Doctor insights on:
End Life Decision
End of Life: A physician can be very helpful in assisting in the end of life discussions in many ways. Most primary care physicians have the paper work to get you started on resusitation requests. They can refer you to others for medical power of attorney issues. They can provide you with many medical details to your decision making. ...Read more
Directly, before ill: End of life decisions are extremely important in people of all ages and health conditions. The best way to approach these matters is directly - it is important to discuss these matters open and honestly with our close family members. Printing out advanced directive paperwork to discuss (and review, sign, & witness) is a good place to start this conversation. Hospitals have staff to help with ad's. ...Read more
End of Life: When people ask me the 'when' question, that usually means that it needs to be done now. Asking about these important issues when the loved one is able to express them is the most important thing that people can try to accomplish. Resuscitation issues, medical power of attorney issues, finanical decision-making are all important to discuss. ...Read more
Directly: End of life decisions are extremely important in people of all ages and health conditions. The best way to approach these matters is directly - it is important not only for you to find out what his end of life wishes are, but for you to inform him of yours. Printing out advanced directives paperwork to discuss is a good place to start for initiating this conversation. ...Read more
End of Life: As painful or difficult it is, the discussions should start as soon as you can. Sometimes adding a neutral party (however you want to define that) is important and can ease things. Even working with a trained attorney that is familiar in these issues is most helpful. Better sooner, rather than later when cognition is affected. ...Read more
65 year old plus: In clinical practice all patients 65 years old and above must have "advance directives" clarified before they present with a serious medical emergency. Pcp's offered on the first appointment or during complete physical exams. ...Read more
Directly: End of life decisions are extremely important in people of all ages and health conditions. The best way to approach these matters is directly - it is important to discuss these issues openly and honestly with close family members in order to ensure their final wishes are carried out. Printing out advanced directives paperwork to discuss is a good place to start for initiating this conversation. ...Read more
End of Life Talk: There are many ways to approach this issue. Comfortable setting for the parents. Using yourself as an example is a great way to break the ice. "you know mom and dad, I just signed these documents about what I want at the end of life. Have you done that yet? " this is just one strategy that will help for resusitation concerns. Donor concerns can also be handled in this manner. ...Read more
Anytime: Shortest answer is anytime. Do you want to be kept alive with machines when there is no hope for recovery, fed with a tube in the stomach, and who do you want to make your decisions if there come a time when you cannot? What are your hopes and goals for your older age years? These are tough decisions and should be given time to consider, so anytime is a great time. ...Read more
I'm mtf who stopped 4years hormone. My body hair grow back thicker wondering if I can get back my ball size, erections, sexdrive. I regret my decision.
An endocrdinologist: Is the type of doc to see. No matter what, love yourself just as you are. If you enjoy reading psychology and are philosophical, you might find the writings of Nathanial Branden interesting. Peace and good health. ...Read more
Nurse stopped Nimodipine 3 days after Subarachnoid hemorrhage with associated vasospasm, was the decision okay? No side effects/allergies from med
Doctor's decision: Nurse won't do it on her/his own, ask the treating team, physicians and nurses, about your case it's your right, wish you wellness ...Read more
I just had a stressecho done. Test stopped at 3 min mark. (slow walk) hr 180, BP 188/146. Was told resume norm until dr call. Should I still work out?
The data are concerning and need resolution and even medication.
The BP is at danger level in my view. ...Read more
I have been eating more firbre appox 28g a day from 10g. my stools are coming out like thick sludge and I'm finished in a minute shall I call a dr?
May be due fiber: If you increased your fiber intake rapidly, this may be the cause of the change in her bowels. You might consider decreasing the amount of fiber and then increasing it more slowly to see if this helps matters. If not, then a visit to your family doctor would be advised. If there is any evidence of blood in the stool, or black tarry stool, then I would see her doctor immediately. ...Read more
Stopped purging in 2011; now I'm relapsing and have no desire to stop. See my psychiatrist in 3 weeks. Should I call him sooner or wait? I'm scared...
Yes please call.: Some psychiatrists have slots for emergencies or can put you on a cancellation list. However, you will need to have some degree of commitment for tx to help. I hope that your plan includes some form of talking therapy. ...Read more
Had diarrhea for 2 days then totally constipated the next day. And now I have diarrhea...again. Right after I finished my Alfredo. Should I call my dr?
Depends: If it is a lot - watery, continuous then yes. The main concern with diarrhea is "water and electrolyte" loss from the body. Hence the main treatment revolves around appropriate fluid repletion. Only in few instances - you require more treatment like antibiotics. So hydrate your self, if you have high fevers, a lot of diarrhea, vomiting - then yes call your doctor ...Read more
My balls, or what doctors call gentiles have been hurting since football ended and now track has started and they still hurt. What is it?
As above: See u pcp for evaluation and work up. ...Read more
4 days ago finished 7day of amoxclav 875mg for suspected diverticulitis. Subsided some of left pelvic pain. Still hurts leaning forward. Call dr?
Pos for strep 2wks ago, finished antibiotics presc, 3 days later its back! Have 10 days clindamycin in med cab. Will it work till I call dr. Mon?
May try: Usually the right antibiotics should treat your strept in one week. I rather wait till monday to see your doctor, meanwhile drink liquids and rest. ...Read more
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
Severe what I call period pain (i don't have a period at this time) passed stools where the pain became stronger and stopped when stools had passed?
Pain: It appears your pain was due to pasing a hard stool, indicating that you may be condtipated. If this is a consistent problem you should undergo a diet change by increasing the fiber in your diet and reducing the milk and milk products in your diet. Also drinking 6-8 glasses of water would also be helpful ...Read more
32wks & 4days pregnant, started having tightness, light pressure & light cramps starting at 4pm but stopped 8pm-ish. Should I still call my doc or?
Watch: If the cramping has stopped, just watch it. Drink lots of fluids. If it starts again, call. ...Read more
Hysteroscopy biopsy 4/12 path normal endo biopsy 4/13 normal finished prometrium (micronized progesterone) 2 days ago mid cycle spotted today is this normal or call dr?
Sure likely normal: Sounds like you have been have irregular bleeding and the doctor is trying to find a source for this. With a hysteroscopic biopsy it is not likely that you are missing cancer for example. The follow up biopsy is blinded it seems from your description but is also negative. The spotting after discontinuing the Prometrium (micronized progesterone) is almost expected as a withdrawal bleed. Not concerned at this time. ...Read more
My boyfriend and I had unprotected sex. But I won't even call it sex because it didn't even last for a minute. He put it in a few times and then stopped because we didn't have a condom. But I'm worried now because instead of my period I had spotting for a
On Synthroid (thyroxine) but my throid is fine, will it mess up my period had it all last week stopped on saturday and started today? Doc never returned my call
Thyroid/menses: As long as your TSH is normal on your current dose of levity rome it should not cause menstral irregularities. ...Read more
finished a 9 day taper of prednisone and now I get a call saying doctor wants me to come in for Hba1c blood test with no explanation why?
Yday I finished taking my last dose of clomid (clomiphene). Today I have severe headache more like migraine ache. Do I need to call my doctor?
Recently had thrush from antibiotics. Took two diflucan and still taking nystatin. Thrush has somewhat cleared but I'm almost finished the nystatin. How long should I wait to see if I need another doctors visit. Should I ask them to call in more diflucan
I took bactrim (sulfamethoxazole and trimethoprim) last week (finished friday) This morning I have a red rash all over my abdomen, arms and legs. Do I need to call my dr?
35 year-old woman did ok for 3 months after lumbosacral fusion for degenerative joint and osteoarthritic disease, but ended up in chronic pain.....?
Why is suicide not a rational decision if you've lost everything that ever mattered to you in life?
Painful: I am sorry for your loss. The difficulty is that you're assuming that nothing can ever matter to you again -- and if you're still alive, chances are good that you can still (eventually) find something about life to appreciate. You may be in very intense pain now. Please get help for this, because you may find that when the crisis passes you may be relieved to be alive. ...Read more
63, and can't make a decision on what to do with the rest of my life. I'm worried about picking wrong in this economy?
Doing your best: It's common to worry about making decisions about your path in life. People don't like having regrets. While there are no guarantees in life, it helps to do your best to make informed decisions. Perhaps meeting with a counselor about this could help. You can explore your options and what we know now. Make a plan and "go confidently in the direction of your dreams.". ...Read more
Receiving or giving?: If you want to donate your eggs it's a personal decision, but it can bring great joy to another woman struggling with infertility. If you are considering conceiving with donor eggs I wish I could send you a photo of one of our successful couples! The vast majority who choose donor eggs succeed & are happy with their decision. Your clinic may have some former patients who are willing to talk to you. ...Read more
Success! I tried acting for a couple years but it was a complete waste of time and probably the worst decision of my life. I was delusional for 2 year?
I doubt you were: Delusional. You may actually be talented but you chose a profession that only so many succeed in. At least you had the courage to go for it. Consider taking an aptitude test to see where else your talents lie. Don't beat yourself up. Now, you will never had to look back on this with regret because you didn't at least try. Be well. ...Read more
Is herbal life shake good decision to reduce weight? Is there any risk of side effects...Please explain me
Not a good decision: There is no quick way to lose weight. It is a combination of determination, perseverance, proper diet, exercises and a through medical examination before launching on a program. There are no quick fixes like herbal drinks, magnets, or other drinks ; gadgets claiming unrealistic results. ...Read more
How to deal with bipolar disorder without medicines. I'm very afraid of the side effects but my doctor refused to treat me without medicines. I can't take any decision in my life.
Bipolar Disorder: The track record for non-pharmaceutical treatment of true bipolar disorder (except tms) is not good. Certainly psychotherapy has a place in this treatment, but not by itself. Mood stabilizing medications are needed to avoid mania & depression. Using these can allow you to feel more stable and able to make solid decisions in your life. Alternative treatments may help, but also not by themselves. ...Read more
No: Many high level athletes do this to achieve a greater overall training volume (for example elite runners and triathletes, nfl pre-season workouts, intercollegiate rowers preparing for spring racing season, etc). As long as you are not overtraining this is a good way to fit exercise into a busy schedule-for example you could do am cardio/aerobic workout and pm strength/cross train or yoga, etc. ...Read more
Informed decision: Informed decision = being educated about options before making a choice or giving consent. ...Read more
I am circling around the same thoughts over and over again without being able to make a decision? How can I break the cycle? Feels like doom + gloom.
Step away.: When faced with a decision you cannot make, step away. Distract yourself completely from the thought. Come back to it another time. Even on another day. Dropping it for a little while and coming back to it later often makes the answer more clear. ...Read more
Depends on location: Stents are used to treat various amounts of blockage. There are locations that develop restenosis more than others after treatment with balloons and stents. Medicated stents are designed to prevent this restenosis. In smaller vessels such as heart vessels there is a proven benefit. In larger, peripheral vessels no benefit has been shown compared to regular stents. So it depends. ...Read more
Yes: I am assuming that you mean an organ donor such as to donate a kidney. Of course, that would be a very difficult decision so that I am sure no one would find it an easy decision to make. ...Read more