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My office hours
Friday: 9:00am - 12pm
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Lukner
About
Bio
I'm an Internist who treats a broad range of illness. Some of my patients are very healthy and simply want to stay that way. I also treat patients with a variety of serious illnesses, including diabetes, heart disease, kidney disease, dementia, cancer, and infections.
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.
Internal Medicine
Licenses
United States: Minnesota, Texas
Languages spoken
German
Doctor Q&A
39 Answers
20 Agrees
The number of answers this doctor has agreed with.
A 56-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
(+) Exposure: HSV 1 elevated (such 12.3) means you were exposed to the HSV 1 virus during your lifetime. Most people are exposed as children. Since you were expo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
708 viewsReviewed >2 years ago
A female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Depends on your body: Penut butter does have a lot of calories and can cause you to gain excess fat and become obeses. Where excess fat goes depends on your body shape ...... Read More
Created for people with ongoing healthcare needs but benefits everyone.
620 viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Size & breastfeeding: The size of the breasts has no bearing on ability to breastfeed. Some women with large breasts make poor quality milk or have other problems. Most... Read More
Created for people with ongoing healthcare needs but benefits everyone.
854 viewsAnswered >2 years ago
A member asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Nutrition deficiency: Most black lines on nails are caused by nutritional deficits. Most kinds of nail issues result from biotin, zinc, iron, and/or calcium deficiencies. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
754 viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Highly unlikely: Based on your negative thumb test, relatively short stature, short or normal limb length (arm span), a mere 3 in Ghent criteria (>6 is required for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
632 viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Perhaps Pleurisy: If you recently had an upper respiratory infection, most likely you have pleurisy. Try taking naproxen (Aleve) or ibuprofen and see if that helps. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
758 viewsAnswered >2 years ago
A 31-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Normal blood tests: Normal blood test (blood cell counts "CBC"), no fevers, and a normal physical exam are good news. Symptoms of leukemia include fatigue, weight loss,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 viewsAnswered >2 years ago
1 comment
A 51-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Underdosed?: According to Lexicomp, the dose should be 2 grams (4 tablets). Less might work also, but I would try to get the full 2 grams. Symptoms should resolv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
731 viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
The virus is fragile: This virus depends on a fragile container (envelope, membrane) to avoid detection by the host immune system as a foreign invader... think of a soap bu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
It's possible : There are many possibilities. Try to wash your skin with a mild moisturizing soap 2 to 3 times daily. There are problems such as PCOS (a complex h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Female sexual pain: Female sexual pain is a very bothersome problem with several possible causes. It could be due to his size, endometriosis, STDs, and many other cause... Read More
Created for people with ongoing healthcare needs but benefits everyone.
827 viewsAnswered >2 years ago
A female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Maybe a lipoma.: This could be a variety of things. It sounds like it might be a lipoma. You could take pictures of it and then either see a doctor in person or on H... Read More
Created for people with ongoing healthcare needs but benefits everyone.
631 viewsReviewed >2 years ago
A 32-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Yes, it's common: Post-splenectomy, especially if traumatic spleen injury was involved initially can result in "splenosis" where autotransplantation of splenic tissue f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
You should be better: You should be feeling better by now. Have your PCP repeat a stool antigen or breath test to determine if the H Pylori have been eradicated. Sometime... Read More
Created for people with ongoing healthcare needs but benefits everyone.
566 viewsAnswered >2 years ago
A female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Counselor : You may wish to try a relationship counselor to improve your communication and help prevent conflict.
Created for people with ongoing healthcare needs but benefits everyone.
729 viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Airway disease: Have a lung disease (airway disease) such as asthma or bronchiectasis worsens your lung function and decreases the ability of your lungs to supply you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 viewsAnswered >2 years ago
A female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
It depends: Staph capitis is a coagulase negative Staph species. If this was found in 1 of 4 blood culture bottles, it may be a contaminant (artifact of blood cu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
740 viewsReviewed >2 years ago
A 52-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Associated condition: FGN itself might not be painful but associated conditions could be painful. For example, renal failure can lead to uremia, which can occur in renal f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
739 viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Insufficient info: The 3.6 cm size is not enough information to help determine if an ovarian cyst is malignant. Also, it is not clear that ovarian cancer screening will ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
758 viewsAnswered >2 years ago
A female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Neck injury/pain: The nerves to your arms travel through your neck. Thus, if you have some type of neck injury, infection, or arthritis that interacts with these nerve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Seems benign: What you describe sounds benign (unlikely to cause you problems). However, if you are concerned, you should see a doctor or dermatologist. White spo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
620 viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Many possible causes: Many types of stress including surgery, serious illness, childbirth, collagen vascular disease, and malnutrition can cause this. It can be slowly (3... Read More
Created for people with ongoing healthcare needs but benefits everyone.
731 viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Fast Food Diet: These symptoms are expected when someone eats too much unhealthy fast food.
Created for people with ongoing healthcare needs but benefits everyone.
755 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
DDimer confounding : There are many reasons why the DDimer may be elevated. Inflammation and a healing bruise are two examples of cases where the DDimer would likely be e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
827 viewsAnswered >2 years ago
A 52-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Why stop?: You could reduce the amount of spicy food, chocolate, or alcohol that you consume, and this may reduce the need for acid reflux medication. You may n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
751 viewsAnswered >2 years ago
A member asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Depression : You have symptoms that are worrisome for depression and should see a medical doctor or psychologist for an evaluation as soon as possible. You do not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
751 viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Get a diagnostic US: Get a diagnostic ultrasound of the nipple and breast. Mammograms are better than nothing but far from perfect.
Created for people with ongoing healthcare needs but benefits everyone.
726 viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Difficult options: POH is difficult to treat. See https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756872/ options include topical depigmenting agents, such as hydroquinon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
755 viewsAnswered >2 years ago
A 61-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Unclear likelyhood: It's possible that you have a malignant tumor, but depending on a variety of factors, it might not be likely. You should talk to your doctor or ask ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
620 viewsAnswered >2 years ago
A 52-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Depends on type: Type 1 diabetics do not make sufficient insulin, and thus Type 1 diabetics must use insulin to control their blood sugar. Some Type 2 diabetics may a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
758 viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Many possible reason: There are many possible reasons that your P wave could be taller than your R-wave. Some are harmless and others could suggest that further investigat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
740 viewsAnswered >2 years ago
A member asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Wait for your doctor: Wait for your doctor to return. He or she should discuss the results with you. Someone else interpreting your doctor’s results in a non-emergency s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
434 viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Usually automatic: Control of your breathing is primarily automatic, involuntary and continuous. You can voluntarily breathe in and out, but you do not have to consciou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
620 viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
"Lens" for US: Ultrasound works best when the bouncing of sound waves from the ultrasound is simple. For example, if you bounced a rubber ball off a flat wall, you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
865 viewsAnswered >2 years ago
A 68-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Ask your heart doc: This is a question for your cardiologist. If your cardiologist says it's safe for you, and you don't believe him or her, get a different cardiologist... Read More
Created for people with ongoing healthcare needs but benefits everyone.
700 viewsAnswered >2 years ago
A 50-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
It's up to you: Our bodies can take a certain amount of trauma and will heal without intervention. If you fall and hurt your knee, but you are able to walk without pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
620 viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Many possibilities: There are many possibilities for this type of pain. Your symptoms are typical of "nerve" pain. You could have a condition such as Carpal Tunnel Synd... Read More
Created for people with ongoing healthcare needs but benefits everyone.
700 viewsReviewed >2 years ago
A 52-year-old male asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
Prevention: Here are some preventative measures. If you have a liver disease, there are more things you can / should do.
1. Get checked for Hepatitis C (in your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
755 viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Ralf Lukneranswered
Internal Medicine 12 years experience
It's not typical: If you had blood drawn near your elbow, it is not typical to get a slight bruise and pain in your armpit. Use warm compresses under your armpit 2-3 t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
759 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.
20
Thank you notes
HealthTap member
This was very helpful. Thanks! The additional info was helpful. The severely arthritic knee was full of pus, and no other bacteria was found except s capitis. I understand that many bacteria are pre...Read More
HealthTap member
Your answer was very helpful! Thanks :) I've read that article& might combine Rx retinoic w/hydroquinone 2% :)
HealthTap member
Your answer was very helpful! Thanks :) Thank you for taking time out to respond. I will look into help.
Education & Training
Medical/Graduate school
Baylor College of Medicine, TX
Graduated 2011MD
Residency
HARRIS COUNTY HOSPITAL DISTRICT
Completed 2011
Affiliations
Pampa Regional Medical Center
Golden Plains Community Hosp
Publications
Evaluation of heparin assay for coagulation management in newborns undergoing ECMO.
The role of transforming growth factor-beta-mediated tumor-stroma interactions in prostate cancer progression: an integrative approach.
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