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About Charles Cusumano, FMP, PA-C
(Top Expert on this page)

Expertise
I`m a Physician Assistant in medical practice since 1975. I`m a nationally certified Physician Assistant and am a nationally credentialed Family Medicine Practitioner. I was also honored as a Distinguished Fellow in the AAPA.

Experience
Radiologic Technologist 1963-1973; Training in Hand and Upper Extremity Microvascular Surgery at the Mayo Clinic; and injury of the hand and upper extremity. I have taught pediatric ambulatory trauma. I'm ACLS certified. I serve as Honorary Chairman from Kentucky to the Republican National Congressional Committee Physician Advisory Board.
   

You are here:  Experts > Health/Fitness > Women's Health > Family, Internal Medicine, General Medical Questions

SubjectDate AskedExpert

Lymph Nodes 14 year old Boy11/20/2008Charles Cusumano, FMP, PA-C
  Q: My son, 14 has been dealing with swollen lymph nodes since Nov 07. It started with one under his ...
  A: Given this history, he should go straight to biopsy. He has had a long history of enlarged nodes ...
Type 1 Diabetes11/20/2008Robert Borucki
  Q: I am 43 and have been diagnosed with type 1 diabetes following a diabetic coma. How unusual is this ...
  A: it is not written in stone that you are Type I at this point... some people with type II can develop ...
skin breaking out11/20/2008Robert Borucki
  Q: My skin sometimes burns and turns red, and i noticed i started having dry skin, and i put some ...
  A: this sounds more allergic with red burning skin.... the hard part is figuring out what is causing ...
Type 1 Diabetes11/19/2008Robert Borucki
  Q: I am 43 and have been diagnosed with type 1 diabetes following a diabetic coma. How unusual is this ...
  A: that is not that unusual in the big picture... if you take care of it, often you can be on NO meds, ...
3 different Questions: conceiving, smoking & constipation11/19/2008Charles Cusumano, FMP, PA-C
  Q: i have questions in 3 different areas: 1. conceiveing: is it possible for a woman's pelvic muscles ...
  A: #1 the answer is no. Ejaculate normally runs out. Pregnany is still possible. #2 it will show in ...
high cholestrol11/19/2008Charles Cusumano, FMP, PA-C
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: Your HDL is very good. The LDL is high. There is an elevation of total cholesterol which is not ...
high cholestrol11/19/2008J.P. Saleeby, MD
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: Exactly... total cholesterol is NEVER the whole story... it depends on what your HDL (good) and LDL ...
high cholestrol11/18/2008J.P. Saleeby, MD
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: Michael, A couple of things. Just because your LFTs (Liver function tests) are normal does not ...
high cholestrol11/18/2008Glen F. Aukerman, M.D.
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: Yes, that is high In our work it often comes from a diet of high carbs and high omega-6 plant oil ...
high cholestrol11/18/2008Charles Cusumano, FMP, PA-C
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: I would agree with your doctor about the cholesterol being too high. First I would cut way down on ...
high cholestrol11/18/2008Maggie Smith, RN, MSN
  Q: I'm a 23 yr old otherwise healthy male. I'm 6ft and weigh about 200 lbs. I eat somewhat healthy but ...
  A: Michael, Yes, that is definitely high. See this chart as a guide ...
about my daughter11/18/2008Dr Khalid M Munir
  Q: Thank you
  A: For treating constipation, always use good diet and not medicines first. give her plenty of fibres. ...
Flu Shot11/18/2008Charles Cusumano, FMP, PA-C
  Q: I hope you do not mind me giving you a quick interview! But, I was wondering about flu shots: are ...
  A: Flu shots are important in prevention and or lessening the duration of Flu. Flu can be deadly for ...
Flu Shot11/18/2008J.P. Saleeby, MD
  Q: I hope you do not mind me giving you a quick interview! But, I was wondering about flu shots: are ...
  A: Angela, That is a large amount of material. A very involved question. So I will defer to a very ...
Intervenous11/17/2008Charles Cusumano, FMP, PA-C
  Q: If a patient has acute focal bronchopneumonia and is not on intravenous, and is in a coma and not ...
  A: Someone in a coma with pneumonia should be getting IV antibiotics and also supplemental feeding and ...
numbness in side of head11/17/2008Maggie Smith, RN, MSN
  Q: this may just be a silly 'nothing' but for about a week i've been experiencing a dull sort of ...
  A: There are certain temporary neurological problems (Bell's Palsy is the one I'm thinking of here) ...
pain in right leg11/17/2008Robert Borucki
  Q: I started getting this pain in my right leg, kind of below my knee (pain scale 1 to 10 its a 3) and ...
  A: if it just started yesterday, I would look for a possible injury and also try some antiinflammatory ...
postpartum joint pain11/17/2008Glen F. Aukerman, M.D.
  Q: Just wondering if you could offer any info or insight- I had a baby 5 months ago and am currently ...
  A: check with your doctors of course but in our work this is the toxic levels of omega-6 plant oil you ...
Stomach Flu or Flu Flu?11/16/2008Charles Cusumano, FMP, PA-C
  Q: Yesterday I was feeling ok, but very nauseas with a little diarrhea, but when I ate I didn't vomit ...
  A: It sounds like you have a gastroenteritis (viral illness). Just drink fluids and avoid food till all ...
Serious Forgetfulness11/16/2008Robert Borucki
  Q: Dr. Borucki I'm at my wits end with this problem as it's been going on for about 6 years or so. ...
  A: no tests to rule it out.... if memory loss presents... then you have standardized tests to check ...
HPV11/16/2008Maggie Smith, RN, MSN
  Q: If you have had sex with a condom, would the HPV (cervical cancer) vaccine still work?
  A: I'm not sure I'm following you, but you can still get genital warts whether a) you've had the HPV ...
brain lesions11/15/2008Robert Borucki
  Q: I am not sure if you can answer my question but here goes :) I have had three MRI's done on my brain ...
  A: that may be two ways to define the relatively same area.... now as to the meaning.... you would have ...
Shingles in eye11/15/2008Margot RN BScN GNC
  Q: I have been diagnosed with shingles which has caused my right eye and cheek to swell. I am on ...
  A: Most people are infected with this virus as children, and suffer from an episode of chickenpox. The ...
blood levels- Monocytes11/14/2008Robert Borucki
  Q: My 6 year old son had anemia 2 months ago and now tests fine, but his monocytes came back at a level ...
  A: it may mean a viral infection.... it depends on what his total white count is also..... if the total ...
INTESTINE POLUPS11/14/2008Charles Cusumano, FMP, PA-C
  Q: Charles Hi, I have a question regarding very small Polyps in my mom colon. She is 80 years old and ...
  A: Poylps can turn cancerous. As you wisely said, her age and general health really determine whether ...
post viral immobility11/14/2008Charles Cusumano, FMP, PA-C
  Q: My 18 year old daughter had a severe case of mono about a month ago. As she began feeling better ...
  A: How high up on the right side is the pain? Is it related to deep breathing? If she had a severe case ...
Serious Forgetfulness11/14/2008Robert Borucki
  Q: Dr. Borucki I'm at my wits end with this problem as it's been going on for about 6 years or so. ...
  A: some blood work doesn't help me.... were you tested for diabetes.. were you tested for low ...
6 year old vegetarian11/13/2008Dr Khalid M Munir
  Q: Munir, My grandson is a vegetarian. He is only six years old. I'm a little worried that he might ...
  A: A balanced diet should consist of non vegetarian food which is low in saturated fats about thrice a ...
noro virus11/12/2008Robert Borucki
  Q: can you still get the noro virus if you get a flu shot? thanks for taking questions
  A: the noro virus (or norwalk virus) is an intestinal virus that causes nausea, diarrhea, vomiting..... ...
good circulation vs. fast metabolism11/12/2008Charles Cusumano, FMP, PA-C
  Q: Charles Are these one and the same or different? The reason I ask is that I have always been ...
  A: There s no correlaton between fast metabolism and good circulation. Sometime people are predisposed ...
herpes and strep vagina11/11/2008Robert Borucki
  Q: is there a cure for strep vagina and herpes1?
  A: vaginal strep--- yes. that can be treated with mult antibiotics.... herpes 1 is typically oral, but ...
High Blood Pressure11/11/2008Dr Khalid M Munir
  Q: Is it normal for a 6 year old boy to be put on blood pressure medication? ANSWER: Its rare. ...
  A: Go to a pediatric specialist in a medical school hospital since doctors there are the most expert. ...
colds11/11/2008Charles Cusumano, FMP, PA-C
  Q: Hope we aren't bothering you with this, but perhaps you can settle a sort of debate that's been ...
  A: Pneumonia is always a risk from ANY virus that casues a cold. It's not a slam dunk, but anyone with ...
strep throat11/11/2008Charles Cusumano, FMP, PA-C
  Q: I am a 33 yr old otherwise health female on zero meds. I developed a sever sore throat, came out of ...
  A: By consulted do you mean being seen or was this just a phone call? The antibiotics may take a day or ...
strep throat11/11/2008Robert Borucki
  Q: I am a 33 yr old otherwise health female on zero meds. I developed a sever sore throat, came out of ...
  A: I didn't see where you said you def had strep throat, but it sure sounds like it.... rapid onset, ...
Sinus Infection?11/11/2008Charles Cusumano, FMP, PA-C
  Q: I have had pain in my left cheekbone, gums/teeth, and close to my eye for a couple of days now. I ...
  A: Pain is not always a sign of infection perse. As long as you aren't blowing greenish-gray mucous you ...
colds11/11/2008Charles Cusumano, FMP, PA-C
  Q: Hope we aren't bothering you with this, but perhaps you can settle a sort of debate that's been ...
  A: Contagion can start before, and last as long as, you have symptoms. Zicam is a good thing to try to ...
no white cells11/10/2008Robert Borucki
  Q: A big Tennessee 'Hello' to you and a 'thank you' for taking this question. My father-in-laws ...
  A: NO WHITE CELLS? I find that hard to believe.... a low count is one thing.... but no cells is a ...
testosterone11/9/2008Robert Borucki
  Q: I have a question about bound testosterone. I am 39 years old, and my bound testosterone presents ...
  A: there are different protocols.... some are mixed with testosterone injections..... you might look up ...
testosterone11/9/2008Robert Borucki
  Q: I have a question about bound testosterone. I am 39 years old, and my bound testosterone presents ...
  A: I would only give testosterone therapy in "borderline" people... which you are.... if the gree ...

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Questions by
Active Experts:
John Thai, M.D.J.P. Saleeby, MDGlen F. Aukerman, M.D.
Margot RN BScN GNCDiane ChambersCharles Cusumano, FMP, PA-C
Robert BoruckiMaggie Smith, RN, MSNDr Khalid M Munir
   

     
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