Doctor insights on:
Caring For Appendectomy Patient
Using this site: To get the most from this site you need to provide basic background on your issue and ask a clear related question. Just raising an issue, with no clear question or background does not work.The physicians on this platform donate their time to answer questions. Any fees on wordy posts support the site. You are welcome to start over. ...Read more
An appendectomy is surgery to remove the appendix. The appendix is a small, finger-shaped organ extending from the first part of the large intestine. It is removed when it becomes inflamed or infected. A perforated appendix can leak and infect the entire abdominal area, which can be life-threatening. An appendectomy is done under general anesthesia, which means you are asleep and do not feel any pain during the surgery. The surgeon makes a small cut in the lower right side of your belly area ...Read more
Regarding caregiving: how physically demanding is the job of caring for a frail elder with hip fracture?
Labor intense: Consider the case of a child learnng to walk.Many similarities. ...Read more
Follow instructions: We used to tell patients to lie flat for 6 hours after spinal anesthesia, but now we know that doesn't help prevent a headache. You may resume activity according to the surgeon's instructions, depending on what type of surgery you had. No need to lie flat; just rest when you feel tired, and lie in whatever position is most comfortable for you. Drink plenty of liquids. ...Read more
Moving assistance.: The first few days following a transurethral resection of bladder tumor will be characterized by passage of blood in the urine, urinary frequency, urgency, and possible incontinence. An elderly patient will require help with transfers and traveling to the toilet. For those too frail to make the trip, a bedside commode or a hand-held urinal will be helpful. ...Read more
Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?
Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?
Informed decision: Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www.Medicare.Gov/quality-care-finder/#nursing-home-compare also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read moreSee 2 more doctor answers
Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed ...Read more
Great Question: Understand why you are having the hysterectomy. Most of my patients do not have cancer and are having a robotic assisted laparoscopic hysterectomy because of pain, pelvic pressure or bleeding problems. You need to be comfortable with the idea of a hysterectomy, of not having periods any more. Focus on the positive. Make sure you have taken care of details, like food in the house post op. ...Read moreSee 4 more doctor answers
When risks > benefit: No black and white answers here, but when the risks / complications / side effects of treatments begin to outweigh the benefits then it's time to think about quality, not quantitiy. In a perfect world the patient/family could accurately add up all the positives and negatives in a numerical fashion and make their choice, in the real world it takes a long / honest /open two-way discussion. ...Read moreSee 2 more doctor answers
Ask a health question... Alternatives to catheter for post operative urinary retention for male 65 ?
None reasonable: Bladder will continue to fill + has to be drained because of pain and discomfort. Intermiitent ctheterizaion is management of choice with much lower risk of UTI than an indwelling catheter. Voiding ability, if present before operation, should return and can be aided by medications. ...Read moreSee 1 more doctor answer
In ca, if a patient's advanced directive says dnr, but the patient verbally states desire for resuscitation at hospital admission. What will happen?
Most recent is right: An advanced directive is just a statement of someone's wishes in the event of a serious illness. Wishes can change. The most recent and clear statement of intent is the one that counts. But it can't be some relative interpreting the patient's intent for them. The reason you need advanced directives is if the situation arises where a dnr is needed, the patient is usually too out of it to change it. ...Read moreSee 1 more doctor answer
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
Yes: In general, it is safe to use it, although if you are having chronic problems and find yourself using it for a prolonged time, be sure to discuss it with your GI doc. ...Read more
I'm in rn school and having trouble obtaining information about the correct procedure for positioning a patient after a nephrectomy. Please help.?
How to deal with staff taking care of a loved one who has been admitted to a mental health facility?
Depends on the issue: Generally, the staff need to be dealt with respect and politeness -- these qualities usually bring more results. Is there any particular issue you'd like to address with the staff? If you want diagnosis or treatment related info, your loved one or his/her power of attorney or legal guardian will have to sign consent. The question is too broad and needs to be more specific for a specific answer. ...Read more