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Dr. Deborah Josefson

Primary Care, Internal Medicine
Glen Allen, VA
29 years experience female

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

Pathology

Travel Medicine

Urgent Care

Licenses

United States: Arizona, California, Colorado, District Of Columbia, Florida, Illinois, Indiana, Michigan, Nebraska, New Jersey, New York, North Carolina, Pennsylvania, Texas, Utah, Vermont, Virginia, Washington, West Virginia

Languages spoken

English, Hebrew

Doctor Q&A

251 Answers
110 Agrees
The number of answers this doctor has agreed with.
A female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
See an opthamologist: For a definitive diagnosis you should see an opthamologist. The differential diagnosis of an irritated eye is large and encompasses everything from fo... Read More
A 17-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Possibly milia: These could be milia or sebaceous cysts, rather than acne. I suggest going to a dermatologist to be sure.
A 20-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Variable: This sounds like it could be a Bartholin's cyst. This may go away with time and conservative treatment such as with warm soaks. It it becomes harder a... Read More
A 68-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Plantar fascitis: Heel and arch pain can be from inflammation of the plantar fascia. Relieve with nonsteroidals., stretching exercises and ace type bandages.
A female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Likely good: Factors affecting fertility are multifactorial but the sizes of your follicles are good and are nearly ready for induction for ovulation- I assume you... Read More
A 34-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Are these symptoms new/acute? You should definitely call your son's pediatric cardiologist to discuss and have him examined, sooner rather than later.... Read More
A 18-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Water ,coconut juice: cocanut juice has alot of electrolytes and some sugar, Water is great and 1-2 cups of caffeine a day should be sufficient.
A 42-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Urgent evaluation: Chest pain associated with nausea, weakness and dizziness needs to be evaluated urgently in order to rule out a myocardial infarct or other cardiac or... Read More
A 26-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Ano-rectal bleeding: Common causes are hemmrhoids and anal fissures,or ulcers. There are other reasons for blood in the bowel ranging from benign to malignant. See your do... Read More
A 71-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Edema vs infection: Swelling of the extremities can happen in states,of vascular insufficiency, decreased oncotic pressure due to relative loss of protein, renal disase,... Read More
A female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Edema: The differential diagnosis is positional edema and lymphatic obstruction vs blood clots. The blood thinnnerez make a clot less likely. If it persists ... Read More
A 37-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Proteinuria: Protein in the urine has a variety of causes. Are you diabetic? This is a common cause. Also nephrotic syndrome and IGa nephropathy can cause it as we... Read More
A male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Go to the ER immeida: the usual dose of beandryl is 25 mg. YOu must go to the ER or posion control immediately . This large dose will put you to sleep and have effects ofn ... Read More
A 26-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
See a GI doctor : Any change in bowel habits especially in an older person warrants closer examination. If your grandma hasn't passes poop or gas in over 3 days she may... Read More
A 28-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Possibly strep : You should go to a doc or urgent care for a throat culture and rapid strep test and possible antibiotics . The white line is likely pus & bacteri... Read More
A 52-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Yes: ascites is a collection of peritineal fluid and can be detected by a physical exam and tapping out the belly. It is often associated with liver diseas... Read More
A 31-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
This can be normal: This can be normal but it may also be associated with early pregnancy, so you should take a urine pregnancy test to be sure, especially if this is new... Read More
A 17-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
UTI/vagitinits: Likely you have both a uti and vaginitis. Go the doc and get your urine tested and to gyn to check for vaginitis.
A 23-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Wash and moisturize: It is very likely you are drying out your skin with all the washing. TAnd open cuts can be a mode of entry for bacteria or germs.These days we are all... Read More
A 44-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
There are multipple causes of nodules in the breast ranging from benign to malignant. A definitive diagnosis relies on the findings of a pathologist ... Read More
A 37-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Ignore: Try sleeping more and exercising more, Melantonin is available over the counter and may help.
A 45-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Nocturnal leg cramps: Could be nocturnal leg cramps or restless leg syndrome. Hard to know without additional info, Make sure you are well hydrated and have no electrolyte ... Read More
A 29-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Yes: Ultrasound is one of the modalities used to test for anal sphincter anatomy. If you are experiencing fecal incontinence it is one of the tests that ma... Read More
A female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Anything-go to M.D: This could be anything from an infection, to a blocked duct to a cyst to a tumor. Does it change with your menstrual cycle? The only way to know what ... Read More
A male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
See a psychiatrist: If you are hearing voices and no one is there this can be a sign of serious psychiatric or neurologic illness. This is known as an auditory hallucinat... Read More
A 32-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
FNA: Sounds like you had a fine needle aspirate of the thyroid. You may have gotten the diagnosis of a follicular lesion. It is difficult on a needle aspir... Read More
A 32-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Infection : Sounds like it is infected or irritated. Go to a doctor and have them look. You may need antibiotics. They should also check for umbilical hernia.
A 31-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Shoes should fit: Avoid shoes that don;t fit you well or cause painful toes. Yes, this will cause trouble both in the long and short run. It can lead to bunions and inf... Read More
A 35-year-old member asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Address cause: Pruritis Ani is a vexing problem. Defining the cause may help. Rule out parasitic infection, fungal and bacterial causes, STD's, and fecal leakage/inc... Read More
A 29-year-old member asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Need biopsy: To truly differentiate you woud need a biopsy coupled with a stain for HPV. SK's usually are pigmented/
A 35-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Decreased immunity: Shingles is a reappearance of chickenpox or varicella zoster virus. After the initial outbreak of chicken pox, the virus hides in the spinal cord in t... Read More
A 35-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Yes=i.c.: Hunner's ulcers is the eponym for interstitial cystitis. I.C. is a symptom complex and a diagnosis of exclusion where you may have urinary urgency an... Read More
A 26-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Constipation: It sounds like you are constipated, not obstructed. As long as you are pooping you are not obstructed. It is unlikely that you have a bezoar unless yo... Read More
A 35-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
SUN AND EXERCISE: S.A.D. CAN BE ALLEVIATED WITH SUN EXPOSURE AND EXERCISE SO GO OUT FOR A RUN OUTSIDE.
A 36-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
NOT SO MUCH: You have "orthostatic hypotension". Compression stockings will help a bit but likely not enough. Try squeezing your leg muscles and exercising in bed ... Read More
A 49-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Depends: Everyone is different. Many people have radiologic findings of severe spinal stenosis without symptoms and vice versa-so there's not so much of a corr... Read More
A 25-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
PHARYNGITIS: Sounds like you have pharyngitis or sore throat, likely bacterial in nature, given the described white bumps. A common cause of this is streptococcal ... Read More
A 29-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Acute or chronic?: Acute alcoholic hepatitis will cause a rise in your liver enzymes and the damage will be transient but continued alcohol consumption may lead to chron... Read More
A 27-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Maybe: A purple "spot" can be harmless such as a hemangioma. However, one can't diagnose this without looking at it, Any change in the spots appearance,size,... Read More
A 26-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Equalize pressures: if diving, make sure you don;t have a cold- take a decongestant if necessary, Equalize your ears with tba pressure as you descend my holding nose an... Read More
A 49-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Get an evaluation: Many factors can cause diarrhea including infectons and dietary intolerances. The burning is likely secondary to irritation. A proper history is neede... Read More
A 21-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Rule out infection: You may have an infection with a sulfur emitting bacteria, ,possibly actinomyces.
A 51-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
Suspicous: This certainly sounds suspicious for cancer, but you should be followed up by your gastroenterologist for endoscopic biopsy or referred to a GI surge... Read More
A 28-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
See a dentist/doctor: You should see a dentist or doctor who will examine it in person. and decide whether to biopsy it for pathological examination.
A 44-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 29 years experience
This likely means that the lesion is somewhat cystic in nature. No abnormal vascularity means that imaging did not reveal an abnormal pattern of blood... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

12
Recommendations
215
Thank you notes
HealthTap member
Mar 16, 2016
thank you for responding you were a breathe of fresh air. I would love to have a referral if possible so I can get some help
HealthTap member
Mar 30, 2015
Dr. Josefson is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Josefson is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
thanks but please help me understand what you mean! Gargle and speak, how is that done? Or do you mean just say alphabet/sentence all in one breath? Thanks again.
HealthTap member
This was very helpful. Thanks! Drinking water, the feeling off needing a wee has gone, still pain, I'm not signed up to doctors because recently moved, thanks
HealthTap member
This was very helpful. Thanks! Thank you Dr.Josefson for your kind professional advice i appreciate your details too from England UK

Education & Training

Medical/Graduate school

Tel Aviv University, Sackler School of Medicine, Israel
Graduated 1993MD

Awards

Top General Internist, Second Place, Virginia - Fall
2014
Top Doctor, Third Place, Richmond Region - Fall
2014
Most Influential Doctor, Second Place, Virginia - Fall
2014

Virtual Visit Ratings

4.5
268 ratings

20 top reviews

24-year-old female
Mar 20, 2022 Fort Bragg, CA
Very good experience!!
56-year-old male
Feb 22, 2022 Diamond Bar, CA
Thank You
46-year-old male
Feb 3, 2022 Lancaster, TX
Fast and efficient
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less