Locations
Center for Healing Neurology
Seattle, WA
My office hours
Thursday: 10am - 3:00pm
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About
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.
Neurology
Integrative Medicine
Neuromuscular Medicine
Licenses
United States: Washington
Doctor Q&A
232 Answers
33 Agrees
The number of answers this doctor has agreed with.
A 20-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Need evaluation: There can be a variety of causes. New and especially persistent headaches requires an examination and further management. Please see your primary car... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
May be pleuritis: Pain from irritation of the lungs following a bout of pneumonia can at times happen and last a few weeks that may or may not be responsive to gabapent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 42-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
See your PCP: Please see your doctor for an evaluation. You may have symptoms consistent with influenza and may require supportive care and guidance. You should als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Seek evaluation: If 6 months later you are still dizzy with head pressure from a "minor" concussion, I suggest you seek evaluation from your health care provider. That... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 64-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not clear: Prozac (fluoxetine) is not known to significantly interact with simvastatin so it is not clear that is the cause and you may have morning hypotension ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Yes: 5% of adults taking Adderall, (dextroamphetamine and racemic amphetamine) specifically the extended release form, report a fever.
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Possibly: Without knowing symptoms and history difficult to say for sure but the elevated protein with relatively normal cell count is something encountered in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not clear: Only the right leg? How are your reflexes in that leg? Any other symptoms? I would see your doctor to rule out hyper-reflexia or clonus which may rela... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Yes: If a child has seizures, they should be seen by pediatric neurology as these physicians are knowledgeable about pediatric epileptic disorders.
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Blood pressure: If you have low blood pressure you may feel lightheaded when standing quickly or when lifting weights. You should try and stay very hydrated, eat appr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Needs evaluation: A sudden onset of increased twitching of multiple muscle groups should be evaluated by your physician. A thorough history and examination should help ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Various: disorders may cause white spots on a baby's cerebellum. I am assuming you are referring to an MRI image. Leukodystrophies, post-viral syndromes, or me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.4k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Further evaluation: The lump may not be associated and it may be an epidermal cyst. Your headaches sound somewhat migrainous in nature but you should seek further evaluat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
H reflex: You are probably referring to the H reflex, a late response and is often used to assess the S1 nerve root, or sometimes the sacral plexus, which can b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Viral exposure: Any illness or exposure due to a virus can re-exacerbate or trigger and underlying predisposition to previous symptoms. In your case, previous labyrin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
May be sciatic n: Are the symptoms position related? The sciatic nerve from L5 can be compressed at several points along its path. Your symptoms suggest its compression... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 57-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Other drugs: Other first line agents include tramadol and duloxetine. Second line agents include carbamazepine (or other anticonvulsants such as lamotrigine), bupr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Generally no: A vitrectomy generally does not cause trigeminal neuralgia. If you are having symptoms consistent with trigeminal neuralgia please speak with your phy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Probably not: Low likelihood for a concussion as force put forth by child to jump into your chin is usually not powerful enough to cause any brain injury such as co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not clear: The relationship between vitamin D repletion, vitamin D deficiency, and sleep are not well elucidated and there is no evidence to suggest a relationsh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Check thyroid: Thyroid dysfunction can cause both symptoms of depression and hair loss. First steps would be to have further evaluation and if all labs are normal, s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.2k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Probably not: Unless you had experienced a loss of consciousness, or have persistent headache, vision changes, numbness, tingling, or cognitive changes you likely d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Maybe: Studies have suggested that chronic insomnia can lead to a various health issues including obesity, depression, heart disease, neurodegnererative diso... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Vascular? melanin?: The dark brown lines could be melanin deposition. Is the blueness could be vascular such as Raynaud's phenomenon which may result in numbness in finge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not clear: Hot and red skin could represent a skin infection such as cellulitis or an abscess which in that area may cause headache as well. I recommend seeking ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 65-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Renal excretion: Acetazolamide, commonly prescribed for prevention or amelioration of mountain sickness, is not metabolized and is completely eliminated by the kidneys... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 51-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not first line: While Lamictal can be very beneficial for bipolar disease, it is not first line for psychosis, Pleasespeak to your prescribing physician about your sy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Higher threshold: Some people may have a higher threshold, based on strength, age, genetics, size, fitness, etc., for concussion/brain injury but studies have shown wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Ophthalmologist: I would recommend an eye examination with your ophthalmologist or a review of your glasses with your optometrist.
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Short term use: Melatonin is considered safe for short term use to improve sleep hygiene. You can start with 1 mg and titrate up to 3 mg based on response.
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Yes but more eval: Considering your history of symptoms in public and when feeling worried, it certainly could represent a panic attack. If it increases in frequency and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Probably not: Sporadic eye tics are generally not worrisome although if there are other symptoms you should be evaluation. Jerk-like movements, also known as myoclo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Yes.: Zoloft has several drug interactions but oil of oregano does not appear to one of them. Oil of oregano can affect lithium metabolism but not sertralin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Possibly: Neck pain with movement, headaches, and dizziness are cardinal signs of meningitis, likely a viral meningitis if you do not have fever or other signs ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Unclear: A recent trial to examine this drug was suspended and trials of other drugs have not shown efficacy. Importantly, she should speak to her doctor for h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsReviewed >2 years ago
A 51-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Need different med: Clonazepam is not an effective seizure prophylactic medication for various reasons. There are several more appropriate choices to manage your seizure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
729 viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Seek evaluation ASAP: Head injury leading to left sided numbness, headache, and a dilated pupil require immediate evaluation with a scan. Please seek urgent care.
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Connecting bones: Facets are the connecting bones of the vertebrae and each vertebrae has inferior and superior facets connecting to the lower and upper vertebrae. Scle... Read More
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1.6k viewsReviewed >2 years ago
A 60-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Possibly: It is likely BPPV and you should have your physician do the particle repositioning maneuvers which can be curative such as the Epley. There are other ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not commonly used: Venlafaxine is not commonly prescribed for ADHD and so effective dose is difficult to know. Please speak with your prescribing physician.
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Difficult to say: Prognosis is individual. Each person's disease course can be different and depends on the frequency of relapses, the extent to which one returns to ba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Not clear: Common diabetes symptoms include increased appetite and increased urination. Your symptoms seem to suggest a hypoglycemic reaction when fasting. It wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 58-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Both: Tyrptizol is amitriptyline and can be used for anxiety. Lexapro, or escitalopram, is used for anxiety disorders as well.
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A member asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Other causes: Anxiety could be a cause but that is not commonly seen. A more common cause of such symptoms is carpal tunnel syndrome and can be easily diagnosed and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Could be a virus: There are some viruses that can cause these symptoms by affecting the inner ear organs. If symptoms persist or worsen you should seek evaluation by yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Common: The pain of occipital neuralgia frequently radiates to the frontal region. Occipital neuralgia can be caused by trauma, injury, inflammation, or compr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Yes: Usual paroxetine dose range for depression is 20 - 50 mg per day. After a few weeks at 20 mg, if not effective, can increase by 10 mg. Please with you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.4k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Low risk: While viruses are contagious and can be passed from one to another, the risk of Bell's Palsy is not and remains an individual risk, of which the facto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Possible: A specialized pillow for neck stability may ease the discomfort but you should have imaging of your head and neck as well as treatment such as physica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.6k viewsReviewed >2 years ago
A 51-year-old male asked:
Dr. Ilene Ruhoyanswered
Neurology 23 years experience
Possible: Serotonin syndrome can cause mental status changes such as delirium and disorientation so hallucinations may be part of the spectrum.
Created for people with ongoing healthcare needs but benefits everyone.
1.7k viewsReviewed >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.
2
Recommendations
175
Thank you notes
HealthTap member
Dec 12, 2016
I would like to recommend Dr.Ruhoy very helpful in migraine advice in explaining an practices in the great American city Seattle a wonderful part of the US to visit too
for us Brits!
HealthTap member
Dec 23, 2015
I am grateful for this doctor this Thanksgiving!
HealthTap member
This was very helpful. Thanks! Hi Dr Ruhoy thanks for your generous time and your professional opinion i take it your meaning is without evolution to headache or Zig zag Aura you can have sensory fee...Read More
HealthTap member
This was very helpful. Thanks! 150HCL/SR since 10/2015. Just shaky hands/ didn't take this wk end. Like the med. not keen on trying other meds-for tremor. I will see my GP on Wed.For menopause/ hypoth...Read More
HealthTap member
This was very helpful. Thanks! Thank you for your help. I take Vit D tablet once a month. And the numbness is not just in my fingers and toes but my entire arms and legs. Nevertheless thank you for gi...Read More
Education & Training
Medical/Graduate school
University of Pittsburgh School of Medicine, PA
Graduated 2000MD
Residency
UNIVERSITY OF WASHINGTON MEDICAL CTR
Awards
Most Influential Doctor, Third Place, Seattle Region - Winter
2015
Thought Leader, Second Place, Washington - Winter
2015
Top Neurologist, First Place, Washington - Winter
2015
Publications
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