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Dr. Pascal Scemama de gialluly

Anesthesiology
MA
13 years experience male

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.

Anesthesiology

Pain Management

Doctor Q&A

32 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 50-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Yes: You do not want to keep foreign objects within your body. See a doctor asap so it can be retrieved safely.
A 33-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Stop breathing: Overdose of narcotic medications such as oxycodone will result in a number of effects depending on the dose to include: unconsciousness and decrease i... Read More
A 50-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
A lot: General anesthesia affects every organ systems in your body. It affect your brain, it depressed your heart, it lower blood pressure, it changes your b... Read More
A 42-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Will numb your skin: Lidocaine or prilocaine cream will numb your skin. They sometimes take time to work, about 20 minutes. Having blood taken is minimally painful and fee... Read More
A 33-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Less effective: Ultram or tramadol is a weak opioid. Percocet is a combination of oxycodone (a strong opioid) and Tylenol (acetaminophen). Ultram can be effective for... Read More
A 35-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
An opioid analgesic: demerol (meperidine hydrochloride) or meperidine is a opioid-based pain medication. Its action, risks and side effects are somehwat similar to morphin... Read More
A 39-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Use suspension: Naproxen is available in suspension form. Talk to your pharmacist.
A 38-year-old male asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
To help pt wake up: Naloxone reverses the action of opioids/narcotics. During surgery, opioids are given to control pain. One of the side effects of opioids is sedation ... Read More
A 48-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Depends on pain type: Hydrocodone is an opioid pain killer that works well for pain transmitted by specialized pain receptors like in your skin or muscle. Opioid pain kille... Read More
A 35-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Increased pain: Hyperalgesia is hypersensitivity to a painful stimulus. If you have hyperalgesia, your pain will be greater than someone without hyperalgesia for the ... Read More
A 29-year-old female asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Numbness, tingling: Damage to sensory nerve would present as numbness, tingling or pain to light touch in the area innervated by the affected nerve. There could be also p... Read More
A 50-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Not recommended: Drinking alcohol after general anesthesia may exarcebate some of the remaining effects of the anesthesia and some of the drugs often administered duri... Read More
A 39-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Possibly: If you have opioid-induced hyperalgesia, the first thing to do is to stop using opioids if you want to reduce your hyperalgesia. If you need to use o... Read More
A 50-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
May Be Trigger point: Your painful knots in upper back are likely located in your muscle and more likely are what is called trigger points. If you push hard on them, they s... Read More
A 46-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Via the trachea: When placing a tube in the trachea to help a patient breathe and protect their lungs from gastric content is not possible or practical, an incision is... Read More
A 36-year-old male asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
No and Yes: Typical pure sedatives medications such as benzodiazepines (e.g. versed) do not treat pain. Typicall an opioids is added to treat pain. For certain pr... Read More
A 45-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Not often but: for cosmetic procedures involving the chest or abdomen, a paravetebral block or catheter can be very helpful. It is done under ultrasound guidance by ... Read More
A 38-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Deliver anesthesia: The anesthesia machine main function is to safely deliver anesthetic gas and oxygen via a breathing circruit to the patient. As a result it is combine... Read More
A 46-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Probably lidocaine: It depends on the setting and reasons for use but lidocaine is often used for a variety of situations. It acts fast, does not last too long. The toxic... Read More
A 42-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Many are: There are two types of parasympathomimetic drugs (which are also called cholinergic): direct acting and indirect acting. Direct acting include Acetylc... Read More
A 40-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Continuous infusion: A morphine drip is a continuous morphine intravenous infusion. Pain medications such as morphine can be administered as an infusion to help with const... Read More
A 50-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
See an ENT doctor: It is possible that as a result of being intubated, your vocal cords may have been affected even though it is a rare complication. The surgery you und... Read More
A 45-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Dissociated: The effect of ketamine depends on the dose. It is used for general anesthesia and at these doses you would not feel anything and would be unconscious.... Read More
A 38-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Get advice from: a physician that knows these medications well such as a pain physician or anesthesiologist. In general it is ok to take oxycodone after being on Subox... Read More
A female asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
General Anesthesia: If your surgery is done in an operating room at an hospital, you most likely will have general anesthesia and be intubated once unconscious. The exact... Read More
A 31-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Stops breathing: Morphine overdose will make the person stop breathing. With no breathing, oxygen levels in the blood will start to go down until they are too low for ... Read More
A 32-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Go see a doctor: If you have had a new onset headache for 3 weeks, you should see a doctor as soon as possible to rule out other things that could cause such a headach... Read More
A 44-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Common Side Effects: Nausea is a common side effects of pain killers assuming you are referring to narcotic pain killers such as morphine and other equivalent. Often a dif... Read More
A 47-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
N-Allyl: Naloxone and nalorphine are both compounds whose chemical name starts with N- Allyl
A female asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Bursa inflammation: I assume the pain you have is in your left upper thigh. You should see a doctor for a precise evaluation. Based on your description, a possible diagno... Read More
A 35-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Depends on weight: and also it the bupivicaine solution contains epinephrine. An easy way to calculate the max dose of 0.5% bupivacaine in milliliters is to take 1/2 of ... Read More
A 48-year-old member asked:
Dr. Pascal Scemama de gialluly
Anesthesiology 13 years experience
Occipital nerve bloc: Occipital neuralgia can result in headaches on top of your head. I would see a pain physician and explore the possibility of getting an occipital nerv... Read More

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

2
Recommendations
27
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Scemama de gialluly is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Scemama de gialluly is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks!
HealthTap member
This was very helpful. Thanks!
HealthTap member
This was very helpful. Thanks!

Education & Training

Medical/Graduate school

null
Graduated nullMD

Medical/Graduate school

University of Medicine and Dentistry of New Jersey - New Jersey Medical School, NJ
Graduated 2009MD

Residency

The Massachusetts General Hospital
Completed 2013

Awards

Top Anesthesiologist, First Place, Massachusetts - Fall
2014
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