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Doctor insights on: Budget Guidelines Percentages Large Family

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Doesn't being ethnic minority place patient at definite risk of misdiagnosis b/c dr's base decisions on experience w/ majority population?

Doesn't being ethnic minority place patient at definite risk of misdiagnosis b/c dr's base decisions on experience w/ majority population?

Maybe.: The chemistry and physiology of all humans is pretty close. There are some minor variations in presentation of disease based on sex and race and certainly there are differences in genetic risk factors. But again most of the major variations are covered in training. ...Read more

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Epidemiologists, where can I find credible health statistics and demographic statistics?

Epidemiologists, where can I find credible health statistics and demographic statistics?

Multiple locations: Government agencies, special interest and single issue organizations, health organizations, groups, and non-profit associations have websites and may post stats. Also, depending on type you are looking for, cdc has national center for health statistics, and a faststats section on website. Also nat'l institutes of health website, nih.Gov has many. ...Read more

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Does endocrinologist learn in school, that type 1 diabetics base their food, medical, and housing needs on income level like government lawmakers?

Does endocrinologist learn in school,  that type 1 diabetics base their food,  medical,  and housing needs on income level like government lawmakers?

Not exactly: Endocrinologists learn to provide the best and most appropriate treatment and prevention possible -- however our best efforts are sometimes thwarted by government and insurance company policies. We look at the problem for totally different viewpoints. ...Read more

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My reputable dental insurance provided a list of many local professionals who identify as periodontists but are not American Academy of Periodontology members. Should I pay more (out of pocket) for AAP members? Or can I trust my insurance company?

My reputable dental insurance provided a list of many local professionals who identify as periodontists but are not American Academy of Periodontology members.  Should I pay more (out of pocket) for AAP members?  Or can I trust my insurance company?

Trust?: Insurance companies have little or no interest in finding you the best dental specialists. They check on basic credentials generally. I would combine both your own independent search of highly competent and respected specialists in your area and hopefully at least one will accept your insurance. ...Read more

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What changes were made since 2008 in terms of medicare, medicaid & hmo/ppo insurance reimbursements of dme, mobility, bath safety & orthopedic items?

What changes were made since 2008 in terms of medicare, medicaid & hmo/ppo insurance reimbursements of dme, mobility, bath safety & orthopedic items?

This is a great: Question and ive tried to do some searching to give a concise answer but i cannot find a study that isolates this data. If you go to cms website and drill down to search the term dme http://www.Cms.Gov/site-search/search-results.Html?Q=dme you see how hard it is to give a quick answer, ( have you read an article in hfn or elsewhere that gives this data? If so please share. ...Read more

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Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Too early to screen: Fam hx of lung cancer in a first degree relative? Less concerning if it is not. Former smoker at 32? What is your pk/yr smoking history? Risk does not increase significantly over nonsmokers until > 10 pk/yr. Smoking assoc lung cancer is very rare before 45 yoa. If lc is in first degree relative & smoking hx >10 pk/yr and very concerned discuss with your PCP and get low dose CT at 45 then every 2 y ...Read more

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How would choose between employer group health plans?

Carefully: As you know, there are many plans and they are difficult to compare. Talk to your hr person. They can steer you in the right direction based on your age and current health. I would stick with the larger insurers in your area, they usually have the better plans with a larger list of providers in their network. Dr l. ...Read more

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Does a high deductible health plan & health savings account (hsa) make sense if we are going to have a baby?

Does a high deductible health plan & health savings account (hsa) make sense if we are going to have a baby?

Depends: Hsa & high deductible plans make sense if your philosophy & situation allows you to plan ahead for predicted costs & use insurance for unexpected events.Having a baby means a big outlay the first 2 yrs for vaccines & checkups all of which assure baby is on the right track. If you use a ppo /hmo or other form you will pay those costs in increased premiums but not out of pocket at the visit. ...Read more

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Went on 1200/day cal diet 4 high cholesterol, numbers good now,can't afford 2 lose more weight,how many calories now to maintain & keep good numbers?

Went on 1200/day cal diet 4 high cholesterol, numbers good now,can't afford 2 lose more weight,how many calories now to maintain & keep good numbers?

Need more info: What is your height and weight? What are your lipid levels, not just cholesterol? Exercise is good for raising good cholesterol and lowering bad cholesterol. It would be prudent to discuss it with the doctor who ordered your cholesterol tests.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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Chol 199, LDL 121, HDL 62, Trigl. 85. Why the push to get LDLbelow 100? Eat low carbs , prep most fresh food. Lost 30 lbs last yr w/gall bldr issues

Chol 199, LDL 121, HDL 62, Trigl. 85. Why the push to get LDLbelow 100?  Eat low carbs , prep most fresh food. Lost 30 lbs last yr w/gall bldr issues

New guidelines: Sounds like you're doing all the right things with a healthy diet and staying at a healthy weight. New guidelines were released last year, where we are no longer trying to reach a specific target number but rather treating patients who have certain risk factors. Talk to your doctor about these risk factors. ...Read more

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Why according to a study do more than 50 percent of high school student fail the serial 7 subtraction test?

Why according to a study do more than 50 percent of high school student fail the serial 7 subtraction test?

Symptom, not problem: This is a symptom of a larger issue. The serial 7 test is used routinely during the neurological exam to assess the patient's mental status. Nowadays students use a calculator or computer earlier on, thereby relying on such "peripheral brains" for computation. www.sciencedaily.com/releases/2012/11/121112171430.htm and http://ideas.time.com/2012/11/29/how-to-use-technology-to-make-you-smarter/ ...Read more

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I'm 37, about 100lbs overweight, 5'11 and fairly active...These are my recent cholesterol levels: 189total, 127ldl, 42hdl & 99tri. Are these ok?

I'm 37, about 100lbs overweight, 5'11 and fairly active...These are my recent cholesterol levels: 189total, 127ldl, 42hdl & 99tri. Are these ok?

Yes, HOWEVER...: Your cholesterol levels are in the "normal" range but this doesn't mean you're not at increased risk of heart disease! half of those with serious heart disease have normal chol. Levels. Obesity is associated with high Insulin levels which causes inflammation which is the main cause of heart disease! see http://www.Sott.Net/article/242516-heart-surgeon-speaks-out-on-what-really-causes-heart-disease. ...Read more

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How do you calculate sodium intake for certain age & size of people?

How do you calculate sodium intake for certain age & size of people?

You don't: 2 grams of sodium is severe restriction. 4 grams of sodium is mild restriction. 6-8 grams is normal. 10 or more is excessive. Since you have no way to measure exactly how much sodium you're eating, there's no point outside of a research lab to try to follow an exact measure of sodium. A good rule of thumb is to avoid adding extra salt at the table if possible and avoid salty foods (like chips). ...Read more

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"disabled" person-has to pay $1250 as" share of cost", what can he do , to get extensive dental work , done? Hi, professional person, 14 years ago had a "major stroke"--"-share of cost" is very high! only income comes, via social security disability, an

"disabled" person-has to pay $1250 as" share of cost", what can he do , to get extensive dental work , done? Hi, 
professional person, 14 years ago had a "major stroke"--"-share of cost" is very high!  only income comes, via social security disability, an

I : I don't know if this will be helfpul, but here is a list of dental groups in anaheim that provide free or low cost dental services. Community dental services inc anaheim - (714) 828-1211 anaheim, ca - 92801 dds inc anaheim - (714)491-9264 anaheim, ca - 92801 grand dental - (714) 828-3028 anaheim, ca - 92801 western dental services inc anaheim - (714)635-6000 anaheim, ca - 92802 n a dental corporation - (714)491-0082 anaheim, ca - 92801 california smile dental group anaheim - (714)826-9000 anaheim, ca - 92804 consumer health inc - newport dental center - (714)491-8441 anaheim, ca - 92806 anaheim community dentistry - (714)635-0855 anaheim, ca - 92806 state college dental group - (714)772-5005 anaheim, ca - 92806 jacks, scott, dds inc - (877)567-6453 anaheim, ca - 92806 altamed medical & dental group: anaheim lincoln - 714-780-5690 anaheim, ca - 92801 good luck. ...Read more

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What percentage of bariatric patients keep their weight off?

What percentage of bariatric patients keep their weight off?

No clear data: When you say baraitric patients are you referring to patients who see a surgical bariatric doctor and lose weight through surgical means or non surgical bariatrics? Please be more specific with your question. The most important thing to maintain lost weight is to maintain the lifestyle change of increased exercise that you use when you were attempting to decrease your weight. ...Read more

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