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Doctor insights on: Boot Patients

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Why is unna's boot not recommended for wheelchair-bound and bedridden patients?

Why is unna's boot not recommended for wheelchair-bound and bedridden patients?

Yes: Unna boots can cause a slight decrease in circulation due to their constricting nature when placed. When patients are bedridden and wheelchair bound, they may have a decrease in circulation which may be additive to the unna boot constriction and cause ischemia to the lower extremity. ...Read more

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Nondisplaced broken 4th metasaursal wearing boot. Prefer shoe but Dr said patients limp in a shoe & can cause back problems. Opinion on shoe v. boot?

Nondisplaced broken 4th metasaursal wearing boot. Prefer shoe but Dr said patients  limp in a shoe & can cause back problems. Opinion on shoe v. boot?

Surgical shoe: Metatarsal fractures can be treated by staying in a surgical shoe for a few weeks. it acts a bit like a cast. It is possible that it can hurt your back but by not treating the fracture it will not heal well ...Read more

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Sleeve patients diet?

Sleeve patients diet?

Avoid carbonated...: Avoid carbonated sodas/drinks to decrease gas bloating. Eat soft foods, and chew foods carefully. Cooked fruits and vegetables are good, though be careful about fibrous vegetables as these might result in problems if they are not pureed. Have a nutritious, well-balanced diet. Be sure not to gorge or overeat. Small meals throughout the day are best. ...Read more

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Should syncope patients have a wheelchair?

Should syncope patients have a wheelchair?

Syncope: Most syncope patients have no need for a wheelchair. There certainly may be some who do need a wheelchair but their doctor should be the one who recommends it, or perhaps a physical therapist if they are associated with one. ...Read more

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How do clinicians teach resilience to their patients?

How do clinicians teach resilience to their patients?

Resilience : Evaluation will identify an individual's strengths, access to protective factors (ie, soci support), and positive coping methods for stressful events. Additional evaluation of gaps or less effective coping methods are also performed. A plan for dealing with stressful events may be developed, tested, and rehearsed to increase likelihood of its use under stress. ...Read more

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Tips for epileptic patients?

Tips for epileptic patients?

Vitamin d: In a young person with epilepsy, it makes sense to take vitamin d to be sure that e meds that will be required throughout life don't cause vitamin d deficiency. ...Read more

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Is eno safe for BP patients?

Is eno safe for BP patients?

NO: Each dose contains 850 mg of sodium and will surely raise your BP - there are many other safer products. ...Read more

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Should doctors email patients?

Should doctors email patients?

Why not?: Virtually every form of communication may be compromised (not private) in some ways, though certain forms of communication are easier to lose privacy than others. Conversations can be overheard, phone lines tapped or wireless ones received, and e-mails can be hacked into by others if they try hard enough. If a patient contacts me via email, i answer via email or phone. Do what seems right to you! ...Read more

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How to help paralysed patients?

How to help paralysed patients?

Physical therapy +++: The most important place to start is an excellent physical therapy center or rehabilitation center, where all aspects of the paralysis can be approached in a proper and therapeutic manner, without further harming the patient. Again, this must be done professionally. The personnel there will teach the patient and any one who is involved with helping care in the hows and whats of helping. ...Read more