Dr. Dimitri Novitzky

Thoracic Surgery 54 years experience

Bitten by cat two days ago: No, is fine have the vaccination. is the skin red? tender? swollen? those are symptoms of infection. Were you vaccinated in the past? if yes have it a... Read More

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1.3k viewsAnswered >2 years ago

A female asked:

Im 39 weeks & 2 days pregnant. at my appointment yesterday, i was told i was 2cm dilated, and 80% effaced. i lost my plug hours later with alot of pre?

Thoracic Surgery 54 years experience

2 cm dilated, lost: IS this the fist offspring ?, you lost the plug, next comes the baby, do you have contractions?? You should be in hospital today, have a new pelvic... Read More

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1.3k viewsReviewed >2 years ago

Dr. Al Hegab and 2 doctors agree3 doctors agree

A 43-year-old male asked:

What does (1) 436 -acute, but ill-defined, cerebrovascular disease and (2) 434.10 cerebral embolism, without mention of cerebral inf codes mean?

Thoracic Surgery 54 years experience

Poor documentation: CVD and Stroke are a bad combination. If CVD and Afib. is present embolic prevention is indicated

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2.7k viewsAnswered >2 years ago

A 41-year-old male asked:

How come dvt is not a threat while sleeping? because you are lying flat?

Thoracic Surgery 54 years experience

Immobilization: Sleep induces Immobilization of the lower extremities. Secondary blood stasis lead to clot formation, and inflammatory endothelial response, and the c... Read More

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2.3k viewsAnswered >2 years ago

A 23-year-old female asked:

I have pain on my arm on the back of my muscle by my armpit only when i press on it, had a bump but it went away but when pains still there i'm 23 f?

Thoracic Surgery 54 years experience

Pain, lower back: Were you involved in a MVA?, any position makes the pain worse? can you sleep without having pain? You need to provide more information. Did you had ... Read More

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2.1k viewsAnswered >2 years ago

A female asked:

My left hand (back side) has pulling discomfort for the past 10-15 days..consulted doc, says maybe stress or hormonal.. bulging veins occasionally?

Thoracic Surgery 54 years experience

Pain aling the left: Pain and numbness in the left hand, and usually felt in the entire arm and shoulder as well, could be the result of a myocardial infarction (heart att... Read More

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3.1k viewsReviewed >2 years ago

Dr. Frank Kuitems and another doctor agree2 doctors agree

A 28-year-old female asked:

Had a lump in armpit 3 days ago which is shrinking but i alsofelt two hardened swollen tube like structure which pains wen pressed. what is it?

Thoracic Surgery 54 years experience

Mass in Axilla: The Axilla is a complex anatomical structure. Has a pyramidal form, At the apex, jointly pass: Artery, Vein, Lymphatics. and the nerve Brachial Plexus... Read More

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1.3k viewsReviewed >2 years ago

Dr. Kenny Chuu and another doctor agree2 doctors agree

A 33-year-old female asked:

I started my period yesterday and it's bright red and heavy with a bright yellow look to it as well?

Thoracic Surgery 54 years experience

Period bright red-yellow: This is not normal, is this the first time? did you had unprotected sex? do you use Tampax? or other devices? I think the best for you is to see a gyn... Read More

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1.3k viewsAnswered >2 years ago

A male asked:

Hi, i recently had to get up from sleeping and had to throw up. i was gasping for air for about 10 seconds. why? and how do i avoid it?

Thoracic Surgery 54 years experience

Cyclic vomiting syndrome (CVS): Cyclic vomiting syndrome (CVS) facts • Cyclic vomiting syndrome is a disorder that causes recurrent episodes of nausea, vomiting, and tiredness(lethar... Read More

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1.2k viewsAnswered >2 years ago

A 34-year-old male asked:

My chest hurts hr is 61bpm p is 95 ms pr is 108 ms is 105 ms qt is 398 ms qtc 403 ms p/qrs/t is 43/56/69 doc said gerd...pain still in chest?

Thoracic Surgery 54 years experience

EKG: My chest hurts HR is 61bpm= normal P is 95 ms normal PR is 108 ms is 105 ms close to normal QT is 398 ms= normal QTC 403 ms normal P/QRS/T is 43/56/... Read More

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1.3k viewsAnswered >2 years ago

A 34-year-old female asked:

What does 'intermittent p wave trend although stable' mean on a ppm device report?

Thoracic Surgery 54 years experience

Sinus node dysfuncti: Considerations regarding atrio-ventricular (A-V) block. A-V block can occur at different levels in the conduction system: above, within and below the ... Read More

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1.3k viewsReviewed >2 years ago

Dr. Carrie Cannon and 2 doctors agree3 doctors agree

A 38-year-old female asked:

Pvc's more often everyday. random dizzy feeling in head when walk /sit(progesing symp)cardio doc says take beta blocker. hr reg.temp fix. real cause?

Thoracic Surgery 54 years experience

PVC's and dizziness: Premature ventricular contraction (PVC) may induce symptoms: palpitations,shortness of breath, hypotension, anxiety, insomnia, etc. .Over time, freque... Read More

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2.1k viewsReviewed >2 years ago

Dr. Sandra Lora Cremers agrees1 doctor agrees

A 20-year-old female asked:

What kind of treatments can you use for mild odor between the legs?

Thoracic Surgery 54 years experience

Mild odor between the legs?: First, do you have a discharge? smells rotten? Higine Best Answer: In certain cases (most probably if one is somewhat fatty), this kind of abnormal a... Read More

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1.3k viewsAnswered >2 years ago

A 19-year-old female asked:

I'm a 19 year old female and weigh 305 pounds. would it be healthy to eat 1200-1500 calories a day and exercise 30-60 min to lose weight?

Thoracic Surgery 54 years experience

Weight loss: Dr. Dimitri Novitzky commented: I did a calculation, for your weight. 305 Lb, and a height of 68 in, your BMI is=45,6. First have an endocrinological... Read More

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2.2k viewsAnswered >2 years ago

A 24-year-old female asked:

I have swollen lips with red bumps on them for two months already. i am taking valtrex (valacyclovir) 1gm pills. my lips are the same. still swollen?

Thoracic Surgery 54 years experience

Swollen lips: Sunburn causes a reddened, irritated area of skin caused by overexposure to the sun's rays or other UV light. Allergic reaction causes sneezing, runn... Read More

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1.3k viewsAnswered >2 years ago

A 32-year-old female asked:

Ct scan "findings" says known pulmonary emboli identifies and subsegmental are not excluded. the " impression" says no pulmonary embolism. clot?

Thoracic Surgery 54 years experience

CT scan using contra: CT scan using contrast is very accurate tool for the diagnosis of pulmonary embolus Patients should be capitalized, ultrasound of the lower extremiti... Read More

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3.1k viewsReviewed >2 years ago

Dr. Alan Ali and another doctor agree2 doctors agree

A member asked:

Is gingko biloba and maca root safe supplements to take fot ssri induced sexual dysfunction? currently on 30mg fluoxetine/day. dosages? other herbs?

Thoracic Surgery 54 years experience

Unusual question: Ginkgo is an herb. The seeds are generally used to make “extracts”. seeds are used for memory disorders; Alzheimer’s disease. in conditions that may... Read More

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2.3k viewsAnswered >2 years ago

A 25-year-old female asked:

How would i no if i had may thurner syndrome had doppler from groin down normal blood flow?

Thoracic Surgery 54 years experience

Thurner syndrome: The majority of patients are not diagnosed with May-Thurner Syndrome until they develop an iliofemoral DVT. Your doctor may perform a physical evaluat... Read More

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1.3k viewsAnswered >2 years ago

A 22-year-old male asked:

I am 22 years old.i have done a echo 2 weeks ago and my lved was 65mm.i started ramipril and bisoprolol and now my lved is 69mm.whats happening?

Thoracic Surgery 54 years experience

LVED AND Ramipril: You have provided one cardiac parameter which means: Left Ventricular End Diastolic dimension, or LVED. Which on its own is inadequate to pass judgmen... Read More

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1.2k viewsReviewed >2 years ago

1 comment

A 29-year-old female asked:

Feeling dizzy and nauseous 2 weeks after stopping taking sertraline is it withdrawal symptoms ?

Thoracic Surgery 54 years experience

Sertraline and withd: Who, and for how long you were on sertraline. Do you have a physician overseen your progress. Tapering can take weeks to months depending on the anti... Read More

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1.6k viewsAnswered >2 years ago

A 38-year-old female asked:

I had u/s on thyroid and it found 2 nodules. both on left - 1 at interpolar region and 1 at lower left pole. where are these locations?close together?

Thoracic Surgery 54 years experience

Thyroid nodules: Who did the diagnosis, you and confirmed by a DR.? You require a Thyroid scan with 1131, and a fine needle aspiration biopsy. About 1/10 % of nodules... Read More

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1.3k viewsAnswered >2 years ago

A 37-year-old male asked:

My blood pressure is 100/60 in the morning & 130/80 in the evening, in morning i feel a little bit dizzy & fatigue, what cause it & should i be worry?

Thoracic Surgery 54 years experience

Am BP 100/60, pm 130/80: You are 37 years old male. The numbers you provide are within the normal range/prehypertension. therefore I would say your BP is normal. There are mu... Read More

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1.2k viewsAnswered >2 years ago

A 18-year-old female asked:

Right index finger is itchy & ''swollen'' (wider than left index) for the past few months & hydocortisone creams barely work to halt the nonstop itch.

Thoracic Surgery 54 years experience

Swollen R index: Based on your description of what is going on, I think that this may be related to some sort of repetitive use or strain injury from working so hard w... Read More

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1.4k viewsAnswered >2 years ago

A 30-year-old female asked:

30 weeks pregnant- symptoms of uti but urinalysis normal except for 2-4 rbc found. what could cause this blood if no bacteria is found?

Thoracic Surgery 54 years experience

Pregnant- urinalysis normal: The symptoms you have , most probably are related to the pregnancy, which somewhat applies pressure. You should tell your doctor if you are pregnant b... Read More

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1.3k viewsAnswered >2 years ago

A 24-year-old female asked:

I have so much anxiety and i don't know how to control it. any tips please?

Thoracic Surgery 54 years experience

Anxiety how to control it: Are you on any medication for anxiety? if not you should be. How is your sleep?, do you wake up at night, once or multiple times ?, Do you get up refr... Read More

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1.3k viewsAnswered >2 years ago

A 29-year-old female asked:

How can i get rid of dark area around genitils?

Thoracic Surgery 54 years experience

Dark skin around gen: The dark brown patches of skin around the genital area may be caused by various disorders. It is probably erythrasma which can be treated using anti-f... Read More

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1.5k viewsAnswered >2 years ago

A 23-year-old female asked:

I've been having sudden tingling numbness in my right big toe. what can this mean? i slightly sprained my right ankle recently but it has been doing better. i have some slight tingling on and off in my right calf too.

Thoracic Surgery 54 years experience

Nerve injury: As you describe the distribution correlates with the posterior tibialis nerve. As symptoms are improving, I would not do any changes, should have ful... Read More

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2.7k viewsAnswered >2 years ago

A 18-year-old female asked:

Lets say you believed in something your whole life. then you realize that the person who brought you to beleive is abusive. should i beleive? or no?

Thoracic Surgery 54 years experience

I abuse, misconcepti: An abusive person, usually takes advantage of other people. All the benefits. He gets are only for himself, these individuals take advantage from oth... Read More

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2.1k viewsReviewed >2 years ago

Dr. Evan Altman and 2 doctors agree3 doctors agree

A member asked:

Hi, about two month ago i had an aneurysm in an artery in my thumb, completely thrombosed, was suggested to take aspirin and see by a resident in "internal medicine" who asked a bunch of questions but no tests were done. a couple of weeks ago i stardted h

Thoracic Surgery 54 years experience

Surgery: If it was really an aneurysm, of the thumb you should had surgery, and complete resection of the aneurysm. The tissue should be undergo histological ... Read More

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2.7k viewsAnswered >2 years ago

A 21-year-old female asked:

What does nondisplaced labrum tears in both my hips mean ? how can i have more than one tear in each hip? and what does this mean ?

Thoracic Surgery 54 years experience

Labrum tears: The hip labrum has many functions, including shock absorption, joint lubrication, pressure distribution, and aiding in stability, with damage to the l... Read More

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2k viewsAnswered >2 years ago

A 38-year-old female asked:

My brother in prison has ascending aorta dilated to 4.7cm ,dilation of the posterior aortic arch to 5.15 cm. artifical aortic valve replacement in 2004, from endocartitus from dental cleaning. now what i wanna know should he be having surgrey ?

Thoracic Surgery 54 years experience

Aortic arch aneurysm: You state that your brother has an aneurysm that measures more than 5 cm diameter, 5.15. He also had an aortic valve replacement for infection. What i... Read More

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2k viewsAnswered >2 years ago

A 24-year-old male asked:

I can't swallow my own saliva? and i can't catch a good breath?

Thoracic Surgery 54 years experience

Dysphasia: Are You short of breath? And if you say to me that you cannot swallow your saliva, you should go and see your primary care physician to order imaging... Read More

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2.3k viewsReviewed >2 years ago

Dr. Charles Gordon agrees1 doctor agrees

A 27-year-old male asked:

Can ace inhibitors or arbs given to control bp if s.cr is1.56 in patient with atrial fibrillation?

Thoracic Surgery 54 years experience

ACE-ARB, CRF A-FI: ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation. For arteria... Read More

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1.6k viewsAnswered >2 years ago

A 47-year-old male asked:

I had pain in my shoulder last year and was a stress fracture. now i have stinging pain in arm thought my leg left side. doctor arm specialist said it was musclier. but when i play baseball it feels like it did last year with the stress fracture.help?

Thoracic Surgery 54 years experience

Shoulder pain/stress: Stress fracture in shoulder, pain for >one year,Where is the worst pain ?Touch yourself, and do a drawing of your shoulder, arm, forearm, wrist and... Read More

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2.1k viewsAnswered >2 years ago

A 41-year-old male asked:

Can xray result sometimes gives wrong resultsss... then when i re xray after long months.. its normal chest again :) annual medical xray exams?

Thoracic Surgery 54 years experience

Chest x-ray interpre: The chest x-ray does not show wrong results, the radiologist may miss- interpret the images. Remember that the x-ray. It's a static image, and has mul... Read More

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2k viewsAnswered >2 years ago

A 31-year-old female asked:

Had contrast mri on wrist yesterday. pain is so bad. i have a high tolerance for pain, but this is unreal. what could it be from?

Thoracic Surgery 54 years experience

Wrist pain: You had a normal MRI, correct? For how long is the pain? If is for more than a month, and does not respond to anti-inflammatory medication most probab... Read More

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2.1k viewsAnswered >2 years ago

A 38-year-old female asked:

Please help does esmya tablet really help to reduce small sizes fibros

Thoracic Surgery 54 years experience

Esmya for fibroids: Therapeutic indications Ulipristal acetate is indicated for pre-operative treatment of moderate to severe symptoms of uterine fibroids in adult women ... Read More

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1.3k viewsReviewed >2 years ago

Dr. Kenny Chuu and another doctor agree2 doctors agree

A 24-year-old male asked:

At times it stings/strikes me inside my head?is it cause of sleep or cold or something else?

Thoracic Surgery 54 years experience

Stings within the he: Several studies have indicated that EHS is significantly underreported, and in fact, many patients very rarely report it to their doctor because they ... Read More

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1.3k viewsAnswered >2 years ago

A male asked:

Im 18years old and my height is 178cm.......will i be able to reach atleast 183cm??

Thoracic Surgery 54 years experience

Height grwth: Height growth In males usually stops by the age of 16 – 18 years, in rare occasions may continue growing up to the age of 20 – 21 years of age. Once... Read More

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2k viewsReviewed >2 years ago

Dr. Jeff Livingston agrees1 doctor agrees

A 21-year-old female asked:

Sharp shooting pain in mid back left side. occurs spontaneously every few weeks lasting few hours. pain worse with deep breaths and movement.nonsmoker?

Thoracic Surgery 54 years experience

Lumbago: For how long you had the pain, were you involved in the past in a MVA ?if yes, how long, months, years. Di d you had MRI of your spine? .You indicate... Read More

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2k viewsAnswered >2 years ago

A member asked:

My father in law has diabetes since 25 years and now his creatinine level is increasing day by day..at present its 6.82..is it risky??

Thoracic Surgery 54 years experience

Diabetes creatinine6.82..is it risky: What is his age, The Blood pressure, is he in heart failure, what is the left ventricular ejection fraction, does he urinate large or small volumes a ... Read More

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1.2k viewsReviewed >2 years ago

Dr. Kenny Chuu agrees1 doctor agrees

A 22-year-old male asked:

Does thoracic outlet syndrome always effect the hand?

Thoracic Surgery 54 years experience

Yes, are frequently: The compression of the brachial plexus, subclavian – axillary arteries and veins generate what is called the thoracic outlet syndrome. Symptoms relate... Read More

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2.3k viewsAnswered >2 years ago

A 18-year-old female asked:

Will a light burn on my 4head heal? i accidentally burnt myself flat ironing my hair. turnt brown then peeled now it kinda pink. skin color come back?

Thoracic Surgery 54 years experience

Forehead burn: Avoid direct contact with sun rays. Take acetaminophen or ibuprofen for pain relief. Apply aloe Vera gel or cream to soothe the skin. If the skin bec... Read More

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2.1k viewsReviewed >2 years ago

Dr. Darryl Blinski agrees1 doctor agrees

A 20-year-old male asked:

What are causes of upper chest pain on the right side for a 20 y/o man? hurts to press against it, not on its own. no lump.

Thoracic Surgery 54 years experience

Chest pain: You stated that the you have the right side of the upper chest pain to pressure. Your age is 20 years correct? Have you had any other diseases in the... Read More

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2k viewsReviewed >2 years ago

Dr. Frank Amico Jr agrees1 doctor agrees

A member asked:

Can i get surgery before i go away on holidays ?

Thoracic Surgery 54 years experience

Surgery AND Holiday: It all depends of the condition you have. If is a cancer, I would have surgery If is cosmetic , I would go away. If is a hernia, and you never had pro... Read More

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1.3k viewsAnswered >2 years ago

A 20-year-old female asked:

I mixed some epsom salt with warm water and i didn't use much salt. i am now having a bad break out on my arm. i washed it off. what should i do?

Thoracic Surgery 54 years experience

Allergic reaction: For how lion are you using Epsom Salt? is this the first time? then do not use any more. If you still have symptoms get Benadryl (diphenhydramine) ov... Read More

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1.3k viewsAnswered >2 years ago

A male asked:

Tiny calcific density in the right upper lungfield and faint linear density in the right midlung area. probably of no present clinical significance. ?

Thoracic Surgery 54 years experience

Calcium in lung: How was it diagnosed, by CXR, or by CT-MRI. Presence of CA, is always abnormal. Because of the numerous structures in the upper chest, x-rays may show... Read More

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1.3k viewsAnswered >2 years ago

A 19-year-old male asked:

When to take my iron food if i want to drink coffee in consideration of its tannins ?

Thoracic Surgery 54 years experience

Iron and food: TIPS FOR TAKING IRON Iron is absorbed the best on an empty stomach. Yet, iron supplements can cause stomach cramps, nausea, and diarrhea in some peopl... Read More

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1.3k viewsAnswered >2 years ago

A female asked:

Dizziness, fatigue, heavy sweating, hallucinations (very strong, she clearly sees and hears rats), disorientation. might be from stress, or reduxcut?

Thoracic Surgery 54 years experience

Dizziness, fatigue, heavy sweating, hallucinations: Who is "she", what is her age, for how long. any other medication/s Nervous system effects such as insomnia (20%), dry mouth (13%), somnolence (7%), d... Read More

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1.2k viewsAnswered >2 years ago

A 19-year-old female asked:

I had a cycle begin on the 6th and end on the 11 now 6 days later on the 17th i have started again , please help ?

Thoracic Surgery 54 years experience

Irregular cycles: Have you ever had a similar event before? What you may have is an endocrine dysfunction, you should take a contraceptive medication, which contains pr... Read More

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2.1k viewsAnswered >2 years ago