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Dr. Joseph Pfeifer

Trauma Surgery
Pittsfield, MA
41 years experience male

Locations

Berkshire Surgical Professional Services

Pittsfield, MA

Address

777 North St., Pittsfield, MA
Directions

My office hours

Tuesday: 1:00pm - 3:00pm
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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.

Trauma Surgery

Critical Care

General Surgery

Doctor Q&A

156 Answers
32 Agrees
The number of answers this doctor has agreed with.
A 42-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Unlikely but possibl: Smokeless gunpowder is made primarily from Nitroglycerin and/or nitrocellulose, with stabilizing compounds added. These usually burn quite completely,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Arthritis: That many bony injuries, you are lucky to be alive. Any fracture associated with joints may become arthritic prematurely over time. Chronic pain is an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Don't get sick: Shock can occur in several forms, depending on the underlying problem. It is severe in all forms and patients have little control over it. Severe infe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Stroke: Adderall (dextroamphetamine and racemic amphetamine) is Dextroamphetamine in controlled release form. Excessive doses of this drug can lead to very ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Small to none: This is tumor at the junction of the left & right bile ducts. Symptoms (jaundice & pain) can be relieved somewhat with stents or palliative su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
How severe?: You must see a neurosurgeon. Not all subdurals require surgery. Do you have symptoms, like difficulty walking, with speech, seizures? If you don't ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Acute CS: It is a very severe and serious condition that can result in nerve and muscle damage if not treated. It results from pressure on those tissues, often ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Can be serious: It is a very severe and serious condition that can result in nerve and muscle damage if not treated. It results from pressure on those tissues, often ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Yes: Go to a hospital or see your regular doctor. For most serious untreated injuries, you'd likely not be writing this.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Wait: superficial oral injuries usually healed by themselves. May take a week or two. Don't smoke or healing will be longer.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
A few weeks: Depending on severity, like a burn, 2 to 6 weeks.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Has risks: Transfusion not as safe as once thought. Clearly shown to have some adverse consequences-such as immunosuppression. However, if you are actively bleed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
CS: It is a very severe and serious condition that can result in nerve and muscle damage if not treated. It results from pressure on those tissues, often ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Very sick: Usually fever, very high >102, rigors (not just chills like the flu), low blood pressure, low urine output. It progresses rapidly and can be life-t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Serious: It is a very severe and serious condition that can result in nerve and muscle damage if not treated. It results from pressure on those tissues, often ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
No: Recovery from brain injury is usually maximal at 1 to 2 years. Further recovery after that is unlikely, though there may be some benefit in continuing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Don't: Don't ride if in pain or taking narcotics. Or better still, don't ride at all and live long and prosper.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Relax, probably: Toxic shock is very, emphasize very, severe, life-threatening infection. It is unlikely you would be able to type this question on a keyboard. Symptom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
In a sense: Sepsis is a reflection of an inflammatory process in the body and can affect every organ. It is usually caused by infection, but not always. Sepsis in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Yes: Severe hyperkalemia can lead to cardiac arrest, but not myocardial infarction (blockage of the heart arteries). It is highly lethal when it is very el... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Get it checked: May be nothing. But if sexually active, & especially having unprotected sex, you should see your doctor to assess for STD.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
No: No connection with oatmeal. Diverticulitis is caused by blockage of small pockets in the colon which become infected. It is mostly related to chance i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Of course: You have more direct impact to your spine on an MC, no matter how good your shocks are.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
See your GYN MD: Unless you had a uterine injury, being in a car crash without any injury is unlikely to cause this. Single, early period is not much to worry about. H... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Depends on severity: If it is a small caliber thru & thru wound, not injuring a major blood vessel or nerve, about 2 weeks. Larger calibers cause more tissue damage an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Where shot?: Depends on where they were shot and was surgery required. Abdominal surgery for GSW is similar to other abd surgery-expect about a month to start feel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Infection: The spinal cord is covered by a tough layer, the dura, which also extends to the brain. A subdural abscess is an infection which causes an abscess (or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Possibly: Fractures will usually cause the most pain, but if there is massive blood loss and shock the patient will become comatose. In that state, the brain sh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Death or less: Any and every organ can be injured in a motorcycle accident. Head injuries and major extremity injury (sometimes requiring amputation) are not uncommo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Anywhere: Nec fasc can affect any area of the body. It is usually a rapidly spreading infection and is potentially life-threatening.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
No: They are due to elevated pressure in the veins of the anorectum and weakening of tissues there. It is not transmittable. Anal warts, however, which c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Open muscle sheath: Fasciotomy is done for increased pressure in a muscle compartment. Muscles in the calf are encased in a tough sheath, and if serious swelling occurs, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Very sick: Usually fever, very high >102, rigors (not just chills like the flu), low blood pressure, low urine output. It progresses rapidly and can be life-t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Surgeon: Nec fasc is a surgical disease. It requires prompt, aggressive removal of infected tissue. Antibiotics are used, but alone are not enough to treat. Di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
No, but: Increased pleural fluid (effusion) may be caused by pulmonary edema and heart failure. This is because the heart is unable to pump the blood effective... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Bacteria: When a tampon is left too long, bacteria, usually staph or strep can grow in the vagina. They'll make their way into the fallopian tubes and grow rapi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Consider the risks: The ileostomy bag is no obstacle to tanning, but remember that excessive UV exposure, such as in a tanning both or prolonged sun, can increase the cha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Not get one: Flail chest is when 2 or 3 or more ribs are fractured in 2 or more places (definition varies). Major issues are controlling pain and maintaining oxyge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Very sick: Usually fever, very high >102, rigors (not just chills like the flu), low blood pressure, low urine output. It progresses rapidly and can be life-t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Yes: Deep soft tissue infections that require surgical removal of infected tissue.NF extends into muscle layers and the fascia that surrounds them. Perirec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
No: The liver actually heals quite well if not too severely injured. The worry is the potential for massive blood loss. In liver injury, we mostly wait it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Don't find out: If thru & thru the brain about 100%. Most chest and abdominal gunshots are survivable if the patient gets to a trauma center right away. Injuries ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Not likely: Only some rare strains of strep cause true nec fasc. You would see an unmistakable painful swelling of your genitals.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Volume: Depends on cause. If from dehydration, we give IV fluids. If from blood loss, we try to control the bleeding first before trying to improve the blood ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Yes, but rarely: Gangrene comes from an infection which invades quickly into tissue from a break in the skin or other body defenses. Not all bacteria can do this, but ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Varies: Small bleeds can be well tolerated, especially in the elderly. As long as there is no pressure on or shifting of the brain, many patients are very asy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Depends: Depends on location of fasciotomy (arm or leg), was it open or closed, was the exposed muscle grafted if it was an open fasciotomy? The best person to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Depends on severity: You can bleed slow or fast from stab wounds. Much depends on which vessels are injured. Surprisingly, big veins bleed worse than arteries-it is harder... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Check heart rate: That additional dose of Adderall (dextroamphetamine and racemic amphetamine) once should not cause a problem, unless you have existing heart or thyroi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Joseph Pfeifer
Trauma Surgery 41 years experience
Very serious: Usually fever, very high >102, rigors (not just chills like the flu), low blood pressure, low urine output. It progresses rapidly and can be life-t... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
56
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Pfeifer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pfeifer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Forgot to mention that my serum salivary amylase is always increased
HealthTap member
Thank you, your answer was very helpful! Thank you, I will definitely do everything I can to prevent that.
HealthTap member
Thank you, your answer was very helpful! My son almost died of ards when he had swine flu

Education & Training

Medical/Graduate school

University of Medicine and Dentistry of New Jersey - New Jersey Medical School, NJ
Graduated 1981MD

Residency

UMDNJ UNIVERSITY HOSPITAL
Completed 1986

Awards

Brian Bednarz Teaching Award UMass Medical School
Surgical Resident's Teaching Award Berkshire Medical Center 2014
Top Trauma Surgeon , First Place, National - Summer
2014

Affiliations

Eastern Association for the Surgery of Trauma
American College of Surgeons
Massachusetts Medical Society
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