Dr. Kevin Sherin, MD MPH

Medications that may slow progression of CKD depend on the underlying disease. For example adequately treating diabetes with oral medication or insulin may slow the process. Hypertension can be treated with ACE or ARB inhibitors which help to protect the kidneys. These same classes of medication may help to protect kidneys in diabetics. For autoimmune disease such as lupus immunomodulators and immunosuppressants may help to stop the progression of renal impairment caused by the underlying disease. In summary, adequately treating the underlying causes may help to slow or stop the progression of many common diseases of the kidney. Kevin Sherin c-407-325-0433 "Lets make decisions that result in a sustainable world for 7 generations" Haudenosaunee Proverb

If its not very severe, pneumonia can be treated as an outpatient visit for examination and a prescription. The choice of antibiotics often includes amoxicillin/clavulinate, Macrolides(erythromycin derivatives) and Quinalones such as levafloxcin. A usual course of treatment can be from 7-10 days, taking an antibiotic by mouth. Severe pneumonia requires inpatient care and a combination of intravenous antibiotics. Kevin Sherin MD c-407-325-0433 "Lets make decisions that result in a sustainable world for 7 generations" Haudenosaunee Proverb

It can be. And is also related to obesity. Kevin Sherin c-407-325-0433 "Lets make decisions that result in a sustainable world for 7 generations" Haudenosaunee Proverb

Yes, you can eat meats after a colon resection. Your surgeon will start you off with clear liquids, then gradually introduce more solid foods. If the surgery was required for colon cancer you may reduce the risk for new cancers by not eating red meats and eating more cruciferous vegetables like broccoli. If the surgery was for diverticulitis and abscess you will follow a diet specific for that condition. Eating meats is not however contraindicated because of a colon resection. The simple answer is to see what foods you tolerate best while you recover. . Kevin Sherin MD Faculty, Department of Primary Care Orlando College of Osteopathic Medicine

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.