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SpecialtiesDoctors 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.
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.
Emergency Medicine
Critical Care
Languages spoken
English
Doctor Q&A
37 Answers
7 Agrees
The number of answers this doctor has agreed with.
A male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Not a problem: The mesh will likely not complicate her pregnancy. Of course this depends on the location and if she may require a c section.
3.9k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Might not be urine: Ive seen many cases of women in the emergency department mistake blood in the urine with vaginal bleeding. It can be subtle. Medications like Macrobid... Read More
3.9k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
It should resolve: It sounds like you are having a reaction to whatever you bumped up against, whether this is an early infection or an allergy like response is unclear.... Read More
3.9k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Seek help: The fact you are asking this implies you or someone you know needs a serious mental health evaluation. Please seek care.
3.9k viewsReviewed >2 years ago
A male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Try Bannanas: Frequent cramps can be due to subtle electrolyte disturbances. In muscle cramps the biggest offenders are typically low potassium and calcium. You can... Read More
3.9k viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Abnormal period: Abnormal bleeding or discharge in lieu of a normal period can indicate pregnancy or miscarriage. If you are sexually active and not using protection a... Read More
3.9k viewsReviewed >2 years ago
A 43-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Ease into it: As long as you haven't broken any bones there should not be any reason you cannot resume normal exercise. In fact, keeping up and about will help prev... Read More
3.9k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Only he knows: Human papilloma Virus is extremely common and multiple genotypes exist. if you have ever had even a common wart than you have been exposed to HPV. It ... Read More
3.9k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
No: Assuming you live in the US the answer is no. Clindamycin is an antibiotic and no antibiotics are available over the counter. Its very pricey at some ... Read More
3.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Yes: If you are having sex, have a functioning reproductive system and are female then you have a chance of getting pregnant.
3.9k viewsAnswered >2 years ago
A 17-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Probably not cancer: It sounds like you need to use protection during sex. If you are having recurrent STDs that means your partners are just giving the infection back to... Read More
3.9k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
See your doctor: Although given your age, it is an overwhelmingly small chance you have a serious heart or lung condition we doctors always get a bit concerned when so... Read More
3.9k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
No: The heart rate is fine for someone your age who is healthy. The machine reads it as abnormal because it is slightly slow.
3.9k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Maybe: You are young and presumably healthy. Your pain is very unlikely to be due to a serious condition like a heart attack. However if you are concerned th... Read More
3.9k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Drink and Drive=No: Who cares about the breathalyzer. Do not put yourself or the general public at risk by attempting to do things like driving or operating heavy machine... Read More
3.9k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
No: These nerve blocks can last for a few days on occasion. It may actually be saving you a lot of agony at the moment. You should start to regain sensati... Read More
3.9k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
No: Sub arachnoid hemorrhage is usually due to aneurysm. Occasionally this can also be seen in trauma or hypertensive emergencies.
3.9k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Kidney?: You might be suffering from a kidney stone or infection. You can see your doc for a urine test and possibly an ultrasound. Motrin may make your pain b... Read More
3.9k viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Bacterial Vaginosis: It sounds like you may be suffering from bacterial vaginosis. It is not a sexually transmitted disease; but rather a change in vaginal bacteria (that ... Read More
3.9k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Hypothyroid?: I am assuming you need the levothyroxine because you are hypothyroid, otherwise that is pretty dangerous. Being physically active alone does not mean ... Read More
3.9k viewsReviewed >2 years ago
A female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Test: We get these though the ED all the time. Usually the vaccination status has to be verified with a hepatitis B surface antigen antibody. There are the... Read More
3.9k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Scaling plaques: White scaling plaques on an red base is what psoriasis looks like. Typically it appears along the hair margins of the scalp. If you are worried your r... Read More
3.9k viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Yes: Penicillin's like amoxicillin are considered safe in pregnancy.
3.9k viewsReviewed >2 years ago
A 55-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Brain shrink: Cerebral atrophy occurs naturally as you age and is usually an incidental finding on head ct.
3.9k viewsAnswered >2 years ago
A 43-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Not much: The enzymes are likely CPK or creatinine phospho-kinase. These can leak out of all muscle tissue if they are stressed or injured. the number is not ve... Read More
3.9k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Too early?: Your hcg levels are still quite low and your pregnancy is likely nothing more than a few microscopic cells. At around 6000 hcg a small gestational sac... Read More
3.9k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Uremia: You should have a checkup by your regular doctor. You may be smelling ammonia or urea which may indicate a decreasing function of your liver or a pr... Read More
3.9k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Yes: If you are having sex, have a functioning reproductive system and are female then you have a chance of getting pregnant.
3.9k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Yes: Children tend to have lower systolic blood pressures than adults and your childs BP is in the normal range for age. It would be concerning in someone ... Read More
3.9k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
?heart failure: Cardiomegaly can indicate heart failure. You will likely need an ultrasound and a few screening tests. Seek immediate care if you cannot breathe or pa... Read More
3.9k viewsAnswered >2 years ago
A 16-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Tinnitus: The syndrome is known as tinnitus. Typically it is not life threatening unless it is due from you taking excessive amounts of aspirin. It is however q... Read More
3.9k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Yes: Circadian rhythms are tied to many hormonal processes in the body and menses are no exception. Diet, exercise and stress can also effect timing and d... Read More
3.9k viewsReviewed >2 years ago
A female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Ameobas: Although the media likes to take extreme cases out of context, N Fowleri infection is exceedingly rare. Think of the millions of people at this very m... Read More
3.9k viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
No: You will likely be fine. Since you are typing at the computer i'll assume you didnt get it stuck in your lungs. It should pass through your GI system... Read More
3.9k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
No: Most medications have expiration dates because of regulation (it also makes people buy more). They usually don't lose effectiveness or become dangerou... Read More
3.9k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Tummy Ache: Focal colitis is a general term for inflammation of a particular area of colon. Usually this is caused by food-borne illness or inflammatory bowel dis... Read More
3.9k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Gilbert Ramirezanswered
Emergency Medicine 12 years experience
Why not?: I don't see any reason it would not be any more or less safe than bathing in apple cider vinegar any other day of the year.
3.9k viewsReviewed >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
55
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Ramirez is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Ramirez is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you :) I will try to make sure not to eat greasy foods.
HealthTap member
Thank you, your answer was very helpful! Thank you so much! Your help is invaluable.
HealthTap member
Thank you, your answer was very helpful! Thank you . I will get to the doctor today
Education & Training
Medical/Graduate school
null
Graduated nullMD
Medical/Graduate school
Rosalind Franklin University - Chicago Medical School, IL
Graduated 2010MD
Residency
UCSF fresno
Completed 2014
Awards
Best Resident Teacher of the Year
Top Emergency Medicine Specialist , Second Place, California - Summer
2014
Affiliations
ucsf
UCSF Fresno
UCSD Medical Center
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