Joseph Sclafani, M.D.'s MedHelp Posts https://www.medhelp.org/user_posts/list/4610897 Medical communities and forums staffed by doctors from leading medical centers. Over 325 forums and communities providing medical information and medical help. en Iron overload and Beta Thalassemia Minor Hello, thank you for your question. Patients with beta thalaseemia may absorb increased amounts of Joseph Sclafani, M.D. Fri, 13 Jun 2014 12:52:04 -0400 https://www.medhelp.org/posts/Internal-Medicine/Iron-overload-and-Beta-Thalassemia-Minor/show/2203620#post_10564002 https://www.medhelp.org/posts/Internal-Medicine/Iron-overload-and-Beta-Thalassemia-Minor/show/2203620#post_10564002 Rabies Hello. Thank you for your question. The decision to start rabies post-exposure prevention treatment Joseph Sclafani, M.D. Mon, 09 Jun 2014 12:07:30 -0400 https://www.medhelp.org/posts/Internal-Medicine/Rabies/show/2195619#post_10540263 https://www.medhelp.org/posts/Internal-Medicine/Rabies/show/2195619#post_10540263 Enlarged Spleen Hello. Thank you for your question. It is not uncommon for patients to have splenomegaly (enlarged Joseph Sclafani, M.D. Wed, 28 May 2014 13:18:58 -0400 https://www.medhelp.org/posts/Internal-Medicine/Enlarged-Spleen/show/2185244#post_10475694 https://www.medhelp.org/posts/Internal-Medicine/Enlarged-Spleen/show/2185244#post_10475694 24 holter moniter help Hello. Thank you for your question. The symptoms you are investigating are called palpitations. In Joseph Sclafani, M.D. Sat, 17 May 2014 15:47:24 -0400 https://www.medhelp.org/posts/Heart-Rhythm/24-holter-moniter-help/show/2179028#post_10416708 https://www.medhelp.org/posts/Heart-Rhythm/24-holter-moniter-help/show/2179028#post_10416708 sinus arrhythmia or bigeminy? Hello. Thank you for your question. Sinus arrhythmia is a benign finding that should not cause sy Joseph Sclafani, M.D. Wed, 07 May 2014 11:26:14 -0400 https://www.medhelp.org/posts/Heart-Rhythm/sinus-arrhythmia-or-bigeminy/show/2169338#post_10361604 https://www.medhelp.org/posts/Heart-Rhythm/sinus-arrhythmia-or-bigeminy/show/2169338#post_10361604 Peripheral vs Central Vertigo Hello. Thank you for your excellent question. Nystagmus, or rhythmic oscillations of the eyes, is Joseph Sclafani, M.D. Sun, 27 Apr 2014 11:48:30 -0400 https://www.medhelp.org/posts/Internal-Medicine/Peripheral-vs-Central-Vertigo/show/2158171#post_10303637 https://www.medhelp.org/posts/Internal-Medicine/Peripheral-vs-Central-Vertigo/show/2158171#post_10303637 Creatinine Level and Spleen Size Okay? Hello. thank you for your question. A GFR>60 indicates normal renal function. Some patients have h Joseph Sclafani, M.D. Wed, 23 Apr 2014 07:21:58 -0400 https://www.medhelp.org/posts/Internal-Medicine/Creatinine-Level-and-Spleen-Size-Okay/show/2156426#post_10280024 https://www.medhelp.org/posts/Internal-Medicine/Creatinine-Level-and-Spleen-Size-Okay/show/2156426#post_10280024 Fifths Disease in adults and itching Hello. Thank you for yoru question. Pruritis, or intense itching, can occur in the first week afte Joseph Sclafani, M.D. Sun, 20 Apr 2014 10:49:14 -0400 https://www.medhelp.org/posts/Internal-Medicine/Fifths-Disease-in-adults-and-itching/show/2146950#post_10265600 https://www.medhelp.org/posts/Internal-Medicine/Fifths-Disease-in-adults-and-itching/show/2146950#post_10265600 ventricular tachycardia Hello. Thank you for your question. Ventricular tachycardia, or VT, has a few potential causes. Co Joseph Sclafani, M.D. Mon, 31 Mar 2014 09:14:26 -0400 https://www.medhelp.org/posts/Heart-Rhythm/ventricular-tachycardia/show/2122351#post_10169513 https://www.medhelp.org/posts/Heart-Rhythm/ventricular-tachycardia/show/2122351#post_10169513 Why my blood pressure is lower than ususal Hello. Thank you for your question. If a patient of mine told me those readings I would tell him Joseph Sclafani, M.D. Wed, 26 Mar 2014 05:22:31 -0400 https://www.medhelp.org/posts/Hypertension-High-Blood-Pressure/Why-my-blood-pressure-is-lower-than-ususal/show/2119097#post_10143076 https://www.medhelp.org/posts/Hypertension-High-Blood-Pressure/Why-my-blood-pressure-is-lower-than-ususal/show/2119097#post_10143076 Bradycardia, syncope, negative tilt Hello. Thank you for your question. The scenario you describe it not uncommon. The goal of evaluat Joseph Sclafani, M.D. Mon, 03 Mar 2014 12:13:08 -0500 https://www.medhelp.org/posts/Heart-Rhythm/Bradycardia-syncope-negative-tilt/show/2112362#post_10034420 https://www.medhelp.org/posts/Heart-Rhythm/Bradycardia-syncope-negative-tilt/show/2112362#post_10034420 Afib, aflutter, and metoprolol Hello. Thank you for your question. Neither calcium channel blockers or beta-blockers are rhythm c Joseph Sclafani, M.D. Mon, 03 Mar 2014 12:03:44 -0500 https://www.medhelp.org/posts/Heart-Rhythm/Afib-aflutter-and-metoprolol/show/2108414#post_10034393 https://www.medhelp.org/posts/Heart-Rhythm/Afib-aflutter-and-metoprolol/show/2108414#post_10034393 trachycardia due anxiety / panic attack - risk of stroke or heart attack Hello. Thank you for your question. In general, patient's with tachycardia due to sinus tachycardi Joseph Sclafani, M.D. Mon, 03 Mar 2014 11:52:26 -0500 https://www.medhelp.org/posts/Heart-Rhythm/trachycardia-due-anxiety-panic-attack-risk-of-stroke-or-heart-attack/show/2099602#post_10034351 https://www.medhelp.org/posts/Heart-Rhythm/trachycardia-due-anxiety-panic-attack-risk-of-stroke-or-heart-attack/show/2099602#post_10034351 Complex Medical Question-Need Advice Thank you for your question. When a patient describes a constellation of symptoms, which are predo Joseph Sclafani, M.D. Thu, 23 Jan 2014 17:09:30 -0500 https://www.medhelp.org/posts/Internal-Medicine/Complex-Medical-Question-Need-Advice/show/2066569#post_9871340 https://www.medhelp.org/posts/Internal-Medicine/Complex-Medical-Question-Need-Advice/show/2066569#post_9871340 murmur/click? Marie, This is a common source of confusion for patients. It is helpful to define the terms we Joseph Sclafani, M.D. Thu, 23 Jan 2014 16:58:09 -0500 https://www.medhelp.org/posts/Heart-Rhythm/murmur-click/show/2048571#post_9871311 https://www.medhelp.org/posts/Heart-Rhythm/murmur-click/show/2048571#post_9871311 Holter Interpretation Hello, Thank you for your question. First, patients with no evidence of structural heart dise Joseph Sclafani, M.D. Mon, 13 Jan 2014 21:18:13 -0500 https://www.medhelp.org/posts/Heart-Rhythm/Holter-Interpretation/show/2074893#post_9840818 https://www.medhelp.org/posts/Heart-Rhythm/Holter-Interpretation/show/2074893#post_9840818 Low Calcium Intake Related to Ectopics? Hello, Thank you for your question. Patients are not generally told to increase calcium levels Joseph Sclafani, M.D. Mon, 13 Jan 2014 21:08:58 -0500 https://www.medhelp.org/posts/Heart-Rhythm/Low-Calcium-Intake-Related-to-Ectopics/show/2061905#post_9840789 https://www.medhelp.org/posts/Heart-Rhythm/Low-Calcium-Intake-Related-to-Ectopics/show/2061905#post_9840789 Holter results Hello thank you for your question. PAC's and PVC's as isolated events are not necessarily somethi Joseph Sclafani, M.D. Wed, 08 Jan 2014 15:39:08 -0500 https://www.medhelp.org/posts/Heart-Rhythm/Holter-results/show/2071108#post_9824891 https://www.medhelp.org/posts/Heart-Rhythm/Holter-results/show/2071108#post_9824891 Episodes of tachycardia Thank you for your question. The symptoms you are describing could be due to a number of different Joseph Sclafani, M.D. Fri, 13 Dec 2013 09:19:56 -0500 https://www.medhelp.org/posts/Heart-Rhythm/Episodes-of-tachycardia/show/2054036#post_9751457 https://www.medhelp.org/posts/Heart-Rhythm/Episodes-of-tachycardia/show/2054036#post_9751457 PACs Thank you for your question. What you are describing is a very common clinical scenario and a very co Joseph Sclafani, M.D. Mon, 30 Sep 2013 07:48:00 -0400 https://www.medhelp.org/posts/Heart-Rhythm/PACs/show/2014048#post_9526896 https://www.medhelp.org/posts/Heart-Rhythm/PACs/show/2014048#post_9526896