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Doctor insights on: Erbs Point

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Right-sided aortic area murmur that increases when standing? Heard at lower intensity at erb's point. No apical murmur. What is it?

Right-sided aortic area murmur that increases when standing? Heard at lower intensity at erb's point. No apical murmur. What is it?

What is it?: Surely your local doctor, either local or specialist, has spent a lot of time to first assess the problem and second, to quickly schedule some lab data and imaging studies. If that is not going on you must seek better advice. Please keep me posted. ...Read more

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How does a point of service plan work?

How does a point of service plan work?

POS network: You see in network docs only for care., kind of like an hmo. Make sure your doc participates. It is often hard to get in to see a new physician. Docs participate to take care of their own patients as the payment is very low, often medicare rates or lower. ...Read more

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At what point does moderation turn into excess?

At what point does moderation turn into excess?

Excess: Often when a behavior becomes excessive it is because it is being used as means to cope or avoid situations and people a person feels threatened by or does not have the faith to deal with. This then becomes a habit, like excessive drinking or eating that takes you away from the conflicts in your life temporarily. My best. ...Read more

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Is temperature of ninety seven point two normal?

Is temperature of ninety seven point two normal?

Yes: There is no normal temp for everyone. 98.6 is the average of most of the healthy people on earth. So some normally run 97, some 99. ...Read more

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Is there a point to washing your body twice a day?

Is there a point to washing your body twice a day?

Cleanliness is...: ...Closer to godliness? It really depends--if you have a rough/sweaty/dirty job, then it may be necessary. If does not interfere with your social life, or alter your skin (dry it out / make it greasy, etc.), then should be ok. ...Read more

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Can you tell me is 5km a good start point for cycling?

Can you tell me is 5km a good start point for cycling?

Sure: Why not? Starting is the key. Take it slow and easy, and enjoy the ride. ALWAYS wear the helmet, properly secured. Be aware of your surroundings, and others on foot, cycles and boards. Have fun. Good Luck. ...Read more

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What should I do - I'm felling at low point of my life?

What should I do - I'm felling at low point of my life?

Expand options: Take inventory and ask yourself, "am I overwhelmed by too much" or "am I stuck and stagnent"? If you are overwhelmed by too much going on in your life, consider cutting back and making life more manageable. If you feel stuck, consider making a change in your life so you begin a new adventure or stimulate yourself in a healthy way. ...Read more

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I'm coughing to the point where im gagging what should I do?

I'm coughing to the point where im gagging what should I do?

Seek care: Cough is a normal reflex to clear the lower airway. However, if cough continues beyond 6-8 weeks or is associated with other symptoms, an uation is necessary. Gagging or vomiting after severe coughing can be seen in asthma and whooping cough (pertussis). Stomach acid reflux can trigger coughing and have associated gagging. A cough specialist such as a pulmonologist or allergist can help. ...Read more

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Is there a point at which additional exercise doesn't help any more?

Is there a point at which additional exercise doesn't help any more?

Many benefits: You get continued benefits from exercise, metabolic changes, calorie expenditure, improved mental health from any and all exercise. Most of these benefits can be accrued with less than an hour of moderate intensity exercise/ day. Some can be gained with less like an hour or two a week. There are still some benefits such as increased fitness and weight control with more than an hour a day. ...Read more

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Is it possible there is a point where bullying no longer affects you?

Is it possible there is a point where bullying no longer affects you?

Yes: But you need to make the decision that you are not going to let it affect you. It is no different than living through and getting past other psychological traumas such as child abuse, child sexual abuse/rape, battered wife, etc. You may need a professional to assist you in this quest if it is still a problem and you are in your early 30's. Time to take hold of your own life and let the bullies go! ...Read more

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At what point should b/p be considered an emergency? Mine is 209/111

At what point should b/p be considered an emergency? Mine is 209/111

BP plus symptoms.: BP becomes an emergency when it is accompanied by signs or symptoms of ongoing end organ damage such as stroke / heart attack / active kidney damage / etc. The kidney damage issue not always easy to tell. BP elevation needs to be considered in context - what is your baseline, why do we believe it is elevated, what meds have or have you not bee taking, etc. You should discuss with your doc. ...Read more

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I'm at a reallylow point in my life. Help. How do I get out of this pit?

I'm at a reallylow point in my life. Help. How do I get out of this pit?

Seek help: Depression is real and can be treated by your physician. Go ask for help and get support from your family and friends. ...Read more

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Isn't there a point where having too many colposcopies is just too many in a year?

Isn't there a point where having too many colposcopies is just too many in a year?

Probably yes: But how many is too many depends on what problems you are having. If you just had a complicated cancer surgery, you could have had a couple before surgery and another after surgery when you have healed well. If you have bleeding from abnormal blood vessels, they might need to look again. If you have scores of polyps they might need to scope a couple times to get all. Best to ask dr. Why again? ...Read more

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Can someone's body get used to medication to the point where it stops helping them?

Can someone's body get used to medication to the point where it stops helping them?

Antibiotic Resistant: Dr Giannone discussed tolerance and tachyphylaxis, BUT also consider antibiotic resistance as another phenomenon in which the body "gets used to medication" The scenario commonly seen today is the use of antibiotics haphazardly for viral upper respiratory infections. Antibiotics should be used for bacterial infections and saved for clinical scenarios that fit. ...Read more

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