General Dentists Dr Cesar Caceres DMD Dr Cesar Caceres DMD Dentistry Male 36 Save Dr Cesar Caceres DMD is a dentistry practitioner in Ocala FL and has been practicing for 8 years He graduated from Colombian School Of Dentistry in 1990 and practices dentistry Leave a Review Dentistry Practitioner Search Amazing Smiles Dentistry 10230 SW 86th Cir 300 Ocala FL 34481 Contact Information Insurance Accepted Aetna Ameritas Blue Cross Blue Shield Blue Cross Blue Shield of Florida Cigna Delta Dental Guardian Humana MetLife 2 More Please verify this information when scheduling an appointment Background Check No malpractice claims found for Florida No disciplinary actions found for the years we collect data No board actions found for the years we collect data Learn more about background checks About Me Biography Dr Cesar Caceres DMD is a dentistry practitioner in Ocala FL and has been practicing for 8 years He graduated from Colombian School Of Dentistry in 1990 and practices dentistry Practice Areas Dentistry Education 2012 Georgia Regents University 2012 GruAaid Implant MaxiCourse 2011 University Of Alabama At Birmingham School Of Dentistry Residency Conscious Sedation Certification Residency Hospital 2010 Nova Southeastern University Internship Hospital Languages Spanish English Dr Caceres Reviews Likelihood to recommend Dr Caceres 47 Based on 36 reviews 5 Stars 32 4 Stars 2 3 Stars 0 2 Stars 0 1 Star 2 Leave a review How likely are you to recommend Dr Caceres Tap to rate Select your rating Average Wait Time Under 10 minutes Dr Caceres Performance Trustworthiness Explains conditions well Answers questions Time well spent Office Staff Performance Scheduling Office environment Staff friendliness What People Say About Dr Cesar Caceres DMD Highest Lowest Most Helpful Reply I LOVE THIS DENTIST And his entire staff One bone graft and a front tooth implant done and its perfect No pain Really And I look forward to seeing them again in the future Dr Caceras is the best dentist Ive ever known in my 60 years of smiling Was this helpful Janie in Ocala FL Jan 01 2019 Post a Response Are you Dr Cesar Caceres DMD Yes No Reply Dr Caceres makes you feel calm and he is very caring to your needs will work with you in every possible way His staff are all very pleasant and kind they greet you and make you feel comfortable Im glad he is in the neighborhood makes getting there so easy All the rooms are very clean and Was this helpful Sandriana Hulleman in OCALA FL Dec 14 2018 Post a Response Are you Dr Cesar Caceres DMD Yes No Reply Wonderful experience I was super nervous 20 years since last dentist appointment Did not scold me or make me feel bad Helped me with my problem very professionally with courtesy No big sales pitch Very friendly and helpful I will go back soon Was this helpful Marcia Olieman in Ocala FL F Nov 07 2018 Post a Response Are you Dr Cesar Caceres DMD Yes No Reply Dr Cacetes and his staff are excellent in all aspects The office definitely works with you and your schedule as well Dr Caceres is one of the gentlest and caring dentist Ive ever been too His techs are really special and knowledgeable too I would definitely recommend him to friends and Was this helpful Alice Quenzer in Ocala FL Oct 29 2018 Post a Response Are you Dr Cesar Caceres DMD Yes No Reply I was heartbroken when I heard he had left his previous location But luckily I found him again He is gentle understanding and compassionate Being a lily liver sitting in a dentist chair is the last place I want to be but I know Im in good hands with Dr Caceres and his staff Was this helpful Happy Penny Oct 26 2018 Post a Response Are you Dr Cesar Caceres DMD Yes No Show more reviews Leave a review How was your experience with Dr Caceres Continue Locations Amazing Smiles Dentistry Amazing Smiles Dentistry 10230 SW 86th Cir 300 Ocala FL 34481 Call Fax Hours Directions Call Fax Directions Insurance accepted Accepted insurance can change Please doublecheck when making an appointment Aetna Dental DPPO Ameritas Ameritas PPO Blue Cross Blue Shield Blue Cross Blue Shield of Florida Cigna Dental PPO Delta Dental Delta Dental PPO Guardian DentalGuard Preferred Humana Dental PPO MetLife MetLife PDP United Concordia Advantage Plus PPO UnitedHealthCare United Healthcare PPO View all 11 carriers See all General Dentists in Ocala FL

O O O O O O O O O O B O O O O O O O O O B O O B O O O O O O O O O O O O O O B O O O O B O O O B O O O O B O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O O O O O O O O O B O O O O B O O B O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O


PREMIER MEDICAL ASSOCIATES PREMIER MEDICAL ASSOCIATES SBB Internal Medicine 1 Provider 48 Average Rating of all Office Providers PREMIER MEDICAL ASSOCIATES 1580 Santa Barbara Blvd The Villages FL 32159 352 2592159 Office Providers Dr Ramy Ibrahim MD Internal Medicine 48 Office Provider Reviews 48 based on the average of 48 provider reviews for PREMIER MEDICAL ASSOCIATES Review of Dr Ibrahim 10062018 Dr Ibrahim is a Caring Person listens and answers questions He treats very patient as his own family Dr Ibrahim is there for you he is a very intelligent man If you need a specialist he provides a special excellent doctor for you All the doctors we have seen for help there are excellent All the staff are wonderful also God bless these excellent Dr Ibrahim Doctors and staff Cathy V Flag Comment Was this review helpful Yes No Review of Dr Ibrahim IN FL 09222018 Dr Ibrahim is an exceptional doctor My coworker was in terrible pain so I called Dr Ibrahim He came right over skipping his own lunch to see her He was able to diagnose her and get her an appointment that day Dr Ibrahim will never let anyone suffer with pain That is one of his priorities God bless Dr Ibrahim There is no other doctor like him He truly cares about his patients and personally follows up with them Truly a great doctor Flag Comment Was this review helpful Yes No Review of Dr Ibrahim IN IN 09222018 I got a call from my daughter who had broken out in hives the size of a softball all over She had gone to many doctors and specialist in Indiana where she lives I told her to come here and see Dr Ibrahim She came Dr Ibrahim diagnosed her immediately put her on the appropriate medication and she was healed That was 2 months ago She is still well and no reoccurrence of those dreadful hives Now Dr Ibrahim is my daughters primary care doctor Dr Ibrahim is a brilliant doctor Flag Comment Was this review helpful Yes No Review of Dr Ibrahim IN 09222018 Dr Ibrahim cares My Pastor wanted to come visit us from Indiana but how could she because she had to have iv magnesium Dr Ibrahim is how We notified Dr Ibrahim he scheduled her an appointment and she was able to come visit No other doctor would even consider taking care of her during her visit God bless you Dr Ibrahim He is a magnificent doctor and wonderful Christian man who represents Jesus well Flag Comment Was this review helpful Yes No Review of Dr Ibrahim IN 09222018 Dr Ibrahim is an amazing doctor I live in IN and drove to FL because I could not get answers due to an unknown health issue I had seen five doctors which included specialists He knew exactly what it was before testing and was correct I am so thankful to him Dr Ibrahim is my doctor now I will travel just to be seen by him He is worth it Flag Comment Was this review helpful Yes No Review of Dr Ibrahim Christina Polidori in Fruitland Park FL 09142018 He listens to your concerns Takes care of refills for medicine in a timely matter Never really have to wait to see him for appointment He is also kind and professional Flag Comment Was this review helpful Yes No Review of Dr Ibrahim Faith Kugler 06062018 Ive been with Dr Ibrahim 2 years now Hes Awesome His manner is so pleasant Hes not rushed Really pays attention to my needs and what I have to say He also visited me in the hospital and controlled my hospital care What Dr does that these days I just love him I recommend him to everyone I talk to Flag Comment Was this review helpful Yes No Review of Dr Ibrahim Mrs John Thompson in Leesburg Fl 03242018 Our first meeting with Dr Ibrahim was 213 2018 he was recommended by the doctor at Leesburg Regional Medical Center on my husbands release from a stay from a stroke While filling out new patient registration John collapsed I yelled call 911 immediately Dr Ibrahim and two other doctors lifted him from his chair and placed him on the floor They began chest compression and monitoring his pulse used defibrillator 2 times he was stable as EMTs arrived Hes a great caring Dr Flag Comment Was this review helpful Yes No Review of Dr Ibrahim Pastor Aaron in Lady Lake 12162017 Dr Ibrahim is a personal friend and an outstanding doctor He is professional compassionate and knowledgeable He takes the time to listen and provides the best care possible for his patients He is a man of character and integrity and can be trusted with your health Flag Comment Was this review helpful Yes No Review of Dr Ibrahim donald h garms in lady lake fl 10272017 finest doctor I I have ever found he really cares for his patients he stays on top of what is going on with your health would recommend him to anyone Flag Comment Was this review helpful Yes No Page 1 of 5 Learn About PREMIER MEDICAL ASSOCIATES 36 Procedures Abscess Or Cyst Drainage Or Aspiration Abscess Or Fluid Incision And Drainage Advance Directive End Of Life Planning Alcohol Misuse Screening And Counseling Alcohol Or Substance Misuse Screening And Counseling Anemia And Iron Deficiency Screening Arterial Blood Gas Test Abg Cardiovascular Stress Test Care Coordination For Complex Conditions And Procedures Cholesterol Screening Dementia Or Depression Screening Diabetes Screening Electrocardiogram Ekg Fecal Occult Blood Test For Colorectal Cancer Gonorrhea Screening Hepatitis A Screening Hepatitis B Virus Screening Hepatitis C Virus Screening Hepatitis Screening Hiv Screening Immunization Incision And Removal Of Foreign Object Liver Function Test Nail Avulsion And Excision Obesity Counseling Osteoporosis Screening Pap Smear Physical Examination Pregnancy Test Pulmonary Function Test Sexually Transmitted Infections Screening Smoking Cessation Counseling Syphilis Screening Thyroid Screening Urinalysis Wellness Examination MORE Who We Are For more than two decades we have been a trusted healthcare team providing the highest level of patient care with comp PREMIER MEDICAL ASSOCIATES accepts 7 insurance carriers Aetna Ambetter Blue Cross Blue Shield Blue Cross Blue Shield of Florida Cigna First Health Coventry 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B I I B I I O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

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Orthopedic Surgeons Dr Bruce Knolmayer MD Dr Bruce Knolmayer MD Orthopedic Surgery Male Age 53 19 Save Dr Bruce Knolmayer MD is an orthopedic surgery specialist in Olney MD and has been practicing for 28 years He graduated from Georgetown University in 1991 and specializes in orthopedic surgery Leave a Review Orthopedic Surgery Specialist Search Medstar Montgomery Orthopaedics Sports Medicine 18101 Prince Philip Dr Ste 325 Olney MD 20832 Contact Information Insurance Accepted Aetna Blue Cross Blue Shield CareFirst Blue Cross Blue Shield Cigna Coventry Health Care MultiPlan Please verify this information when scheduling an appointment Compare Dr Knolmayer with other Orthopedic Surgery Specialist near you Dr Michael Matthews DPM Orthopedic Foot Ankle Surgery View More Providers Like This Background Check Healthgrades does not collect malpractice information for Maryland No disciplinary actions found for the years we collect data No board actions found for the years we collect data Learn more about background checks Experience Check Check Dr Knolmayers experience treating your condition or procedure Dr Knolmayers Top Procedures and Conditions Treatment Frequency Knee Disorders very high very high Treatment Frequency Dr Knolmayer treats Knee Disorders more than 98 of his peers Bone Disorders very high very high Treatment Frequency Dr Knolmayer treats Bone Disorders more than 98 of his peers Difficulty With Walking very high very high Treatment Frequency Dr Knolmayer treats Difficulty With Walking more than 97 of his peers Learn more about experience ratings About Me Biography Dr Bruce Knolmayer MD is an orthopedic surgery specialist in Olney MD and has been practicing for 28 years He graduated from Georgetown University in 1991 and specializes in orthopedic surgery Specialties Orthopedic Surgery Board Certifications Orthopedic Surgery Learn why a board certification matters Education Georgetown University Hospital Residency Hospital 1991 Georgetown University Medical School Awards Healthgrades Honor Roll Learn more about recognized doctors Memberships Affiliations International Congress for Joint Reconstruction Member Dr Knolmayers Reviews Likelihood to recommend Dr Knolmayer 46 Based on 19 reviews 5 Stars 17 4 Stars 0 3 Stars 0 2 Stars 1 1 Star 1 Leave a review How likely are you to recommend Dr Knolmayer Tap to rate Select your rating Average Wait Time 10 15 minutes Dr Knolmayers Performance Trustworthiness Explains conditions well Answers questions Time well spent Office Staff Performance Scheduling Office environment Staff friendliness What People Say About Dr Bruce Knolmayer MD Highest Lowest Most Helpful Reply Dr Knolmayer listened closely to my questions and concerns and after a detailed review of the MRI and findings he clearly explained his diagnostic It was very easy to understand and Im glad that I visited his office I highly recommend Dr Knolmayer Was this helpful 1 College Park MD May 18 2017 Post a Response Are you Dr Bruce Knolmayer MD Yes No Reply Dr Knolmayer is the best orthopedic doctor I have ever seen After seeing multiple doctors for a shoulder problem he was the only doctor that knew how to fix it Hes caring very efficient great bedside manner and his staff is wonderful as well I had my shoulder operated on today and Im so Was this helpful 2 Shannon in Hyattsville MD Oct 29 2016 Post a Response Are you Dr Bruce Knolmayer MD Yes No Reply Dr Knolmayer is a very kind doctor but if you have a fall or other injury you are repeatedly reminded by his staff that he can only see you for 2 body parts I fell and injured several body parts and had a broken armhad xrays The doctor told me he could only evaluate me for 2 body parts Was this helpful 2 Olney MD Aug 23 2016 Post a Response Are you Dr Bruce Knolmayer MD Yes No Reply Best experience Ive ever had with an MD From his bedside manner his time that he takes explaining and going over results to his experience that led to my successful surgery I find Dr Knolmayer to be fantastic He also listens to my concerns and questions with patience and understanding Was this helpful 8 1 Lynda in Damascus MD Mar 13 2016 Post a Response Are you Dr Bruce Knolmayer MD Yes No Leave a review How was your experience with Dr Knolmayer Continue Locations Medstar Montgomery Orthopaedics Sports Medicine Medstar Montgomery Medical Center 18101 Prince Philip Dr Ste 325 Olney MD 20832 Call Fax Directions Call Fax Directions Insurance accepted Accepted insurance can change Please doublecheck when making an appointment Aetna Aetna HMO Choice Plus POS II Select Blue Cross Blue Shield Blue Card PPO CareFirst Blue Cross Blue Shield Blue Choice Advantage Blue Preferred PPO CareFirst Maryland POS Cigna Cigna HMO Cigna PPO Open Access Plus Coventry Health Care Southern Health PPO MultiPlan PHCS Network PPO Affiliated Hospitals Check the quality of care at hospitals where Dr Knolmayer treats patients Medstar Montgomery Medical Center Olney MD See all Orthopedic Surgeons in Olney MD Sign Up Or Log In Health Guides Hospital Quality Quality Transparency Our Health Right Diagnosis Group Practices Hospitals Affiliated Hospitals Affiliated Physicians Most Popular Physicians Urgent Care Facilities Drugs AZ For Providers Update Your Free Profile Promote Your Practice Help Center Log In to Your Account For Partners Healthgrades for Hospitals Hospital Client Log In Advertise With Us Quality Use Guidelines About Us Contact Us User Agreement Our Company Press Room Careers FAQs Site Map Privacy Policy Advertising Policy HG Blog Local Health Guides Are you a Doctor Healthy Living Newsletter Sign me up Your privacy is important to us Submission of this form is subject to Healthgrades User Agreement and Privacy Policy Providers by Specialty All Specialties Cardiologists Chiropractors Clinical Psychologists Counselors Dentists Dermatologist Ear Nose Throat Endocrinologists Family Practitioners Gastroenterologists General Surgeons Geriatricians Gynecologists Obstetricians 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B I O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O B I O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Family Doctors Dr Robert Marlow MD Dr Robert Marlow MD Family Medicine Male Age 60 11 Save Dr Robert Marlow MD is a family medicine specialist in Huntsville AL and has been practicing for 32 years He graduated from University Of Mississippi School Of Medicine in 1984 and specializes in family medicine Leave a Review Family Medicine Specialist Search Huntsville Hospital Physician 9000 Bailey Cove Rd SE Huntsville AL 35802 Contact Information Insurance Accepted Aetna Blue Cross Blue Shield Blue Cross Blue Shield of California Cigna Humana MultiPlan Please verify this information when scheduling an appointment Compare Dr Marlow with other Family Medicine Specialist near you Dr Laura Lile MD Family Medicine 11 View More Providers Like This Background Check Healthgrades does not collect malpractice information for Alabama No disciplinary actions found for the years we collect data No board actions found for the years we collect data Learn more about background checks About Me Biography Dr Robert Marlow MD is a family medicine specialist in Huntsville AL and has been practicing for 32 years He graduated from University Of Mississippi School Of Medicine in 1984 and specializes in family medicine Specialties Family Medicine Board Certifications Family Practice Learn why a board certification matters Education 1987 U Miss Med Ctr Residency Hospital 1984 University Of Mississippi School Of Medicine Medical School Awards Healthgrades Honor Roll Learn more about recognized doctors Recommended Reading 7 Tips for Choosing CPAP Masks What to Do When Iron Supplements Arent Working 3 Dangers of Skipping Mealtime Insulin Dr Marlows Reviews Likelihood to recommend Dr Marlow 43 Based on 11 reviews 5 Stars 9 4 Stars 0 3 Stars 0 2 Stars 0 1 Star 2 Leave a review How likely are you to recommend Dr Marlow Tap to rate Select your rating Average Wait Time 10 15 minutes Dr Marlows Performance Trustworthiness Explains conditions well Answers questions Time well spent Office Staff Performance Scheduling Office environment Staff friendliness What People Say About Dr Robert Marlow MD Reply I have been a patient of Dr Marlow for 10 or more years I sincerely do not know what would have happened to me without his care I have had several health issues since I have seen Dr Marlow and he always listens to what I have to say and truly cares about my health Dr Marlow cares about his Was this helpful 2 Demetra Hill in Fayetteville TN 37334 Jun 07 2017 Post a Response Are you Dr Robert Marlow MD Yes No Leave a review How was your experience with Dr Marlow Continue Locations Huntsville Hospital Physician Huntsville Hospital Physician 9000 Bailey Cove Rd SE Huntsville AL 35802 Call Fax Directions Call Fax Directions Insurance accepted Accepted insurance can change Please doublecheck when making an appointment Aetna Choice Plus POS II Blue Cross Blue Shield Blue Card PPO Blue Cross Blue Shield of California Dental Blue 100200300 Cigna Cigna HMO Cigna PPO Open Access Plus Humana Choice Care PPO MultiPlan MultiPlan PPO PHCS Network PPO Affiliated Hospitals Check the quality of care at hospitals where Dr Marlow treats patients Huntsville Hospital Huntsville AL See all Family Doctors in Huntsville AL Sign Up Or Log In Health Guides Hospital Quality Quality Transparency Our Health Right Diagnosis Group Practices Hospitals Affiliated Hospitals Affiliated Physicians Most Popular Physicians Urgent Care Facilities Drugs AZ For Providers Update Your Free Profile Promote Your Practice Help Center Log In to Your Account For Partners Healthgrades for Hospitals Hospital Client Log In Advertise With Us Quality Use Guidelines About Us Contact Us User Agreement Our Company Press Room Careers FAQs Site Map Privacy Policy Advertising Policy HG Blog Local Health Guides Are you a Doctor Healthy Living Newsletter Sign me up Your privacy is important to us Submission of this form is subject to Healthgrades User Agreement and Privacy Policy Providers by Specialty All Specialties Cardiologists Chiropractors Clinical Psychologists Counselors Dentists Dermatologist Ear Nose Throat Endocrinologists Family Practitioners Gastroenterologists General Surgeons Geriatricians Gynecologists Obstetricians Hematologists Internists Nephrologists Neurologists Neurosurgeons Ophthalmologists Orthopedic Surgeons Pain Medicine Pediatricians Plastic Surgeons Psychiatrists Psychologists Rheumatologists Sports Medicine Urologists Copyright 2018 Healthgrades Operating Company Inc Patent US Nos 7752060 and 8719052 All Rights Reserved Third Party materials included herein protected under copyright law Use of this website and any information contained herein is governed by the Healthgrades User Agreement The content on Healthgrades does not provide medical advice Always consult a medical provider for diagnosis and treatment

O O O O O O O O O O O O O O O O O O O O O O O B I I O B O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O B O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Home Gastroenterologists Dr Sanjeev Jairath MD Dr Sanjeev Jairath MD Gastroenterology Male Age 61 25 Save Dr Sanjeev Jairath MD is a gastroenterology specialist in South Chesterfield VA and has been practicing for 26 years He graduated from Armed Forces Med School in 1978 and specializes in gastroenterology Leave a Review Gastroenterology Specialist Search Richmond Gastroenterology Associates 16011 Kairos Rd South Chesterfield VA 23834 Contact Information 804 5205223 Insurance Accepted Aetna Anthem Blue Cross Blue Shield Cigna Humana Medicaid Medicare Optima Health Tricare Virginia Premier Please verify this information when scheduling an appointment Background Check No malpractice claims found for Virginia No disciplinary actions found for the years we collect data No board actions found for the years we collect data Learn more about background checks Dr Jairaths Top Procedures and Conditions Treatment Frequency Noninfectious Gastroenteritis and Colitis very high very high Treatment Frequency Dr Jairath treats Noninfectious Gastroenteritis and Colitis more than 100 of his peers Dr Jairath treats this condition more than 100 of his peers Gastroesophageal Reflux Disease GERD very high very high Treatment Frequency Dr Jairath treats Gastroesophageal Reflux Disease GERD more than 100 of his peers Dr Jairath treats this condition more than 100 of his peers Stomach Diseases very high very high Treatment Frequency Dr Jairath treats Stomach Diseases more than 100 of his peers Dr Jairath treats this condition more than 100 of his peers Learn more about experience ratings Dr Jairaths conditions and procedures Abdominal Disorders Abdominal Pain Acid Reflux Anal or Rectal Pain Anemia Anoscopy Autoimmune Diseases Barretts Esophagus Benign Neoplasm of the Digestive System Benign Tumor Biliary Atresia Biliary Disorders Blood Disorders Cancer Celiac Disease Cholecystitis and Gallstones Cirrhosis Colitis Colon Cancer Colon Disorders Colon Polyp Colonoscopy Colonoscopy Proctosigmoidoscopy and Sigmoidoscopy Colorectal Cancer Constipation Crohns Disease Dehydration Diaphragmatic andor Hiatal Hernia Diarrhea Diverticulitis Intestinal Diverticulosis Intestinal Duodenal Ulcer Duodenitis Dysentery Dysphagia Endoscopy Esophagus Stomach Small Intestine Enteritis ERCP Endoscopic Retrograde Cholangiopancreatography Esophageal Achalasia and Cardiospasm Esophageal Cancer Esophageal Diseases Esophageal Diverticulum Esophageal Ulcer Esophageal Varices Esophagitis Fecal Impaction Removal GasBloat Syndrome Gastric Ulcer Gastritis Gastroenterology Procedures Gastroesophageal Reflux Disease GERD Gastrointestinal Bleeding Gastrointestinal Diseases Gastrointestinal Malabsorption Gastroparesis Heartburn Hemochromatosis Hemorrhoid Banding Hemorrhoidectomy or Excision of Anal Tags Hemorrhoids Hepatitis Hepatitis B Immune Response Hepatitis C Hernia Ileus Indigestion Inflammatory Bowel Disease Intestinal Atresia Intestinal Ischemia Intestinal Obstruction Irritable Bowel Syndrome Lactose Intolerance Liver Damage from Alcohol Malnutrition Manometry Megacolon Nausea Neoplasm of Gastrointestinal Tract NonAlcoholic Fatty Liver Disease Noninfectious Gastroenteritis and Colitis NonNeonatal Jaundice Pancreatic Disease Pancreatitis Peptic Ulcer Pyloric Stenosis Reflux Esophagitis Stomach Diseases Stomal Ulcer Ulcer Ulcerative Colitis Unexplained Weight Loss Viral Enteritis Viral Hepatitis Vomiting Disorders Dr Jairaths Reviews Likelihood to recommend Dr Jairath 36 Based on 25 reviews 5 Stars 14 4 Stars 1 3 Stars 1 2 Stars 3 1 Star 6 Leave a review How likely are you to recommend Dr Jairath Tap to rate Select your rating Average Wait Time 16 30 minutes Dr Jairaths Performance Trustworthiness Explains conditions well Answers questions Time well spent Office Staff Performance Scheduling Office environment Staff friendliness What People Say About Dr Sanjeev Jairath MD Recent Most Helpful Dr Sanjeev Jairath MD Reply Flag Comment Dr Jairath is outstanding He has excellent professional skills and interacts well with his patients He is very accessible and responsive and provides the best advice to all of his patients I have spoken with others who had concerns about potential gastro problems and I immediately Was this helpful Shirley W Dexter in Chester VA Nov 12 2018 Post a Response Are you Dr Sanjeev Jairath MD Yes No Dr Sanjeev Jairath MD Reply Flag Comment I went to see Dr Jariath because my primary care doctor sent me to him as I have been having stomach issues for over two years He was extremely caring and took time with me and put me at ease My blood pressure was really high that day and his assistant Tyeisha was compassionate and caring as Was this helpful Julia53 in Colonial Heights Aug 18 2018 Post a Response Are you Dr Sanjeev Jairath MD Yes No Dr Sanjeev Jairath MD Reply Flag Comment Easy to schedule first appointment Paperwork mailed to me very promptly Checkin was easy Wait time to be taken back was maybe 10 minutes no more Nursetech was pleasant and verified information Took vitals Dr Jairath was friendly and thorough He outlined lab work and additional Was this helpful 1 Gary in Petersburg VA Feb 21 2018 Post a Response Are you Dr Sanjeev Jairath MD Yes No Dr Sanjeev Jairath MD Reply Flag Comment Dr Jairath has performed all of my colonoscopies I am 65 years old He is professional in his dealing with patients and very kind I highly recommend him Was this helpful 4 William M Worthey in Chester VA Nov 28 2016 Post a Response Are you Dr Sanjeev Jairath MD Yes No Dr Sanjeev Jairath MD Reply Flag Comment AWESOME DOCTOR He and his team are very caring and super atintive I was very pleased with my experience From the beginning to the end I was I was beyond comfortable I would recommend Dr Jairath and his ream in very high regards One of the very BEST experiences if not the BEST I have Was this helpful 4 Rachel Jones in Prince George Va 23875 Nov 11 2016 Post a Response Are you Dr Sanjeev Jairath MD Yes No Show more reviews Leave a review How was your experience with Dr Jairath Continue Locations Richmond Gastroenterology Associates Colonial Heights 16011 Kairos Rd South Chesterfield VA 23834 Call Fax Call Fax Directions Prince George 4730 Puddledock Rd Ste 100 Prince George VA 23875 Call Call Fax Directions Insurance accepted Accepted insurance can change Please doublecheck when making an appointment Aetna Anthem Blue Cross Blue Shield Cigna Humana Medicaid Medicare Optima Health Tricare Virginia Premier Affiliated Hospitals Check the quality of care at hospitals where Dr Jairath treats patients John Randolph Medical Center Hopewell VA Southside Regional Medical Center Petersburg VA Compare Providers More providers who are similar to Dr Jairath Dr Alfred Lee MD 53 Reviews Dr Harish Iyer MD 51 Reviews Dr Robert Flynn MD 40 Reviews Dr Pramod Malik MD 35 Reviews Dr Ramy Eid MD 27 Reviews Dr William Brand Jr MD 30 Reviews Dr Ray Keate MD 24 Reviews Dr Puneet Kumar MD 61 Reviews Dr Christopher Lyons MD 29 Reviews Dr Howard Haverty Jr MD 21 Reviews Show All Gastroenterologists

O O O O O O O O O O B O O O O O O O O O O O B O O B I O O O O O O O O O O O O O O O O O O O O B O O O B O O O B O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Home Internal Medicine Doctors Dr Steven Carr MD Dr Steven Carr MD Internal Medicine Male Age 67 3 Save Dr Steven Carr MD is an internal medicine specialist in Quincy MA and has been practicing for 41 years He graduated from Loyola U School Of Medicine in 1975 and specializes in internal medicine Leave a Review Internal Medicine Specialist Search Tufts Medical Center Primary Care Woburn 1690 Crown Colony Dr Quincy MA 02169 Contact Information 617 3644380 Insurance Accepted Aetna Blue Cross Blue Shield Blue Cross Blue Shield of Louisiana Blue Cross Blue Shield of Massachusetts Cigna First Health Coventry Health Care Harvard Pilgrim Health Care MultiPlan Tufts Health Plan Please verify this information when scheduling an appointment Background Check No malpractice claims found for Massachusetts No disciplinary actions found for the years we collect data No board actions found for the years we collect data Learn more about background checks Dr Carrs conditions and procedures Abdominal Disorders Abdominal Pain Achilles Tendinitis Acidosis Acne Acute Bronchitis Acute Deep Vein Thrombosis DVT Acute Laryngitis Acute Lower Respiratory Infection Acute Pharyngitis Acute Sinusitis Acute Tonsillitis Acute Upper Respiratory Infection Acute Venous Embolism Thrombosis ADHD andor ADD Alkalosis All Headaches incl Migraine Allergic Reaction Allergic Rhinitis Anal Disorders Anal or Rectal Pain Anemia Anemia and Iron Deficiency Screening Ankle Sprain and Achilles Tendon Sprain or Rupture Ankle Sprains and Strains Anxiety Arterial Blood Gas Test ABG Arthritis Arthritis of the Elbow Asthma Asymptomatic PostMenopausal Status Ataxia Atherosclerosis Atopic Dermatitis Eczema Autonomic Disorders Back Pain Bedsores Bells Palsy Benign Chronic Pain Syndrome Bladder Atony Bladder Diseases Bladder Infection Blood Disorders Blood in Urine Hematuria Bone Disorders Breast Diseases Breast Pain Bronchiectasis Bronchitis Bronchospasm Bunion Burn Injuries Bursitis Calcium Metabolism Disorders Candidiasis of Skin and Nails Canker Sore Cardiovascular Stress Test Carpal Tunnel Syndrome Celiac Disease Cellulitis Chest Pain Cholesterol Screening Chronic Deep Vein Thrombosis DVT Chronic Fatigue Syndrome Chronic Interstitial Cystitis Chronic Neck Pain Chronic Pain Chronic Sinusitis Cold Sore Common Cold Confusion Constipation COPD Chronic Obstructive Pulmonary Disease Coronary Artery Disease CAD Cough Deep Vein Thrombosis DVT Dehydration Dermatitis Dermatitis Due to Drugs Dermatitis Due to Substances Taken Internally Diabetes Counseling Diabetes Mellitus Secondary Diabetes Screening Diabetes Type 1 Diabetes Type 2 Diabetes With Renal Manifestations Diabetic Polyneuropathy Diarrhea Difficulty With Walking Diverticulosis Intestinal Dizziness Dysentery Dysphagia Dysthymia Chronic Depression Dysthymia and Cyclothymia Mood Disorders Ear Disorders Earwax Buildup Elbow Injuries Electrocardiogram EKG Emphysema Enlarged Prostate BPH Enteritis Erectile Dysfunction Esophageal Diseases Esophagitis Essential Tremor Excessive Sweating Fecal Occult Blood Test for Colorectal Cancer Fever Fibromyalgia Foot Conditions Fungal Infections Fungal Nail Infection Gait Abnormality Gastritis Gastroesophageal Reflux Disease GERD Gastrointestinal Diseases Genital Herpes Gonorrhea Screening Gout Hair Loss Hammer Toe Headache Heart Disease Heart Palpitations Hemorrhoids Hepatitis A Screening Hepatitis B Virus Screening Hepatitis C Virus Screening Hepatitis Screening Herpes Simplex Infection Herpes Simplex Screening Herpes Zoster Without Complication Hidradenitis Hip Pointer Injuries Hip Sprain HIV Screening Hives Hoarse Voice Dysphonia Hypercalcemia Hyperkalemia Hyperlipidemia Hypertension Hypertensive Chronic Kidney Disease Hypoglycemia Hypokalemia Hypotension Hypotension Excluding Maternal Hypothyroidism Immunization Impetigo Influenza Flu Insomnia Intertrigo Iron Metabolism Disorders Irritable Bowel Syndrome Itchy Skin Joint Pain Knee Disorders Knee Sprain Lactose Intolerance Laryngitis Larynx Conditions Leg and Foot Ulcers Limb Cramp Limb Pain Limb Swelling Limb Swelling Caused by Fluid Overload Lipid Disorders Liver Damage from Alcohol Liver Function Test Loss of Voice or Hoarse Voice Low Back Pain Low Blood Oxygen Level Lyme Disease Magnesium Metabolism Disorders Malaise and Fatigue Malnutrition Menopausal and Postmenopausal Disorders Menstrual Disorders incl Dysmenorrhea Migraine Mineral Metabolism Disorders Moles Benign Skin Lesions Motion Sickness Muscle Spasm Muscle Weakness Nasopharyngitis Nausea Neck Muscle Strain Neurogenic Bladder Nighttime Urination Nocturia NonAlcoholic Fatty Liver Disease Noninfectious Gastroenteritis and Colitis Nosebleed Obesity Osteoarthritis Osteoarthritis of Ankle and Foot Osteoarthritis of Hand or Wrist Osteoarthritis of Hands Osteoarthritis of Hip Osteoarthritis of Hip and Thigh Osteoarthritis of Knee Osteoarthritis of Shoulder Osteopenia Osteoporosis Osteoporosis Screening Otitis Media Outer Ear Infection Overactive Bladder Painful Urination Dysuria Partial Lung Collapse Patellofemoral Pain Syndrome or Knee Pain Peptic Ulcer Pericardial Disease Perimenopause Peripheral Nerve Disorders Peripheral Vascular Disease PAD PVD Pharyngitis Phlebitis and Thrombophlebitis Phosphorus Metabolism Disorders Pinkeye Conjunctivitis Plantar Fasciitis Pneumonia Poison Ivy Poison Oak or Poison Sumac Poisoning Pollen Allergy Polymyalgia Rheumatica PMR Polyneuropathy Postnasal Drip Prostate Cancer Screening Prostatitis Pulmonary Disease Pulmonary Function Test Radiculopathy Not Due to Disc Displacement Rapid Flu Test Rash Raynauds Disease Reflux Esophagitis Restless Leg Syndrome Rib Fracture Ringworm Rosacea Runners Knee Salivary Gland Stones and Inflammation Sarcoidosis Sciatica Not Due to Disc Displacement Seborrheic Dermatitis SecondDegree Burns Sepsis Sexually Transmitted Diseases STDs Sexually Transmitted Infections Screening Shingles Shortness of Breath Shoulder Disorders Shoulder Tendinitis and Tenosynovitis Sinusitis Skin Infections Sleep Apnea Sleep Disorders Sore Throat Spondylosis Sprains and Strains incl Muscle Tear Stomach Diseases Strep Throat Swine Flu Symptomatic Menopause Syphilis Screening Tension Headache Testicular Dysfunction Thrombosis Thyroid Disease Thyroid Screening Tinea Versicolor Tinnitus Tobacco Use Disorder Tonsillitis Torticollis Transient Ischemic Attack TIA Tremor Trichomoniasis Screening Trigeminal Neuralgia Ulcer Urinary Disorders Urinary Incontinence Urinary Stones Urinary Tract Infection UTI Vaginitis andor Vaginosis Vaginosis Screening Venous Embolism and Thrombosis Venous Insufficiency Vertigo Viral Enteritis Viral Infection Vitamin D Deficiency Wellness Examination Dr Carrs Reviews Likelihood to recommend Dr Carr 50 Based on 3 reviews 5 Stars 3 4 Stars 0 3 Stars 0 2 Stars 0 1 Star 0 Leave a review How likely are you to recommend Dr Carr Tap to rate Select your rating Average Wait Time Under 10 minutes Dr Carrs Performance Trustworthiness Explains conditions well Answers questions Time well spent Office Staff Performance Scheduling Office environment Staff friendliness Be the first to leave a comment How was your experience with Dr Carr Continue Locations Tufts Medical Center Primary Care Woburn Tufts Medical Center Primary Care Quincy Internal Medicine and Adult Primary Care 1690 Crown Colony Dr Quincy MA 02169 Call Fax Call Fax Insurance accepted Accepted insurance can change Please doublecheck when making an appointment Aetna Aetna HMO Choice Plus POS II Blue Cross Blue Shield Blue Card PPO Blue Cross Blue Shield of Louisiana BlueConnect HMO Blue Cross Blue Shield of Massachusetts Preferred Blue PPO Cigna Cigna HMO Cigna PPO LocalPlus Open Access Plus First Health Coventry Health Care First Health Coventry Health Care PPO Harvard Pilgrim Health Care Harvard Pilgrim Health Care PPO MultiPlan MultiPlan PPO PHCS Network PPO Tufts Health Plan Tufts PPO Affiliated Hospitals Check the quality of care at hospitals where Dr Carr treats patients Beth Israel Deaconess Hospital Milton Milton MA Carney Hospital Dorchester MA South Shore Hospital South Weymouth MA Tufts Medical Center Boston MA

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O


Home Clinical Psychologists Dr Kathleen McNulty PHD Dr Kathleen McNulty PHD Clinical Psychology Female 9 Save Dr Kathleen McNulty PHD is a clinical psychologist in Ridgewood NJ She specializes in clinical psychology Leave a Review Clinical Psychologist Search 20 W Ridgewood Ave Ste 5 Ridgewood NJ 07450 Contact Information Insurance Accepted Blue Cross Blue Shield Empire Blue Cross Blue Shield Horizon Blue Cross Blue Shield of New Jersey Please verify this information when scheduling an appointment Background Check No malpractice claims found for New Jersey No disciplinary actions found for the years we collect data No board actions found for the years we collect data Learn more about background checks About Me Biography Dr Kathleen McNulty PHD is a clinical psychologist in Ridgewood NJ She specializes in clinical psychology Specialties Clinical Psychology Dr McNultys Reviews Likelihood to recommend Dr McNulty 46 Based on 9 reviews 5 Stars 8 4 Stars 0 3 Stars 0 2 Stars 0 1 Star 1 Leave a review How likely are you to recommend Dr McNulty Tap to rate Select your rating Average Wait Time Under 10 minutes Dr McNultys Performance Trustworthiness Explains conditions well Answers questions Time well spent Office Staff Performance Scheduling Office environment Staff friendliness What People Say About Dr Kathleen McNulty PHD Recent Highest Lowest Most Helpful Dr Kathleen McNulty PHD Reply Flag Comment Dr McNulty was quick to answer my call and scheduled my appointment promptly I highly recommend her She is very nice kind and generous Was this helpful Leo in Lodi NJ Feb 24 2017 Post a Response Are you Dr Kathleen McNulty PHD Yes No Dr Kathleen McNulty PHD Reply Flag Comment Dr McNulty is highly recommended by myself and my family She was able to diagnose and treat a combination of symptoms We are grateful as we had been to 3 prior mental health professionals Was this helpful Paramus NJ Feb 23 2017 Post a Response Are you Dr Kathleen McNulty PHD Yes No Dr Kathleen McNulty PHD Reply Flag Comment Dr McNulty answered my call immediately She spent time on the phone with me understanding what my needs were what the reason for my call was and was able to schedule an appointment for me that same week She was thorough with her questions answered my questions regarding insurance and Was this helpful 1 Emerson NJ Feb 22 2017 Post a Response Are you Dr Kathleen McNulty PHD Yes No Dr Kathleen McNulty PHD Reply Flag Comment Dr McNulty is the best She worked with me regarding insurance which these days is very challenging She was extremely generous in working out my insurance issues She attended to my emotional and psychological needs with compassion and skill I could tell she wasis a seasoned psychologist I Was this helpful Fairlawn NJ Feb 20 2017 Post a Response Are you Dr Kathleen McNulty PHD Yes No Dr Kathleen McNulty PHD Reply Flag Comment Dr McNulty has been in practice for 30 years My first experience meeting with Dr McNulty was very comfortable My issues required knowledge in a specific area compassion and the ability to support me while interfacing with many other professionals I more than appreciate her availability and Was this helpful Piermont NJ Feb 20 2017 Post a Response Are you Dr Kathleen McNulty PHD Yes No Show more reviews Leave a review How was your experience with Dr McNulty Continue Locations Practice 20 W Ridgewood Ave Ste 5 Ridgewood NJ 07450 Call Call Fax Insurance accepted Accepted insurance can change Please doublecheck when making an appointment Blue Cross Blue Shield Blue Card PPO Empire Blue Cross Blue Shield Empire Blue Cross Blue Shield HMO Horizon Blue Cross Blue Shield of New Jersey Horizon Blue Cross Blue Shield PPO See all Clinical Psychologists in Ridgewood NJ

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FDA FDA Seeks Civil Monetary Penalties Measures to Enforce Compliance with ClinicalTrialsgov Requirements FDA Seeks Civil Monetary Penalties Measures to Enforce Compliance with ClinicalTrialsgov Requirements By Daniel Kim Brian Hedgeman on October 1 2018 Posted in Agency Information FDA On September 20 2018 the US Food and Drug Administration FDA released draft guidance Civil Money Penalties Relating to the ClinicalTrialsgov Data Bank Guidance The purpose of this Guidance is to explain FDAs protocol in 1 determining how the centers will identify whether responsible parties failed to comply with submission and certification requirements to the ClinicalTrialsgov or submitted false or misleading documents to the data banks and 2 deciding when why and what civil monetary penalties will be assessed against the responsible parties or submitters The new guidance seeks to address requirements of responsible parties involved in the performance of clinical research and submission of applications for marketing authorizations to register their trial submit clinical results information and make certain certifications regarding their Background Under section 801 of the Food and Drug Administration Amendments Act of 2008 the FDAAA which amended section 402j of the Public Health Service Act 42 USC 282j5B responsible parties engaged in certain clinical research activities are required to submit registration and results information to the ClinicalTrialsgov data bank Additionally submitters of certain applications and other items to FDA regarding drug biological and medical device products are required to certify to FDA that all requirements of section 402j have been met Similarly the FDAAA amended section 301jj of the Food Drug and Cosmetics Act the FDC Act to prohibit 1 Identifying Noncompliant Responsible Parties and Submitters In this Guidance FDA states its intention to utilize evidence collected during FDAs Bioresearch Monitoring Program BIMO inspections to assess compliance with registration and results reporting requirements as described in Form FDA 2438 Chapter 48 Bioresearch Monitoring Apr 19 2017 FDA also intends to identify violations as a result of complaints received by the Agency which may entail reviewing public and nonpublic information including but not limited to information submitted to the ClinicalTrialsgov data bank and to FDA It is in the best interest of sponsors researchers and other parties subject to an obligation to submit clinical trial registration information results andor certifications to FDA to have policies and procedures in place to ensure correct information is submitted to ClinicalTrialsgov data bank Policies and procedures should also include periodic review of the data bank to monitor for any missing or inaccurate clinical trial information Developing and implementing these policies and procedures will mitigate the risk of enforcement for noncompliance with registration and clinical trial results reporting requirements as outlined in the Guidance Determining When to Seek Civil Monetary Penalties Under Guidance FDA intends to provide the responsible parties with an opportunity to remedy any prohibited acts under section 301jj of the FDC Act and corresponding regulations 42 CFR Part 11 before initiating an action to recover penalties Pursuant to the procedures detailed in the Guidance when FDA determines that when submissions are not timely filed or inaccurate FDA will generally send the responsible party or submitter a Preliminary Notice of Noncompliance Letter describing the potential violation The responsible party or submitter will have thirty 30 calendar days to remedy the violation Should FDA conduct further review and find further or continued noncompliance with the applicable clinical trial requirements the agency will then issue a Notice of Noncompliance giving the responsible party or submitter another thirty 30 days to remedy noncompliance It is in the best interest of sponsors and researchers to promptly respond to any FDA inquiries and notices concerning registration clinical trial information or certification issues related to the ClinicalTrialsorg data bank Failure to comply within the thirty 30 days of receipt of Notice of Noncompliance will result in FDA escalating regulatory action including civil monetary penalties of up to 10000 for all violations adjudicated in a single proceeding Additional penalties of up to 10000 each day may be included if the violation continues and if said violation is not corrected within thirty 30 days following notification FDA may In determining monetary penalties the FDA will evaluate the circumstances nature extent and gravity of the violations with respect to the individual Other factors will include the violators ability to continue conducting business any prior history of such violations and the degree of culpability in the matter Responding To Civil Monetary Penalties by FDA If FDA seeks civil monetary penalties according to 21 CFR Part 17 the responsible party or submitter has the opportunity to either 1 pay the penalty prescribed in the complaint or 2 file an Answer contesting the allegations either in part or in whole within thirty 30 days of date of service Should the responsible party or submitter contest the allegations by submitting an Answer generally settlement discussions with FDA are entered into providing the responsible party or submitter to present mitigating evidence to FDA for purposes of reducing the penalty amount If a settlement is not reached before a decision on appeal a presiding officer will make an initial decision followed by the usual administrative appeal process eg Department of Health and Human Services Departmental Appeal Board and then the US Court of Appeals for the District of Columbia or any other circuit in which the responsible party or submitter resides A recent BMJ article Compliance with requirement to report results on the EU Clinical Trials Register cohort study and web resource reported that for approximately half of the clinical trials the responsible person did not report results on the EU register while a 2015 New England Journal of Medicine article Compliance with Results Reporting at ClinicalTrialsgov reported that approximately 20 of industry trials did not report results when required to do so and 50 of NIHsponsored research went unreported While the registration reporting certification requirements and the penalties for noncompliance are not new FDAs release of this Guidance should be taken as a signal to sponsors and researchers of its plan to enforce those requirements more rigorously Therefore sponsors and researchers should take this opportunity to evaluate the sufficiency of their policies and procedures for compliance with registration and reporting requirements and audit their submissions to ensure they are uptodate Comments are due by November 20 2018 Tags BIMO Bioresearch Monitoring Program clinical trials ClinicalTrialsgov Department of Health and Human Services Departmental Appeal Board FDA FDA Guidance FDAAA Food and Drug Administration Amendments Act of 2008 Public Health Service Act US Court of Appeals US Food and Drug Administration Topics

O O O B I I O O B I O O O O O B I I O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

civil monetary penalties
enforce compliance


Health News Fact Checked This Woman Says MeatOnly Diet Eased Her Autoimmune Disease Symptoms Mikhaila Peterson took the keto diet one extra step by eliminating veggies and eating only meat She says it cured several illnesses Experts arent convinced Mikhaila Peterson swears by a carnivorous diet Photo credit Instagram At 26 years old Mikhaila Peterson says shes finally been able to cure herself of depression rheumatoid arthritis and a myriad of other chronic illnesses Her solution Eating meat Lots of it Both Peterson and her father Jordan Peterson a renowned Canadian clinical psychologist and intellectual swear by a carnivorous diet for turning their health and their lives around A selfdescribed sick child Peterson experienced juvenile rheumatoid arthritis at 7 years old She was given immunosuppressive treatments including injections of Enbrel and Methotrexate typically used in cancer chemotherapy Despite the treatments the arthritis eventually required her to undergo hip and ankle replacement surgery at the age of 17 She was also diagnosed with severe depression and anxiety at age 12 for which she was prescribed a high dose of Cipralex an SSRI antidepressant After years of pharmaceutical treatment to manage her symptoms Peterson eventually took a drastic step of her own She eliminated the majority of foods from her diet including all carbohydrates In 2015 at the age of 23 Peterson began a diet known widely as the ketogenic diet and it appeared to be working wonders That solved most of my problems instantly It was like a month and my arthritis was gone and my skin had cleared up But it was particularly good at controlling the depression It lessened but I still had severe anxiety but my fatigue went away as well she told Healthline Cutting out the carbs The ketogenic diet is based on the simple premise that when carbohydrate intake is drastically lowered or stopped entirely the body must find a new primary source of energy That source is fat However the ketogenic diet is about more than just cutting carbs Fat must become the primary source of calories To be done correctly the ketogenic diet requires individuals to consume around 70 percent of their daily calories from fat To put that in perspective current US diet recommendations say that individuals should only consume 25 to 30 percent of their daily calories from fat According to Peterson the benefits of the diet appeared to fade after she became pregnant So after her pregnancy she started on the next phase of dieting becoming completely carnivorous If the ketogenic diet is on the extreme side of lowcarb dieting then the carnivore diet is on the extreme side of the ketogenic diet So its basically the ketogenic diet without the vegetables said Peterson I was eating meat and a lot of salad so all I did was cut out the salad More research needed Not surprisingly experts have pushed back against the carnivore diet They cite numerous potential problems including scurvy constipation and inflammation of the colon And despite the Peterson familys effusive anecdotal evidence of the diets ability to cure depression and autoimmune disorders there have yet to be rigorous scientific studies to prove such claims Healthline contacted Jeff Volek a professor at The Ohio State University and an expert on the ketogenic diet who has authored numerous peerreviewed studies on the topic to clarify where the science really stands On depression and mental health he says there may be some merit to a meatoriented diet There is a growing body of work that links excessive sugar intake to abnormal brain chemistry that manifests in different ways such as depression Thus by virtue of cutting back on sugar and processed carbs a ketogenic diet may improve mood state The increase in circulating ketones may also directly benefit brain chemistry and function in ways that improve depression said Volek However he notes that this has yet to be demonstrated in large controlled studies A 2017 review of the psychiatric effects of the ketogenic diet found that in several studies on mice the diet reduced both anxious and depressive behavior Evidence of the ketogenic diets antiinflammatory properties has also been demonstrated in some prior animal studies In October researchers at the University of California San Francisco said they had identified the mechanism by which the diet suppresses inflammation potentially leading to new therapies for brain trauma stroke and diabetes However clinical trials involving humans have yet to demonstrate this Ketogenic diets have repeatedly been shown to dampen inflammation Multiple mechanisms have been identified to explain this effect including specific effects of ketones on certain inflammatory pathways There is strong reason to believe a ketogenic diet may be help in certain autoimmune disease but humans studies are lacking and most of the evidence is anecdotal and testimonials said Volek Leaving anecdotal evidence aside the ketogenic diet is an established therapeutic intervention for some conditions Its currently recognized as part of treatment for seizures in children with epilepsy Theres also strong evidence that it can be effective for weight loss and reversing insulin resistance a driving factor in developing type 2 diabetes A large body of work now indicates that sustained ketosis over weeks results in broadspectrum health benefits such as decreased weight and body fat improved blood pressure lipid profiles and more said Volek Serious concerns Still the ketogenic diet and even more so the carnivore diet remain polarizing in health circles Keto diets should only be used under clinical supervision and only for brief periods Francine Blinten RD a certified clinical nutritionist and public health consultant in Connecticut told Healthline It can do more harm than good It can damage the heart which is also a muscle she explained Other nutritionists worry that with the diets growing popularity it may simply become the next fad diet for those desperate to lose a couple of pounds The ketogenic diet has also been described as antisocial because of the profound limitations it places on what one can eat making it difficult to share meals or drink with friends Because of the antisocial nature of the diet some experts have called into question whether or not its sustainable in the long run leading to starting and stopping socalled yoyo dieting But for Peterson and others like her the benefits of the diet clearly outweigh the potential problems Its incredibly difficult socially You cant go over to somebodys house for dinner said Peterson But I think most people feel better enough that its worth it

O O O O O O O O O O O B I B B I O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

autoimmune disease
symptoms
mikhaila peterson


Whats a Double Ear Infection and How Is It Treated Symptoms Causes Complications Diagnosis Treatment Outlook Prevention What is a double ear infection An ear infection is usually caused by bacteria or viruses It forms when infected fluid builds up in the middle ear When the infection occurs in both ears its called a double ear infection or bilateral ear infection A double ear infection is considered more serious than an infection in one ear Symptoms can be more intense and the recommended treatment is usually more aggressive than for a unilateral single ear infection If your child has a fever shows signs of an ear infection and tugs on or rubs both ears they may have a double ear infection Responding quickly can usually resolve the problem within a few days Symptoms A unilateral ear infection can turn into a bilateral ear infection However symptoms of a double ear infection usually develop in both ears at the same time Thats why your child may be complaining of pain in both ears Apart from more frequent and higher fevers standard symptoms of a bilateral ear infection are like those of a unilateral ear infection Symptoms of a double ear infection can include a recent upper respiratory infection fever of 1004F 38C or greater that lasts for 48 hours or more drainage or pus from the ears tugging rubbing or pain in both ears trouble sleeping irritability and fussiness lack of interest in feeding difficulty hearing These signs are important especially if your child is an infant and young toddler who cant tell you whats bothering them Causes An ear infection usually develops after a viral upper respiratory infection The infection can cause inflammation and swelling of the Eustachian tubes These thin tubes run from the ears to behind the nose at the upper part of the throat They help maintain healthy pressure in the ears When the tubes become swollen and blocked fluid can build up behind the eardrum Bacteria can grow quickly in this fluid causing infection and inflammation of the middle ear Children are more prone to ear infections because their Eustachian tubes are less vertical than those of adults Complications In many cases hearing is affected only temporarily and returns when the infection goes away and the fluid clears Permanent hearing loss and longterm speech difficulties are the greatest concerns related to serious and ongoing ear infections Children who get repeated ear infections or who go long periods with untreated ear infections may experience some hearing loss Hearing loss often impedes speech development In more serious cases the eardrum may be damaged A torn eardrum may repair itself within a few days Other times it may require surgery Like any infection a double ear infection can spread to other parts of the body The part that is most in danger is the mastoid which is the part of the skull bone behind the ear Infection of this bone called mastoiditis causes ear pain redness and pain behind the ear fever a sticking out of the ear This is a dangerous complication of any ear infection It can cause serious effects such as injury to the skull bone more serious infections severe complications to the brain and circulatory system permanent hearing loss Diagnosis If you suspect a double ear infection seek medical attention right away The pain and discomfort of a double ear infection can be worse than having a single ear infection You should also seek immediate medical attention if your child appears to have severe pain or if they have pus or discharge from one or both ears If your baby is 6 months or younger call their pediatrician as soon as you notice symptoms of an ear infection In older children see a doctor if symptoms last for a day or two without improvement This is especially true if your child has a fever The doctor will review your childs medical history and symptoms Then theyll use an otoscope to look inside both ears An otoscope is a lighted device with a magnifying lens that allows the doctor to take a closer look at the inside of the ear An eardrum that is red swollen and bulging indicates an ear infection The doctor might also use a similar device called a pneumatic otoscope It emits a puff of air against the eardrum If no fluid is behind the eardrum the surface of the eardrum will move back and forth easily when air hits it However fluid buildup behind the eardrum makes it difficult for the eardrum to move Treatment A mild unilateral ear infection may disappear without treatment depending on the age of the child A double ear infection however is more serious If its caused by a virus then no medication can help Instead youll have to let the infection run its course If its a bacterial infection treatment usually requires antibiotics A common antibiotic used for young children with ear infections is amoxicillin Antibiotics should typically be taken for a week or more Its important to take the full course of antibiotics exactly as prescribed to heal the infection Your doctor can look inside the ears during a followup visit Theyll determine whether the infection has cleared up To help ease the pain your doctor may recommend acetaminophen Tylenol or ibuprofen Advil Motrin Ibuprofen is not recommended for children who are younger than 6 months however Medicated ear drops may also be helpful For children who have recurrent double or single ear infections small ear tubes can be placed in the ear to help improve drainage A child with improperly formed or immature Eustachian tubes may require ear tubes for several months or longer to decrease ear infections Outlook With proper treatment your childs infection should heal A double ear infection may begin to clear up within a few days of beginning treatment Still your child should take the full course of antibiotics which may be a week or 10 days Also dont be alarmed if your childs infection heals more slowly than expected A double ear infection will take a little longer to heal than a single ear infection During this time sleeping may be more difficult for your child because of pain in both ears Overall its almost impossible to prevent your child from getting ear infections in their early years Be aware of your childs symptoms so you can identify possible ear infection and seek proper treatment Prevention Bilateral ear infections are less common than singleear infections though if you leave a unilateral infection untreated problems can develop in the other ear So preventing a double ear infection includes getting treatment quickly when an infection develops in one ear Studies have found that prolonged bedtime or naptime feeding with a bottle may aggravate a childs respiratory system increase ear infections sinus infections and cough increase acid reflux from the stomach Instead allow your child to finish feeding before putting them down to sleep Tips Wash hands frequently to minimize the spread of germs Dont let your children be exposed to cigarette smoke Limit your childs exposure to other children who are sick Make sure your child gets a seasonal flu vaccine If you have questions about the risks and benefits of a flu shot talk with your doctor Make sure your child receives all of their regular and routine vaccinations

O O B I I O O O O O B B O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O B I I O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O B O O O O O O O O O O O O B O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O B O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Optic Neuritis Risk factors Causes Symptoms Diagnosis Treatments Outlook What is optic neuritis The optic nerve carries visual information from your eye to your brain Optic neuritis ON is when your optic nerve becomes inflamed ON can flare up suddenly from an infection or nerve disease The inflammation usually causes temporary vision loss that typically happens in only one eye Those with ON sometimes experience pain As you recover and the inflammation goes away your vision will likely return Other conditions result in symptoms that resemble those of ON Doctors may use optical coherence tomography OCT or magnetic resonance imaging MRI to help reach the correct diagnosis ON doesnt always require treatment and can heal on its own Medications such as corticosteroids can help speed recovery Most who experience ON have complete or nearly complete vision recovery within two to three months but it may take up to 12 months to achieve the vision recovery Whats the connection between MS and optic neuritis Who is at risk for optic neuritis Youre more likely to develop ON if youre a female between the ages of 18 and 45 youve been diagnosed with multiple sclerosis MS you live at a high latitude for example Northern United States New Zealand What causes optic neuritis The cause of ON isnt well understood Most cases are idiopathic which means they have no identifiable cause The most common known cause is MS In fact ON is often the first symptom of MS ON can also be due to infection or an inflammatory immune system response Nerve diseases that can cause ON include MS neuromyelitis optica Schilders disease a chronic demyelinating condition that begins in childhood Infections that may cause ON include mumps measles tuberculosis Lyme disease viral encephalitis sinusitis meningitis shingles Other causes of ON include sarcoidosis an illness that causes inflammation in various organs and tissues GuillainBarre syndrome a disease in which your immune system attacks your nervous system postvaccination reaction an immune response following vaccinations certain chemicals or drugs What are the symptoms of optic neuritis The three most common symptoms of ON are vision loss in one eye which can vary from mild to severe and lasts for 7 to 10 days periocular pain or pain around your eye thats often worsened by eye movements dyschromatopsia or the inability to see colors correctly Other symptoms can include photopsia seeing flashing lights off to the side in one or both eyes changes in the way the pupil reacts to bright light Uhthoffs phenomenon or Uhthoffs sign when eye vision worsens with an increase in body temperature How is optic neuritis diagnosed A physical exam symptoms and medical history form the basis of a diagnosis of ON To ensure correct treatment your doctor may perform additional tests to determine the cause of your ON Types of illness that can cause optic neuritis include demyelinating disease such as MS autoimmune neuropathies such as systemic lupus erythematosus compressive neuropathies such as meningioma a type of brain tumor inflammatory conditions such as sarcoidosis infections such as sinusitis ON is as inflammation of the optic nerve Conditions with symptoms resembling ON that arent inflammatory include anterior ischemic optic neuropathy leber hereditary optic neuropathy Because of the close relationship between ON and MS your doctor may want to perform the following tests OCT scan which looks at the nerves in the back of your eye brain MRI scan which uses a magnetic field and radio waves to create a detailed image of your brain CT scan which creates a crosssectional Xray image of your brain or other parts of your body What are the treatments for optic neuritis Most cases of ON recover without treatment If your ON is the result of another condition treating that condition will often resolve the ON Treatment for ON includes intravenous methylprednisolone IVMP intravenous immunoglobulin IVIG interferon injections Use of corticosteroids such as IVMP may have adverse effects Rare side effects of IVMP include severe depression and pancreatitis Common side effects of steroid treatment include sleep disturbances mild mood changes stomach upset What is the longterm outlook Most people with ON will have partial to complete vision recovery within 6 to 12 months Thereafter healing rates decrease and damage is more permanent Even with good vision recovery many will still have a varying amount of damage to their optic nerve The eye is a very important part of the body Address warning signs of lasting damage with your doctor before they become irreversible These warning signs include your vision worsening for more than two weeks and no improvement after eight weeks

B I B O O O O O O O O B I O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O B O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Human body Respiratory System Sphenoid sinus Sphenoid sinus Sinuses are airfilled sacs empty spaces on either side of the nasal cavity that filter and clean the air breathed through the nose and lighten the bones of the skull There are four paired sinuses in the head The most posterior farthest toward the back of the head of these is the sphenoid sinus The sphenoid sinuses are located in the sphenoid bone near the optic nerve and the pituitary gland on the side of the skull There are seven bones that form the orbit eye socket and the sphenoid is one of these bones The pituitary gland which produces many different hormones that control other glands is housed in the sphenoid bone It is also housed in the sella turcica Like the nasal cavity the sinuses are all lined with mucus The mucus secretions produced in the sinuses are continually being swept into the nose by the hairlike structures on the surface of the respiratory membrane lung lining tissues This serves to moisten the air we breathe through our noses The hollow sinuses also act to lighten the bones of the skull and serve as resonating chambers for speech The paired and often asymmetrical sinuses are small or rudimentary at birth but grow as the skull grows They are fairly well developed by age 7 to 8 but dont reach their maximum size until after puberty In adults the sinuses vary considerably in size and shape Sinuses are susceptible to infection Sinusitis is inflammation of a sinus caused by a bacterial infection that can follow a viral infection This causes pus and mucus to accumulate within the sinus Symptoms can include fever headache sinus pain stuffy nose and impaired sense of smell

O O O O B I B I O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


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Home Drug Testing Information for Parents If your teen suddenly becomes moody is spending time with a different group of friends or starts failing in school you may wonder if drugs are to blame While drug testing your teen at home for drug use may seem like a straightforward way to get an answer it probably is not the best way Drug tests are not always reliable and your teen may resent being tested Other methods may be better Through confidential interviews and questionnaires your pediatrician can help assess whether your teen has a drug problem without resorting to lab tests If a lab test is necessary your doctor will assist with the process to ensure the test is ordered processed and interpreted correctly Where We Stand If your teen does undergo a drug test it should be knowingly The American Academy of Pediatrics AAP opposes drug tests without a teens knowledge and consent Parents may use logical consequences such as suspending driving privleges or grounding if an indicated test is refused Consult your pediatrician if you believe your teen should be tested for drug use Limits of Urine Drug Testing A chemical analysis of urineor urinalysisis the most common drug test But the test has limits and parents should consider the following pitfalls Test may not detect all illicit drugs Most routine urine tests do not catch LSD ketamine Ecstasy inhalant or anabolic steroid use They also may not detect alcohol the substance that teens are most likely to use Test results may be false negatives Other drugs are detectable for only a short time after they are used Most drugsother than marijuana can be flushed from the users system in as few as 12 hours Within 2 or 3 days these drugs are almost always undetectable Test results may be false positives Urine tests that do detect drug use may be misleading and should be confirmed by more specific tests For instance routine urine test results may show marijuana use daysor even weeksafter your teen has quit using the drug Some drug tests may mistake traces of legal painkillers containing ibuprofen or naproxen for signs of marijuana use Sinus or allergy medicines may show up as amphetamines in drug tests Other common medicines can test as tranquilizers Your Pediatrician Can Help Your pediatrician may be able to identify drug use by interviewing your teen Though you may want to participate let the doctor talk to your teen alone and in strict confidence Do not worry that you will be kept in the dark about a serious problem Your pediatrician will tell you if your teen is at immediate risk If drug testing is called for You and your pediatrician should work together to ensure you get reliable lab results Make sure your teens sample is carefully collected and handled by an experienced certified laboratory Guard against human error or false positives Be certain the results are properly recorded and kept confidential Remember that a lab test is just one measure of drug use Your pediatrician also will take into account your teens behavior as a whole Healthy Children Radio Drug Testing Audio Drug testing is a complex medical procedure that can be useful as a part of a complete assessment for substance use or mental health disorders in adolescents But its not something that parents ought to do on their own or without their childs permission according to the American Academy of Pediatrics Pediatrician Sharon Levy MD FAAP comes on the Healthy Children show on RadioMD to talk about what parents should do if they suspect their child may be using drugs or alcohol Segment 1 AAP Recommendations on Drug Testing In Children Adolescents Last Updated 6182014 Adapted from Testing Your Teen for Illicit Drugs Information for Parents Copyright 2003 American Academy of Pediatrics The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances

B I I B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O B I I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

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