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Mr. David Robert Want, CRNP, FNP is a nurse in Gaithersburg, MD specializing in family medicine and urgent care. Mr. David Robert Want, CRNP, FNP is affiliated with MedStar Health, MedStar Health: Urgent Care in Hyattsville and MEDSTAR URGENT CARE LLC.
7 Metropolitan Court Suite 1
Gaithersburg, MD 20878
Headache
Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:
Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.
Mononucleosis (Mono)
Mononucleosis, frequently called ''mono,'' is a viral infection that causes fatigue, fever, swollen lymph glands, and sore throat. The Epstein-Barr virus (EBV), spread through saliva, is the primary virus that leads to mono. Mono is most common in teenagers and young adults, where EBV is often transmitted through kissing or sharing drinks. For this reason, mono is colloquially referred to as ''the kissing disease.'' Mononucleosis usually resolves on its own; however, recovery from mono can take from several days to several weeks. Some young adults may continue to experience extreme fatigue from mono for months, often requiring a semester home from school.
Mononucleosis happens in three stages:
During the initial stage, those with mono may experience few symptoms as EBV replicates in the body. Symptoms such as headaches and body aches are often misattributed to allergies or stress. People with mono may continue performing their daily activities and attending school, leading to increased transmission of the virus to others. The initial stage lasts for about five to fourteen days.
During the acute stage, mono symptoms intensify and may include the enlargement of the spleen, a sore throat, fatigue, liver issues, and skin rashes. The mono infection is at its worst in this stage.
Lastly, the convalescent stage is when recovery begins. This period of healing can last from two to six months.
Mono can be detected by a physical exam; physicians can diagnose mono by checking for inflamed lymph nodes, tonsils, or spleens. Blood antibody tests may also help diagnose mono by revealing antibodies in the blood that were formed as a response to the Epstein-Barr virus. Elevated levels of white blood cells can also suggest that a patient has mono.
There are no medications specifically for mono or the Epstein-Barr virus, and patients are advised to rest and avoid strenuous exercise. Drinking plenty of fluids, eating a healthy diet, and taking anti-inflammatory ibuprofen (motrin) may also help people who are afflicted with mono feel better.
People with mono should take precautions to avoid spreading the condition to others. They can prevent infection by not sharing glasses, food, and utensils with others until they fully recover.
Spinal Cord Injury
Spinal cord injury medicine is a branch of medicine that treats damage to the spinal cord from an injury or a nontraumatic myelopathy, which is any disorder that affects the spinal area. The spinal cord is a section of nerve tissue protected by the vertebrae (spinal bones). Trauma to the spinal cord, typically caused by compression or bent vertebrae, prevents the body and brain from communicating. This can result in pain, loss of sensation, and impaired physical function and movement. Acute spinal cord injuries (SCIs) are a leading cause of permanent disability. Spinal cord injuries may develop from accidents or myelopathies, disorders that provoke spinal compression. Traumatic incidents such as falls, sports injuries, vehicle accidents, and bullet or stab wounds can cause an acute spinal cord injury.
Spinal cord injury medicine seeks to stabilize the spine and to alleviate the symptoms of spine damage. Practitioners of spinal cord injury medicine are called spinal cord injury specialists. Spinal cord injury medicine is an interdisciplinary field, meaning physicians of various specialties may be trained to treat spinal cord injuries.
Damage to the spinal cord may initially be diagnosed through X-ray, MRI, or CT scans. Patients can also undergo spinal exams to evaluate their sensory ability and strength. Injuries to the spinal cord can be complete (no feeling or sensation) or incomplete (some feeling or sensation remains). Conditions spinal cord injury medicine specialists may treat include:
Treatment for spinal cord injuries often involves surgery, either directly after an injury occurs or at a later date. Surgery for spine injuries is intended to ease spinal compression and stabilize the spine. Surgical procedures can involve shifting vertebrae, removing bone, or altering spinal placement with implantable devices. Patients with significant spinal trauma may require urgent surgical intervention.
Surgical treatments can be complemented by rehabilitative physical therapy to improve mobility. Spinal cord injury specialists also treat complications arising from a spinal injury, such as respiratory or bladder conditions. Some patients with spinal cord injuries may require lifelong treatment. Spinal cord injury specialists aim to help these patients successfully adjust and lead an improved quality of life. An emerging treatment for spinal cord injuries is neural prosthetics, which replicate patients' lost nerve function. Neural prostheses may be used as artificial body parts or assistive devices that patients may cognitively control. Other assistive devices include wheelchairs and scooters.
Spinal cord injury specialists may collaborate with physical therapists, radiologists, neurologists, urologists, and orthopedists.
He has a state license in Maryland.
Licensed In: Maryland
Mr. David Robert Want, CRNP, FNP is associated with these hospitals and organizations:
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Mr. David Want specializes in family medicine and urgent care. Mr. Want's areas of expertise include the following: alcohol abuse, nasal congestion (stuffy nose), and amenorrhea (missed periods). He is affiliated with MedStar Health.