Dr. R. Jan Gurley

Internal Medicine
CA
35 years experience female

Locations

Office

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.

Internal Medicine

Languages spoken

English

Doctor Q&A

47 Answers
13 Agrees
The number of answers this doctor has agreed with.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
There: There are palliative care quality practice indicators, and guidelines, just like in other fields.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Lemon: Lemon spray, chili flakes, sips of home-made soup. Yum. - living large, with less.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Pigeon chest?: It can be hard to tell from your description, but i'm wondering if you're asking about something called pigeon chest, or pectus carinatum. It's a cond... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Depends: Cocaine is metabolized rapidly. In people who are habituated to it, the dilated pupils can be followed by constricted pupils. How long also dependent ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Yes. With caveats.: Tramadol acts on a specific type of opioid receptor. While it has less risk for dependency and addiction, there is still risk. It also has anti-depres... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Depends on the cause: Geographic tongue is also known as benign migratory glossitis. It is associated with things as diverse as candidiasis, psoriasis, reiter syndrome, lic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Depends: Smoking pot is generally bad for the lungs - all smoke, regardless of the source, is bad for lungs. Mj has the same particulates and carcinogens as to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 73-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Muscles and bones: The most important part of good posture is strong muscles and healthy bones. As we age, we lose muscle mass. But studies have shown that supervised, s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Give a hand: Meaningful connections with people, especially kind people with shared interests, can be hard to make. For many, it can feel more difficult as we get ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Yes: Baby shampoo won't hurt your hair. However, it may not be the most effective for dandruff. You may want to also consider alternating with a product sp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Get an evaluation: What you're describing is often called "fever of unknown origin." the cirteria are 1) fever over 103 on several occasions, 2) for more than 21 days, 3... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Hard to say: Persistent and recurring knee pain a month after new, high-impact exercise usually needs to be evaluated. As you're working out a cause and plan with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Crackling kneecaps: Clunking, popping, crackling and thumping, knees can be surprisingly noisy, even without injuries. If you're >50, and have knee pain, creptius can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Hard to say: One look from your doctor could help a lot in figuring out what is going on. Itchy white patches, and "lumps" on heels might be a corn, or a type of a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. R. Jan Gurley
35 years experience
IDing pills: All prescribed and over-the-counter pills in the U.S. Are required by the fda to have identifying marks. If there are no marks, then the pill might be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Get a test: It can make your period lighter but if you're sexually active it can also mean you might be pregnant. Get a pregnancy test and check it out to be sure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Time to get checked: Skin in any part of the body can have a reaction to topical treatments of any kind. However, after two weeks, and in an area where infections can occu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Junk : Not all carbohydrates are the same - but many in western diets are "junk". They have been stripped of their fiber and nutrients. Eating a high carbohy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Tiny: Tiny elbows and knees kick your guts. Help! sleep on your left side - blocks acid.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Hopefully not: Ask your doctor! bones are one of the areas of the body that are very hard to make numb. Just giving that medicine hurts & even afterward, there is a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
A: A baby boy's testicles finally leave his belly and descend at pregnancy's end - sometimes later!
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Is: Is it important for me to cut down rapidly, or can i gradually reduce my salt?
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
A: A gentle electric fan blowing on the face can help with shortness of breath when nothing else will.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Focus on health: Bmi calculators give a rough range of whether our height/weight is a good proportion. Your heaviest weight is a bmi of 22.3 (normal), and your current... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. R. Jan Gurley
35 years experience
No: Most important, and safer, acupuncture points are reachable with just loose clothing on.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. R. Jan Gurley
35 years experience
See your doctor: It's impossible to know without doing an exam. Sometimes it's hard to get an evaluation for a private part of the body, but it's really important to h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. R. Jan Gurley
35 years experience
See a doctor!: Missed periods and "cramps" can mean a lot of things - but one of them is a serious, potentially life-threatening emergency known as an ectopic pregna... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Strength: Philosophical questions are the best! what is the purpose of an earlobe? An appendix? Armpit hair? Sadly, I have to stick to 400 characters. In the ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Good for you!: Gentle stretching has been shown in studies to be surprisingly effective for back pain. Having the pain go away is a good sign and congratulations fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. R. Jan Gurley
35 years experience
See your doctor!: Many psychiatric medicines can be harmful (and even a rare few are fatal) if stopped abruptly. See your doctor for more information, to create a plan ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. R. Jan Gurley
35 years experience
Probably: Loving someone while going through chemo is an important part of being alive, feeling hope, and feeling whole. Check with her doctor. When there are c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Foods: Foods can have less salt and be healthier if you make them at home - breads and soups, for example.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Is: Is residential hospice for-profit or nonprofit? Will you still be the doctor if your loved one goes?
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Depends: Milk of magnesia (magnesium hydroxide) is full of some good things for skin, like magnesium, and zinc, and it has anti-bacterial properties. It has be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Health is the best: A glowing skin is usually a sign of good health. One of the best "treatments" for healthy, glowing skin is regular exercise. Exercise gets your heart ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. R. Jan Gurley
35 years experience
See your doctor: A small amount of blood in your ejaculate is most often not anything that will damage your long-term health, but, especially with other symptoms, may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. R. Jan Gurley
35 years experience
Consider acupuncture: The cochrane review looks at all studies about a topic - their latest review on the safety and effectiveness of acupuncture for the induction of labor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Time to get checked: Sleeping too much can be caused by a wide range of problems - from thyroid problems to depression, to medication side effects. It's important to speak... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Get tested!: Sore and tender breasts can be a sign of pregnancy, so if you're sexually active (even a month or more ago), be sure to get a pregnancy test to know f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Yes, or other things: The base of the thumb is one of the most common sites for osteoarthritis. However, there are many other conditions that can cause pain in the thumb wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Low: Low salt doesn't mean no flavor. Get to know your spices and herbs!
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Ripe: Ripe avocados can make the yummiest "cream" substitutions.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Yes, possibly: Pregnancy tests can be positive as early as 7-10 days after ovulation. Check out this review: http://www.Early-pregnancy-tests.Com/compare.Html rete... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Good pay. Hard work.: Being a hospitalist is a dream job for people who like predictable hours, hard work, great pay and spending your days and nights connecting with peopl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Not sure: This is a bit of an unusual symptom, and it hasn't gone away. Time to get it evaluated.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. R. Jan Gurley
35 years experience
Tremors: Parkinson's if most often a disease of mid- to late- life (ages 50 and up). But, as michael j. Fox shows, it can happen early to some people. Parkinso... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. R. Jan Gurley
35 years experience
Itching, pain, more: Hemorrhoids are like varicose veins of the rectum. They can swell and bulge, and - when irritated by the passage of stool - bleed. People with hemorrh... 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.

2
Recommendations
98
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Gurley is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gurley is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! A brace2 remind me2 stand strait? More harm than good? Homemade brace?
HealthTap member
Thank you, your answer was very helpful! Wow thanks! I don't feel so bad about my noisy knees now :)
HealthTap member
Thanks for your quick reply! Thank you for taking the time out to answer my question! Good day.

Education & Training

Medical/Graduate school

Harvard Medical School, MA
Graduated 1988MD

Residency

UCSF MEDICAL CENTER

Awards

Magna cum laude, Harvard Medical School
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