Dr. Kevin Sherin, MD MPH

Ordinarily patients will undergo cardiac catheterization and ballon angioplasty to open up occluded arteries. This procedure is a short term hospital based cardiac catheter lab procedure. The catheter is usually inserted in the groin area and done under imaging to guide the cardiologist. Sometimes, such as in the case of 4 vessel disease open heart surgery is the best alternative. That is known as a coronary artery bypass graft CABG surgery. These two types of procedures are now the standard of care for patients who have a heart attack. Patients should know they will be cared for under the latest guidelines by expert specialists in their respective fields.

Absolutely yes. Acupuncture in trained hands is safe. It can help pain management as an example.

The answer is yes. There are absolutely a variety of medications for heart arrhythmias. Heart arrhythmias are best treated by a physician who specialized in heart disease, or cardiology. A common arrhythmia is atrial fibrillation. If it is recurrent and not reversed it needs treatment and this includes blood thinners(anticoagulants).

This is a heavy duty scientific paper on the topic. Family history would be important. Genetic testing may provide answers since it is an autosomal dominant disese. Here is more on tuberous sclerosis. See if you can get a referral from your doctor for specialty evaluation for peace of mind. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001077/

You may have a concussion or other injury and should be evaluated with diagnostic imaging.

These are two different types of infection. A common source is unlikely. The patient with strep should stay out of work for 25 hours while starting an antibiotic. Steph is a very common skin infection. As long as it is covered and under treatment the employee should be able to work.

Get a check up. It could be tendinitis or more of a rheumatologist condition. Your doctor should order an inflammatory test called a sedimentation rate or ESR.

Yes. Depending on the cause. Speech delay is complex. Referral to a pediatric neurologist or developmental pediatrician specialist may be wise. Often referral to a board certified speech therapist is sufficient to help progress.

Usually hearing loss after a cold is congestion in the middle ear. If the hearing loss persists make sure your daughter and seen and evaluated for the condition. She might have had an ear infection so make sure her ear is examined.