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Doctor insights on: Conflicted With A Decision Who Can Tell When To Pull The Plug

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Conflicted with a decision? Who can tell when to pull the plug?

Conflicted with a decision? Who can tell when to pull the plug?

You don't: If you refer to a fistula plug you don't it is a biodisintegrated product. ...Read more

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What happens if a patient is in a state of comatose (unresponsive) can their family tell the doctors to pull the plug and let them die?

What happens if a patient is in a state of comatose (unresponsive) can their family tell the doctors to pull the plug and let them die?

Yes and No: There are laws and protocols that must be followed. Depending on the reason for coma, the prognosis may be poor, and likely, this is your concern? I'm sorry if you are in this situation. It is not inappropriate to withdrawal care and place the patient on comfort measure, but again, their are laws and protocols that dictate who makes that decision. ...Read more

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I'm getting breast implants in a couple of weeks, can anyone tell me the steps they put you through when you go to the office?

I'm getting breast implants in a couple of weeks, can anyone tell me the steps they put you through when you go to the office?

Depends: Each plastic surgeon has a different approach. It usually starts with a full evaluation, pictures and given information. Sometimes you get to talk with an assistant first and sometimes just the doctor. ...Read more

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How do I go about finding and selecting a psychologist? Will my records be shared with my employer under the open access + plans when i file a claim?

How do I go about finding and selecting a psychologist? Will my records be shared with my employer under the open access + plans when i file a claim?

Word of mouth: Word of mouth is often the best way. You must know someone seeking psychiatric or psychological help. If you file a worker's comp claim in the state of wi your employer is entitled access to your records. Rules vary from state to state. You can call your state medical, psychiatric, or psycholigcal society to find out. Also, www.Psychologytoday.Com has a listing of doctors for this in your area. ...Read more

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Can you tell me about suggestions how to numb the back of a man's head so that an elipator will work to remove hair?

Can you tell me about suggestions how to numb the back of a man's head so that an elipator will work to remove hair?

ENT doc: I have provided a long acting local anesthetic injecttion for a few patients for purpose of epilation. Contact a local ENT doc and ask about this. Alternatively, there are a few good topical skin penetrating local anesthetics that can be applied. Not as effective but probably sufficient. you also need an MD to prescribe this agen. ...Read more

Dr. John Fung Dr. Fung
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Can you survive after being put on life support? I am doing a persuasive speech on euthanasia and i wanted to know how often it is that the situation comes up. I want to know if when your put on life support with a failing body system, is there a chance y

Dr. John Fung Dr. Fung
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Can you survive after being put on life support? I am doing a persuasive speech on euthanasia and i wanted to know how often it is that the situation comes up. I want to know if when your put on life support with a failing body system, is there a chance y

The : The concept of life support is to provide assistance or replacement of a bodily function, generally categorized as: ventilator support for respiratory failure, medications or pump for heart failure, dialysis for kidney failure. Some consider intravenous nutrition life support also. In some cases, the acute insult that leads a patient to needing life support is removed and the body heals, thus that life support is no longer needed. In some cases, the body was already weakened, or the insult is not reversible, so that life support is continued. Intensive care units utilize life support to differentiate their role in the hospital compared to the regular nursing floors. The decision to remove life support, depends on the prognosis of the initial insult, the overall condition, including age, quality of life and other medical conditions, and most importantly, the wishes of the patient and secondarily the family when the patient cannot make an informed decision. Withdrawal of life support can be considered when it is clear that the patient will not recover to a meaningful quality of life. Although euthanasia is considered different than life support withdrawal, in that both acts hasten death, in the case of life support withdrawal, we are simply taking away a crutch that keeps the patient alive allowing the normal disease process to lead to death to occur. In the case of euthanasia, there is active participation of health care providers to provide medications that engage another process of death. ...Read more

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Can i tell me how i can release built up anger for not retaliating or standing up to a bully in the past?

Can i tell me how i can release built up anger for not retaliating or standing up to a bully in the past?

Psychotherapy: Find a reputable psychotherapist to talk about the impact you feel year after being bullied. Feelings of impotence, rage, and shame will most likely come to the surface in a non-judgmental and safe environment. Talk to someone. Keeping it inside only aggravates the emotional problems you describe. ...Read more

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What's the best way to cope with someone who feels that they have to talk constantly?

Ask questions: Ask questions about what they are saying. You can direct the conversation in any way you want that way. ...Read more

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What can a person to help themselves with the disease of pulling hair out? Had since I was little. No dr refuse to be labelled by physiatrist

What can a person to help themselves with the disease of pulling hair out? Had since I was little. No dr refuse to be labelled by physiatrist

There's help: Trichotillomania or hair pulling disorder can be managed by your PCP in consultation with a psychologist or mental health provider. A comprehensive approach including psychotherapy or habit reverse training and medications based on risk factors. ...Read more

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If smoking in a car with a child in the front next to you can you makd them ill and a risk of them dying?

If smoking in a car with a child in the front next to you can you makd them ill and a risk of them dying?

Yes and No: Smoking in a car, next to a child, can make a child ill in several ways: eye irritant/allergic symptoms, nose irritant/allergic symptoms, ear infections, middle ear fluid (temporarily dulls hearing), throat irritation/pain, lung asthma (decreases exercise abilities and prolongs colds and flus), etc... The risk of the child dying from second hand smoke is small, but why take any risk at all? ...Read more

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Can you tell me about tricuspid atresia and having child with a successful turn out?

Can you tell me about tricuspid atresia and having child with a successful turn out?

Outcome of TA: TA is an uncommon, congenital heart defect usually diagnosed before birth. After birth infants usually require urgent medical intervention (IV medication) and surgery soon after. The long term management includes at least 2 additional operations (Fontan procedure).Children with successful Fontan may have good(but not normal) quality of life ...Read more

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Do any one knows where I can find 30-40 compassion pantyhose that is thin material can you work out with them on?

Do any one knows where I can find 30-40 compassion pantyhose that is thin material can you work out with them on?

Compression?: Assuming you mean compression hosiery, then most durable medical equipment pharmacies have them and the other ones can order them with a Rx form your Doctor. If your Dr. recommends for you to work out with them on, than go for it. Best wishes. ...Read more

Dr. Ionel Rad Dr. Rad
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Can you tell me the risks involved with a 4 year old circumcision and does the child need to be sedated?

Dr. Ionel Rad Dr. Rad
2 doctors agreed:
Can you tell me the risks involved with a 4 year old circumcision and does the child need to be sedated?

Likely: Circumcision is a painful procedure that is likely to require deep sedation or general anesthesia in both small kids or adults. However, you need to discuss the risks/benefits/alternatives with your surgeon/ md who will perform the surgery. ...Read more

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What is the best way to get fibroids removed? Heard someone had her removed through surgery and ended up with a scar that led to infertility.

What is the best way to get fibroids removed? Heard someone had her removed through surgery and ended up with a scar that led to infertility.

Avoid surgery: In general, if you are trying to conceive it is best to avoid surgery for fibroids unless they are submucous (located inside the uterine cavity) or extremely large. A myomectomy carries a high risk for pelvic adhesions which can cause infertility. Get more than one opinion and make sure that at least one opinion is from a reputable reproductive endocrinologist before you consider surgery. ...Read more

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Can you tell me what to expect with someone who has got their first mammogram in their 50's?

Can you tell me what to expect with someone who has got their first mammogram in their 50's?

Multiple positions: If this is your first time for a mammogram be aware that your mammographer likely has a lot of experience with the technique. Let them know that this is new for you. Aside from having to forego some modesty during the exam, the technique usually involves more than one position. Also, if you have breast implants this will be an important fact to share with the mammograher. ...Read more

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My emotion wellbeing team wants to put me on more specific medication, do I have the rights to refuse it or will I end up being hospitalised again?

Trust & relationship: Different states have different age cutoffs for your decision making authority. The more important question seems to be about the relationship between you and your "emotion wellbeing team." I'd encourage you to try to understand their concerns and reasons for the medication changes. ...Read more