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Doctor insights on: Bedtime Routine Sequencing Cards

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Fitness routine ideas with no equipment?

Fitness routine ideas with no equipment?

An Olympic Challenge: To get adequate nutrition and activity daily, facebook members were introduced to multiple challenges https://apps.Facebook.Com/healthyshare they are fine but limited in terms of information, and patients should visit several sites. The cdc http://www.Cdc.Gov/nccdphp/dnpao/index.Html and american college of sports medicine are sources of credible noncommercial information on fitness, nutrition. ...Read more

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Maintain A Bedtime Routine (Definition)

Establish a bedtime routine. Try to go through the same activities in the same order in the half ...Read more


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Are CD4 counts part of a regular yearly (physical) blood work?

Are CD4 counts part of a regular yearly (physical) blood work?

No: Cd4 counts are generally only measured in people with HIV infection or with certain other immunosuppressive conditions. ...Read more

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Does every school district use the same standardized developmental tests for students needing help?

Does every school district use the same standardized developmental tests for students needing help?

No: Every school district acts as an independent "fiefdom" in every aspect of educational care. Some are excellent some aren't. Most districts within a given state are consistent with each other in using the same protocols. Be very pro active in advocating for your child as they navigate the cumbersome school process. ...Read more

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Non-diabetic, a1c=5.7, 2hr post meal=140, bedtime glucose=100, trouble sleep through nite, wake up after 4-5 hrs every nite & glucose=40. What to do?

Non-diabetic, a1c=5.7, 2hr post meal=140, bedtime glucose=100, trouble sleep through nite, wake up after 4-5 hrs every nite & glucose=40. What to do?

Sorry misunderstood: Sounds like reactive hypoglycemia. Try eating a small meal/snack before you go to bed to see if that helps. Also checking your blood sugar randomly throughout the day will help see if this is happening at other times too. If so small meals thought the day will help instead of the traditional 3 main meals a day. ...Read more

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18/m/5'10"/185lbs will biphasic sleep schedule affect my physical growth? Thinking of doing 4.5h core+1.5h nap. Not enough time for monophasic sleep

18/m/5'10"/185lbs will biphasic sleep schedule affect my physical growth? Thinking of doing 4.5h core+1.5h nap. Not enough time for monophasic sleep

Don't chance it: At your age it is likely that you are still growing. Make the time for 8 - 9 hours of continuous sleep. You only get one chance. Do the right thing. Good luck. ...Read more

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What technologies can help caregivers keep a loved one safe? Alarms? Motion detectors?

What technologies can help caregivers keep a loved one safe? Alarms? Motion detectors?

Elder safety: If you are asking about fall prevention, then it is not technology that helps. Try balance training exercises, maintain optimal eyesight & hearing, avoid drugs that cause dizziness or low blood pressure, ensure a safe home environment, treat problems that interrupt sleep and force you to get up at odd hours and so on & on.....! ...Read more

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18 week cash paying patient. Hbsag positive on prenatal screen . What are the needed tests to work up?

18 week cash paying patient. Hbsag positive on prenatal screen . What are the needed tests to work up?

HepB core Igm ANTIBO: Positive hep b surface antigen, follow up lab tests should include hepb surface igm antobodies hep b e antigen hepb e antibody hbv dna level hepatic function panel including hepatic enzymesalt &sgpt after interpreting these tests only you can determine if patient has acute hbv infection, chronic immune active infectionwith mutant virus or chronic active infection(carrier). ...Read more

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?Sleep apnea? SpO2 events (>=4%) 17.7ph, total 62.2min/7hrs, ave 29.6s, basal 92.3%,time <88% 10min (21x,ave low 86%) Home monitor,GP wouldn't test

?Sleep apnea? SpO2 events (>=4%) 17.7ph, total 62.2min/7hrs, ave 29.6s, basal 92.3%,time <88% 10min (21x,ave low 86%) Home monitor,GP wouldn't test

Need more info: Sleep apnea is a serious illness. The best physician to assess the severity of this problem is a pulmonologist who treats patients with sleep apnea. ...Read more

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What's the best method of getting yourself into a good early bedtime ritual routine?

What's the best method of getting yourself into a good early bedtime ritual routine?

Sleep Hygiene: Go to bed and get up at the same time. Create a bedtime ritual -- warm showers, room should be on slightly cooler side; no tv in the bedroom; no caffeinated drinks; no heavy meals before bed, just light snack if hungry; practice relaxation, stress management. ...Read more

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Is there an addiction or disorder for people who watch anime excessively or play video games frequently? Watching free stream anime online 6-12 hours every day even digging into hentai for the absence of intimacy. And online using video games for social n

Is there an addiction or disorder for people who watch anime excessively or play video games frequently? Watching free stream anime online 6-12 hours every day even digging into hentai for the absence of intimacy. And online using video games for social n

Yes: Online addictions, whether for action games, online porn, chatrooms or many other activities can be serious and damaging to quality of life. Many addiction programs have now started special programs for those with these kinds of problems (called 'process' addictions). They sometimes reflect another underlying psychiatric problem, sometimes not. See an addiction specialist (aaap.Org or asam.Org). ...Read more

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What impacts doctors decision to start electronic health records implementation?

What  impacts doctors decision to start electronic health records implementation?

Govt regulation: Emr is being introduced in a phased manner- cms guidelines. All hospitals and offices are to implement electronic records. There are so many technical difficulties with these programs, but they are getting better. As of now, most doctors have not embraced them as well. ...Read more

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Ocd focus on hems, hem blood on barefoot.Erp therapy requires iooking at hem photos.Idea where to find medical pics of them online?Intrnet reslts iffy.

Ocd focus on hems, hem blood on barefoot.Erp therapy requires iooking at hem photos.Idea where to find medical pics of them online?Intrnet reslts iffy.

OCD and Exposure Tx: I'm not sure where you are searching, but just doing a quick google image search for hemorrhoids brings up a lot of fairly graphic photos. Exposure / response prevention therapy is most effective when working with a therapist who guides you through it and tailors the treatment to your particular situation. I would not recommend a "do it yourself" approach. ...Read more

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Fasting gluc (serum) 110 despite home monitor saying 75. No family history, exercise all the time, eat healthy. Puzzled. Type 2 likely in future?

Fasting gluc (serum) 110 despite home monitor saying 75.  No family history,  exercise all the time,  eat healthy.  Puzzled. Type 2 likely in future?

Check further: With a fasting glucose of 110, it is time to get further testing. A 2 hour glucose tolerance test can give you some good information on your status. It would also be a good idea to get on a low carbohydrate/low glycemic food plan and make sure you exercise. Get in for a good evaluation. Good luck! ...Read more

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14 month old doesn't point or show toys. Are these major autism red flags?No speech delay based on eval. Plays in turn taking social games, imitates.

14 month old doesn't point or show toys. Are these major autism red flags?No speech delay based on eval. Plays in turn taking social games, imitates.

Prob Ok, but watch: These do not sound like major red flags, since the language and play seem fine. There are screening tools such as MChat and CARS, that can also screen. Does he interacts well with others, make good eye contact? Eat well? Sleep well? Have normal bowel movements? ...Read more

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Test name PSA screen 0.18. Next blank spot has =1=.... Free tv 1.18.. TSH 1.863.. Comments =1=the PSA is a direct chemiluminometric immunoassay mean?

Test name PSA screen 0.18. Next blank spot has =1=.... Free tv 1.18.. TSH 1.863.. Comments =1=the PSA is a direct chemiluminometric immunoassay  mean?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your lab results are normal. ...Read more

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Are sports a healthy alternative to all those passive hours kids spend watching tv?

Are sports a healthy alternative to all those passive hours kids spend watching tv?

Absolutely: More then 2 hours of screen time computer games, text, tv, etc during school year is detrimental. Sports are the best way to go for healthy mind and body, gets kids to build cardiovascular and muscle tone at crucial ages. If not into sports walk, run, bottom line is move ur body. ...Read more

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Im looking for a physical therapy routine and exercise routine for global delay?

Im looking for a physical therapy routine and exercise routine for global delay?

Good idea: Global delay is typically an infant diagnosis. Unless there are progressive nutritional risks, aggressive therapy programs for weight bearing, movement, cognitive stimulation and functional activities on 5-7 day a week basis have merit. Unfortunately this is not a medical benefit and will be expensive. Some families choose 2-3 months a year of such a program and simulate it at home afterward. ...Read more

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