EXPERT
Dr. Raymond Pierce, M.D.
Internist
Dr. Raymond Pierce is an internist practicing in Rapid City, SD. Dr. Pierce specializes in perioperative hospitalist care and regenerative medicine. He is owner/president of Dakota Stem Cell Institute in Rapid City, SD. He has been a hospitalist at Black Hills Surgical Hospital for 20 years.
37 years
Experience
Dr. Raymond Pierce, M.D.
- Rapid City, SD
- Rush Med Coll of Rush Univ, Chicago Il
- Accepting new patients
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Coronavirus symptoms?
This can occur with Covid or any viral illness however you should still be evaluated for secondary non-Covid infections than\t may require treatment
My risk of death from prostate cancer?
You certainly can choose to "ignore" it, better to follow actual "watchful waiting" with follow up PSA levels and scans for signs of metastases (spread). Or you could opt for medical READ MORE
You certainly can choose to "ignore" it, better to follow actual "watchful waiting" with follow up PSA levels and scans for signs of metastases (spread). Or you could opt for medical treatment with hormonal therapy among several other options. Talk to your urologist, your primary care provider and/or an oncologist for thorough review of all available options. Prostate cancer is extremely variable in its aggressiveness.
Doppler ultrasound?
Doppler ultrasound is useful in diagnosing poor blood flow causing claudication but detailed evaluation of the site and severity of vessel blockage often requires angiography which READ MORE
Doppler ultrasound is useful in diagnosing poor blood flow causing claudication but detailed evaluation of the site and severity of vessel blockage often requires angiography which can be done with CT scanning
COVID related?
Depends on the timing of the test. If you have symptoms of illness, whether Covid or something else, you should avoid seeing grandpa until you are feeling well.
Blood pressure?
If you have no symptoms simply stay well hydrated and plenty of electrolytes such as "gatorade". When was your last physical exam?
Are you an athlete?
Are you an athlete?
Surgery with sleep apnea?
Tell your doctor and especially your anesthesiologist you have sleep apnea and be sure to bring your CPAP with you to the surgery facility
Chest pain and tightness with shortness of breath?
You need to be in the urgent care or emergency room
When should I get a booster shot for Covid?
Recent studies show that breakthrough infection or prior infection followed by vaccination most likely provides you excellent and long term immunity making the need for another READ MORE
Recent studies show that breakthrough infection or prior infection followed by vaccination most likely provides you excellent and long term immunity making the need for another booster quite questionable.
Can you walk after a stent?
Several hours of bedrest after the procedure but then you can walk but no lifting or squatting for several days
Numbness in feet and lower legs?
Complicated question but you may simply be retaining some extra fluid from the steroid injection - if so this should correct itself in a week or so
How long are you under anesthesia for an endoscopy?
Most endoscopy is done with sedation but not actual anesthesia
Pain relief with blood thinning tablets?
You are correct, due to your current blood thinner as well as your kidney disease you should definitely avoid all of the anti-inflammatory medications such as aspirin, ibuprofen, READ MORE
You are correct, due to your current blood thinner as well as your kidney disease you should definitely avoid all of the anti-inflammatory medications such as aspirin, ibuprofen, naproxen. You can take paracetamol/acetaminophen or narcotic/synthetic narcotics. Narcotics can be habit forming but at 78 years of age I do not consider that to be much of risk for you.
