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Doctor insights on: Eds Regular Exams

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Tired, extrasystole systoms and always used to practice exercises. Nowadays can't sleep early and always feel exaustive. Heart exams normal jan/12.?

Tired, extrasystole systoms and always used to practice exercises. Nowadays can't sleep early and always feel exaustive. Heart exams normal jan/12.?

See a doctor.: I hate to inconvenience you since I am a patient too, but it's time to check in with a doctor again. The possibility is that this is nothing serious, but why not find out if you now have an over or under active thyroid or some other easily treated cause of your troubles? You could be anemic. It's worth a hands on evaluation. ...Read more

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Are clinical breast exams effective screening tools in women under 40 with no first degree family history?

Are clinical breast exams effective screening tools in women under 40 with no first degree family history?

Not very good.: No, they aren't that good. Exams have a low pick up rate compared to radiological AND the clinical ones are generally done very infrequently AND the overall risk is so very low.... so.. 40-45, CBE has some advantages over radiological and the two together are best. http://www.ncbi.nlm.nih.gov/pubmed/9709288 under 40... ONE or a FEW CBE to learn self-exam techniques, otherwise not so much ...Read more

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Are CD4 counts part of a regular yearly (physical) blood work?

Are CD4 counts part of a regular yearly (physical) blood work?

No: Cd4 counts are generally only measured in people with HIV infection or with certain other immunosuppressive conditions. ...Read more

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Do family doctors include a pelvic exam/pap during physicals?

Do family doctors include a pelvic exam/pap during physicals?

Many do, some dont: Board certified family docs are trained to do pap smears and pelvic exams during their residency training. Some choose to offer that service once they get into private practice, some choose not to. The same applies to many procedures including obstetrics, office surgery etc. ...Read more

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Tremors @ age 27. Resting but a lot more when active. Teeth hands & legs. Seen 3 neuros w/normal neuro exam. Also normal MRI in feb 2013 & CT aug 2012?

Tremors @ age 27. Resting but a lot more when active. Teeth hands & legs. Seen 3 neuros w/normal neuro exam. Also normal MRI in feb 2013 & CT aug 2012?

?essential tremor?: Reassuring that you have had normal exam, but there are many reasons for intermittent tremors, and you might gain some information by checking your family history for possible heredofamilial tremors. Since the process seems worse when active, you may find it useful to take a medication on an as-needed basis to control events. Items such as xanax (alprazolam) or Primidone may be useful. ...Read more

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Why do people with "mental" disorders get an extra 2 hours on official exams?

Why do people with "mental" disorders get an extra 2 hours on official exams?

It's a weird world.: Extra time on tests started to try to help those with severe physical/cognitive disabilities. Now it's not clear who really has what, or needs what. We should give an abundance of time to everyone who wants it. We differentiate too much on who "qualifies" for what "extra". Everyone deserves the best educational approaches, including smaller classes, after-hours help, organizational training, etc. ...Read more

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Do regular obgyns do pre-natal tests or only perinatologists?

Do regular obgyns do  pre-natal tests or only perinatologists?

Prenatal care: General ob/gyns do all routine prenatal testing - OB profile lab, genetic screening, diabetes screening. Many also do ultrasound exams. For more complex evaluation and testing they may refer you to a perinatologist. ...Read more

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Why is regular physical exercise important?

Why is regular physical exercise important?

Many reasons: Our shape, size, and internal structure is designed for movement. In the past this was achieved in the normal course of life, now, in the modern era, we need to exercise to get that needed activity. The benefits of exercise are voluminous ranging from physical to emotional. Regular exercise is one of the cornerstones of health and longevity. ...Read more

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Mammogram yearly @ 65? Since 35, diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Mammogram yearly @ 65? Since 35,  diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Calcifications: Microcalcifications of the breasts are suspicious findings and usually require a minimally invasive breast biopsy. The majority of the biopsies will return a benign result but we can't assume that based on mammogram. MRI use in the US is very user dependent and should be reserved for high risk individuals or those with a proven cancer. ...Read more

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Docs stumped. Periods of dizziness, hard to focus visually, wake up panicky, arm/leg tingling. Neuro exams, blood work, MRIs, audio all normal. Ideas?

Docs stumped. Periods of dizziness, hard to focus visually, wake up panicky, arm/leg tingling. Neuro exams, blood work, MRIs, audio all normal. Ideas?

Oxygen?: I'm really stretching, but a sleep study came to mind since you mention 'wake' up' as the time frame. Apnea can be an issue. Also, the symptoms could be separate. so an eye exam could help that one alone. An oxygen meter for finger may show it low on waking - that may help Dx. Best wishes! ...Read more

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From what age kids should start getting regular dental checks etc etc ?

From what age kids should start getting regular dental checks etc etc ?

By first birthday: Infants should start seeing a pediatric dentist within 6 months of their first tooth erupting. These early visits allow parents to get an important start on preventive dental care that will yield a lifetime of good dental health. They also allow the dentist to make sure everything is healthy and to catch and treat any problems before they get a chance to become more involved. ...Read more

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What can cause difficulty focusing visually @ times, arms/legs tingling, dizzy esp in public?Neuro & ENT exams, blood wk, MRIs, nerve tests all normal

What can cause difficulty focusing visually @ times, arms/legs tingling, dizzy esp in public?Neuro & ENT exams, blood wk, MRIs, nerve tests all normal

Panic Attacks: One distinct possibility is that you are having panic attacks, particularly if the symptoms tend to occur in public places. It is thought by some doctors that the symptoms are secondary to hyperventilation, and in some can lead to full-blown agoraphobia, where public places are avoided altogether. There is plenty of good treatment out there for this condition, both medical and non-medical. ...Read more

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Pateint with anterolithiasis c7/t1 and c4-6 anterior spinal fixation, how regularly would you have to follow up with c-spine xrays? Monthly? Yearly?

Pateint with anterolithiasis c7/t1 and c4-6 anterior spinal fixation, how regularly would you have to follow up with c-spine xrays? Monthly? Yearly?

Depends: If you are not having any problems with your neck or neurological issues (numbness, tingling, weakness, balance problems, loss of hand dexterity), no x-rays are needed. If you are having issues, see your spinal specialist (the one who did the surgery), your pcp, or another spinal specialist (if you are no longer seeing the surgeson). ...Read more