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Ask an Expert
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
I see screening offers for heart health and stroke risk. They offer stroke, vascular disease and heart rhythm packages, as well as tests for abdominal aortic aneurysm and peripheral arterial disease. Are these reliable?
These packages can be reliable and helpful, but it depends. This type of screening usually involves ultrasound imaging of the heart and blood vessels, and the reliability of the testing depends on the skill of ... continue reading about I see screening offers for heart health and stroke risk. They offer stroke, vascular disease and heart rhythm packages, as well as tests for abdominal aortic aneurysm and peripheral arterial disease. Are these reliable?
Dorothy M. Coleman-Riese, M.D.
Sutter Pacific Medical Foundation
My sister-in-law's pediatrician recommended melatonin to help her three-year-old go to sleep at night. She says it works well. But how safe can this type of thing be for toddlers?
The short answer to your question is that for healthy kids, melatonin is probably safe and effective in small doses, under the direction of a physician, for two to four weeks. Outside of these conditions, thing... continue reading about My sister-in-law's pediatrician recommended melatonin to help her three-year-old go to sleep at night. She says it works well. But how safe can this type of thing be for toddlers?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Almost 2/3 of women complain of memory impairment during menopause and after childbirth when hormones are in flux. This "brain fog" is common and likely is influenced by estrogen. We do have estrogen receptors ... continue reading about Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Robert E. Napoles, M.D.
Sutter Pacific Medical Foundation
My father has cancer and we think it may be time to find out about hospice services. What questions should we ask?
It is important to understand how hospice care provides medical and support services for patients with a terminal illness. The decision to begin hospice care is based on many factors, including the state of you... continue reading about My father has cancer and we think it may be time to find out about hospice services. What questions should we ask?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
When should you tell a potential sex partner about herpes?
Herpes simplex is a very common virus and can break out on any moist surface of the body. A person is contagious when there is an active herpetic lesion, and close contact must be avoided during these times. Th... continue reading about When should you tell a potential sex partner about herpes?
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
What is sudden cardiac death and who is at most risk? Are there any signs or symptoms?
The most common cause of sudden cardiac death is ventricular tachyarrhythmia. Ventricular tachyarrhythmia is a very rapid and unstable rhythm that originates from the lower chambers of the heart, or the ventric... continue reading about What is sudden cardiac death and who is at most risk? Are there any signs or symptoms?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
How does diabetes impact peripheral neuropathy in its early stages?
Peripheral neuropathy refers to nerve damage, usually in the hands and feet. The patient often experiences numbness and tingling and even a painful or burning sensation. This nerve damage can affect one nerve o... continue reading about How does diabetes impact peripheral neuropathy in its early stages?
Richard H. Hongo, M.D., FACC
Sutter Pacific Medical Foundation
My heart has been skipping and I'm feeling dizzy. I went in for testing and was diagnosed with second degree heart block. The doctor said that if it goes to third degree, he might suggest a pacemaker. What can I do to avoid moving to third degree?
When the heart beat starts to slow down, or when the conduction starts to block every so often, sometimes it is because a medication is stressing the heart's electrical system. If there are no medications to ac... continue reading about My heart has been skipping and I'm feeling dizzy. I went in for testing and was diagnosed with second degree heart block. The doctor said that if it goes to third degree, he might suggest a pacemaker. What can I do to avoid moving to third degree?
Nobl Barazangi, M.D., Ph.D.
Sutter Pacific Medical Foundation
My dad had a stroke two months ago. He is still having some trouble with walking and speaking. Can you tell me if a stroke victim can ever return to "normal"?
Every stroke patient is different, and each patient's recovery varies depending on several factors. We do know that intensive physical, occupational, and speech therapy can significanly impact and improve a pat... continue reading about My dad had a stroke two months ago. He is still having some trouble with walking and speaking. Can you tell me if a stroke victim can ever return to "normal"?
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