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J.M. Keyes, MD  
Female
Gainesville - FL

Specialties: Family Medicine

dizzy diabetic symptoms
Dec 14, 2009 08:14AM in the Family Medicine Expert Forum
Hi Mike, There are a lot of things that can cause dizziness, and certainly when you are diabestic, the ante is upped some because you are more at risk for some of them. It sounds like hypoglycemia may be an issue for you, and may be triggering some symptoms, so I would talk to your doctor about whether changing some of your meds may be appropriate. Also yo...
Muscle relaxant overuse
Dec 11, 2009 09:52AM in the Family Medicine Expert Forum
I have never heard of muscle relaxants causing shortening of new muscle fibers, and can find no information to suggest it. Some muscle relaxants do have a potential for abuse, so this could cause of increased discomfort when they are discontinued, JMK MD
During a blood draw...
Nov 29, 2009 06:28PM in the Family Medicine Expert Forum
Hi there, It sounds like what you had a vasovagal reaction, which is pretty common. It involves an abnormal reflex that causes a temporary decrease in blood flow to the brain, generally brought on by some trigger (eg. having blood drawn). The following information is provided by the London Cardiac Institute in London, Ontario, Canada, and talks about vasov...
Why have four ex-boyfriends gotten mono after kissing me???
Nov 21, 2009 07:15PM in the Family Medicine Expert Forum
Hi there, This is a tough question in that I can't really give you the "odds" on whether all of these previous boyfriends got the EBV virus from you. Mono can be contagious for several months after your symptoms are gone, but it is very unlikely that after a year or more you would still be contagious. I can't say that it is impossible, because yo...
Kidney Biopsy
Nov 17, 2009 08:10PM in the Family Medicine Expert Forum
Hey Terri, I'm not a nephrologist, so I can't say for sure, but that makes no sense to me either. Especially with it being your opposite kidney showing hydronephrosis. I would definitely at least mention it to the nephrologist and see what they say. I really hope you don't have to go through another kidney biopsy. Hang tough, JMK.
Critically High CPK, followed by high LDH
Nov 09, 2009 08:44AM in the Family Medicine Expert Forum
I am assuming there was no trauma to the muscles. Intense exercise can also cause an increase in the skeletal muscle form of CPK (CPK-MM). Certain drugs such as cholesterol lowering drugs (statins) can damage muscle and elevate CPK. Other causes are alcohol, viruses, hereditary conditions. CPK can be elevated in certain autoimmune diseases that cause inf...