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Dr. Robert Isaacs

Family Medicine
CA, Singapore
40 years experience male

About

Bio

I am a senior consultant at a 2000 bed public sector inpatient facility in southeast Asia. Broadly speaking, my main areas of interest are in eduction and the care of disadvantaged patients. I have spent the majority of my career in the public sector, having worked in indigent, native American, migrant and rural health care. I have also spent extensive time in both equatorial and southern Africa doing HIV/AIDS, TB, paediatrics, infectious disease, parasitology and tropical medicine. I love teaching patients and junior staff, and derive great satisfaction caring for patients who are unable to obtain their care from mainstream sources. I have also done original research and publishing, and continue ongoing work in these areas.

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.

Family Medicine

Languages spoken

English

Doctor Q&A

445 Answers
105 Agrees
The number of answers this doctor has agreed with.
A 24-year-old female asked:
Dr. Robert Isaacs
40 years experience
Fishy odour: The odour you describe could be due to a condition called bacterial vaginosis - BV for short. Any gynaecologist and almost any fp can check you for t... Read More
A 21-year-old male asked:
Dr. Robert Isaacs
40 years experience
Looks good: One thing to mention is that the reason your total cholesterol is slightly on the high side is due mainly to a high level of hdl, the so called good c... Read More
A 37-year-old member asked:
Dr. Robert Isaacs
40 years experience
Floaters: Floaters are a natural age-related phenomenon and due to changes in the vitreous humour, the jelly-like substance in the back of the eye. Light passi... Read More
A 39-year-old male asked:
Dr. Robert Isaacs
40 years experience
Exactly that.: You described it perfectly. I'm going to take it that you are in normal health with no known heart problems. Even healthy persons can have mild, br... Read More
A 35-year-old female asked:
Dr. Robert Isaacs
40 years experience
Costochondritis: Is due to inflammation of the costo-chondral junction where ribs join with cartilage in the anterior chest wall. It can be brought on by physical exe... Read More
A 67-year-old female asked:
Dr. Robert Isaacs
40 years experience
Probably.: Well, probably. Green lipped mussels are safe to eat if harvested at the right time of year and quite tasty if not over-steamed. Not sure what the b... Read More
A 38-year-old female asked:
Dr. Robert Isaacs
40 years experience
See your doctor: There are other medications that can help with trigeminal neuralgia, including several of the medications that are most commonly used to treat epileps... Read More
A 17-year-old male asked:
Dr. Robert Isaacs
40 years experience
Yes.: Both are used for cough. Difficult to say precisely which is better. The better one is the one that works for you without side effects. Both can ha... Read More
A 20-year-old male asked:
Dr. Robert Isaacs
40 years experience
Acid-base balance: One of the roles of potassium is to help maintain the acid-base balance in the blood. During anaerobic exercise you create an 'oxygen debt' that incr... Read More
A 25-year-old female asked:
Dr. Robert Isaacs
40 years experience
Maybe not.: The fda does not recommend using home fetal dopplers because their safety is unknown.
A 29-year-old female asked:
Dr. Robert Isaacs
40 years experience
See answer: Glucose intolerance means that your body does not handle glucose in a precisely normal way. It means your glucose level is higher than normal, but no... Read More
A member asked:
Dr. Robert Isaacs
40 years experience
Good question.: The cause of ganglion cysts isn't really known, but they do tend to occur on the distal extremities, so the role of trauma or repeated micro-tramua pr... Read More
A 43-year-old member asked:
Dr. Robert Isaacs
40 years experience
Generally no.: Localized infection of the bladder, a uti, is not thought to be dangerous for the kidneys. Sometimes, however, the infection can climb up into the ki... Read More
A 60-year-old male asked:
Dr. Robert Isaacs
40 years experience
Healthy Lifestyle: Dr friedlander is basically correct. There is no specific medication that is for cancer prevention. Having put that issue aside, however, it does se... Read More
A 48-year-old member asked:
Dr. Robert Isaacs
40 years experience
Hospice care: Difficult to say because the length of time someone with a terminal illness will live can't be known with certainty. Hospice care is an option o... Read More
A 40-year-old female asked:
Dr. Robert Isaacs
40 years experience
Get it checked.: Australia has a higher than average incidence of skin cancer. A skin lesion that seems benign and is stable for many years, but which changes its beh... Read More
A 30-year-old female asked:
Dr. Robert Isaacs
40 years experience
Could be.: If your periods are usually regular but this one is 5 days late then now would be the right time to do the pt if you want to know.
A 20-year-old female asked:
Dr. Robert Isaacs
40 years experience
Probably acid reflux: Acid reflux is very common in pregnancy, especially towards the later stages. But even women who are early in their pregnancy can be bothered by it. ... Read More
A 26-year-old male asked:
Dr. Robert Isaacs
40 years experience
Can: The calcium in milk and other dairy products can interfere with the absorption of some medications, but not all. The bottle your medicine comes in sh... Read More
A 22-year-old female asked:
Dr. Robert Isaacs
40 years experience
Not completely: In the short term, yes, but long term not so much. The normal menstrual cycle contributes to bone health, and suppressing the cycle increases the ris... Read More
A 38-year-old female asked:
Dr. Robert Isaacs
40 years experience
Should be fine: If you never became ill, then it is unlikely that you were ever infected with listeriosis.
A 23-year-old female asked:
Dr. Robert Isaacs
40 years experience
ETD: Unjani, what you are most likely experiencing is what is called eustachian tube dysfunction, (etd), when the eustachian tube fails to open to allow ... Read More
A 22-year-old male asked:
Dr. Robert Isaacs
40 years experience
Unlikely: Seems to me to be very difficult to imagine. You would have to obtain the virus, then transport it and them apply it. Not at all easy. Who would ha... Read More
A 19-year-old female asked:
Dr. Robert Isaacs
40 years experience
Keep at it.: There are three main parts to approaching acne...1) reduce the amount of bacteria on skin.. 2) keep pores open...3) reduce oil production. Antibiot... Read More
A 33-year-old female asked:
Dr. Robert Isaacs
40 years experience
Not by what you say: A silent heart attack is one that has no symptoms, so whatever it was you experienced, it was not silent. Was it a heart attack? I'm not able to say... Read More
A 30-year-old male asked:
Dr. Robert Isaacs
40 years experience
Twice: Twice a day is generally considered to be often enough in the average person as that is enough to prevent plaque formation.
A female asked:
Dr. Robert Isaacs
40 years experience
Natural ways: Get enough regular sleep. Eat healthy food. Exercise moderately. Do not use tobacco, alcohol or drugs. Meditate. Pace yourself. Learn how to cop... Read More
A 17-year-old female asked:
Dr. Robert Isaacs
40 years experience
Bloody diarrhea: You and your baby are in no immediate danger. However, bloody diarrhoea, especially if with a fever, needs to be investigated and treated. Keep well... Read More
A 20-year-old female asked:
Dr. Robert Isaacs
40 years experience
Allergies: Yes, it is OK to take those every 12 hours. They are quite safe, and it may be the case that your body metabolises them faster than usual.
A 20-year-old female asked:
Dr. Robert Isaacs
40 years experience
Conception: Between the results of the two ultrasounds you mention it is more likely that you conceived in mid-january.
A 23-year-old female asked:
Dr. Robert Isaacs
40 years experience
HCG levels by dates: It sounds ok. There is quite a wide variation in normal bhcg levels according to estimated weeks of pregnancy and a level of 189, 000 at 9 1/7 weeks ... Read More
A 58-year-old female asked:
Dr. Robert Isaacs
40 years experience
Dizziness: Dizziness is a somewhat non-specific term. Inner ear problems that cause dizziness are often likely to felt as vertigo, meaning a sense of spinning o... Read More
A 20-year-old female asked:
Dr. Robert Isaacs
40 years experience
Resting tachycardia: I would not advise you to start working out until the reason for your elevated resting heart rate is determined. You are young, and might well tolera... Read More
A 50-year-old member asked:
Dr. Robert Isaacs
40 years experience
VentricularArrythmia: A ventricular arrhythmia would be picked up on an ekg if it occurred while the tracing was being recorded. If the arrhythmia was intermittent it migh... Read More
A 20-year-old female asked:
Dr. Robert Isaacs
40 years experience
EGA: The most helpful information would be the date of your last menstrual period and your typical cycle length. But if you want a rough idea then let's a... Read More
A 22-year-old male asked:
Dr. Robert Isaacs
40 years experience
Life change: You realise you are at a place in life that is not working so well for you and you want to find a way forward to a better place. There are no simple ... Read More
A 23-year-old male asked:
Dr. Robert Isaacs
40 years experience
Ouch.: I would not recommend doing it yourself. You would run the risks of excessive bleeding and infection, among other potential complications. See a qual... Read More
A 29-year-old female asked:
Dr. Robert Isaacs
40 years experience
Possible UTI: I think it would be best for you to be treated. Yes, the colony count of 10, 000 is low, you do not report symptoms, and it could all just be contami... Read More
A 21-year-old male asked:
Dr. Robert Isaacs
40 years experience
AB+ foetus: No reason an ab+ foetus cannot survive, especially if the mother is also rh positive. If the mother is rh negative the problem would only arise if sh... Read More
A 35-year-old female asked:
Dr. Robert Isaacs
40 years experience
Tramadol: The maximum daily dose of tramadol is 300mg. Do be cautious, however, tramadol is officially not considered to be addictive, but my own experience w... Read More
A 28-year-old female asked:
Dr. Robert Isaacs
40 years experience
Alcohol & prednisone: You can, as in 1 or maybe 2, but alcohol mixed with Prednisone can increase the chance of irritating your stomach, so take it easy and consider also t... Read More
A 24-year-old male asked:
Dr. Robert Isaacs
40 years experience
Whey protein: A single scoop of a whey protein supplement should not pose any problem in the long run for a person with normal liver and kidney function.
A 24-year-old female asked:
Dr. Robert Isaacs
40 years experience
Hair wash: Yes, no harm in trying. Skin cleansers, shampoos, etc are formulated to work best on the area of the body they are intended for. But there is no har... Read More
A 34-year-old female asked:
Dr. Robert Isaacs
40 years experience
EKG low voltage: Low voltage means that what are called the qrs complexes are smaller than usual. There are many possible reasons, including a barrel chest, copd, car... Read More
A 22-year-old female asked:
Dr. Robert Isaacs
40 years experience
Persistent pain: You don't say precisely what area you injured, but if you are still having pain 4 weeks out it would be wise to be rechecked. If it was concern for a... Read More
A 36-year-old female asked:
Dr. Robert Isaacs
40 years experience
Epilepsy: A panic attack might precipitate a seizure in a person with pre-existing epilepsy, but shouldn't in a non-epileptic person.
A 48-year-old female asked:
Dr. Robert Isaacs
40 years experience
Time: Your own body will probably heal it just fine given time.

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

6
Recommendations
347
Thank you notes
Mar 15, 2014
I highly recommend Dr Isaacs. His posts are educational, informative, clear and concise. His contributions to Healthtap are second to none!
Sep 12, 2014
Dr. Isaacs brings a broad fund of knowledge to the HealthTap community. His expertise is exceptional. Highly recommended!
HealthTap member
Mar 30, 2015
Dr. Isaacs is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Was afraid it was scorpion or spider due to intense pain. THANK YOU!!!
HealthTap member
Thank you, your answer was very helpful! Thank you Doctor. This is good to know and I'll be sure to ask my Dr.
HealthTap member
Thank you, your answer was very helpful! Spoke w/DR today and he agrees re possible colonization. C/S still out

Awards

HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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