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Doctor insights on: Doctor's Appointment Letter

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What to ask doc at 7th month appointment?

Here's one woman's: preview: http://www.whattoexpect.com/blogs/astudentatmamauniversity/seven-month-prenatal-visit

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First gynecolegist appointment about ovarian cyst? Gp said to expect sono. What else?

First gynecolegist appointment about ovarian cyst? Gp said to expect sono. What else?

Normal: If no u/s has been done then its doubtful that cysts are the issue. You probably have pelvic pain, and ovaries make cysts - its what they are supposed to do, they are rarely a sourc of ongoing pain. A sono is reasonable, but you should have be asked q's about your bladder and bowel function as well as the timing of your pain related to your menstrual cycle. ...Read more

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What information should my case manager share with my pcp?

All health related: The case manager is expected to share all aspects of a patient's care wit their pcp. That includes their medical, social, psychological, environmental and compliance issues. The purpose to coordinate the care so that maximum benefit is drawn. ...Read more

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My Derm. Referred me for a treatment to another Dermatologist. Called to make sure with regular Dr. about treatment & he said call the refer Dr. why

My  Derm. Referred me for a treatment to another Dermatologist. Called to make sure with regular Dr. about treatment  & he said call the refer Dr. why

He/she does not know: Maybe your "regular doc" is not aware or know about the proposed/referred treatment and so cannot answer you. Your Derm doc should have explained to you why you are being referred. Or reason could be that the referral likely will require the "regular doc"--I assume your primary care doc--to do/authorize the referral (time&resource needed) and does not want to do this...not paid. Good luck. ...Read more

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Followup appt with primary doctor for Asthma next week. Saw a Asthma specialist this week. Do I keep the follow up appt with primary?

Followup appt with primary doctor for Asthma next week. Saw a Asthma specialist this week. Do I keep the follow up appt with primary?

It depends: Your primary provider may not be aware that you recently had a specialist consultation. Hopefully your pulmonologist will be sharing his findings and plan with your primary shortly. Best to call your primary and find out if they would like you to keep this appointment, as it may or may not be necessary. ...Read more

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Must a nanny read to your child, ask questions about what she read?

Must a nanny read to your child, ask questions about what she read?

See below: I am not sure why you would not want your nanny to read to your child. Reading to and with our children is one of the best things we can do. And as far as questions, what is the harm? ...Read more

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I need to know what questions to ask my next Dr visit.

I need to know what questions to ask my next Dr visit.

Unless you have: a specific QUESTION your DR is the one who will ask questions when he/she reviews your health with a "REVIEW OF SYSTEMS" (Note in many offices now this is done with a QUESTIONNAIRE and reviewed by the Office Nurse or Physician's Assistant! Hope This helps! Dr Z ...Read more

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Why did the dr send me a letter saying lump was probably benign and set me up for 6 month visit to recheck?

Why did the dr send me a letter saying lump was probably benign and set me up for 6 month visit to recheck?

Appears non-cancer..: If a lump got tested, and the results appear non-cancerous, then it is called "benign". Doctors usually want to re-check lumps in the future to make sure the lump doesn't change, to look for new lumps, etc... If a person thinks the result was an incorrect or uncertain one, then she should schedule an appointment to talk with the doctor to verify the findings. ...Read more

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Please tell me, could a doctor bring home vaccinations to give to his family?

Please tell me, could a doctor bring home vaccinations to give to his family?

Depends on variables: Some do, especially with such vaccines as the flu. However, it is considered inappropriate unless the doc maintains a proper medical record of all such events. A record of the time, date lot number of vaccine as well as where it was given and some vital signs and or other information. Failure to keep track of such treatments can subject the doc to sanctions by their state's medical board. ...Read more

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Does the parent or guardian to make a doctors appointment?

Does the parent or guardian to make a doctors appointment?

Depends: In many states teens can seek are for std's or pregnancy from a variety of free clinics or school based clinics. For routein medical care a legal gardian, parent, grandparent or close adult relative can request care on behalf of a minor. The specifics are regulated by the states and may also depend on the protocol of the clinic. ...Read more

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Appointment at 1:45. What questions should I ask my dr. About fibromyalgia?

Appointment at 1:45. What questions should I ask my dr. About fibromyalgia?

Several: 20's female asking doctor about her fibromyalgia (FM). Topics to cover: disability placard, SS Disability, FDA approved meds, weight loss regimen if obese, aquatic physical therapy prescription, cannabis recommendation for pain & sleep, Vitamin D test, SIJ belt if chronic low back/pelvic pain, opinion if O.K. to pursue Yoga, Doppler study subclavian artery if signs of TOS, & Osteopath referral. ...Read more

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My wife's doctor wants her to see an endocrinologist. Is there something wrong?

My wife's doctor wants her to see an endocrinologist.  Is there something wrong?

Maybe: An endocrinologist treats hormonal issues. So, the doc might want to see if she in in menopause, had diabetes, etc. And then help. Peace and good health. ...Read more

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Nurse just called to set up appointment for my son. How do I tell him he might have autism spectrum disorder and needs to see doctor?

Nurse just called to set up appointment for my son. How do I tell him he might have autism spectrum disorder and needs to see doctor?

Neurodevelopmental : Neuro-developmental problems like autism spectrum are just that developmental problems and should not be thought of as pathology. We have yet to understand enough about the pathology of the brain/mind to even have a specific test for these disorders. An extremely important part of intervention is psycho-educational counseling for both the parents and child. ...Read more

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Friend has seen psychiatrist 4 MANYyears & now when doc is finished answering her phone call, doc talks at length about her own problems-what to do?

Friend has seen psychiatrist 4 MANYyears & now when doc is finished answering her phone call, doc talks at length about her own problems-what to do?

Consider New Doc: It might be wise to have a consultation with a new psychiatrist . It is possible in certain types of supportive techniques, a therapist might give examples from his or her own experience. But this situation sounds inappropriate. Seeing a new psychiatrist to discuss this situation or perhaps change therapists would seem the correct approach. ...Read more

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Is there a fee for follow visit to a doctor office?

Depends: It would depend on each individual office. At my office, there is no follow up fees but it all dependds on the practice and what the procedure was as some follow ups may be charged. Just depends on procedure. ...Read more

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PCP, what would you do?Your pt.has a gyn problem.You offer to examine & treat it but she insists on a referral to a gyn covered by her HMO.

PCP, what would you do?Your pt.has a gyn problem.You offer to examine & treat it but she insists on a referral to a gyn covered by her HMO.

First do no harm.: The patient is in charge of their decisions at all times assuming they are not a minor and that they are competent for medical decision making. It is not your obligation to talk the patient out of specialty referral. Many patients make poor decisions about their health and as a doctor we can only serve as a guide. If they choose to reject your offer to evaluate and treat, that is their right. ...Read more

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Is everything you tell your doctor kept confidential?

Is everything you tell your doctor kept confidential?

Not necessarily: I am a psychiatrist. I have to tell folks that I can not keep child abuse or plans to kill another person confidential. ...Read more