expert type icon EXPERT

Dr. Michael A. Meloni, MD

Emergency Physician

Dr. Michael A. Meloni practices Emergency Medicine in Melbourne, FL. With over 30 years of experience as an emergency department physician and department director, Dr. Meloni assesses patients who seek immediate medical attention at any time of day or night. Emergency Medicine Physicians are trained to efficiently work with each patient and situation no matter how acute or life-threatening. Dr. Meloni examines patients, determines means of testing, diagnoses conditions, and decides the best treatment methods.
48 years Experience
Dr. Michael A. Meloni, MD
  • Melbourne, FL
  • Jefferson Medical College
  • Accepting new patients

How soon after the blocked arteries diagnosis do I need to have surgery?

Depends.   What are your symptoms?  How debilitating are your symptoms?  What arteries are blocked?  How bad is the blockage?   If you are diabetic, get your blood sugar under READ MORE
Depends.   What are your symptoms?  How debilitating are your symptoms?  What arteries are blocked?  How bad is the blockage?   If you are diabetic, get your blood sugar under control ASAP and keep it there.  If you are overweight, consider it a medical emergency that you lose some weight (it's your life we are trying to prolong.)  If you are a smoker (tobacco or marijuana) , stop smoking IMMEDIATELY.   If its your coronary (heart) arteries that are blocked, and you are having chest pain or tightness frequently, then get the procedure done ASAP before you have a heart attack.  If you have a severe blockage in your legs, then get something done before you develop gangrene in your foot or toes.    Hope this helps.

How long is recovery after a heart transplant?

I hate to reply this way, but, "It depends."  (I'll assume your friend is a female, the same questions would apply to a male recovering from a heart transplant.)    How old is READ MORE
I hate to reply this way, but, "It depends."  (I'll assume your friend is a female, the same questions would apply to a male recovering from a heart transplant.)    How old is your friend?    What was the condition that caused her to need a heart transplant?    What types of other medical problems does she have?    What kind physical shape is she in?    How long has she been in the hospital prior to her heart transplant?    What other organ damage does she have as a result of her heart condition?    Is she a diabetic? Smoker?  Overweight?    How motivated is she to recover, and what other disabilities does she have that may impair her recovery? I know you wanted an answer with a given number of days or weeks.  But there are so many confounding issues involved.        All the Best to you and your friend.     

whats wrong with me

There are a number of things this could be.  Did you injure your foot or leg in any way?  Do you stand at work or school for most of the day?  When you are at home, do you keep READ MORE
There are a number of things this could be.  Did you injure your foot or leg in any way?  Do you stand at work or school for most of the day?  When you are at home, do you keep your legs elevated?  Are you overweight?  Do you smoke?  Do you take birth control pills?  The answers to all these questions matter.   However, it could be a deep venous thrombosis (a blood clot in the DEEP veins of your leg.  You should have a blood test called a d-dimer done and/or an ultrasound of the veins of your legs performed.  In the meantime, Keep your legs elevated as much as possible & take Tylenol or Naprosyn (Alleve) to relieve your pain. Hope you get an answer to your leg pain quickly.  All the best.

How long is recovery after a kidney transplant?

It depends on your friend's age, other medical conditions, physical condition, whether or not they have been on dialysis up until the time of their transplant, how long they have READ MORE
It depends on your friend's age, other medical conditions, physical condition, whether or not they have been on dialysis up until the time of their transplant, how long they have been on dialysis, etc. If there are no complications with the surgery (infection, medical complications, rejection of the new kidney, etc.) then a week to 10 days. But your friend will require ongoing monitoring of their kidney function and will have to take anti-rejection medications faithfully.

Complications after hernia surgery

Yes, there is some cause for concern in the symptoms you describe. Do you have a fever?  Have you been vomiting? Have you spoken to your surgeon about these problems? I would call READ MORE
Yes, there is some cause for concern in the symptoms you describe. Do you have a fever?  Have you been vomiting? Have you spoken to your surgeon about these problems? I would call your surgeon's office. and try and speak to her/him.  If you can't reach them, then go to the emergency department of the hospital where you had the surgery done (NOT an urgent care or a different hospital) and let the emergency department physician evaluate your post-operative problems and symptoms. Good luck.

How can I prevent getting infected with COVID 19?

How old are you?  What are your concerns about getting COVID?  Have you had the COVID vaccine, and the booster?  Unless you have a severe medical problem or chronic disease, ff READ MORE
How old are you?  What are your concerns about getting COVID?  Have you had the COVID vaccine, and the booster?  Unless you have a severe medical problem or chronic disease, ff you have had the COVID vaccine and the booster, you need to go out and live your life.  Don't worry about COVID.  Be happy....

Should I visit ER if I have abdominal pain?

Depends on   How long have you had the pain.  your age, whether or not you have fever.  How much vomiting and/or diarrhea you have.  Is there blood in your vomit or in your stool?  READ MORE
Depends on   How long have you had the pain.  your age, whether or not you have fever.  How much vomiting and/or diarrhea you have.  Is there blood in your vomit or in your stool?  Have you had previous abdominal surgery?
If your pain persists or your symptoms are not improving go to see a doctor.

How does the ER treat sepsis?

People with sepsis are usually VERY sick.  They have high fever, their blood pressure is low, there heart rate (pulse is usually greater than 100 beats per minute),  they feel READ MORE
People with sepsis are usually VERY sick.  They have high fever, their blood pressure is low, there heart rate (pulse is usually greater than 100 beats per minute),  they feel horrible, weak, lightheaded, feverish, sweaty.  They look and feel SICK!!!
As you might imagine, with those symptoms and signs, patients with sepsis who come to the ER are AGGRESSIVELY treated with IV fluids, strong antibiotics, medication to get their fever down, medication to get them comfortable (control their pain), and medication to treat the problem that caused their sepsis. (breathing treatments and oxygen if they have pneumonia causing their sepsis...for example).   
My advice is that you take your friend to the ER IMMEDIATELY (if not sooner) if you think they have sepsis.  They need immediate, aggressive medical treatment.

What is the lethal dose of Klonopin?

Your friend needs to be evaluated by a physician  in an emergency department as soon as possible. 

I’m struggling to hear in my right ear, and it’s painful?

The hearing problem is most likely caused by a earwax (cerumen) build up or impaction. The pain you experience when you touch it is most likely due to infection or inflammation READ MORE
The hearing problem is most likely caused by a earwax (cerumen) build up or impaction. The pain you experience when you touch it is most likely due to infection or inflammation of your ear canal. In order to treat the ear canal infection (otitis externa) you should be seen by your GP or at a local urgent care or ER. It's easy to treat and with the proper medicine usually resolves in a few days. They may also be able to take care of the impacted cerumen at the same time.

I swallowed water down the wrong way?

You are not dry drowning. You may have caused some irritation or inflammation of your lungs that should resolve on its own within 24-48 hours. If you are a smoker, DO NOT SMOKE READ MORE
You are not dry drowning. You may have caused some irritation or inflammation of your lungs that should resolve on its own within 24-48 hours. If you are a smoker, DO NOT SMOKE or VAPE.

I have throat damage?

You may have bruised the soft tissues of your neck. Taking tylenol or ibuprofen to alleviate the pain is a good idea. The symptoms should resolve on their own within 48-72 hours. READ MORE
You may have bruised the soft tissues of your neck. Taking tylenol or ibuprofen to alleviate the pain is a good idea. The symptoms should resolve on their own within 48-72 hours.

Swallowed bottle cap?

If you get severe belly pain, develop fever greater than 100 degrees or vomit more than once or twice, then go to an Emergency Department. If you don't see the cap in your stool READ MORE
If you get severe belly pain, develop fever greater than 100 degrees or vomit more than once or twice, then go to an Emergency Department. If you don't see the cap in your stool within 4 to 5 days, go to an ER and get an x-ray to see if the cap is still inside you. Most importantly, stop putting inedible objects in your mouth.

What tests are done in ER for chest pain?

It depends on your age, cardiac risk factors, the nature and location of your pain, your risk factors (family history of heart disease, high blood pressure, smoking, diabetes, READ MORE
It depends on your age, cardiac risk factors, the nature and location of your pain, your risk factors (family history of heart disease, high blood pressure, smoking, diabetes, history of previous heart problems). An EKG is usually done. Several blood tests are usually done, a chest xray is usually done.

Will the ER remove hemorrhoids?

Depends on the type of hemorrhoids you have. Most types of hemorrhoids can be TREATED in the ER and the treatment will resolve the pain and bleeding and swelling. But rarely READ MORE
Depends on the type of hemorrhoids you have. Most types of hemorrhoids can be TREATED in the ER and the treatment will resolve the pain and bleeding and swelling. But rarely do we REMOVE hemorrhoids in the emergency department. On some occasions we lance a thrombosed (clotted) hemorrhoid in the emergency department so the pain is relieved and the hemorrhoids heel faster. Hope you feel better soon.

Should I go to the ER for blood in my urine?

The short answer is, yes. The long answer is: "It depends." Are you male or female? Age? Sexually active? Have fever? Are you having pain? Does it hurt when you pass your urine? READ MORE
The short answer is, yes. The long answer is: "It depends." Are you male or female? Age? Sexually active? Have fever? Are you having pain? Does it hurt when you pass your urine? Are you peeing more frequently? Many things can cause blood in your urine. The most frequent is a urinary tract infection (a bladder infection, or cystitis). A kidney stone or a kidney or bladder tumor can also cause noticeable blood in your urine. These are both potentially serious conditions that usually require a physician's (ER, family doc, or urologist) care. Although it is counterintuitive, if you have PAINLESS blood in your urine (even without a fever) that lasts for longer than a day or two, SEE A DOCTOR and make sure you don't have a bladder or kidney tumor.
All the Best,

Should I go to the hospital for a dislocated knee?

I am assuming you mean a dislocated knee cap (patella--the bone in the front of your knee that is part of your quadriceps tendon [the quadriceps is the big muscle in the front READ MORE
I am assuming you mean a dislocated knee cap (patella--the bone in the front of your knee that is part of your quadriceps tendon [the quadriceps is the big muscle in the front of your thigh]). Were you able to put it back in place? Is you knee very swollen with a lot of 'fluid in the joint'? Is it still very painful? Can you walk on the affected leg without too much pain? Have you had problems/injuries with that knee before? If there is any question in your mind whether or not you have a fracture (broken bone) or if you are unable to bear ANY weight on your leg, then go the Emergency Department immediately and get an X-ray and definitive treatment. If you have persistent pain or swelling, see an orthopedic surgeon as soon as you can so he can evaluate it.

When an ear infection is serious?

Any ear infection has the potential to become serious. If you have a fever. If you have persistent, intolerable pain. If you have no or minimal hearing in the affected ear, READ MORE
Any ear infection has the potential to become serious. If you have a fever. If you have persistent, intolerable pain. If you have no or minimal hearing in the affected ear, or if you are diabetic, I would recommend you see your primary care physician, urgent care clinic or emergency department .

Is a blocked ear an emergency?

Rarely. Cerumen, or ear wax, build up is usually the cause and can be treated by allowing warm water to run in the ear while you are in the shower and gently cleaning your ear READ MORE
Rarely. Cerumen, or ear wax, build up is usually the cause and can be treated by allowing warm water to run in the ear while you are in the shower and gently cleaning your ear canal with Q-tip. Repeat daily for a week or so....the improvement will be noticeable. If this doesn't relieve your problem, see your physician, urgent care clinic or emergency department.

Does wax buildup cause ringing in the ear?

Go to an emergency department or urgent care and have the physician or physician assistant look in your ear. While your problem could be caused by wax buildup, it could be that READ MORE
Go to an emergency department or urgent care and have the physician or physician assistant look in your ear. While your problem could be caused by wax buildup, it could be that you have an infection of the ear canal (otitis externa). One of the most common causes of ringing in the ears is taking too much aspirin or aspirin containing products.