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Doctor insights on: Einstein And Gps

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Are gps good at diagnosing?

Are gps good at diagnosing?

Of course: Gps are the first line doctors. They have to be great at diagnosing. They see everything and have to decide when & how to treat as well as when & to whom to refer to. ...Read more

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Is using a gps all the time in your car a good thing to do?

Is using a gps all the time in your car a good thing to do?

Depends: On what you think a "good thing" is. There is no evidence that it is harmful to your health to use gps. My own feeling is that if you always have a computer telling you where to go then you are not using your brain and not gaining a sense of the local geography. This is potentially hazardous when your gps fails and you are in a bad area and never learned your own way around town. ...Read more

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I have absolutely no sense of direction (traveling) all travel is via gps or repetitive routes. Is there a med cond that causes this?

I have absolutely no sense of direction (traveling) all travel is via gps or repetitive routes. Is there a med cond that causes this?

Doubtful: Some people are either born with or without it. Although I am not aware of any studies, some men seem to be more prone. This explains why we ask their wives for directions and are reluctant to ask anybody for help. Hope this helps. ...Read more

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I’m suffering from headache almost every week since 2012 I need your assistance, I went to GPs but they cannot find anything wrong with me?

I’m suffering from headache almost every week since 2012 I need your assistance, I went to GPs but they cannot find anything wrong with me?

Headaches: Various causes of headaches may have to be excluded. Is it tension headache, is it migraine, is it cluster headaches or headache secondary to something else. You may have to try see a neurologist ...Read more

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Gps notes of a fx is describe as a webr a the same fx is describe as a webr b in another it reads slightly displaced and in a later 1 undisplaced why?

Gps notes of a fx is describe as a webr a the same fx is describe as a webr b in another it reads slightly displaced and in a later 1 undisplaced why?

Fibula fracture: You might want to ask your gp that question, since they wrote the note. However, weber a is a fibula fracture below the joint line while weber b is at the joint line of the ankle. Slight displacement and undisplaced are subjective terms and different docs will use different descriptions for same fracture. ...Read more

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Can app or gps help a blind person to be active?

Can app or gps help a blind person to be active?

Possibly: Depending on the level of diminished vision, certain aids can help someone get around. Although gps can help, it requires a fair degree of good vision (to read the screen or find the landmarks the device is describing). A good resource is your local eye doctor or community vision rehabilitation center. ...Read more

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Does it matter anymore if you have bad spatial orientation, since gps is everywhere now?

Does it matter anymore if you have bad spatial orientation, since gps is everywhere now?

GPS helps: Gps gives the spatially disorientated a step by step ability to go from one point to another without having to analyze maps. As long as they just listen to the voice of the gps and not look at the MAP on the screen, they are probably better off. ...Read more

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2 gps have diagnosed puritis ani but cannot figure out a cause. Can you help me fix it? Its been a year now and I can't take it!

2 gps have diagnosed puritis ani but cannot figure out a cause. Can you help me fix it? Its been a year now and I can't take it!

Pruritis ani: For the most part, gp/fp/im/peds/gyn doctors can diagnose & treat pruritis ani. There are times the help of their dermatology or colorectal colleagues is needed. Conditions such as psoriasis, contact dermatitis, paget's disease, malignancies (eg, squamous cell cancer), etc. May sometime not be diagnosed until a biopsy is performed or specialist consulted. Psychological factors are considered. ...Read more

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Hi. I have been having a headache for two weeks now. It's only get better after drinking stilpane tablets. I have seen two gps without help. Help pls?

Hi. I have been having a headache for two weeks now. It's only get better after drinking stilpane tablets. I have seen two gps without help. Help pls?

Needs workup: You would need to have a workup; it would be helpful to know more about the quality of your headaches; pressure like a band as in a tension headache; or facial pain as in sinus headache. Is it pounding or throbbing? In any case a head ct or MRI might be indicated. And you should be careful as stilpane has Codeine and Meprobamate which can cause tolerance and addiction. ...Read more

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Is it true that GPS are not trained to deal with depression?

Is it true that GPS are not trained to deal with depression?

A bit, but not a lot: Mental health is a specialty and just as GPs are exposed to basics of other specialties and certainly can do screenings and follow-up care, the treatment of a particular specialty condition is best guided by one w/ the extra years of training + massive experience. Depression varies from very mild to very severe and is often complicated by other Dx's. GPs may not have enough time to talk about it. ...Read more

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Apart from keeping hypochondriacs and other attention seekers out of gps' offices, what good does quackery do?

Apart from keeping hypochondriacs and other attention seekers out of gps' offices, what good does quackery do?

Warmth: Some of these practitioners are self-deceived, and all offer warmth, caring, concern, attention, and time that in our dysfunctional health care system, physicians cannot offer so extensively as the charlatans do. It's what keeps them in business. ...Read more

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I'm visiting 2 GPs for a 5 month old HIV exposure. 1 say 6 month & another 1 year conclusive but no 100% gurantee even by 4th gen test. What is true?

I'm visiting 2 GPs for a 5 month old HIV exposure. 1 say 6 month & another 1 year conclusive but no 100% gurantee even by 4th gen test. What is true?

4+4 (4th gen, 4 wks): Your doctors are behind the times and don't understand HIV testing, or you misunderstood. With the standard HIV blood tests now used, to my knowledge there has never been anyone in whom it took more than a few weeks for a positive result. The 4th generation tests are conclusive any time 4 weeks or more after exposure. ...Read more

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Should gps be testing for learning disabilities in adults.?

Should gps be testing for learning disabilities in adults.?

Yes: Among many other government mandated suggestions, your general physician has been asked to screen his older patients for early signs of cognitive decline. ...Read more

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How typical is it for gps to ignore kidney function and obsess over diabetes labs?

How typical is it for gps to ignore kidney function and obsess over diabetes labs?

Microalbumin urine: With automated reporting of estimated kidney function with creatinine, it is hard for gp to ignore. However, presence of protein in urine is the earliest marker of kidney disease. This occurs before the serum creatinine increases. Every patient must get proactive, and ask the gp to test for urine microalbumin/ creatinine ratio once a year. This will identify early stages of kidney disease. ...Read more

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I have a lump on my head. Gps advised it is nothing to worry about. Not painful. Getting larger and starting to protrude and is embarrassing. I also have other fat lumps on my body and it is affecting what I wear and my confidence. What can I do?

I have a lump on my head. Gps advised it is nothing to worry about. Not painful. Getting larger and starting to protrude and is embarrassing. I also have other fat lumps on my body and it is affecting what I wear and my confidence. What can I do?

Blocked gland: A sebaceous cyst is a collection of oily fluid that occurs when an oil gland is blocked. Some folks are more prone to them than other and they often appear on the neck, shoulders, and back. This MAY be the case w/you. Please get a second opinion or tell your doc that you want them removed. Peace and good health. ...Read more

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Have seen 2 gps, referred to a neuro-didn't find anything and I'm still miserable/unable to work 4 mos. Later. Gp says he can't help. So who do I see now? Huge gap between gps and specialists! Ugh!

Migraines: Based on your question, the neurologist should have been able to give you pain or dizziness relief, even if all workup was normal. I would see that specialist for a followup visit. ...Read more

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Are there any GPs in Benoni, Gauteng that have a treadmill and an ECG machine? - at your practice.

Are there any GPs in Benoni, Gauteng that have a treadmill and an ECG machine? - at your practice.

EKG and Treadmill: I am not sure if any docs from that area on are Health Tap, so it is best for you to search for docs and then call their office and ask. Usually, most GP docs have the EKG machine, but the treadmill is used more often at the Cardiologist office. Best wishes. ...Read more

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I have some tingling feeling in the chest by my lung area. I cough very dry coughs. Have been to GPs but they say all is fine. Must I be worried?

I have some tingling feeling in the chest by my lung area. I cough very dry coughs. Have been to GPs but they say all is fine. Must I be worried?

Chest tingling cough: Have you been evaluated for asthma, as that can present with dry cough. Was a xray done to check for mass? Consider costochondritis just inflammation of the rib joint but that is usually not associated with cough, could be mycoplasma infection responds to antibiotics, could be reflux responds to prevacid /ranitidine (if not allergic), rarely cardiac (check echo) f/u/ w/ doc ...Read more

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I have a bulge in my mid-right hamstring that affects my circulation. Started when I was 19 (36 now). Chiro couldn't help and GPs ignore. Who to see?

I have a bulge in my mid-right hamstring that affects my circulation. Started when I was 19 (36 now). Chiro couldn't help and GPs ignore. Who to see?

Orthopod: Orthopedic doctor if it is in your muscle. I am not clear by how this is affecting the circulation. Is in pinching the arteries of your legs? Or is a "buldge" in your arteries? At any rate get it looked at. ...Read more

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Excessive worry n anxiety. Alwys tryng to plan how I do things by numbrs so feels right or prfct. Gps can't help and no OCD trained therapist nearby. Sux?

Excessive worry n anxiety. Alwys tryng to plan how I do things by numbrs so feels right or prfct. Gps can't help and no OCD trained therapist nearby. Sux?

Mental health center: If you are having trouble finding the help you need then consider trying to find a mental health center close to where you live to see if they can identify some resources that are more comprehensive than the care received from your general practitioner. I think you would benefit the most from a combined approach emphasizing cognitive behavioral interventions in conjunction with pharmacotherapy. ...Read more

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Can gps prescribe antibiotics for dental pain?

Can gps prescribe antibiotics for dental pain?

Yes: A doctor or dentist can perscribe you antibiotics. However, with dental pain, sometimes it is not an infection causing the problem and in this case, antibiotics will not help you. Best to see a dentist and have the problem properly diagnosed and treated. If you do, you may find no antibiotics are necessary at all. ...Read more

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Why are a lot of GPs reluctant to do any more thyroid tests than the TSH test? I've heard the TSH isn't always reliable. Why would they do it then?

Why are a lot of GPs reluctant to do any more thyroid tests than the TSH test? I've heard the TSH isn't always reliable. Why would they do it then?

Reliable: TSH is a very reliable test. If the TSH levels are within normal limits, then thyroid function is almost always normal. You may consult this site for more info on this topic: http://www. Thyroid. Org/thyroid-function-tests/
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine. ...Read more

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What do GPs usually recommend for people trying to conceive (methods that work all the time and are inexpensive). Could be treatment or anything, I'm desperate and my medical plan currently doesn't cover fertility treatments through a specialist.

What do GPs usually recommend for people trying to conceive (methods that work all the time and are inexpensive). Could be treatment or anything, I'm desperate and my medical plan currently doesn't cover fertility treatments through a specialist.

Supplements, maybe: Sadly not all medical plans will cover infertility. Assuming that you and your desired mate are both fertile, a trial of OTC carnitine or acetyl-L-carnitine would be reasonable. It helps your mate's sperm to be more mobile and have a better chance at fertilization. ...Read more