Doctor insights on:
Critical Care Drip Chart
Sticky issue: This is a huge question. On one hand, online records can be transmitted quickly when medically needed. This could save a life. On the other hand, this quick transmission can also allow breaches of privacy that are potentially painful, embarrassing, and invasive. Balancing these things is precarious! electronic records seems to be where we're going, so we need safeguards to do it well. ...Read moreSee 1 more doctor answer
Not necessarily. : A postoperative or post anesthesia unit specializes in care of patients who have recently emerged from anesthesia (and veryrecent surgery). An intensive care unit specializes in high level (intensive) physiologic monitoring, ventilators, and powerful vasoactive medications and sedatives that need to be closely titrated. There can be overlap in some places, but they are separate in others. ...Read more
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
Dental hygiene advice on the best proper care routine, techniques, and precautions for bulimics. It relapsesapproximately 5-7 days monthly; otherwise has a healthy diet.
Floride rinse: Bulimia is destructive to your teeth due to the high concentration of gastrointestinal acids that pass through the oral cavity. This lowers the ph of the area and causes destruction of enamel until the ph can be increased to a more neutral level. Using a Fluoride rinse like act! will help by increasing the ph at a more rapid rate than your saliva does naturally. ...Read moreSee 3 more doctor answers
It varies: Most PC programs have doctors, nurse practitioners, nurses, social workers, and a chaplain/spiritual counselor. Psychologists are included in some programs. ...Read more
Manage symptoms: Intensivists work with the obstetricians in a multidisciplinary, multispecialty collaborative practice team. Major treatment is to treat symptoms and manage preeclampsia. Specific treatment may include control of blood pressure, drugs for seizures. The only real treatment is delivery of the baby; the ICU team helps control the symptoms until the OB believes risk/benefit is in favor of delivery. ...Read moreSee 1 more doctor answer
Any recommendations for an excellent pulmonary critical care doctor for elderly person w/aspiration pneumonia in largo/clearwater fl? Not jacksonville
Go through local doc: Your family physician is the best link 2 help u find a medical specialist. In emergency situations, it is best 2 go through your local emergency room. If the patient is already in the hospital, u will have 2 options: go with the docs on staff, or get the patient transferred 2 another hospital. Aspiration pneumonia requires prompt & accurate treatment. Delays increase organ damage/death. Dr mike. ...Read moreSee 1 more doctor answer
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
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
It will benefit you: Some health workers don't like electronic records, but they benefit patients. You can get electronic copies of your records. Is a law, and your right, although they can charge for this. http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/medicalrecords.html. Electronic records also can remind doctors to do things that need to get done. ...Read moreSee 1 more doctor answer
What are the top ten phone/ipad apps (other than health tap of course!) that would benefit an elderly person taken care of by a non-medical health aide? Apps that could connect family members to stay up to date on (1) medications schedule and (2) weight/b
Try these ...: Not sure about "top 10", but I do like: Elder 411 (for caretaker role), Elder 911 (for caretaker emergencies), WebMD Mobile (RX & other info) & iPharmacy Pro (RX info), iBiomed (track medical & RX info; can share data), Pain Care (track pain episodes, & care team-doctors, therapists, family), Kindle (read novel at doctor appts, Pocket First Aid & CPR ($3.99), Balance ($0.99; Alzheimer resource) ...Read more
We hold live web chats with our Emory Healthcare doctors and care team members on a regular basis to give our community an opportunity to interact in ?
Live chats: That sounds really good. A lot of universities are implementing video conferencing. It is good for folks since they can avoid traveling. It saves time, it saves gas, and it gets people together more easily. Hopefully there will be more opportunities for everyone to benefit from this technology. ...Read moreSee 1 more doctor answer
Baby is gtube fed. Who on my medical team determines the diet and feeding schedule? Pediatrician, GI doctor or do we see a dietician/nutritionist?
Gtube feeding: If you are seeing a GI doctor, they should primarily be responsible for their feedings. However, your Pediatrician can also manage this in between your visits to the GI doctor as well. I would talk with your Pediatric GI Specialist to learn what the plan is for the feedings. ...Read moreSee 3 more doctor answers
All: Looks like you are in academic center. In the best case scenario all of the professionals you mentioned work as a team and communicate with each other. Many double check points and an opportunity to get different opinions. The neonatologist is the person with more training and (usually) experience but it is important for you to be comfortable to communicate with one or all of them! ...Read moreSee 1 more doctor answer
What constitutes interference of health care? Facility wants to evict elderly resident due to visits from friend allegedly interfering with her care.
The answer: is a LEGAL one NOT a "medical" one! 'Interfering" needs definition and more information needed to define! Forcing the RESIDENT out does NOT seem "fair"!! Hope this helps! Dr Z ...Read more
I'm interested in whole patient care strategies for early stage ms. Or what I need to get from our medical provider.?
Support...: Speak with the neurologist treating you about this; there are many strategies for this diseasewhich affects millions of people...From yoga, to stress management, to diet, to vitamin supplementation. There are also some great support groups available; so let your cyber-fingers do the surfing. ...Read moreSee 2 more doctor answers