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Ask an Expert
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
I've been taking statins to lower my cholesterol for years. Most leave me extremely fatigued and even foggy in my thinking. Is this a known side effect of statins? Are some statins less likely to cause these side effects? What about Crestor?
Statin drugs (including Crestor) have been credited with the declining incidence of cardiovascular disease. However, they do have recognized side effects, particularly when taken over a long period of time, as ... continue reading about I've been taking statins to lower my cholesterol for years. Most leave me extremely fatigued and even foggy in my thinking. Is this a known side effect of statins? Are some statins less likely to cause these side effects? What about Crestor?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
What are the symptoms of a narrowing carotid artery in the neck?
Sometimes a carotid artery can narrow and be 'asymptomatic', meaning that the patient has no symptoms. Symptoms do vary from patient to patient. When symptoms do appear, they are usually the same symptoms as a ... continue reading about What are the symptoms of a narrowing carotid artery in the neck?
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
I had a chest x-ray because of allergy symptoms. The doctor who read the x-ray said because of a cardiac fat pad in my right lobe, it was hard to tell if I had pneumonia. What is a fat pad, is this something that should concern me, and can I exercise?
A fat pad can be a normal occurrence on the sac (pericardium) that surrounds the heart. In certain cases in can obstruct the view of the right middle lobe. If there is enough clinical suspicion (by symptoms or ... continue reading about I had a chest x-ray because of allergy symptoms. The doctor who read the x-ray said because of a cardiac fat pad in my right lobe, it was hard to tell if I had pneumonia. What is a fat pad, is this something that should concern me, and can I exercise?
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
My goal next year is to improve my overall health. Can you tell me if I should focus more on lowering my weight (as I'm a few pounds heavier than I should be), or concentrate more on exercising?
That is an excellent question. A study in the AHA journal Circulation, by Dr. Duck-Chul Lee from South Carolina, addressed this question. The title says it all: "Physical Fitness Trumps Body Weight in Reducing ... continue reading about My goal next year is to improve my overall health. Can you tell me if I should focus more on lowering my weight (as I'm a few pounds heavier than I should be), or concentrate more on exercising?
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
I'm a woman who gets frequent kidney stones. I was concerned to hear that this raises the risk of heart disease. Why would this be? Is it also true for men? Is there anything I can do to reduce my risk?
In a study published in the Journal of the American Medical Association, investigators were suprised to find an association between the presence of kidney stones and coronary heart disease, heart attack or hear... continue reading about I'm a woman who gets frequent kidney stones. I was concerned to hear that this raises the risk of heart disease. Why would this be? Is it also true for men? Is there anything I can do to reduce my risk?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
Is there anything I can do to lower my risk of having a stroke?
There are several things that a patient can do to prevent a stroke. First and foremost, make sure that you are following up with your primary doctor to ensure that all of your possible stroke risk factors are t... continue reading about Is there anything I can do to lower my risk of having a stroke?
Junaid H. Khan, M.D., FACC, FACS
Sutter Santa Rosa Regional Hospital
My husband has heart disease. I heard that someone with this condition needs to be careful in the cold weather. We'll be vacationing in Lake Tahoe soon, so I'd like to know how cold weather affects the heart. Should we cancel the trip?
Great question. Here are a few additional thoughts about your particular situation: You mentioned a trip to Lake Tahoe, so keep in mind that altitude by itself, even without the cold weather, is a special consi... continue reading about My husband has heart disease. I heard that someone with this condition needs to be careful in the cold weather. We'll be vacationing in Lake Tahoe soon, so I'd like to know how cold weather affects the heart. Should we cancel the trip?
Nobl Barazangi, M.D., Ph.D.
Sutter Santa Rosa Regional Hospital
What is a mini stroke? Are there any warning signs before it happens?
"Mini-stroke" is a term that commonly refers to the medical condition transient ischemic attack (TIA). TIA refers to loss of neurologic function that is transient (less than 24 hours). These occur due to blocka... continue reading about What is a mini stroke? Are there any warning signs before it happens?
Frank L. Anderson, M.D.
Sutter Santa Rosa Regional Hospital
I just purchased a gluten lactase enzyme medication that claims to let me eat anything safely. I have recently been diagnosed with celiac disease, and also feel lactose intolerant. Will this product work, or did I just waste my money?
That sounds like a product too good to be true and I would imagine persons suffering from celiac disease and lactose intolerance would be very receptive. Unfortunately these are two very different problems whic... continue reading about I just purchased a gluten lactase enzyme medication that claims to let me eat anything safely. I have recently been diagnosed with celiac disease, and also feel lactose intolerant. Will this product work, or did I just waste my money?
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