI consult: You really need to see a GI specialist. Issues to be checked: thyroid function, check blood sugar for diabetes, review of diet and medications as wel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Did you black out?: The thing to worry about is a concussion or subdural hematoma.
Both require sufficient force to cause you to lose consciousness. If you actually b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 54-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Nerve block?: Did you have a nerve block or did they intubate you. You should not be hoarse this far out from surgery and this needs to be investigated. Call the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
A bit of a buzz: Pseudoephrine will cause the release of catacholamines (adrenaline like substances) which will make you a bit hyper. The Norco (hydrocodone and acet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Same drug: Oxycontin lasts 8 to12 hours, oxycodone lasts 3-4 hours.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Staph aureus or MRSA: There are a bunch of possibilities but almost any bacteria can cause a eternal infection. It has to be debrided.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Yes: If the area is inflamed near the spinal nerves it can definitely cause low back pain. The only way to know for sure is to do a ct scan or mri.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Change position: As the head enters the pelvis, it can press on the sacral nerves causing numbness or pain. Shifting position can move the baby temporally off these ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Possible: Breast feeding is not effective contraception. You need to check a urine pregnancy test.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Yes: The half life is fairly short. Should be gone by 96 hours after last pill taken. Drinking a lot of water or gatorade will also help flush the drug f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
NOPE: Opiates are opiates, there is no "natural" equivalent.
Trials of nsaids are often recommended if opiates are not working.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Bad idea: No, additive side effects are very unpredictable. Especially if you eat certain foods which decrease metabolism of the sedative or the alcohol.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Ignore: Never share your narcotic medication. This is a Red Flag for prescribers and they may drop you.
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Slow taper: Take the number of cups of coffee you drink and divide by 5. Then reduce by that amount each week. For example, you drink 5 cups a day, then go to 4... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A member asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Could be.: You need to check a urine pregnancy test to be sure.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Kidney stone : Kidney stones can cause some really nasty pain in the side, feels like a knife. Other possibilities include kidney infections and gallbladder disease... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Urine preg/Urinanaly: If it was a normal period then probably not pregnant. The way to make 99.99% sure is with a urine preg test. Implant bleeding occasionally looks lik... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
See a deem: The only way to know for sure is to see a dermatologist. From what you are describing, risk is low but you really need a trained eye to make the diag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Pure opiate/ atropin: Oxycodone is a pure opiate agonist drug. Demerol (meperidine hydrochloride) in contrast is a relative of Atropine and has some analgesic effects but i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Get tested: The only way to know for sure to get tested. There can be virus both in the semen as well as the "pre-cum"! use a condom! no oral sex for him!
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 51-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Fentanyl: Fentanyl is a potent narcotic which does not produce any histamine release and in patch form less constipation. But you need to discuss all of your o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 60-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Volume overload: Because in the pathology of hypertension, volume expansion is often a problem. Simple diuretics can fix this issue. Alpha blockers have a bunch of s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 57-year-old male asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Diet change: Less red meat, more vegetables. No added salt. Portion size is extremely important. If you write down what you eat during the day, you can chose on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Direct effect: Gastroparesis is a direct effect of opiates. That why diarrhea and vomiting are seen during withdrawal. If you are completely off of narcotics, norm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Yes and yes : Even a small amount ofspermcan get you pregnant. Use acondom to prevent pregnancy!.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Clifford Gevirtzanswered
Anesthesiology 42 years experience
Missed period: Stress, change in diet and weight among other things can cause a missed period.
Wait til the next cycle, if it doesn't come then, then see gyn.
Also... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >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.
3
Recommendations
275
Thank you notes
Aug 11, 2013
a welcome addition to Healthtap
HealthTap member
Mar 30, 2015
Dr. Gevirtz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gevirtz is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I have seen the dr. Didn't seem concerned? Using albuterol and coughin
HealthTap member
Thank you, your answer was very helpful! Thank you for giving me option to discuss with my doctor. Very helpful
HealthTap member
Thank you, your answer was very helpful! Thank you so much, that gives me great hope! I am detoxing from opana.
Education & Training
Medical/Graduate school
Tulane University School of Medicine, LA
Graduated 1981MD
Residency
MONTEFIORE MEDICAL CENTER
Awards
ACCME hero award
Visiting professor u of Pittsburgh
Top Doctor, Third Place, Bronx Region, NY - Summer
2013
Affiliations
American Society of Anesthesiologists
New York State Society of Anesthesiologists
Publications
Rapid Drug Detoxification
Outcome and Six Month Follow-Up of Patients After Ultra Rapid Opiate Detoxification.
Ultrarapid Opiate Detoxication.
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