EXPERT
Dr. Arkady Peterman
Internist
Dr. Arkady Peterman is a top Internist in Olean, . With a passion for the field and an unwavering commitment to their specialty, Dr. Arkady Peterman is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Arkady Peterman is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Arkady Peterman is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Olean, New York, Dr. Arkady Peterman is a true asset to their field and dedicated to the profession of medicine.
Dr. Arkady Peterman
- Olean, New York
- Russian Federation
- Accepting new patients
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Can fruit allergies go away?
Hello!
Fruit allergy like other allergies may come into remission if the offending allergen is removed from contact with the patient.
However, sensibilization to that fruit along READ MORE
Hello!
Fruit allergy like other allergies may come into remission if the offending allergen is removed from contact with the patient.
However, sensibilization to that fruit along with similar fruits remains and May return with further contact.
So allergen removal is just a first step.
Allergy evaluation by allergist is still necessary.
Fruit allergy like other allergies may come into remission if the offending allergen is removed from contact with the patient.
However, sensibilization to that fruit along with similar fruits remains and May return with further contact.
So allergen removal is just a first step.
Allergy evaluation by allergist is still necessary.
Kidney infection?
Hello, If your flank pain persists after some antibiotic(Keflex) course you need further work up like Cray and ultrasound studies to evaluate if your right side kidney and urethra READ MORE
Hello, If your flank pain persists after some antibiotic(Keflex) course you need further work up like Cray and ultrasound studies to evaluate if your right side kidney and urethra may have a possible structural problem(obstacle) for urine flow. And I assume that in Urgent care diagnosis of urinary infection was confirmed before prescribing you an antibiotic.
Left side of brain pulse and sometimes pain?
Hello, Symptoms you are describing may represent one of quite a serious problems with archery in your left temporal area.
Constipation for weeks?
Hello, Looks like it’s a new episode of severe constipation? We call it bowel habit change. Of course, a period of 3 weeks could be short, but on the other hand, it could be a READ MORE
Hello, Looks like it’s a new episode of severe constipation? We call it bowel habit change. Of course, a period of 3 weeks could be short, but on the other hand, it could be a serious sign. So it would be reasonable to investigate it seriously. Discuss with your doctor how. Xanax doesn’t have constipation as a side effect, rather urinary incontinence. Best of luck, don’t leave it indefinitely unfound.
Low dose CT scans for lungs?
Low dose CT scan being used as a screening test. In your case, when a nodule has already been found a diagnostic CT scan is expected to be more informative and precise.
How to make sure I don't catch a bacterial infection along with covid?
Hello, yes risk of substructing bacterial infection exists. Make sure to observe all general precautions and to be up to date with all recommended vaccinations. Consult your doctor READ MORE
Hello, yes risk of substructing bacterial infection exists. Make sure to observe all general precautions and to be up to date with all recommended vaccinations. Consult your doctor about those.
Test results?
Hello, ALT-liver function test normal. Alkaline phosphates are tested for biliary duct pressure and on elevated. This prompts investigation of bile ducts, first of all, gallbladder READ MORE
Hello, ALT-liver function test normal. Alkaline phosphates are tested for biliary duct pressure and on elevated. This prompts investigation of bile ducts, first of all, gallbladder ultrasound for gallstones. The third test BUN to creatinine ratio is a normal test for kidney function. Talk to your doctor.
Kidney stone?
Hello,
Gilbert’s syndrome is quite benign condition, characterized by slightly elevated total bilirubin in blood. Condition is usually without symptoms and requires only observation. READ MORE
Hello,
Gilbert’s syndrome is quite benign condition, characterized by slightly elevated total bilirubin in blood. Condition is usually without symptoms and requires only observation. Your kidney stone size 2mm have a potential to be passed spontaneously. You have to collect stone with a help of urine strainer. Stone composition is important for further stone profiling. Meanwhile, you must have plenty of fluids and use prescribed analgesics as needed for pain. For now, follow your doctor. In the future, with stone composition, you may use consultation of a urologist.
Good luck.
Gilbert’s syndrome is quite benign condition, characterized by slightly elevated total bilirubin in blood. Condition is usually without symptoms and requires only observation. Your kidney stone size 2mm have a potential to be passed spontaneously. You have to collect stone with a help of urine strainer. Stone composition is important for further stone profiling. Meanwhile, you must have plenty of fluids and use prescribed analgesics as needed for pain. For now, follow your doctor. In the future, with stone composition, you may use consultation of a urologist.
Good luck.
Can lung damage be repaired?
Hello,
To consider measures for management “lung damage” someone needs specific clinical and radiological diagnosis. Like if this damage focal or diffuse and what disease process READ MORE
Hello,
To consider measures for management “lung damage” someone needs specific clinical and radiological diagnosis. Like if this damage focal or diffuse and what disease process caused that damage. Some disease processes could be reversible, like after acute pneumonia, some not if resulted in forming fibroses tissue. So we need diagnosis.
To consider measures for management “lung damage” someone needs specific clinical and radiological diagnosis. Like if this damage focal or diffuse and what disease process caused that damage. Some disease processes could be reversible, like after acute pneumonia, some not if resulted in forming fibroses tissue. So we need diagnosis.
My hernia repair?
Hello,
Yes, some concerns exist. You have to discuss with your doctor to set a scrotal ultrasound and urology consultation. Relatively good news-that I hope you don’t have symptoms READ MORE
Hello,
Yes, some concerns exist. You have to discuss with your doctor to set a scrotal ultrasound and urology consultation. Relatively good news-that I hope you don’t have symptoms like pain, swelling, disturbance of urination and sexual intercourse issues?
Yes, some concerns exist. You have to discuss with your doctor to set a scrotal ultrasound and urology consultation. Relatively good news-that I hope you don’t have symptoms like pain, swelling, disturbance of urination and sexual intercourse issues?
What’s causing high heart rate?
Hello,
Symptoms you described are not normal. You have to see your doctor for repeat testing ECG as well as 24-hour heart rate monitoring (so-called Holter monitoring, as well READ MORE
Hello,
Symptoms you described are not normal. You have to see your doctor for repeat testing ECG as well as 24-hour heart rate monitoring (so-called Holter monitoring, as well as ECHO cardiogram for heart chambers and valve evaluation).
Symptoms you described are not normal. You have to see your doctor for repeat testing ECG as well as 24-hour heart rate monitoring (so-called Holter monitoring, as well as ECHO cardiogram for heart chambers and valve evaluation).
Should I go to the ER?
Hello,
Your symptoms require evaluation, at least by a medical doctor and possibly some work-up just in a doctor's office with basic neuro exam test for ortistatic blood pressure READ MORE
Hello,
Your symptoms require evaluation, at least by a medical doctor and possibly some work-up just in a doctor's office with basic neuro exam test for ortistatic blood pressure and pulse changes, basic blood work. If you don’t have a doctor, you may go to Urgent Care.
Your symptoms require evaluation, at least by a medical doctor and possibly some work-up just in a doctor's office with basic neuro exam test for ortistatic blood pressure and pulse changes, basic blood work. If you don’t have a doctor, you may go to Urgent Care.
Cannabis and Metformin Interaction?
Hello,
Metformin itself does not have side effects like leg fatigue or weakness. Cannabis itself may potentially cause dilatation of peripheral vessels including low extremities. READ MORE
Hello,
Metformin itself does not have side effects like leg fatigue or weakness. Cannabis itself may potentially cause dilatation of peripheral vessels including low extremities. Under such circumstances, if you have peripheral arterial disease in your legs, you may experience a sensation of leg fatigue or weakness after exposure to cannabis products. My advice: discuss with your doctor if you need testing for peripheral arterial disease.
Arkady Peterman
Metformin itself does not have side effects like leg fatigue or weakness. Cannabis itself may potentially cause dilatation of peripheral vessels including low extremities. Under such circumstances, if you have peripheral arterial disease in your legs, you may experience a sensation of leg fatigue or weakness after exposure to cannabis products. My advice: discuss with your doctor if you need testing for peripheral arterial disease.
Arkady Peterman
Alcoholic with bad cough?
Hello,
It's really nice that you are trying to care about your friend with alcohol problem. Cough definitely is a serious symptom especially in a person with alcohol abuse. READ MORE
Hello,
It's really nice that you are trying to care about your friend with alcohol problem. Cough definitely is a serious symptom especially in a person with alcohol abuse. Differential diagnosis is quite broad and no reason to list all of them in front of you. Your friend needs work-up for his cough based on not only his bad alcohol habit, but also based on his medical history, whether he is a smoker, etc. Volume of tests could be quite big. But at least chest X-ray may provide valuable information and help to rule out some other tests.
Arkady Peterman
It's really nice that you are trying to care about your friend with alcohol problem. Cough definitely is a serious symptom especially in a person with alcohol abuse. Differential diagnosis is quite broad and no reason to list all of them in front of you. Your friend needs work-up for his cough based on not only his bad alcohol habit, but also based on his medical history, whether he is a smoker, etc. Volume of tests could be quite big. But at least chest X-ray may provide valuable information and help to rule out some other tests.
Arkady Peterman
Ultrasound interpretation?
Hello,
I'm not trained in ultrasound interpretation, but my concern is why almost nothing is done since you see blood in urine for 2 months? If you were my patient, I would READ MORE
Hello,
I'm not trained in ultrasound interpretation, but my concern is why almost nothing is done since you see blood in urine for 2 months? If you were my patient, I would be interested in urine analysis and urine culture, Gynecologist consult, and kidney ultrasound and cystoscopy by urologist. If you were more advanced in age and a smoker, I would put cystoscopy as a priority.
I wish you luck and hope that you will get treatment and my concerns turned out to be less serious problem.
Arkady Peterman, MD
I'm not trained in ultrasound interpretation, but my concern is why almost nothing is done since you see blood in urine for 2 months? If you were my patient, I would be interested in urine analysis and urine culture, Gynecologist consult, and kidney ultrasound and cystoscopy by urologist. If you were more advanced in age and a smoker, I would put cystoscopy as a priority.
I wish you luck and hope that you will get treatment and my concerns turned out to be less serious problem.
Arkady Peterman, MD
How long should I continue taking low-dose aspirin?
Hello,
It depends what the indication for Aspirin was in your case. If for primary thrombotic events prevention, current indications are very limited. If for secondary prevention, READ MORE
Hello,
It depends what the indication for Aspirin was in your case. If for primary thrombotic events prevention, current indications are very limited. If for secondary prevention, could be lifelong term. You should discuss with the doctor who ordered you the Aspirin.
Arkady Peterman, MD
It depends what the indication for Aspirin was in your case. If for primary thrombotic events prevention, current indications are very limited. If for secondary prevention, could be lifelong term. You should discuss with the doctor who ordered you the Aspirin.
Arkady Peterman, MD
Does exercise lessen constipation?
Regular mild to moderate intensity excersise or physical activity like walking along with good oral fluids intake are essential to promote more active large bowel movement thus READ MORE
Regular mild to moderate intensity excersise or physical activity like walking along with good oral fluids intake are essential to promote more active large bowel movement thus lessening constipation.
What size of kidney stone requires surgery?
Kidney stones less than 0.5 cm in largest dimension have a chance to be passed spontaneously, but rear without symptoms. Very rarely, stones up to 1.0 cm also could be attempted READ MORE
Kidney stones less than 0.5 cm in largest dimension have a chance to be passed spontaneously, but rear without symptoms. Very rarely, stones up to 1.0 cm also could be attempted to manage without surgery, but with some manipulations in urethras or by lithotripsy procedure (stone fragmentation and removal). It’s an invasive procedure, but still not a surgery.
Are kidney stones common after surgery?
Yes, it is quite common. If the stone came out or has been removed, it is necessary to study stone composition and set measures for recurrence prevention.
