Doctor insights on:
Are Phlebotomist Suppose To Wait Until Alcohol Dries Before Sticking The Patient
You are only "diabetic" if you have type 1 diabetes.
If you have type 2 diabetes - your doctor should have told you by now - you must work to get rid of your diabetes. A dietitian and physical trainer can work you through this.
Alcohol is OK but too much is no good for you or anyone else. ...Read more
"Turned in"?: What means "turned in, " here? Dr. Friedlander is right about the laws of confidentiality being strict. In general, your medical records cannot be revealed without your permission. There are certain conditions where the law requires reporting, though - - such as, when a child is at risk, being neglected or abused. Also if the doctor believes you may harm yourself or another & you refuse treatment. ...Read more
How come alcohol intoxicated patients in the ER often have to be sedated if alcohol is already a sedative?
No: There is no evidence that acamprosate works for anything other than alcohol abuse. It works to decrease the potential of the brain to make a substance called glutamate, and alcohol abuse is the only known cause of elevating glutamate levels in the brain, so far as I know. There are other medications which may work for other drugs of abuse. If you are having drug problems, talk with your doctor. ...Read more
Yes, in moderation: We recommend no more than 1 daily, but with food ...Read more
Dengue Fever: Acute Dengue Fever can impair liver function. Hepatic dysfunction can range from mild increases in transaminase levels to severe injury with jaundice and potentially liver failure and death. Adding in alcohol will increase toxicity to liver and may contribute to worsening illness. ...Read more
What things can cause pancreatic exocrine insufficiency, apart from alcohol? Provide an answer for the patient who never imbibes alcohol.
Destruction: Pancreatic exocrine insufficiency typically occurs after destruction of the pancrease, (pancrelipase) usually from chronic pancreatitis. Causes include, gallstones, alcohol, hi triglycerides, autoimmune, hemachromatosis, medications, pancreatic divism ; sphincter of odi dysfunction. Other causes could be cystic fibrosis, cancer/tumor growth, sarcoidosis, amyloidosis, or idiopathic. ...Read more
Yes: Alcohol and other substance abuse is very common, oftentimes a patient will see their doctor about a minor problem and they may be there, whether they realize it or not, to get help with substance abuse. Denial is a major symptom, and the diagnosis of alcoholism requires an thorough history and the development of trust from your patient. Once that occurs, healing can begin. ...Read more
Might it be that a a doc turn his patient in for alcohol or drug abuse to the police or social services?
No: The exception is when you are a immediate danger to others ie drive to clinic visit drunk and you were going to drive home. ...Read more
Is alcohol consumption is forbidden for patients with gilbert's syndrome? Is alcohol could damage the liver in the future?
Alcohol: Not quite, in most cases depending on amount & extent of heart tissue damage. ...Read more
Very Much So: Aa is precisely for alcohol abuse. You can always attend a few meetings and decide for yourself. Call it curiosity, call it data gathering, call it courage. See if the stories you hear in the rooms strike a cord with your own tale. The life you save may be your own. Aa has no enrollment, no commitment to a religion, is free of charge, and as anonymous as you wish. Try it ; let me know. Good luck! ...Read more
As a patient of rTMS, can I drink at all during the maintenance phase? That is, aside from the usual cautions against alcohol
Is a relatively new treatment modality and such questions should be answered by those who are giving the treatments.
Dr Z ...Read more
No idea: I'm not sure what the purpose of that would be. ...Read more
What if the patient has liver cirrhosis (alcohol) and his kidneys have failed/are failing. Can Dialysis help. He is unconcious:- (?
Poor prognosis: Renal failure in a patient with end-staged liver disease portends a very poor prognosis. Hepatorenal syndrome is complex and poorly understood but mortality is very high within weeks of development. While dialysis can prolong life, unless he is a liver transplant candidate, his quality and length of life will be severely curtailed. ...Read more
My wife just finished alcohol detox at an in patient and she is having bad body cramps and aches what can do to alleviate the the pain?
Can a liver failure patient be refused a place on the transplant waiting list if he abuses alcohol?
Yes: Alcoholism can lead to chronic liver disease, cirrhosis, and loss of liver function. Most liver transplant programs have strict rules about transplanting livers into non-recovered alcoholics. Very often documented abstinence of 6 months or more is required. Check with your local transplant program about their rules and protocols. ...Read more
What are the risks of contracting HIV from becomg a phlebotomist? What antiviral drugs are available if I got stuck with a needle by infected patient?
HIV: Despite the best precautions, anyone carries the risk of a needle stick in your profession. If indeed one gets stuck, there is a protocol to be followed. Please inquire from your school or hospital. Hope that helps. ...Read more
Is tip of fractional laser hand changed between patient or not cause in my session nurse just clean it with alcohol ;is it can transmit blood disease?
Can a patient moderately drink brandy (alcohol) who has gone through radio therapy due to plasmacytoma in the lower vertebra L3?
Sure: Hope the treatment was successfulGet a more detailed answer ›
Saw blood draw where site was touched with unwashed finger and then not sterilized with alcohol swab. If new needle was used, is patient at high risk?
Not high risk.: I'm bothered by the fact that good sterile technique was not employed in this blood draw, it seems, and the chance that some bacteria came along for the ride with the needle exists. That being said, I'd think the chance of actual blood borne infection is small, in the absence of some immunosuppressing condition, with one such blood draw. ...Read more
Is mds a cancer or preleukemia? What s the average life for low / intemdiate mds patient if health is perfect. No alcohol. Age 70. Just low RBC and hb
Answered your: Questions before - good data from stanford -- ck it out ; speak with your pcp! ...Read more
Needlestick injury, didn't break skin, no blood, didn't sting with alcohol, possible HIV/HEP C patient, 25g 1inch needle used, pt not visibly ill, PEP?
Broken skin?: No broken skin means no injury to me. What is the concern? Or what is the injury? ...Read more
Are physicians and psychiatrists aware of how much patients self meditate, swap meds with friends and drink alcohol? Since I got out of the air force I have watched fellow veterans and other people as well exchange medicines. Drink with the medicines and
Sometimes :-): No human can possibly know what others intend or are doing, unless the person tells it. Or, sometimes they may be seen by others who report it. I'm thinking you mean "self-medicate" rather than "self-meditate." I really hope my patients are meditating -- and they're welcome to do it without telling me. :-) It's very sad when they're uninvested enough in their health to swap meds. ...Read more
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