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Doctor insights on: Dr Chad Mc Donald

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On the Updated version(CHA2DS2-VASc) of previous Chads Vasc 2. Is Vascular Disease the same as Mital Valve Valvular Disease,is it included in score?

On the Updated version(CHA2DS2-VASc) of previous Chads Vasc 2.
Is Vascular Disease the same as Mital
Valve Valvular Disease,is it included
in score?

NO. Vascular: Disease refers to atherosclerotic disease. This is not the same as valvular heart disease. Mitral valvular disease is NOT part of the CHA2DS2-VASc scoring system. Neither is COPD which you appear to have. If you are identified as having Afib (awaiting your monitor) your score is zero but current recommendations and ease of usage would argue for preventative anticoagulation. Discuss with your MD. ...Read more

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Have a fib. 1 on chads based on bp. Taking diltiazem 120 mg bid. Off warfarin and now on 325 aspirin. Bp taken tid and still varies greatly bp?

Have a fib. 1 on chads based on bp.  Taking diltiazem 120 mg bid.  Off warfarin and now on 325 aspirin.  Bp taken tid and still varies greatly bp?

Manual: Since strength of pulse varies from beat to beat in atrial fibrillation, it would be best to check BP manually. You might get less variation in readings that way. Some variation on repeated daily readings is normal though. ...Read more

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I like to use an ambu bag for range of motion for my asthma I see kids on you tube do it and I want to do it to strenthing my lungs. Thanks you chad.

I like to use an ambu bag for range of motion for my asthma I see kids on you tube do it and I want to do it to strenthing my lungs. Thanks you chad.

Won't do any good: In asthma, the major issue is obstruction of the airways bringing air to your lungs. An ambu bag won't do anything for you- you need to control the obstruction. ...Read more

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My father s doctor put him on Apixaban 2.5 mg instead ofasa&plavixfor paroxysmal Afib his Chad score is 2,s,cr1.7 should he start it cuz Heafraid S/E?

My father s doctor put him on Apixaban 2.5 mg instead ofasa&plavixfor paroxysmal Afib his Chad score is 2,s,cr1.7 should he start it cuz Heafraid S/E?

Current: Recommendations are for full anticoagulation if CHADS=2 or higher. ASA and Plavix are not sufficient for thromboembolic risk reduction. 2.5mg of Apixaban is not appropriate unless one additional item besides Cr 1.7 is present. (age>80 or Wt <60Kg) otherwise the correct dose is 5mg TWICE daily. Benefit is superior reduction in both thromboembolic risk and bleeding risk compared to coumadin (warfarin). ...Read more

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Hyperbaric chamber and allergy asthma I have a clinic in vt that dose mild hbot what can happen of I scuba dive or use the chamber thanks chad?

Hyperbaric chamber and allergy asthma I have a clinic in vt that dose mild hbot what can happen of I scuba dive or use the chamber thanks chad?

I am not sure: Exactly what you are asking and what you mean by "mild hbot". There is formal hyperbaric medicine with physicians meeting the undersea and hyperbaric medicine society minimum certifications and there are charlatans promoting hyperbarics without cetification.
Scuba diving and hyperbarics should not be taken lightly as they both place you in an un-natural environment and require proper environment. ...Read more

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Is aspirin&plavix enough blood thinners to prevent stroke if Chad score (2),if no then what is the safest NOAC to avoid S/E for paroxysmal Afib ?

Is aspirin&plavix enough blood thinners to prevent stroke if Chad score (2),if no then what is the safest NOAC to avoid S/E for paroxysmal Afib

?

Anticoagulation : Anticoagulation is recommended for patients with atrial fibrillation and CHADS2 score of 2 or higher for stroke prevention. Aspirin and Plavix (clopidogrel) do not offer the same protection. NOACs have not been compared head to determine which one is the safest. Any one of them would be a good choice. ...Read more

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Hallo I am so seek Dr?

Sign up for Concierg: Sign up for the concierge serve at Health Tap and they have hundreds of doctors to guide you. ...Read more

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Dr what are motor problm?

Dr what are motor problm?

Muscle problems: Motor. Problems usually mean muscle problems, or that part of the brain that controls muscle. ...Read more

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Hello dr i have a question?

Please ask it: You need to ask it and provide as much information as you can about the concern and yourself. ...Read more

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Hi dr. Need to rise my wight?

Hi dr. Need to rise my wight?

See below: In order to increase your weight you must eat or drink more calories daily than you burn up. But you don't want just more fat on the body so it's important to build muscle as well. In order to do this you increase the amount of food you eat daily. Follow a mediterranean type diet and start a strength training muscle building program. For information on diet go to http://bit.ly/1FMQO4d ...Read more

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Is McDonald's unhealthy for me?

Is McDonald's unhealthy for me?

Yes Yes Yes!!!: Fast food is unhealthy for everyone. Most McDonald's food is fried in GMO oils, the meats are from animals fed GMO corn/hormones/antibiotics and/or loaded with sugar/toxic chemicals (as hazardous high-fructose corn syrup), even the salads have unhealthy fats. There are no healthy choices:
http://www.endalldisease.com/mcdonalds-fast-food-toxic-ingredients-include-putty-and-cosmetic-petrochemicals/ ...Read more

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What dr. Do you see for crepitus?

What dr. Do you see for crepitus?

Crepitus: Crepitus is a sound, not a diagnosis. This sound description can apply to noises from the joints, tendons, skin, lungs, etc. Hence, it depends on where the crepitus originates. If unsure, start with your primary care provider. ...Read more

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Hello dr I have some?? To ask you

You need a formal: Consult with one of us for several questions. If you have just one simple question though, you can try asking it specifically. ...Read more

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How can a dr test your microbiome?

How can a dr test your microbiome?

Not yet: Your microbiome is huge and scientists have not yet determined what is normal or abnormal. Scientists use culture swabs from all over the body, body fluid cultures, stool cultures, and DNA amplification tests to try to determine what a normal microbiome is. ...Read more

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Phone number for dr. Joel l. Adams?

Search internet: Physicians really can't hide from the public. Most state boards of medicine make our information available (online) to the public. Many online sites collect information on us & republish for you to compare & access. This site (as do most) also gives you access to our practice information including both address & phone. ...Read more

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What opinions do you have on dr. Oz?

Entertainer: Rather than a scrupulous practitioner / promoter of evidence-based medicine, as your personal physician must be. I do not believe that he gives himself out to be anything else. ...Read more

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How high would my BP be to go see a dr?

If unsure: I would go if the top number was consitantly over 140 and the bottom number over 85 ...Read more

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Hi dr I fell. Not cood with my health?

Hi dr I fell. Not cood with my health?

Why?: I do not know how old you are.age is important for health question like this.
Advise for a 20 years old, will not be the same as the advise for a 40,0r 60 years old.
Eat healthy, eat more vegetables and fruits, exercise every day, even by simple walking.
If you are above 40 years old make sure your doctor check your cholesterol, and your sugar, your prostate, and your thyroid function.
Bilsalamah ...Read more

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Dr how are you.I ask u some question?

Ask: Yes, you may ask a question. Please submit your question and we will try to answer it. ...Read more