Medscape's Ask the Experts allows you to ask members of a panel of leading experts for advice or information. You also have the opportunity to share your own views and insights by clicking the "Discuss this" link at the top of each response.

• Is Coconut Oil Effective for Alzheimer Disease? Does clinical evidence support claims that coconut oil can improve symptoms of Alzheimer disease?
  Ask the Experts, May 2012
• Patient-Controlled Analgesia: Best Choice in the ED? How does patient-controlled analgesia compare with intermittent intravenous injections when used in the emergency department to manage patient pain?
  Ask the Experts, October 2011
• How Can I Help Patients Get Their Medications? Resources are available to assist patients who cannot afford their medications.
  Ask the Experts, July 2011
• CCSVI -- A New Phrenology? Dr. Andrew Wilner reviews the evidence to date on the controversial theory that impaired venous blood flow can lead to multiple sclerosis.
  Ask the Experts, June 2011
• Should Clinicians Check on Patient Refills? Medication refill histories may assist providers with patient care.
  Ask the Experts, April 2011
• Pramipexole and Compulsive Gambling: What Are the Odds? Are you monitoring patients with Parkinson disease or RLS for these unusual adverse effects?
  Ask the Experts, March 2011
• When Should Epilepsy Surgery Be Considered? The frequency of seizures may not be the only consideration for epilepsy surgery in the AED-resistant patient.
  Ask the Experts, January 2011
• Using Vagus Nerve Stimulation Correctly Dr. Andrew Wilner reviews the latest evidence regarding the use of vagus nerve stimulation in treating epilepsy.
  Ask the Experts, December 2010
• How Can I Help Teens Who Are Victims of Cyberbullying? I cared for an adolescent recently who told me about some disturbing experiences she had online with other teens. It sounds like cyberbullying. How can I help her?
  Ask the Experts, October 2010
• Alzheimer's CSF Test: Useful or Useless? Dr. Andrew Wilner explores the rationale for using -- and not using -- the cerebrospinal fluid test in the diagnosis of Alzheimer's disease.
  Ask the Experts, October 2010
• Is CT Indicated for Patients With Isolated Syncope? Which patients do -- and which do not -- need CT scanning after a syncopal event?
  Ask the Experts, September 2010
• Unilateral Hearing Loss: When Should I Refer a Patient? Sudden sensorineural hearing loss has numerous possible etiologies. Our expert outlines a coordinated approach to these patients.
  Ask the Experts, September 2010
• Should Neurologists Manage Psychiatric Symptoms? Dr. Andrew Wilner delineates the respective roles of neurologists and psychiatrists in managing diseases of the brain and nervous system.
  Ask the Experts, September 2010
• Clearing the Cervical Spine Without Imaging Dr. Joe Lex explains how to use existing cervical spine rules to evaluate cervical spine injury in trauma patients -- no radiation required.
  Ask the Experts, August 2010
• Is Treatment of CCSVI a Viable Therapy for Multiple Sclerosis? In response to an often-asked question, Dr. Schapiro shares his opinion about the likelihood of a possible link between CCSVI and multiple sclerosis.
  Ask the Experts, August 2010
• Extended-Release Venlafaxine: Is More Better? Does any evidence support the use of twice-daily dosing of extended-release venlafaxine?
  Ask the Experts, July 2010
• Avoiding Respiratory Depression With Opiate Use When should clinicians be concerned about respiratory depression in patients already receiving opioids?
  Ask the Experts, July 2010
• Prescription Monitoring Programs: Do They Work? How well do prescription monitoring programs detect and solve doctor shopping for prescription pain medication?
  Ask the Experts, July 2010
• How Can Leg Cramps Be Treated? Since quinine is no longer recommended, what options do we have for treating leg cramps?
  Ask the Experts, June 2010
• How Many Antiepileptic Trials are Warranted Before Considering Surgery? A new consensus definition of drug-resistant epilepsy, based on the evidence, means that many clinicians are waiting too long before sending patients for a surgical evaluation.
  Ask the Experts, June 2010

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