Dr. Deborah Josefson

Primary Care, Internal Medicine
Glen Allen, VA
30 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

313 Answers
150 Agrees
The number of answers this doctor has agreed with.
A 25-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
It would be exceedingly rare for you to contract Naeglaria in this manner unless you are shooting water up your nose under high pressure. Don't worry ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Maybe: if your penis responds physically to the imagery of pornography then there is likely nothing organically wrong with your erection.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 71-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 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.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
LOCAL ISCHEMIA: When you cross your legs or restrict one limb for a prolonged period of time you are essentially depriving an area of oxygenated blood by kinking your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Neuropathy: Pins and needle sensation or patesthsias may signal a compression neuropathy such as carpal tunnel or spinal stenosis or disc herniation. There are ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Unlikely cardiac: It would be exceedingly rare for a 17 year old to have a heart attack without a predisposing condition. However, if you are having excessive caffeine ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Need biopsy: To truly differentiate you woud need a biopsy coupled with a stain for HPV. SK's usually are pigmented/
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Ignore: Try sleeping more and exercising more, Melantonin is available over the counter and may help.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
LIKELY GANGLION CYST: This sounds like a ganglion cyst. These are benign cysts or fluid filled sacs with fibrous tissue related to the joint spaces or synovial cysts. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 68-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 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.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Clean & close wound: 1. Stop the bleeding with compression. 2.You should gently clean the wound, 3. Close the laceration. The method used will depend on the severity and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Usually not: Your hair will not fall out due to a stressful event unless you pull it out. That said, Alopeica Areata , an autoimmune mediated local baldness, can b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Go to a doctor: It is not possible to know what the cause is from your description. Is it hard, soft, fixed or mobile? It can be anything from a benign growth to a m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Should shrink, ENT: It is normal for the adenoids to enlarge in response to infectiion. If you are concerned, see and ENT for evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Possibly milia: These could be milia or sebaceous cysts, rather than acne. I suggest going to a dermatologist to be sure.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Possibly hormonal: Bloated breast feelings are generally due to hormone fluctuations. However, given your age you might want to get a screening mammogram if you haven't ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Fecal impaction: there should be no need to manually remove your feces unless you have fecal impaction. Maybe you are constipated. You should increase your intake of l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
It sounds like a paraonchyia,Soak it in epsom salt bath 3 times a day. You may need antiobiotics.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
If the lymph node has truly remained stable in for 2 years it does not sound worrisome.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Nssal obstruction: Sounds like you may jab some upper airway or nasal obstruction or maybe a deviated septum. Have an ENT check it out if worried.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Deborah Josefson
Internal Medicine 30 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.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Periodic fever: A thorough history and physical and labs are required to properly diagnose the cause of your symptoms. The differential diagnosis includes infectous d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
R/o pheochromocytoma: While these symptoms are odd and not terribly specific, there is a rare tumor of the adrenal gland which can cause similar symptoms. You should see y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Neuropathy: Ischemia or neuropathy of which rhwre are multiple causes,of each. It can be something as simple as positioNal lack of bloox flow or compresssion, to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 77-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
PROBABLY: Sound like you;ve already had an ultrasound. Follow tge recommendations of your endocrinologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 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
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Gastro-colic refkex: You have a strong gastro colic reflex. When you eat something it is signaling your bowels to empty to give you more room for the intake
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Deborah Josefson
Internal Medicine 30 years experience
Go to.doctor: Shortness of breath and fatigue may mean congestive heart failure among other things. Please get evaluated urgently.
Created for people with ongoing healthcare needs but benefits everyone.

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

12
Recommendations
243
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
270 ratings

20 top reviews

35-year-old female
Aug 5, 2022 Cedar Lake, IN
Very thoughtful and took my concerns seriously.
19-year-old female
Jun 5, 2022 Woodville, TX
24-year-old female
Mar 20, 2022 Fort Bragg, CA
Very good experience!!
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