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.
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.
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 27-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Couple things: The most simple cause could be aggressive intercourse. You are currently cycle day 13. It is possible that the spotting is related to ovulation and l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
X-Ray : A collapsed lung or pneumothorax as it is called usually happens after trauma to the chest but can also occur spontaneously. Often times patients hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years agoMerged
A 37-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Ignore: Smoking cessation and regular activity are good for you and the best way to prevent DVTs.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Yes: Phentermine is a weight loss aid which works by activation of your sympathetic nervous system. This is the system that causes increased heart rate an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Maybe: Asthma occurs when people have excessive bronchospasm triggered by allergens, irritants, some medications or environmental exposures. Bronchospasm is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Ignore: After treatment with antibiotics, chest x-ray may be abnormal for 4-6 weeks which is normal.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Protection: Anal intercourse is perfectly healthy as long as barrier protection (a condom) is used. While your risk of pregnancy is much lower (but not zero), th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
All systems.: A list of common symptoms and systems affected in patients with sarcoidosis is difficult because it can affect every system and be different in each p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Faulty reading: The most important step to assessing low oxygen is to make sure the pulse oximeter is reading correctly. Pulse oximeters can be effected by nail poli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A male asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Depends: A pimple is usually a skin pore that is inflamed and filled with pus and is not contagious. If what you have looks more like a blister filled with cl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Variable: Body fat is highly variable and typically the body will store visceral body fat first in an effort to protect vital organs. Essential body fat is the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 64-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Variable: Vitamin D deficiency and insufficiency are quite common and the medical community is learning how important adequate vitamin D is for good health. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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.
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
9-10 days: A qualitative blood pregnancy test can be positive as early as 9-10 days post ovulation. However, a negative test at this point can still be false. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Ignore: Do not skip meals as this leads to uncontrolled hunger that can trigger binges.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Need evaluation: Vaginal itching without discharge may signal a yeast infection which can also cause burning with urination. Bacterial vaginosis can also cause these ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
For the most part: The d-dimer test is nonspecific to blood clots and can be elevated for other reasons however it is almost always elevated with acute (new) blood clots... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A member asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Possibly ovulation: In a normal menstrual cycle, ovulation (release of the mature egg from the ovary) occurs 14 days or 2 weeks prior to the beginning of menstrual flow. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 47-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years agoMerged
A 23-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 41-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 21-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 56-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 38-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 44-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 18-year-old female asked:
My boobs hurt on and off ! and when they do hurtthey ddon't hurt that much is that ok ? and normal !
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Amanda Streamanswered
Critical Care 17 years experience
Ignore: Be sure to ask about side effects of antibiotics and whether immunizations are recommended later.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A female asked:
Dr. Amanda Streamanswered
Critical Care 17 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
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
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.
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
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