Dr. Cynthia A. Shelby-lane, MD

Are you pregnant? Have you been seen by your obstetrician? Did you ever get any COVID vaccines? If so, what kind, when and did you have any side effects? Do you have any vaccine allergies? Do you have any allergies? Have you ever had any side effects from medicines or vaccines? Discuss this with your expert gynecologist./obstetrician who would investigate your past medical history since your question involves personalized medicine and treatment.

Hearing loss/damage has multiple causes that you did not explain or offer. Therefore, you should seek an evaluation with the best ear, nose and throat specialist for an accurate assessment, diagnosis and treatment options.

Avoid all gluten. Get advanced GI testing.

Early detection and ongoing detection.

If a psychiatrist specializes in autism they can help you

Your cardiologist is the best person to advise you since they have all your records and know your specific heart condition.

If you’ve already been diagnosed by a doctor with sciatica, you need a referral to a specialist for treatment. Neurosurgeons don't need to operate on sciatica unless there’s an underlying back problem or another problem. If it’s sciatica , They usually refer to another specialist after reviewing imaging studies.

Contact an ear, nose and throat specialist for further testing.

It depend on the cause of your eye redness.

Follow up with an ear nose and throat specialist for an exam and testing.

A CT SCAN is done to determine a multitude of problems. The length of time it takes to do an abdominal CT SCAN depends on the reason the study was ordered and if it is to be done with and without contrast. You can call the CT SCAN IMAGING CENTER and they can give you the best estimate of time required for the study. Please give them a call.

Healing depends on your overall general health and you did not provide those details. Please discuss this question with your surgeon and your primary care doctor.

Are you asking for permission to keep taking finasteride? Do you want to be a father?
Are you asking if Finasteride causes birth defects?
Are you asking if you are exposing your possible offspring to possible congenital abnormalities if you keep taking this drug?
Are you asking for scientific evidence of side effects of the drug with respect to offspring?
Do you want to keep taking finasteride considering the risks and benefits?
All questions to be considered, but not sure what you want?
If you are considering fatherhood, please consult your doctor for the best advice.

Please follow up with a specialist/urologist for further investigation since you were already prescribed antibiotics. Thank you.

You did not describe or mention the toxic chemicals that are involved. But there are diagnostic tests that measure environmental toxins including heavy metals. Ask your doctor to order tests to measure the specific toxins you are concerned about.

Assuming you don't have a compromised immune system, you probably have antibodies to the variant that you were exposed to. Your doctor can order antibody testing.

Are you immune to the virus now? Do you have an adequate immune response if you’ve been recently infected?

"DON’T assume you’re immune from COVID-19." The most important thing to do is NOT assume you’re immune to the coronavirus, even if you’ve had a confirmed COVID-19 diagnosis before, and even if you were vaccinated.

The antibody response and protection from innate immunity and protection with vaccines is still being studied. Antibody testing and results vary by the method used and the lab doing the testing (which is not universal).

There are at least four identified and different variants including alpha, delta, mu and omicron, in the past 2 years. “Some variants have caused worse disease than others, but one consistent feature of all of them is that they’ve become more adept at evading our bodies’ defenses.

Therefore, even if you had a mild case of a variant and made a full recovery with no complications, other circulating variants could still infect you. And brand new variants may still be on the horizon.”

See your doctor for antibody testing.

You need to make an appointment with your urologist, asap. Thanks.

The best treatment always involves a review of your past medical history, the length of time you’ve been diagnosed with high blood pressure, a complete physical exam, other medical problems, a review of risk factors, your HEART SCORE, and your current blood pressure. BEST treatment must be individualized to include lifestyle modification, nutrition, nutritional supplements, fitness and stress management and medications. Genetic or genomic testing can help guide your treatment. Best treatment requires daily monitoring and physician monitoring.

Covid 19 infections are a serious health concern. Your ability to maintain your good health depends on your pre-morbid or pre-scik health? What are your underlying health problems? Do you support your immune system with the proper nutrition, nutrients/supplements, water, sleep, exercise, meditation? Long Haul Covid syndrome can occur in people with mild and severe infections. You need continued monitoring. Are you vaccinated?

What other medications or supplements are you taking? What are your complete medical problems? Why are you taking Xarelto? Your full medical history is not disclosed here, which is the only way to adequately answer this question. Your prescribing doctor(s) is the best person who is able to answer this question, which is based on your entire medical history. Please consult your physician(s).