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Dr. Steven Neish

Pediatrics - Cardiology
SAN ANTONIO, TX
39 years experience male

Locations

UT Kids Pediatric Cardiology

Address

1901 Babcock Rd, Suite 301, US
Directions

My office hours

Tuesday: Closed
Show more

Insurances accepted

Aetna

Amerigroup

Blue Cross Blue Shield of Texas

Medicaid

About

Bio

Dr. Steven Neish is a pediatric cardiologist at the University of Texas Health Science Center at San Antonio. He is the Vice-Chair of the Department of Pediatrics. In that role, he concentrates on improvement, strategy, and program development. He is a long-time member of National Pediatric Cardiology Quality Improvement Collaborative. His focus in pediatric cardiology is on the care of hospitalized children with congenital heart disease, particularly those in the first year of life.

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.

Pediatrics - Cardiology

Pediatric Cardiology

Doctor Q&A

421 Answers
113 Agrees
The number of answers this doctor has agreed with.
A 47-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Not cardiac: Sudden, sharp chest pains are not typically related to heart disease. In fact, sharp, short-lived, chest pains are not typically related to anything ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
High: A resting heart rate of 120 BPM is abnormal for an 18 year old. The most common cause for a high resting heart rate in an 18 year old is anxiety, but... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Musculoskeletal: You pain sounds musculoskeletal. There are joints, bones, and muscles in the chest and they all move when you move your chest. If any one of those i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
UTI?: One of the panels on a urine dipstick measures for the presence of leukocyte esterase. The leukocyte esterase test is positive when there are white b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
No indication: There is no reasonable indication for taking pseudophedrine. Even if you are not having side effects, you should stop taking the medication unless yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Depends: There are a lot of ways to answer this and none are perfect. I will use the nih's bmi calculator to suggest a range of weights. http://www.nhlbi.nih... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Safe: Mmr and other standard vaccinations are generally safe. The risks of vaccinations have been greatly exaggerated in the media over the past couple of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Yes: A cardiac mri/mra is an excellent test to measure the size of the blood vessels in the chest, including the aorta. If your aorta is dilated, the mra ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Probably just a cold: Low grade fever associated with upper respiratory tract symptoms is usually caused by a viral infection, most typically one of the viruses that cause ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Many possibilities: There are many causes of an irregular heart rhythm. It is possible to have sinus arrhythmia, which is a variant of normal. It is also possible to hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
1/3-1/3-1/3: This is an oversimplification, but some have described myocarditis outcomes as 1/3 have a complete recovery, 1/3 have evidence of long-term heart inju... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Riley: In indiana, there is a highly respected children's hospital with a high quality congenital heart center in indianapolis. Congenital heart centers are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Arrhythmia?: It would be highly unusual for an adult to have simple sinus tachycardia during submaximal exercise. There are two more plausible explanations: 1) yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Statistics: While it is theoretically possible to have two primary cancers at once, it is extremely unlikely. The statistical likelihood of two rare diseases str... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Complicated question: Timing of aortic root replacement is complex in childhood. Factors include the z-score of the aortic root diameter (which requires knowledge of body ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Already happening: Immunotherapy research for cancer is already occurring. There has been some success, but it remains a complicated field.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Inadequate info: There isn't enough information available to answer this question. If there is not blood pressure, though, then there is no pulse, and it's not likely... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Heart rate variation: The length of time that it takes for the myocardium to repolarize varies with the heart rate. Faster heart rate, faster repolarization. Therefore, t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
BSA: Those numbers are in the ballpark of the upper limit of normal, but the best answer depends on body surface area. The upper end of normal is differen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Great question: One of the most valuable resources for parents of a child with hypoplastic left heart syndrome is an organization called sisters by heart. They have ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Electrical: Fainting refers to loss of consciousness. This may be due to a variety of problems. A seizure may or may not result in a loss of consciousness, but ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Child life: My best advice is to have the procedure done in a center where there is a child life department with trained child life specialists. Child life speci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Expert follow-up: I am going to assume that you have had surgery to "repair" your condition. Even after surgery, though, your heart will not typically be truly normal.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Other way around: Atrioventricular (av) canal defect is a relatively common congenital heart defect in children born with down syndrome. Down syndrome "causes" av cana... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Congenital anomaly: Ebstein anomaly of the tricuspid valve is a congenital heart disease characterized by "downward" displacement of the tricuspid valve towards the apex ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Very unusual: Virtually everyone has fused all of their growth plates by the time they are 20 years old. Once your growth plates are fused, growth is over. Even t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
I'm sorry: I'm sorry, but it is impossible to make a blind recommendation about a cosmetic procedure.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
It depends....: A holosystolic murmur, by conventional definition, is a murmur that begins at s1 (the first heart sound) and continues until s2 (racepinephrine) (the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Two ways: A large vsd with increased pulmonary blood flow may cause a diastolic flow rumble caused by a large amount of flow coming back from the lungs across t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Avoid decongestants: Decongestants are vasoconstrictors, so in general, they should be avoided. If you have allergies as a risk factor for sinusitis, antihistamines might... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Various: The right answer depends on the severity of your eczema. Remarkable improvements in eczema can be achieved by avoiding water exposure, particularly h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Yes: Typically, there in patients with myocarditis, there are abnormalities on both ECG and echocardiogram. In fact, if both the ECG and the echocardiogra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Probably: There are many causes of chest pain in children. Interestingly, chest pain is rarely due to heart diseases in children. Overall, probably the most c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Can she/he hear?: The most important first step is to assure that your toddler can hear normally. Talk to your pediatrician. If a baby cannot hear normally, speech ac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Yes: The only abnormality that might affect the ability to fly in patients with Marfan syndrome would be if there are very large, unstable blebs in the lun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Diagnose ; treat: A cardiac catheterization is test done in an special x-ray suite (catheterization laboratory) where long, thin, flexible tubes are directed to the hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Yes: Standard risk people should have a tetanus shot every 10 years. High risk people should have a tetanus shot every five years.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Eggs: Infection is transmitted through the consumption of pinworm eggs.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Perhaps: Most children have some speech by 18 months of age. The most important first step is to have his ears examined and to have his hearing tested. If t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
25%: Generally, hypertrophic cardiomyopathy is inherited in an autosomal dominant fashion. In other words, an affected individual has a 50% chance of pass... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Geneticist: There are definite criteria for the diagnosis of Marfan syndrome (ghent criteria). Most (but not all) people with classic Marfan syndrome will have a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
No: Vaccinations are generally safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Around two!: The "terrible twos" are a developmental phenomenon rather than a direct cause and effect by age. As children develop, they develop a sense of self th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Droplets: Primarily, RSV is transmitted through contact with droplets from the eyes, nose, or mouth of an infected person.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Shot record: The cdc has a good site with immunization recommendations for various situations. The recommendations for an adult are at: http://www.Cdc.Gov/vaccin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Yes: The signs of exercise induced asthma are wheezing with exercise, excessive shortness of breath with exercise, and cough during or after exercise. Exe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Normal: Premature atrial contractions (pacs) are normal. There is no special evaluation or follow-up necessary.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Normal: It is not abnormal for the foramen ovale to stay open after birth for a period of time. In neonates who are found to have an isolated pfo by color do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
Unlikely: Heart disease rarely causes chest pain in young people. This is particularly true if the pain is chronic. A careful history and physical examination... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 39 years experience
May need surgery: Typically, a 1.1 cm diameter vsd will need surgery in the first few months of life. However, in high quality pediatric heart surgery programs, the ri... 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.

3
Recommendations
242
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Neish is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Neish is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Jul 19, 2015
Excellent capability to depict problem
HealthTap member
Thank you, your answer was very helpful! Thank You; the bump is smaller and he's still hasn't had any symptoms.
HealthTap member
Thank you, your answer was very helpful! So the disease is either autonomous or secondary to something else?
HealthTap member
Thank you, your answer was very helpful! Thanks a lot Dr your answer clarify that. I think measurement error

Education & Training

Medical/Graduate school

Sanford School of Medicine of the University of South Dakota, SD
Graduated 1983MD

Medical/Graduate school

Harvard School of Public Health
Graduated 2004MD

Residency

Walter Reed Army Medical Center

Awards

Top Pediatric Cardiologist, First Place, Texas - Summer
2013
Top Pediatric Cardiologist, First Place, National - Spring
2014
Thought Leader, Second Place, San Antonio Region - Spring
2014

Affiliations

American Academy of Pediatrics
American College of Cardiology
American Heart Association, Council on Cardiovascular Disease in the Young
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