Dr. Ernest Fischer

Internal Medicine and Pediatrics
DC
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.

Internal Medicine and Pediatrics

Licenses

United States: District Of Columbia, Maryland

Languages spoken

English

Doctor Q&A

227 Answers
9 Agrees
The number of answers this doctor has agreed with.
A 42-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Please be seen: While it is hard to tell with your non specific symptoms (could be nothing), the combination of chest tightness and then leg swelling makes me concern... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Continue: What med express saw warranted antibiotics so I would continue the course as prescribed. Use warm compresses to ensure the fluid continues to drain an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Not necessarily: There are other more common causes, like Vitamin D deficiency. Typically if someone has checked your calcium they have also checked your kidney functi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
You can: Hip surgery is big. The best thing you can do is start rehabbing immediately after the procedure. Good luck!
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Not an issue: Vitamin K should not have much to do with blood pressure. But you do not need huge amounts of Vitamin K as it is well stored in the body. If it has be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Over the counter: An oatmeal bath might give you relief. Allergic skin reactions generally are not serious though can be very uncomfortable. There are also over the cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Ok: The leukocytes are high. If this was checked while you were ill it suggests infection but otherwise is very non-specific. The eosinophils are a higher... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Eczema possible: Sounds like eczema is possible as at this young age it tends to present on the face. Moisture rashes are common too. Psoriasis is very unlikely to app... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Dyspareunia: Talk to your gynecologist. This symptom can be from something as simple as needing lubricant to something more complicated. It is not uncommon and the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Yes but unlikely: The blood tests are pretty good though not perfect. There are multiple things that can explain weight loss and fatigue other than Celiac. Talk to your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Maybe: Td may be going away completely and pertussis outbreaks have been increasing, so many Doctor's offices may only carry Tdap.
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Borderline A1C: A1c is a rough estimate of your last 2-3 months of blood sugars. Your level roughly correlates to an average sugar of 140. Based on this level you are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Unlikely: "Mold toxicity" is not considered a mainstream medical problem as there is really no evidence that it exists.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Strange combo: These are of a similar class so more typical to take one or the other. If you need it for more than just sleep than talk to your doctor about using ju... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Dehydrated?: Would be worried that you are dehydrated. Does it calm down very rapidly (seconds)? If so, then maybe just the normal response. If it persists, drink ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Nonspecific: These tests rarely tell you much and have to be interpreted in the context. The normals are based on averages but highs and lows have no clinical sign... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Likely to turn: You are still early and it is likely the baby will turn. If not OBs have plenty of experience either trying to turn or dealing with the breech.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Not c/w celiac: These symptoms are not consistent with Celiac disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Unlikely: If you are 26 then a blocked coronary would be very rare unless there is a significant predisposing condition. But regardless that work up is extensi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
No won't stop you: You just have to still be able to read. I know many doctors with terrible vision.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Mild increase: These are mild increases in your liver enzymes and may not be too concerning if they just went up (as they may fluctuate given your condition). Did yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
One is a disease: Celiac disease is an immune reaction to the food and will happen even with a trace of ingested gluten. In general some people "respond" to limiting g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Lack of movement: Akinesia is the loss of normal movement, typically in reference to a muscle. AN a kinetic ventricular septum is lack of movement in the portion of mu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Mittelschmerz: Look up Mittelschmerz (pain between cycles) and see if this fits your symptoms. If so, NSAIDs can be effective.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Only w/ immune prob: Thrush is caused by a fungus and is uncommon in healthy people unless they use inhalers or took antibiotics (often white seen in the mouth is misdiagn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Varicose vein?: This could be a varicose vein which can happen as a result of pregnancy. Unless painful, varicose veins are generally benign though cosmetically they ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Out of clonazepam: Are you saying you are out and that is why you are withdrawing. If so you can withdraw from clonazepam and it can be dangerous, assuming you took a re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
No vax if pregnant: Unfortunately you can't get the vaccine, but your immunity will most likely be protective. The risk to your baby is highest if exposed towards the en... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Cyst is above the cl: typically a pilonidal cyst is above the gluteal cleft.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Depends: If you are very ill then be seen now. Otherwise let the surgeon know as they may actually postpone it.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Change in alertness: At this age we typically treat all ear infections with antibiotics even with mild symptoms. That being said most will resolve on their own. Fever is a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Benadryl (diphenhydramine) is sedating: As you likely know so it is important todose appropriately. A number of sources are available, here is one: http://www.thhpediatrics.com/wp-content/th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Mid chest pain: Pain with reflux is typically mid chest (near or below sterum) and moves upward but not always. Look up gastritis and dyspepsia too and see if any of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
More info needed: Do you have any abdominal fullness? Do you exercise a lot? I would go be seen by your doctor to discuss further.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
"Enteritis": Sounds more like an infectious cause of vomiting. this could be food related, which can happen from food the day you ate it, but sometimes up to a wee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Unlikely: An A1C is pretty reliable and that level is quite normal not even borderline. There are other causes for frequent urination that you should explore wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
No celiac: If you are talking about the antibody tests then it is very likely that you do NOT have celiac disease (as long as you were not already on a completel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Mono?: Hopefully mono has been checked, though you didn't mention viral tests. Also, even if it is not mono there are mono like illnesses we can't (or don't ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Time: Time will take care of this but Benadryl (diphenhydramine) can help the itching. A warm cloth can help as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
There are risks: The most common of which are weight gain and metabolic syndrome (diabetes with other metabolic changes). Also these carry a black box warning of incr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 74-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
No but: Normal saline has a very large amount of salt so it will lead to some degree of fluid retention. The dextrose (sugar) is rapidly taken up and used.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Maybe sinus infectio: This can happen if a cold spreads to the sinuses. Despite the commonly held belief you do NOT need antibiotics for a sinus infection. It will get bett... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Normal for both: having children is a full time job as you know and you are together so often that it can be she is very attached to you and it can feel to you overbea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
16 is a low BMI: BMI of 16 is quite low and your friend should be seen to figure out why it is so low.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
64 kg: Would be an average ideal weight for that height. But like protein and water percentages, a weight target should be individualized. Better than target... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Pressure outlet: The shunt relieves the pressure that can build up in the head in this condition. While the shunt is not without risks, untreated hydrocephaly can lead... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Unknown: depends on the cause of the malfunction and duration and residual kidney function.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Are u symptomatic: Classic symptoms are bloating, gas, abdominal discomfort and/or loose stool.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Sleeve successful: The sleeve is helping many people lose weight that had trouble with diet and exercise alone. It is not without risks but generally safe and the potent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Ernest Fischer
Internal Medicine and Pediatrics 13 years experience
Neither: The main risk factor that must be inherited is a specific immune sensing molecule but it is not mutated. There are other regions of genetic risk that ... 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
158
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Fischer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Fischer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! Thank you so much. While my gp is attributing my cardiomyopathy to a sub clinical virus I thought it couldn't hurt to ask. Thanks again.
HealthTap member
I Am taking sodium valporate and olanzapine to control bipolar my GP has noticed a smal decline in memory recently as has my family.
HealthTap member
My DX ended up being familial hypobetalipoproteinemia,apparently rare. Seeing a liver specialist & on the mend. Many thanks

Education & Training

Medical/Graduate school

University of Texas Southwestern Medical School at Dallas, TX
Graduated 2010MD

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