Dr. Steven Neish

Pediatrics - Cardiology
SAN ANTONIO, TX
40 years experience male

Locations

UT Kids Pediatric Cardiology

Address

1901 Babcock Rd, Suite 301, US
Directions

My office hours

Thursday: 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 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
No: Vaccinations are generally safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 29-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 38-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 43-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 40 years experience
Eggs: Infection is transmitted through the consumption of pinworm eggs.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 43-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 63-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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.
A 36-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 36-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 27-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Unwise: Typically, "nitric oxide" is l-arginine powder. L-arginine is a precursor of nitric oxide. Nitric oxide is released from the endothelium and causes v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 30-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
RV size?: Pulmonary valve insufficiency is common after surgery or balloon valvuloplasty for pulmonary valve stenosis. The most reliable sign predicting the s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Healthy lifestyle: Assuming that you don't want to take medications, or don't need medications, the best advice is to 1) exercise regularly (daily), 2) lose weight if ov... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Good question: Typically, even patients with mild tetralogy of fallot are repaired in the first few months of life in the us. Until repair, the balance of adequate ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Multiple factors: Generally, a young person who is overweight is not exercising enough (a minimum is 150 minutes per week in youth) and making poor food selections. A ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Heart dilation: Severe anemia decreases the oxygen carrying capacity of the blood, so the heart responds by increasing cardiac output. If the anemia is severe, one o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Symptoms?: Most practitioners have abandoned the beta-adrenergic-agonist syrups. The efficacy is low and side effects are high. If beta-adrenergics are required ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Congenital heart def: Normally, there are four heart valves: pulmonary, tricuspid, aortic, and mitral valves. It is possible to be born with one of these valves missing, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Interesting question: If you have important levels of congestive heart failure, primary pulmonary hypertension, or if atrial fibrillation causes decreased cardiac output, y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 38-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Qualitative?: The aortic valve is the valve that connects the heart (left ventricle, a pumping chamber) with the aorta (the blood vessel that carries blood througho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Common themes: The real answer depends on the cause. There are common themes, though. If you have CHF with lv dysfunction, you will probably benefit from some leve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 22-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Yes: Theoretically yes, an Epinephrine shot would work, but the use of inhaled beta adrenergics (albuterol) is preferred.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Yes: Typically, pulmonary valve stenosis presents with an asymptomatic heart murmur, often associated with an ejection click. Most patients are diagnosed i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Atopic diseases: "atopic diseases" including allergic rhinitis, atopic dermatitis or eczema, and asthma do appear to have genetic influence. If one parent has an atop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Typically decreased: Dilated cardiomyopathy in the classic form has greatest effect on the left ventricle, which is responsible for pumping blood to the body. In dilated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Should be okay: Most of the time in the summer, babies can be in outdoor water by the time that they are 4 years old (as long as they are otherwise healthy). Don't l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 24-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Musculoskeletal: You pain sounds musculoskeletal. There are joints, bones, and muscles in the chest and they all move when you more your chest. If any one of those i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Yes: Rheumatic fever can affect the heart, most commonly the heart valves. Early cardiac findings of acute rheumatic fever include mitral insufficiency an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Interesting: For children with normal feet, there isn't much evidence that there is anything better than running barefoot (assuming that it's warm enough and there... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Potentially fatal: Infectious (bacterial) endocarditis is typically fatal without treatment, and occasionally fatal even with appropriate treatment. Typically, six week... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 43-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Anxiousness: The most likely cause is that he was anxious to be at the doctor. High cardiac output, raising the systolic blood pressure, but leaving the diastolic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Unlikely: From the cdc, "bite and non-bite exposures inflicted by infected humans could theoretically transmit rabies, but no such cases have been document... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 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 37-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Variable : Some congenital heart defects almost always present in the first few hours of life. Others, have a variable presentation and may present at any age. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Sounds normal: The numbers you describe all sound normal. When you are relaxed, your heart rate and blood pressure are lower and when anxious or active, the numbers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Complicated: A 'heart murmur" means that one can hear blood flow with a stethoscope. Very nonspecific term. A "hole in the heart" is a connection between the cir... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
High: The starting dose of metoprolol varies according to the indications for its use and the exact condition of the patient. However, a starting dose of 2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Can be familial: Hypoplastic left heart syndrome, in some cases, appears to have a familial (genetic) component. There are various genes that have been suggested to h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Important diagnosis: It is important to know whether you have hypertrophic cardiomyopathy, which is a genetic disease of the heart, or you have ventricular hypertrophy fro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
ER: There are multiple causes of red rashes. Some are serious and some are not serious. Also, Azithromycin is not the typical first line treatment for s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Steven Neish
Pediatrics - Cardiology 40 years experience
Superior imaging: The use of "contrast" in a ct scan enhances the imaging of the blood vessels. Typically, contrast is an iodine containing liquid, which "blocks" the ... 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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