Doctor insights on:
Hi Dr. Lastnight I had a video consult with Dr. Dattel and he prescribed Elicon for what appears to be insect bites on both breasts. I have not filled script yet. This morning I woke up with redness extending a bit from the left aerola. I am concerned abo
Wrong site: You have posted a question on the public Healthtap site. None of these questions are linked so no one can see any details of prior submissions. They also go to the site and are viewed at random by any site reviewers, You cannot sent a question to a particular doc. Please re-direct any questions back to the Healthtap prime site. ...Read more
Vitamin labels and fitness videos always say "consult your doctor". If I'm a healthy young person who's not taking meds, do I need to consult my doc?
Preferably yes: Your doctor is your partner in health. He or she can oversee your health, and make recommendations as they pertain to vitamins and exercise (and more!) use this resource to achieve optimal health. ...Read more
What State's are allowed to consult over the phone or video and order any test if physical evaluation is not necessary?
You can seek individual state regulations regarding telemedicine/telehealth here:
Realize that except in exceptional cases of continuity telemedicine, as you see in telepsychiatry, you aren't likely to see much if any test ordering. ...Read more
Health issues: Please re-ask and be more specific about what you would like to know. For an in-depth discussion consider discussing with your medical provider or asking a provider on Healthtap Prime or Concierge. ...Read more
Consult: The Cardiologist and his/her staff will talk with you to get a medical history, do a physical exam (not a complete one like when you get an annual physical), and some simple tests may be done during that first visit. Based on what is found, further tests may be ordered. Be prepared to ask questions and get all your concerns addressed. ...Read more
The normal way to write blood pressure is to put the big number first, so 176/108.
First thing is to sit, wait for at least 5 minutes, and recheck the blood pressure.
If top number is above 135 or bottom number above 90, this should be checked out.
If you have headaches or other symptoms in association with elevated blood pressure, prompt medical evaluation is required. ...Read more
Primary Care on call: HealthTap PRIME began service in August 2014, and is a Primary Care service. A patient is connected with the first available doctor, and different doctors are online at various times. A patient using PRIME has one-on-one visits with the doctor via smartphone, a tablet, or a computer. A patient would pay one fee each month (~$99 in Aug. 2014) so one consult would be ~$99, but 2 would be ~$50 each. ...Read more
Gynaecomastia means growth of the glandular tissues in male breast, it feels rubbery or firm that emanates from the nipple, this to be differentiated from fat deposition only.
It is common in infants and adolescents.
The main causes include hormonal imbalance, some medications, liver disease and malnutrition, endocrine abnormalities, other causes
Medical review is required for assessment ...Read more
Fertility Evaluation: We tailor the evaluation based on your history and also based on the resources you have available to help cover the cost of testing which can be expensive. After your history it will include an exam and/or ultrasound as well as blood testing. Please bring your husband, as he will need a semen analysis and blood testing as well. Any records from prior MD's will be quite helpful to avoid duplication ...Read more
Testicular pain: It depends on the nature of your pain. Do you have any symptoms? Like swelling, redness? Any associated urinary tract symptoms? In most cases, testicular pain is physiologic in nature and not related to any serious disease. Adequate physical exam by your pcp is mandatory. If needed, your pcp might refer you to a urologist. ...Read more
Depends..: Most patients are regularly seen by anesthesiologists or certified nurse anesthetists immediately after hospital admission to discuss whether to administer general or regional anesthesia for surgery;epidural or no epidural for normal labor. A consult is made earlier if you have a history of anesthesia/surgery related problems, including other members of your family. ...Read more
D & C: Please start by seeing your family doctor. He/she will refer you to the proper specialist if it appears appropriate. Peace and good health. ...Read more