Dr. Warren's Activity

  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What is paracentesis?

    Paracentesis is the procedure to drain ascites (abnormal accumulation of fluid in a person's abdominal cavity) through a needle.  We might do this for both diagnostic and therapeutic purposes:  

    A diagnostic paracentesis is performed to determine the cause of ascites and if the ascites is infected.  Here,...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What is ascites?

    Ascites is an abnormal accumulation of fluid within your abdominal cavity.  In the U.S., 80% of ascites is caused by cirrhosis of the liver.  The other 20% is caused by cancer, heart failure, TB, and then rarer conditions.

    Most of the time we diagnose ascites, we first suspect it from your medical history and our physical...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    How can I make exercise a regular part of my life?

    Choose a Minimum amount of daily physical activity to include in your daily lifestyle.  Your Minimum is the opposite of a goal.  It is a floor: part of your base level of well-being below which you refuse to go no matter what may try to interfere.  Take no days off from your Minimum

    Sound difficult? 

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    Which diet works best?

    For weight loss, I agree with Andy (above). Weight loss boils down to calories consumed versus calories burned. I cannot think of a healthy way to loose weight that does not prioritize physical activity. Aerobic physical activity is an excellent appetite suppressant as well.

    To learn the first principles

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What makes a good primary care physician?

    Your primary care physician (PCP) should be a good person: thoughtful, smart, trustworthy, all that.  Your PCP must also appreciate the values, beliefs, and experiences you bring to the table.

    OK, lets get more technical.  Your PCP should be expert at both "proactive" and “reactive” medicine.  What's t

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    How is screening for hemochromatosis done?

    Hemochromatosis is primarily associated with having two copies of the HFE mutation C282Y and having quite elevated blood tests related to iron overload.  It is important to know that having two copies of C282Y DOES NOT mean you will get hemochromatosis. 

    Here are some basic numbers:

    In the U.S. population, about 4.4

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    How common is dementia?

    The general population rate of dementia for age >65 is 3-5%.  60-80% of that is Alzheimer dementia.  Dementia increases with age, of course.  The incidence of Alzheimer dementia doubles every 5 years after age 65.

    Being watchful for signs of dementia in a loved one is important.  It is also important...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What are complex or multifactorial genetic disorders?

    Don't get too caught up in the terminology.  Most all common medical conditions arise from the interaction between multiple genes and multiple non-genetic factors, and are thus “multifactorial genetic conditions”. 

    Among the common chronic diseases that are more likely to kill you before you feel ready to die –

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    Is Tylenol (acetaminophen) poisoning serious?

    Believe it or not, Tylenol (acetaminophen) is the most common cause of acute liver failure resulting in death or liver transplantation in the U.S.!  Furthermore, about half of these Tylenol overdoses are unintentional (i.e., not suicide attempts).  I have seen this too many times. 

    If you know you have taken

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What causes Tylenol (acetaminophen) poisoning?

    Tylenol poisoning is caused by a liver toxin called N-acetyl-p-benzoquinoneimine (NAPQI).  Fortunately, when Tylenol is taken correctly, only a small amount of it is converted into this toxin, and that small amount is quickly converted to a harmless molecule that you pass in your urine.  That is why Tylenol

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What number of LDL cholesterol should I aim for?

    LDL level is only one part of the risk picture, and the “right” LDL (or HDL, or triglyceride) level for you depends on your underlying coronary heart disease risk.  Fortunately, there is more science-grounded knowledge about coronary heart disease risk than  any other chronic disease risk.  Knowledge...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What is differential diagnosis?

    A differential diagnosis (aka “differential”) is simply a list of possible medical causes behind your symptoms (complaints) or signs (physical findings).

     

    In medical school, we are first taught to order this list by likelihood, or probability, given specific clues discovered through interviewing and ex

    ...Read More
  • Dr. Samuel M. Warren, MD - Tallahassee, FL - Anesthesiology

    What are the risks for testing of genetic disorders?

    The risks associated with "presymptomatic" genetic testing for disease risk in adults are social, legal, financial, emotional, and those that relate to misinterpretation of results.  Each quickly becomes a lengthy and personalized topic, but for starters:


    Legal discrimination against you in life, disability,

    ...Read More