Dr. Candido Otero, M.D.

Yes, you can get pneumonia with Covid-19. The pneumonia usually is developed in four distinct stages: early congestion, red hepatization, gray hepatization, and resolution. Each stage is manifested and treated differently. Thank you.

You may raise your hemoglobin levels by eating more food that contain iron. Like poultry, meat, tofu, and leafy greens like spinach and kale. If your hemoglobin is too low, I recommend seeing a health care provider to monitor your blood level and find the origin of the anemia. Test to confirm your diagnosis are essential. The complete blood count (CBC) is the most common test used to confirm anemia. It is part of the routine tests done. The complete CBC test the hemoglobin and hematocrit. The hemoglobin is the iron-rich protein part in the red blood cell that carries the oxygen. The hematocrit is a measure how much space the red blood cells take up in your blood. Low level of hemoglobin or hematocrit signify anemia. Thank you.

When you say that you have kidney levels high. Are you referring to your glomerular filtration rate (GFR) and creatinine? Glomerular Filtration Rate (GFR) greater than 60 or higher is the normal range. GRR lower than 60 may mean kidney disease. GFR 15 or lower may mean kidney failure. There are urine tests, Dipstick urine test, Urine albumin-to-creatinine ratio (UACR) which compares albumin to creatinine in your urine. Blood tests, Serum creatinine, glomerular filtration rate (GFR), Blood Urea Nitrogen, Blood test, Imaging, and others. Now, there are multiple reasons for increase GFR and creatinine. They are drug toxicity, kidney infection, diabetes, glomerulonephritis, high blood pressure, heart disease, kidney failure etc. Thank you.

No, the procedure called Fine Needle Aspiration Biopsy. It is quit and the final result are ready the next day. Thank you.

Conjugated bilirubin (Direct) levels are seen in alcohol consumption, hepatitis, drug reaction, and autoimmune, pancreatitis, cancer as well as other disorders. Bilirubin test is used to check the liver and increase levels of bilirubin indicates liver disease. Levels greater than 15mg/dL start giving liver problems. High levels may indicate liver damage. Thank you.

The recovery is 24 hours. You can go back to work after 24 hours unless your healthcare provider tells you otherwise. Also, you can return to all your normal activities after two to three days after the procedure. Thank you.

COVID – 19 Testing. If you have symptoms, you should test immediately. If you use antigen test and is positive, it is reliable. The molecular test is the most accurate test. PCR test is the most common test used. The rapid test can be done also but isn’t that reliable as the PCR test. If you have symptoms go to the near UC and they will perform the test. Important to call your contacts, and tell then to be tested. Thank you.

Usually, three to seven days if you are healthy, without an immunocompromised disease. Also, depend on the type of organism is causing the UTI. Thank you.

In adults, the normal range of lymphocytes is between 1,000 to 4,800 lymphocytes for every one microliter of blood. Around 20% - 40% of your WBCs are lymphocytes.
So, your nine means that you could be at higher risk of infection.
WBC = white blood cells: most of the time indicates that you are fighting infection or inflammation. Normal range is 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x 109/L). There are three major classifications of WBCs. The main purpose oof WBCs, are to recognize intruders:
•Monocytes – They have the longer lifespan than other WBCs. They help to break down bacteria.
•Lymphocytes – They create antibodies to fight against bacteria, viruses, and other invaders to the body.
•Granulocytes – They kill and digest bacteria, fungi, and many other things. Neutrophils, Eosinophils and Basophils are a subset of granulocytes. Basophils are mainly responsible for allergens. Eosinophils are responsible for parasitic infections.
Thank you.

Kidney damage in COVID-19 patients is common and can range from mild proteinuria protein in urine), hematuria (blood in urine), and acute kidney injury requiring renal replacement therapy (RRT). RRT include intermittent hemodialysis, peritoneal dialysis, continuous hemofiltration, and hemodialysis. Thank you.

Marfan syndrome is cause by a mutation in a gene called fibrillin-1 (FBN1). This gene mutation limits the body’s ability to build connective tissue. One in four people with Marfan syndrome the cause is unknown, and they have one in two chances of passing it on their child. Thank you.

Yes, you should go immediately to an ER for food poisoning if you notice blood in your urine, vomiting or diarrhea lasting more than three (3) days. Severe dehydration such as dry mouth, extreme thirst, headaches, dry skin, and fever above 1010 (38.3C). Food poisoning last between 12 to 48 hours. Thank you.

Yes, radiation therapy suppresses your immune system. Thank you.

Iron supplements: iron drops or pills taken over several months to increase iron level in. the blood. Please, talk to a pediatrician before any regimen. Iron supplements can irritate the stomach. Eating a diet rich in iron can help to increase the iron. It is of great importance to talk to you pediatrician before stating anything because the etiology needs to be evaluated. Thank you.

The results of a semen analysis takes approximately one day.

Pressure headache in the temples can be a simple headache, migraine, temporomandibular joint (TM) problem, and a more serious condition such as Temporal Arteritis. Please, take your daughter for medical help right away. It could be more serious and a complete evaluation with imaging may be needed. Thank you.

To answer the first question, no is not normal. WBC = white blood cells: most of the time indicates that you are fighting infection or inflammation. Normal range is 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x 109/L). There are three major classifications of WBCs. The main purpose oof WBCs, are to recognize intruders:
1. Monocytes – They have the longer lifespan than other WBCs. They help to break down bacteria.
2. Lymphocytes – They create antibodies to fight against bacteria, viruses, and other invaders to the body.
3. Granulocytes – They kill and digest bacteria, fungi, and many other things. Neutrophils, Eosinophils and Basophils are a subset of granulocytes. Basophils are mainly responsible for allergens. Eosinophils are responsible for parasitic infections. Common causes of low white blood cells count are cancer treatment, radiotherapy, chemotherapy, medicines, cancers like leukemia, infection autoimmune conditions like arthritis. A very low WBC count over time means that you can get infection easily. Antibiotics to treat infection is necessary. There are medicines that boot your white blood cells. Please, get in touch with your health care provider or contact a hematologist oncologist to follow you and he or she will do the necessary test to find your etiological diagnosis. Thank you.

There are many causes of dry cough in children such as viral, bacterial, asthma, allergies, and irritants. Over the counter (OTC) cough medication, inhaling steam from warm fluid, and humidifiers would help the symptoms. Thankyou.

Blood transfusion is given if your hemoglobin is less than 8 g/d (grams per deciliter). Blood transfusion is given for anemia, major surgical operation, accident resulting in significant loss, cancer patients, severe burns, patient with hereditary disorders such as hemophilia, and others. Thank you

WBC = white blood cells: (LEUKOCYTES) most of the time indicates that you are fighting infection or inflammation. Normal range is 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x 109/L). Normal range for adult WBCs is 5,000-100,000/mL. WBC less than 4,000 per microliter (mL), is concerning and you would need to seek medical help. WBCs 2,700 mL is too low and you may be not able to fight infection.
There are three major classifications of WBCs. The main purpose oof WBCs, are to recognize intruders.
• Monocytes – They have the longer lifespan than other WBCs. They help to break down bacteria.
• Lymphocytes – They create antibodies to fight against bacteria, viruses, and other invaders to the body.
• Granulocytes – They kill and digest bacteria, fungi, and many other things. Neutrophils, Eosinophils and Basophils are a subset of granulocytes. Basophils are mainly responsible for allergens. Eosinophils are responsible for parasitic infections.
You can start booting your WBCs by eating better. Meaning some source of proteins like beek, eggs, poultry, milk, Greek yogurt, and beans. Please, check with a hematologist or your health care provider.