Doctor insights on:
Do Doctors Reuse Pacemakers
A pacemaker is a device which sends electrical signals to the heart triggering heartbeats when needed. There are many ways to implant and configure a pacemaker; it may beat the top chambers (atria), lower chambers (ventricles) or both. Some systems stimulate both the left and right ventricles together. Pacemakers generally treat abnormally slow heart rhythms and certain ...Read more
Carefully!: Most commonly one, two, or three insulated wires are placed through the left or right subclavian vein (runs under the clavicle) using a large bore needle and plastic tubes (sheaths), and then a pocket is created in the area about a half inch below the clavicle where the wires will be connected to the generator and the generator is placed in the pocket and closed. ...Read moreSee 2 more doctor answers
It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read moreSee 1 more doctor answer
Electronic Stethos: They are used in the same manner as regular stethoscopes. Electronic stethoscopes, besides being used as a traditional stethoscope, may include wifi technology and interacts with it own app. The doctor can download it easily on his Smartphone and Tablet. It may amplify the cardiac/respiratory sound, may apply filters to select the cardiac or pulmonary noise, record and display sounds, etc. ...Read more
Carmat: With artificial hearts what do you mean exactly? Artificial can be mechanical assist devices if that is what you mean. LIke the HeartMate II. Other technology go for a bioartificial heart like the Carmat -http://www.wsj.com/articles/carmat-implants-artificial-heart-in-a-second-patient-1410176132 ...Read more
That depends on: the context. If we notice red flags within the workplace that suggest that one of our colleagues suffers from a significant impairment - many medical providers would consider it an ethical obligation to address the situation or report it. My response is from the perspective of being a coworker (not being the medical provider to an impaired physician). ...Read moreSee 1 more doctor answer
They should be: Counters and beds in doctors offices should always be disinfected between rooming patients. If that is not something that is happening you can express the need for that to your doctor/nurse. ...Read more
Oh yes: Defibrillators are extraordinarily effective devices for the treatment of what would otherwise be fatal lower chamber heart rhythms. That said, they must be used in an extremely timely fashion or their benefits will not prevent irreversible damage from the lack of blood flow seen in these dangerous rhythms. ...Read moreSee 1 more doctor answer
Hi risk/low benefit: There's no real such thing as a "routine chest xray". Any radiologic imaging study should be done to answer a specific question. Most physicians don't order xrays (or ct scans or ultrasounds, etc) "just because", anymore. Risk of radiation is too great, especially as we are living much longer these days. ...Read more
Fibrillation : Some patients who suffer a heart attack develop deadly heart rhythms called ventricular tachycardia or fibrillation. The heart does not contract properly under these conditions and without external defibrillation to shock the heart back into normal the patient would die. ...Read moreSee 1 more doctor answer
No: Doctors (and presumably also nurse practitioners) need to have a license to practice. Malpractice liability insurance is purchased by doctors unless the insurance is too expensive, which has actually happened in some states, creating a malpractice insurance crisis . . . Meaning that the amount a doctor earns from providing patient care is not enough to pay malpractice insurance premiums. ...Read more
Yes: Heavy metal toxicity is real. It is not an issue of belief. Metals such as lead, mercury, silver, uranium have been associated with illnesses. Consult this site that is devoted to modern doctors and provides information about metal toxicity. http://www.webmd.com/a-to-z-guides/heavy-metal-poisoning ...Read more
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