expert type icon EXPERT

Dr. Carmine Dalto, M.D.

Critical Care Surgeon

Dr. Carmine Dalto is a critical care surgeon practicing in Charlotte, NC. Dr. Dalto specializes in the needs of critically ill surgical patients. Critical care surgeons are experts in treating physiologic responses to tissue injury from trauma, burns, infections, acute inflammation, operation and more. They are also trained to know how such injuries interact with other diseases that a patient may have. As a critical care surgeon, Dr. Dalto has a broad knowledge base and full understanding of the biology of the critically ill patient and the patients organ system functions.
48 years Experience
Dr. Carmine Dalto, M.D.
  • Charlotte, NC
  • New York Univ Sch of Med, New York Ny
  • Accepting new patients

Recovery after serious car crash?

The older you are the worse the brains ability to deal with the injury. I don't know details but I remain hopeful for a good result

My mother has a tumor on her stomach and needs surgery. What precautions should she take beforehand?

I am hoping that it is not affecting her appetite. Good nutritional status, absence from smoking, and remaining active works best.
Hope she does well.

How can I help my husband have a speedy recovery after surgery?

Physical therapy, emotional support, and good nutrition are very important but since I do not know the all important details please consult with his cardiologist

Will my daughter have to wait for her transplant?

Most of the time the answer is there likely will be delay until the infection is dealt with

How do surgeons prevent a patient from bleeding out in the OR?

Usually they tie off the bleeding vessel but some trauma types such as multiple liver lacerations, traumatic tears of the aorta,and inferior vena cava for example are very difficult READ MORE
Usually they tie off the bleeding vessel but some trauma types such as multiple liver lacerations, traumatic tears of the aorta,and inferior vena cava for example are very difficult to repair. Also sometimes there are multiple bleeding sites again the patient can be lost also if a critical amount of blood is lost before the surgeons can get the patient to the OR

Can fingers be saved after a severe injury?

Hello, This is a difficult question to answer without knowing details. Variables such as blood supply damage, how long was the time of injury to evaluation, amount of collateral READ MORE
Hello,

This is a difficult question to answer without knowing details. Variables such as blood supply damage, how long was the time of injury to evaluation, amount of collateral tissue damage all factor in. You need to consult with a board certified hand surgeon ASAP.
I hope things workout well for him.

Sincerely,

Carmine Dalto, MD

My mother is having a risky heart surgery done. What can we expect after the surgery?

Hello, Your question is nearly impossible to answer with details so I need to make some assumptions. The first is she is over 70 and the second is no surgeon would proceed with READ MORE
Hello,

Your question is nearly impossible to answer with details so I need to make some assumptions. The first is she is over 70 and the second is no surgeon would proceed with risky surgery unless faced with no alternative. The third is that her cardiac condition has been progressive, debilitating and resulting in severe physical deconditioning. So, the recovery from surgery involves ones body needing a lot of protein to recover and if intake is not adequate, it breaks itself down to get what it needs for repair. This plus the pre-existing physical state and age can lead to shocking debilitation even to the point one is too weak to get out of bed. Physical therapy and rehabilitation will likely be very important along with adequate nutrition.

My mother is having excessive abdominal pain. Should she get surgery?

Hello, I am a pulmonologist but also know a fair amount of cardiac and allergic issues, but I am not the right person to answer that question; a gastroenterologist or general READ MORE
Hello,

I am a pulmonologist but also know a fair amount of cardiac and allergic issues, but I am not the right person to answer that question; a gastroenterologist or general surgeon would be better choices to ask. However it is my understanding that surgery should be very cautiously approached especially at her age.
Sorry I could not be more help.

Should I take my child to the ER?

Hello; To get to the point, yes you should. I do not know the particulars but failure to improve with time and therapy is an indication to seek a higher level of help. If a physician READ MORE
Hello;
To get to the point, yes you should. I do not know the particulars but failure to improve with time and therapy is an indication to seek a higher level of help. If a physician has been treating your child, try to reach him/her first, but if you cannot reach or get a return answer go to the ER without delay

What are the signs of a drug allergy?

Hello, Let me answer the easy question first. Drug allergies are definitely NOT all life threatening. Now the hard part. To start, there is a difference between a drug allergy READ MORE
Hello,

Let me answer the easy question first. Drug allergies are definitely NOT all life threatening.

Now the hard part. To start, there is a difference between a drug allergy and a drug side effect. A drug side effect is where a medication causes an issue that does NOT involve the immune system. Examples include aspirin causing an upset stomach or an antihistamine causing sleepiness.
The signs on an allergy are nearly innumerable. The immune system has different but interconnected arms that defend us against: Bacterial infections, parasitic infections, cancer, toxins, viruses, fungal and tuberculous infections and more. If a drug activates one or more of these functions and causes the immune system to act in an aberrant way you have a drug allergy.The drug can be directly attacked itself such as serum sickness from a tetanus shot or cause an attack on the person itself such as a drug induced rash from an antibiotic. Each drug usually tend to cause specific allergy issues. By far and away the best source to help out would be your doctor of pharmacist. You see, if you read the info sheets on drugs it reads like a little shop of horrors. What these all inclusive listings usually do not tell you if the listing was from a single reported case of questionable causation or a more common side effect or allergy that occurs with significant frequency. This is where we professionals can help.
Be safe out there!

Carmine Dalto, MD

How can I calm my mother before her surgery?

Well, this is a 2-part question. If she is worrying about the covid 19 issue, most places are testing all patients prior to surgery, staff are rigorously screened, and meticulous READ MORE
Well, this is a 2-part question. If she is worrying about the covid 19 issue, most places are testing all patients prior to surgery, staff are rigorously screened, and meticulous clean down procedures are followed. I actually feel safer taking care of covid patients with the multiple layers of protection we have compared to the supermarket where people are shopping with no masks and are walking down the aisle coughing! Risk is very, very low.

If it is some other issue, then the best treatment is her doctor/surgeon. Fear of the unknown can be the worst kind. With some dialogue, this both eases worry and builds trust in the operating staff. Nearly always when a patient had anxiety and I sat down and went over everything, it helped a good bit. It's important to be honest and not sugar coat things, as you will lose credibility and then the thought process mentally will go along "that it is so bad that they won't tell me the truth." Hope this helps. Just remember no physician ever wants to do harm and that always weighs heavily on us when we make a recommendation.