expert type icon EXPERT

Michael James

Family Practitioner

Dr. Michael James is a family practitioner practicing in Ocho Rios, Jamaica. Dr. James specializes in comprehensive health care for people of all ages. In addition to diagnosing and treating illnesses, family practitioners also put focus on preventative care with routine checkups, tests and personalized coaching on how to maintain a healthy lifestyle. Dr. James possesses immense general knowledge on maintaining health and today, family practitioners provide more care for the underserved and rural populations than any other medical specialty.
Michael James
  • Ocho Rios, Jamaica
  • University of the West Indies
  • Accepting new patients

Will my hyperactive thyroid create complications in my pregnancy?

Hi. I do hope you have been seen for your hyperactive thyroid condition as this increased thyroxine level will directly affect your unborn child during the pregnancy. Control will READ MORE
Hi. I do hope you have been seen for your hyperactive thyroid condition as this increased thyroxine level will directly affect your unborn child during the pregnancy. Control will require medical management in most cases.
Kindly see your obstetrician / internal physician and let him/her deal with this matter for the duration of your pregnancy. After pregnancy you will still need to be followed through until you have settled.

Why do I feel no urge to have sex?

This is certainly a very common dilemma and hard-to-answer question that has its roots buried in the physical mental and spiritual components of one's life. Let's assume that there READ MORE
This is certainly a very common dilemma and hard-to-answer question that has its roots buried in the physical mental and spiritual components of one's life. Let's assume that there is no physical or medical illnesses that your doctor has discovered at your last medical examination less than 3 months ago (35 years old). You did not mention how many children were included in this relationship and no mention of the time spent doing the doing housework and getting on with your career. Is there a significant other? Do you have a communication issue in this relationship? One has to give love to receive love. Learn to forgive and learn to restore what was lost. Take some time out to fan the flame of romance that has become dimmed with time and activity... the feminine mind has been shown to have great imaginative potential in creating romantic inroads to arrest your concerns.



Can frequent sugar testing cause any problems?

Having Diabetes will require that your blood glucose levels be checked at certain times of the day. A fasting blood sugar and 2 hrs. post postprandial sugar test is important. READ MORE
Having Diabetes will require that your blood glucose levels be checked at certain times of the day. A fasting blood sugar and 2 hrs. post postprandial sugar test is important. This postprandial test can be 2 hrs after the end of eating a breakfast lunch or dinner (supper). This will give a good indication to the Dr. how the blood sugar levels are doing with your meals and hence what to prescribe and how much. The problem might be soreness to the testing sites or possible infection and should be cleaned carefully before doing the test. Blood loss is minimal with these tests.

Should I go to the doctor?

A good decision would be seeing your Dr. or a E.N.T. consult. Is seems that there is a middle ear or upper right tooth infection which might be creating this scenario... a history READ MORE
A good decision would be seeing your Dr. or a E.N.T. consult.
Is seems that there is a middle ear or upper right tooth infection which might be creating this scenario... a history with an examination will certainly help you get better. Please see your Dr.

What is the best cooking oil that I should be using for my family?

You mentioned high cholesterol as being the reason for the choice of oil that is been used. High Cholesterol can be from external sources (food) and from internal source (genetically READ MORE
You mentioned high cholesterol as being the reason for the choice of oil that is been used.
High Cholesterol can be from external sources (food) and from internal source (genetically determined by and produced by our own bodies).
Some external sources are red meat, lobsters, and fatty meats including chicken skin. Most plant based foods has no cholesterol and has good fat which will help your body just as exercise will do.
Your choice of Olive and Vegetable oil on occasion is good but tell your Dr. to help you lower your cholesterol levels as there are medications which will do so. This is to avoid medical issues in the future.

I hope that the answer might be pertinent and relevant

Are high hemoglobin levels a problem?

https://www.medicinenet.com/hemoglobin/article.htm. A Normal Hb range: Male 14 -18 g/dl; Females 12-16 g/dl. Any value outside of this range should be look at as abnormal and READ MORE
https://www.medicinenet.com/hemoglobin/article.htm.

A Normal Hb range: Male 14 -18 g/dl; Females 12-16 g/dl. Any value outside of this range should be look at as abnormal and consider seeing a hematologist.

Can my family doctor help me with diabetes?

All family physician are qualified to help in the diagnosis and management of Diabetes mellitus.

What creams can I use for mosquito and ant bites?

Bites should be treated with care as they will cause you to itch and produce an infection at the site. If there are fresh bites, suggest clean with alcohol and then use a steroid READ MORE
Bites should be treated with care as they will cause you to itch and produce an infection at the site. If there are fresh bites, suggest clean with alcohol and then use a steroid based cream to take away the inflammation, itching and swelling. If symptoms persist, eg. redness or pain and swelling for greater than say, 3 days consult your doctor.

Is bad breath a sign of indigestion?

Hi, this could be a sign of indigestion, but certainly not the only cause of "bad" breath. Causes can vary from local causes, e.g., gingivitis, pharyngitis, to metabolic causes, READ MORE
Hi, this could be a sign of indigestion, but certainly not the only cause of "bad" breath. Causes can vary from local causes, e.g., gingivitis, pharyngitis, to metabolic causes, e.g., ketoacidosis.
Kindly see your Dr. who will be able to able to assist you to find the cause and help in treatment.

Bothersome rash

This rash looks hyperaemic secondary to irritation. The picture is not so clear...but a good history and examination by your family physician would shed some light as to the cause READ MORE
This rash looks hyperaemic secondary to irritation. The picture is not so clear...but a good history and examination by your family physician would shed some light as to the cause and hence the treatment of this rash. Rashes and skin related disorders are hard (almost impossible) to diagnose by looking at a picture.
Kindly see your Dr. for further management.

Is hypertension curable?

Hypertension is treatable and sometimes curable. Things to consider. 1.Change your diet 2. Vegan diet rich in greens has been shown to encourage normotension. 3. Loose weight. READ MORE
Hypertension is treatable and sometimes curable. Things to consider.
1.Change your diet
2. Vegan diet rich in greens has been shown to encourage normotension.
3. Loose weight. (Check BMI)
4. AVOID Stressful conditions or learn to handle these situations.
5. No smoking, No alcohol.
6. Keep a good balance of your spiritual, physical and emotional life style.

Dr. M James.

Is there a medicated treatment for head lice?

Treatment of head lice involves more than treating the problem on the head. Every member of the family and those who visit and where they visit should be addressed. At home, all READ MORE
Treatment of head lice involves more than treating the problem on the head. Every member of the family and those who visit and where they visit should be addressed. At home, all members should be treated simultaneously. Combs and hair pieces, sheets and pillow cases, etc., should be washed and bleached and sunned of heat dried to kill the mites.
It's a concerted effort on all members of the family to get rid of this problem while been treated.

Motion sickness in children?

Motion sickness is created by multi-directional pull to the sensory hair in the labyrinthine channels in the inner ear. It is very difficult to control head movement while driving, READ MORE
Motion sickness is created by multi-directional pull to the sensory hair in the labyrinthine channels in the inner ear. It is very difficult to control head movement while driving, especially a child under 7 years. Medications are helpful, but non-medicinal techniques such as allowing an older child to sit "up front" while having the windows open might help.

Is protein powder safe for a protein deficiency?

It would have been good to know the specific protein deficiency. The next question is why do you have a protein deficiency? Is it because there is a lack of intake or your body READ MORE
It would have been good to know the specific protein deficiency. The next question is why do you have a protein deficiency? Is it because there is a lack of intake or your body is not making this particular protein or you are losing this protein from your body? You have not mentioned any medical condition or illnesses that would create this scenario. Assuming you are "normal" otherwise, then the sources of protein can be had from suppliments in powder, liquid or solid forms and foods that we eat. A combination of any of those will suppliments you quite well.

Why does my head hurt when I blow my nose?

If this was something recent then it might be related to the negative pressure created by blowing the nose on the lining of the sinus cavities or the nasopharyngeal lining. It READ MORE
If this was something recent then it might be related to the negative pressure created by blowing the nose on the lining of the sinus cavities or the nasopharyngeal lining. It seem that you have a case of allergies or a viral/ bacterial infection along with the allergy. It would be good to have this investigated. A nasal swab , CT brain and sinus cavities. You never mentioned any bleeding with nose blowing.

Why does hay fever severity fluctuate

Hay fever triggers an immune response. Your body will respond to these allergens depending on the amount been encountered, frequency or length of exposure. New allergens will sometimes READ MORE
Hay fever triggers an immune response. Your body will respond to these allergens depending on the amount been encountered, frequency or length of exposure. New allergens will sometimes trigger an overwhelming response depending on the above exposure. Helpful tips to decrease a severe immune response: maintain a good immune system, including natural fruits and vegetables and adequate hydration.

Does a fever always signal an infection?

No. Fever is a symptom. It indicates that there is an underlying medical problem that the body is trying to get rid of or sort out. PUO (pyrexia of unknown origin) is a diagnosis READ MORE
No. Fever is a symptom. It indicates that there is an underlying medical problem that the body is trying to get rid of or sort out. PUO (pyrexia of unknown origin) is a diagnosis of exclusion. You should have this matter investigated to determine the cause of this fever.

Wiring a broken jaw

I do hope she will be well and will be able to be placed on a graduated feeding programme after six weeks. The maxillary- facial doctors, who did the operation would be helpful READ MORE
I do hope she will be well and will be able to be placed on a graduated feeding programme after six weeks. The maxillary- facial doctors, who did the operation would be helpful to give you the needed answers.

Shortness of breath

Kindly check yourself into a hospital or emergency physician so you can be evaluated and medically managed asap.