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Doctor insights on: Baby Sleeps With Blankets Hotlines Crisis Services

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Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read more

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Dr. Heidi Fowler
5,090 doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more


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Baby ingested some bugspray baby age2 no phone 2 call poison control

Baby ingested some bugspray baby age2 no phone 2 call poison control

The : The answer depends on whether this was an insecticide (poison), or something like deet or off, and how much was ingested. Without knowing these details, i would have to recommend that you take your child (if you haven't already) to the closest er to have him/her evaluated. ...Read more

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3.5yr old boy @ 27lbs and a 5% for height. 3pediasures/day, struggles but eats & sleeps fairly well . Small parents: mom5'1" & dad 5'6". Is he ok?

3.5yr old boy @ 27lbs and a 5% for height. 3pediasures/day, struggles but eats & sleeps fairly well . Small parents: mom5'1" & dad 5'6".  Is he ok?

Need more info: We would need much more information. What does he eat, when. How is he functioning, is his behavior normal? Were there any problems at birth? Is there stress at home? ...Read more

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Should american hospital workers refuse to discuss female circumcision with the parents of newborns?

Should american hospital workers refuse to discuss female circumcision with the parents of newborns?

Tell all it's ilegal: American hospital workers should tell all that performing a female circumcision in the usa, as well as all civilized countries that it is a criminal offence. It involves amputating the clitoris and thus removing any pleasant sexual sensation later in life. Perpetrators need to be be reported to the police and sent to prison.Any physician perpetrator faces automatic loss of medical license for life. ...Read more

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Co-sleeping ads with butcher knives, where should an infant sleep? With all the recalls for bedside play-yard sleepers and co-sleeping "nests" and the infant deaths from co-sleeping, where should a breastfeeding mother have her infant sleep? A crib in a

Co-sleeping ads with butcher knives, where should an infant sleep? With all the recalls for bedside play-yard sleepers and co-sleeping "nests" and the infant deaths from co-sleeping, where should a breastfeeding mother have her infant sleep?  A crib in a

I : I would definitely recommend a bassinet right next to your bed. That's where both of my breast fed babies slept. It was convenient and safe. With a bassinet the baby is separate and yet close enough for all those late night feedings! good luck. ...Read more

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Anger issues with 7 year old boy my child can't get along with anyone friends he shows fits of rage frequently. The kids in school don't hang around with him his 2 best friends don't even want to be with him constantly upsetting household. We've tried ev

Anger issues with 7 year old boy my child can't get along with anyone friends he shows fits of rage frequently.  The kids in school don't hang around with him his 2 best friends don't even want to be with him constantly upsetting household. We've tried ev

You : You should give your child's doctor a call and ask for a referral to a child psychologist, psychiatrist or behavioral specialist. You are not alone in dealing with your son's behavior (i have had many parents come to me with similar situations and concerns to yours). A behavioral specialist can help find better ways for your son to express his feelings and for your family to cope with his outbursts. They may be able to suggest new ways of dealing with his behavior. There will probably not be any quick fixes, but with continual therapy and consistent parenting, he will improve over time. Good luck! ...Read more

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Hbot: caretaker in chamber w/ pt breathes room air at 2.4 ata + pt exhaled pco2. No o2 mask provided for caretaker. What are risks to latter?

Hbot: caretaker in chamber w/ pt breathes room air at 2.4 ata + pt exhaled pco2.  No o2 mask provided for caretaker.  What are risks to latter?

Ear pain or popping: The care taker will experience similar feeling to being in an airplane. Since the caretaker is not using a mask he is not breathing 100% oxygen. Hence no risk of oxygen toxicity. ...Read more

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58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?

58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?

Full evaluation: It's very important when such a young patient has con fusion to understand why. She needs an extensive medical and neurological evaluation. ...Read more

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9 months baby never sleeps through the night & wakes up around 5 times crying & never go deep in sleep she's not teething or ill she naps 3x for 1/2 h?

9 months baby never sleeps through the night & wakes up around 5 times crying & never go deep in sleep she's not teething or ill she naps 3x for 1/2 h?

Sleep hygiene: Set a bedtime routine. Stick with the same bedtime rituals, which may include a bath, reading a story or song, and a hug and a kiss Goodnight. ...Read more

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88 yr old mother is confused and barely mobile. Brother who is caregiver plans to take her on family's winter vacation. Isn't she too vulnerable?

88 yr old mother is confused and barely mobile. Brother who is caregiver plans to take her on family's winter vacation. Isn't she too vulnerable?

She certainly is: You can expect that her confusion can get worse during a trip. On the other hand, your brother needs some vacation. Could you substitute for him and take care of your mother while he is away? ...Read more

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Nicu uses kangaroo care, quiet, etc. How does that help babies?

Nicu uses kangaroo care, quiet, etc. How does that help babies?

See below: The nicu can be a very stressful place for the babies. There is a lot of activity and noises. They maybe undergoing procedures, and the incubators amplify sound. The interventions you mentioned help to provide a relaxing environment for the babies. ...Read more

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5 day old baby girl with respiratory distress, does this pass?

5 day old baby girl with respiratory distress, does this pass?

Workup/Management: There are many conditions that may contribute to respiratory problems early in life. Your daughter's symptoms indicate that a further work up is needed. This may include a chest radiograph, monitoring her arterial blood gas/O2 saturation, metabolic and nervous systems. By day 5 the 'ductus' should have closed, and her O2 saturation on room air should be 95% or more, if she was born at term. Congr ...Read more

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Who really runs things at nursing home? Rns, lpns or aides?

Who really runs things at nursing home? Rns, lpns or aides?

NHA: Nursing home administrator (nha) who are certified through nursing home administration program run by department of health and national association of boards of examiners of nursing home administrators (nab) most staffs are rns, lpns and midlevels. ...Read more

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What constitutes interference of health care? Facility wants to evict elderly resident due to visits from friend allegedly interfering with her care.

What constitutes interference of health care?  Facility wants to evict elderly resident due to visits from friend allegedly interfering with her care.

The answer: is a LEGAL one NOT a "medical" one! 'Interfering" needs definition and more information needed to define! Forcing the RESIDENT out does NOT seem "fair"!! Hope this helps! Dr Z ...Read more

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When my 3 month old who sleeps through the night wakes up, his hands are freezing. I don't over dress him andi use a fan to prevent sids, heat [email protected] 70?

When my 3 month old who sleeps through the night wakes up, his hands are freezing. I don't over dress him andi use a fan to prevent sids, heat set@ 70?

Common energy saver: Infants in a cool environment often shift blood flow from the top skin down deeper to conserve the heat & energy they use to grow. Fingers, toes, lips & ears are often cooler than surrounding areas.Sleeping in a onzie with mittens & hat is what i reccomend. The cold hands is not a sign of a problem & likely bothers you more than baby.Fans or pacifiers may drop sids risk but not > sleeping on hisback. ...Read more

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Toddler at home, baby in nicu with neonatal herpes simplex 1?

Toddler at home, baby in nicu with neonatal herpes simplex 1?

Probably safe: Sorry about your neonate. Your toddler has almost certainly been exposed and infected, whether symptomatically or not, with the same virus. They are highly unlikely to be at significant risk. ...Read more

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My mother with alzheimer's keeps having temper tantrums over staff care?

My mother with alzheimer's keeps having temper tantrums over staff care?

Behavior is common: Many people with dementia are confused and have trouble understanding what people say to them so this can lead to agitation or aggression with personal cares. There are behavioral interventions that can often lesson this but if there is significant aggression, medications may be needed. A geriatric psychiatrist can help you, if one is available. ...Read more

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Can someone with sleep apnea w/ oxygenation drops become delirious if she hasn't been using her cpap? Mom in hospital w/ severe confusion.

Can someone with sleep apnea w/ oxygenation drops become delirious if she hasn't been using her cpap? Mom in hospital w/ severe confusion.

Yes Most Definately: The scientific literature is repleat with examples of delerium contributed to sleep apnea. It occurs most often in older adults. Whenever a patient presents to a hospital with new onset delerium and has a history of sleep apnea one should consider ncpap. Delerium is defined as a disturbance in consiousness accompanied by an acute change in cognition not accounted for by dementia. ...Read more

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Dr. David Carlson
27 doctors shared insights

Crisis Services (Definition)

Hotlines and crisis services exist to provide anonymous, ...Read more