Doctor insights on:
Adult ADHD: Diagnosing ADHD in adults for the first time requires a careful history and evaluation to document onset in childhood. If childhood onset not clear, other causes for symptoms must be ruled out. Neuropsychologcal testing may be useful to clarify cognitive issues. Medications may be stimulants or non-stimulants. In addition, behavioral and coping strategies are often effective. I hope this helps. ...Read moreSee 3 more doctor answers
Breastfeeding: I think if i had only one class to go to i would pick a breastfeeding class. We don't spend enough time talking about the importance of breastfeeding. Learn as much about it as possible. If there are family members who do not know about it or who may not be supportive, they should go to the class with you. ...Read moreSee 1 more doctor answer
Optimal management : of ADHD = stimulant &/or non-stimulant medications, behavior therapy, parent behavior management training, & environmental modifications at home & school, including " Section 504" classroom modifications. If multimodal treatment is not effective, a Developmental/Behavioral Pediatrician or Child Psychiatrist can evaluate for comorbid neurodevelopmental or psychiatric disorders vs. misdiagnosis. ...Read more
Not definitely known: Mild to moderate scoliosis if flexible can sometimes lend itself to some chiropractic manipulation and management of pain if present.Virtually no formal research exists documenting chiropractic's effectiveness in managing scoliosis. Some studies currently being conducted. Most treatment is done with bracing or surgery with spinal fusion. ...Read moreSee 1 more doctor answer
The Goal: The purpose of palliative care and pain management is to support a person with a life-threatening disease and allow them to make the most of whatever time they have left. The purpose of euthanasia is to assist them in ending their life so they don't need to experience (or fear) the pain and disability that can happen at the end of natural life. ...Read moreSee 2 more doctor answers
Depends: For many children Applied Behavioral Analysis ( ABA) can be very useful in helping them develop better ways of dealing with anger as well as many other unwanted behaviors. The more classical type of therapy that might be used with a neurotypical patient with anger issues is not as likely to be effective. ABA therapists have a very specific type of training that other therapists do not have. ...Read more
Pain management doctors- what type of interventional treatment do offer to patients with sympathetically maintained pain?
Interventions: Typically, injections such as lumbar sympathetic or stellate ganglion blocks can be used in conjunction with physical therapy and non opioid nerve pain medication. Also, spinal cord stimulation has been used effectively to reduce symptoms if other interventions fail. ...Read moreSee 1 more doctor answer
Yes and no: For tension headaches or those starting in the neck can see some benefit from chiro manipulation. Be careful of what is promised. Get an eval and some treatment but have reasonable expectations. You should not have to be sold on a treatment. Especially decompression machines. ...Read moreSee 1 more doctor answer
Would having details of an expectant mother's nutrition intake yield more accurate diagnoses/recommendations?
Pain Management: Your doc or your local medical association can refer you to a pain management specialist. They do lots of good work but please do not forget behavioral approaches such as clinical hypnosis (see www.asch.net), biofeedback, massage therapy, talk therapy, etc. Peace and good health. ...Read more
Yes: As a patient, you have the right to refuse any treatment as long as you are fully aware of the consequences, oriented, and alert. If you have an active psychiatric disorder like psychosis or conditions like dementia or delirium, an evaluation needs to be done to determine your ability to make decisions. The court may even get involved depending on the situation. ...Read more
PT for epilepsy: Most people with epilepsy will not need PT. Sometimes injuries occur during a seizure, such as shoulder dislocations, which PT would help. Perhaps learning what to do for someone who has a seizure would be a good lesson. http://www.nhs.uk/Livewell/Epilepsy/Pages/Ifyouseeaseizure.aspx Some people with epilepsy may have trouble walking, PT would be suitable for them. ...Read more
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
Pain team: The best pain groups will comprehensively address the history of your chronic pain condition, review diagnostic tests and or order new ones, perform a detailed pertinent physical examination, then design an individualized treatment plan which can include injections, braces, creams, medications, physical therapy and more options. This may also include acupuncture, massage, pain psychology and rehab. ...Read moreSee 2 more doctor answers
Are most primary care physicians willing to help manage chronic pain meds-schedule III 4 established/responsible patient or is that typically referred?
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