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Dr. Amanda Stream

Critical Care
Miami, FL
16 years experience female

About

Bio

I am board certified in internal medicine, pulmonary medicine and critical care medicine. I have specialty training the the diagnosis and management of pulmonary hypertension as well as asthma and the association with obesity. I have a special interest in nutrition and fitness and believe that health is more than just physical health. Each patient needs to be evaluated and treated as an individual with consideration to all aspects of their health. This type of interaction is often difficult in today's busy medical practices and my aim is to make each patient feel as though they are truly being heard. After that my goal is to educate my patients on how to make the necessary changes to improve all aspects of their own, individual health.

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.

Critical Care

Internal Medicine

Pulmonology

Licenses

United States: Colorado

Languages spoken

English

Doctor Q&A

65 Answers
1 Agree
The number of answers this doctor has agreed with.
A 17-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
No: You cannot get HIV from hitting your toe on a door hinge. HIV is contracted through sexual contact with someone whom is HIV positive or through blood... Read More
A 24-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Cycle dependent: Plan B is a progesterone only pill which prevents pregnancy multiple ways depending on when it is taken during the menstrual cycle. It may prevent or... Read More
A 19-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Semen and yes.: What you are noticing is semen back flow. This is normal and can happen for many reasons. Semen can change consistency once inside the vaginal walls... Read More
A 21-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Not really: Assuming you are referring to the canned beverage and not the slang term for a cough-syrup spiked drink used by club-goers, the answer in either case ... Read More
A 25-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Does not increase: Duphaston is an oral progestin that acts similar to progesterone. This alone will not increase your chances of getting pregnant however, if you becom... Read More
A 23-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Depends: Your odds of becoming pregnant depend more on where you are in your menstrual cycle and less on the amount of semen you were exposed to. The sperm in... Read More
A 39-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
No: If you are at a healthy weight and eating mainly whole, unprocessed foods then the answer is no. If you are looking to lose weight, then it would hel... Read More
A 56-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Palpitations: Heart palpitations or "skipped beats" may cause shortness of breath in those with reduced cardiac reserve but are typically harmless when infrequent. ... Read More
A 37-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Chest pain common: Patients at high risk for heart disease (family history, tobacco use, hypertension, high cholesterol) who present with chest pain should always be tak... Read More
A 26-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Depends on severity: Asthma severity is classified by how often someone has symptoms. Therapy for mild asthma is inhaled beta-agonists such as albuterol. If albuterol is... Read More
A 42-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Several: Often times the first symptom of menopause is fatigue or feeling excessively tired. Other common signs include irregular or missed menstrual cycles w... Read More
A 28-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Possibly: If you expect you have had an exposure to someone with HIV either through unprotected intercourse or needle stick (either sharing or occupational stic... Read More
A 41-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Possibly: There are many different forms of lung cancer however the most common types usually appear as a solitary nodule or mass on CT. GGO can be seen with l... Read More
A 23-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Yes: Both pre-ejaculation fluid and semen released during ejaculation contain sperm and if the condom came off of your partner during intercourse you may h... Read More
A 36-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Good question!: The answer is basically inflammation but what does that mean? It means that when our nasal passages are exposed to allergens, viruses, bacteria or ev... Read More
A 26-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Assimilate: Going immediately from sea level to 7800 feet can cause symptoms of altitude sickness including headache, nausea, dizziness and in extreme cases, shor... Read More
A 27-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Be patient: Birth control pills contain estrogen which suppresses ovulation by inhibiting normal fluctuations in your body's own hormones. It may take up to seve... Read More
A 20-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Not all women know: Some women have an abdominal sensation when they ovulate however this is highly variable. There are ovulation kits that you can buy and calendars to ... Read More
A 47-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Its possible: Rough, thick skin on the finger tips with cracks and discoloration can be related to repeated exposure to chemicals/dry environment. This can also be... Read More
A 38-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Complex: The answer is really both. Weight loss diets by design have less calories than you need to maintain your current weight but as you lose weight your b... Read More
A 35-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Ultrasound: A complete TTE is a transthoracic echocardiogram. Essentially an ultrasound probe is placed on your chest to visualize heart size and function. The ... Read More
A 20-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Time: Chronic cough is by definition a cough that is present for two month occurring on a daily basis or for most days. The most common causes of cough inc... Read More
A 16-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Complex: At your age a period with a light flow could be very normal. While it is difficult to comment on the hair loss (we lose at lot more daily than you wo... Read More
A 16-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Gut bacteria: Digestion problems after a recent illness may be due to alterations of the natural bacteria in the gut. This can occur due to antibiotics taken for a... Read More
A 39-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
No: The short answer is no. While exercise has been shown to help maintain weight after weight loss, diet is the most important factor for initiating wei... Read More
A 21-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Yes: Smoking cigarettes in ANY quantity is bad. While we think that the more a person smokes, the more likely they are to get lung cancer, we know that NO... Read More
A 37-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Ignore: Be sure to ask about side effects of antibiotics and whether immunizations are recommended later.
A female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Caution: Obesity is a complex issue with genetic, environmental and hormonal causes. Extreme or stringent diets are not recommended for an adolescent however ... Read More
A 44-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Not necessary: Intermittent fasting is a method used by bodybuilders and the fitness community to maintain low levels of body fat. There is limited data to support ... Read More
A 24-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Pregnancy test: The first test performed on any female of reproductive age with symptoms of fatigue and nausea would be a pregnancy test. Following that, a more comp... Read More
A 53-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Depends: It depends in part on how far out from your first procedure you are, whether or not you are taking anti arrhythmic medications and whether or not you ... Read More
A female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Well below norm: A heel fat pad thickness by ultrasound of 3 mm is two standard deviations below the average normal for adults. This means that 2 mm is thinner than 9... Read More
A 27-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Anatomy, yes: What you are describing is likely due to compression of the L common iliac vein by the R common iliac artery referred to as May-Thurner syndrome. The... Read More
A 25-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Be aware: Family history of heart disease is one of many risk factors and is more important if your mother was young (before age 55) when she needed stents plac... Read More
A 18-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Normal: Sore breasts without being painful is quite normal. Many women have sensitive breasts that become more sensitive during their menstrual cycle. Likel... Read More
A 43-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Many things: The list is virtually endless and may be different for each person. In general however, foods high in sodium can lead to water retention as can high ... Read More
A 17-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Sometimes: It unknown whether a daily multiple vitamin improves outcomes for patients with chronic disease and we rarely study healthy patients. With a good die... Read More
A 44-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Ancillary finding: "Mild prominence of the pulmonary markings" is liking referring to the lung parenchyma. This can be inflammation or scarring. A common cause of pare... Read More
A 21-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Seek help: If your symptoms are going on for 5 days and you are starting to feel dizzy, you may need IV fluids. If you are able to keep fluids down and you have... Read More
A female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Yes but why: Fenugreek is a plant from which the seeds are used to make medicine. In some countries the leaves are eaten for their proposed medicinal qualities. ... Read More
A 22-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Predetermined: The height of an 18 year old male is predetermined mainly by genetics. Adequate nutrition during developmental years may also play a role however it ... Read More
A 40-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Why on PPI?: The first question I would ask is why are you taking a PPI? PPIs essentially elimate stomach acidity but do not prevent ongoing reflux of stomach con... Read More
A 40-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Overuse: Costochondritis is inflammation of the cartilage between the sternum and ribs. It is common although the cause is unknown and typically resolves spon... Read More
A 55-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Mask fit: Patients who suffer from sleep apnea often have difficulty first getting used to a CPAP machine. Many will improve with oral sleep aids however if th... Read More
A 20-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Unlikely: If you did not miss any pills in your regular schedule, it is unlikely that just changing brands would increase your chances of becoming pregnant.
A 27-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Nearly: The gold standard to definitively rule out an deep vein clot is venography. However, this is rarely if ever necessary given that compression ultrason... Read More
A 37-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Ignore: Smoking cessation and regular activity are good for you and the best way to prevent DVTs.
A 37-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Ignore: After treatment with antibiotics, chest x-ray may be abnormal for 4-6 weeks which is normal.
A 64-year-old male asked:
Dr. Amanda Stream
Critical Care 16 years experience
Frequency: A single reading of 200 after eating is not as concerning as repeated levels of over 200 over several days. Many factors affect post-prandial (after ... Read More
A 23-year-old female asked:
Dr. Amanda Stream
Critical Care 16 years experience
Consult with OB: Phenergan (aka promethazine) is typically a 3rd line agent for nausea and vomiting in pregnancy because it is a class C drug for pregnancy (animal stu... Read More

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

3
Recommendations
71
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Stream is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Stream is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Aug 20, 2014
Thank you, Dr. Stream!
HealthTap member
This was very helpful. Thanks! Thank you so much it's not herpes it's just a small pimple thank you for your time I appreciate it
HealthTap member
Ultrasound above the knee has a specificity and sensitivity ~ 95-99%. It is much lower below the knee: ~ 50-85%
HealthTap member
Thank you, your answer was very helpful! Thank you. I do have shortness of breath. I will follow with Pulm. MD.

Education & Training

Medical/Graduate school

University of Colorado Denver School of Medicine, CO
Graduated 2006MD

Residency

University of Texas at Southwestern

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.
Answer emailed
in 24 hours or less