expert type icon EXPERT

John G. McNeil

Infectious Disease Specialist

Dr. John McNeil is an infectious disease specialist practicing in Warner, New Hampshire . Dr. McNeil specializes in infections that are difficult to diagnose or unresponsive to treatments, such as HIV or airborne infections from a foreign country. Infectious disease specialists usually work with conditions that are not treatable by a primary physician but it is important to keep contact with the primary physician in order to receive information about the patients history and for deciding which diagnostic tests are appropriate.
John G. McNeil
  • Warner, New Hampshire
  • Wake Forest University
  • Accepting new patients

Does a fever always signal an infection?

Fever is almost always an indication of infection; however, there are other conditions - such as certain metabolic and endocrine disorders - that may result in low grade fever. READ MORE
Fever is almost always an indication of infection; however, there are other conditions - such as certain metabolic and endocrine disorders - that may result in low grade fever. If you are feeling fine, a transient low grade fever of 100.1 is nothing to worry about.

Can my child give me chickenpox?

It is possible to catch varicella (chickenpox) from your child, since you never had natural infection with chicken pox in your childhood. If you have received the chickenpox vaccine, READ MORE
It is possible to catch varicella (chickenpox) from your child, since you never had natural infection with chicken pox in your childhood. If you have received the chickenpox vaccine, the risk of contracting chickenpox is reduced significantly for many years, but the effectiveness of the vaccine diminishes over time. Oral acyclovir is effective for prevention of acquiring chickenpox from exposure to your child. You mention that you received (shingles) zoster vaccine. You can not get shingles if you have never been infected with chickenpox. There are blood tests to determine if you have been infected with chickenpox in the past, but nearly all natural infections produce characteristic rash and fever. If you have not received the chickenpox vaccine, you should get this vaccine in the near future if you are certain you never had chickenpox. If you're not certain, have a VZ antibody test performed prior to taking the vaccine.

Cough for 1 week plus - should I worry?

It could be an infection. In fact, it mostly likely is an infection - a viral infection that will not respond to antibiotics. Take your temperature with a thermometer. If your READ MORE
It could be an infection. In fact, it mostly likely is an infection - a
viral infection that will not respond to antibiotics. Take your
temperature with a thermometer. If your temperature is greater than 100
degrees and you are producing green smelly mucous, you should pay a visit
to a health care provider; you may have sinusitis and antibiotics may be
helpful. If you don't have a fever, treat your symptoms with a
decongestant (recommend sudafed) and an antihistamine (recommend
fexofenadine) and motrin or alieve to reduce muscle aches or pain. If the
cough persists, take robatussin DM cough syrup. If you develop shortness of
breath, immediately seek medical care. Regardless, drink copious amounts of
fluid and get adequate rest.

As always, get a flu shot sometime between mid-October and mid-December.

Immunizations for travel

The answer is yes. The specifics are entirely dependent on which countries you will visit and, to a lesser extent, the time of year you will be visiting.

Should I get a flu shot?

Unless you are allergic to any components of the flu vaccine, you should get a flu shot every year sometime between October 1st and November 30th, depending upon where you live, READ MORE
Unless you are allergic to any components of the flu vaccine, you should
get a flu shot every year sometime between October 1st and November 30th,
depending upon where you live, if you want to reduce the risk of
contracting influenza.