Doctor insights on:
Family Member With Mrsa
Wow: Not enough space to answer fully but in a nutshell: be available and supportive but not smothering. Respect the dignity and decisions of your family member (assuming he/she is competent) even if you don't agree. Keep petty family arguments and infighting out of the picture. Go with him/her to the oncology visits if you can. Just be your honest self. ...Read more
An elderly hospitalized family member tested positive for vre. Should other family members who visit get tested or worry about getting infected?
No: Worry serves no purpose and can only detract from your enjoyment and meaning spending time with your family member. Many of us harbor resistant bugs but they are themselves no more aggressive than the ones in our mouths, only more troublesome to treat should they get a foothold, which in healthy younger folks is unlikely. Wash you hands like you ordinarily would and cherish the time with others. ...Read more
Complex: Although behavioral issues may be similar to alzheimer's, here meds are a bit more involved. Need antiplatelet drug to prevent more strokes, and clopidogrel or Aggrenox may be useful. The best tested drugs for this kind of dementia are donepezil and galantamine (galantamine hydrobromide). ...Read moreSee 1 more doctor answer
Set Clear Boundaries: Set clear boundaries and stick to them. Sometimes these have to be severe, e.g. Not allowing the person in your home. Remember that the usual controls of behavior, like conscience, maybe largely absent and that talking a good line is likely to have little to do with reality so that one has to impose boundaries based on behavior. ...Read moreSee 1 more doctor answer
Challenging: Alzheimer's can affect memory and organizational skills, but can also affect behaviour. Therefore, be aware that inappropriate reactions are due to the disease and not the intrinsic prior character. Most pts require a diligent caregiver most of the day. Best to keep home events on a constant schedule, and avoid any changes which might confuse the member. More info available from the alz assoc. ...Read more
It is uncommon: For hospitals to restrict cell phone use anymore. There used to be concerns about emi ( electrical interference) but this proved not to be true. We actually give(loan) our patients families cell phones to carry so we can contact them if we need to. ...Read moreSee 1 more doctor answer
STAPH INFECTION: Yes it can be if it is an open wound. ...Read more
Realistic support: Persons with emotional disorders need support. However, they also need to have mirrors so that they can see what others see. Part of emotional disorders is the inability to truly see oneself. ...Read more
Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?
Grandparents too!: When considering close family history, i also want to include grandparents. Although uncles, aunts, cousins may not be as important, include their information if you have it. ...Read more
Is there a standard set of genetics tests for a person who has 2-3 close family members with cancer?
Genetic counselling: You will need to have a genetic counselling. They will be able to tell you your risk for possible genetic abnormality/syndrome and what tests you would need to have. There is no a standard set of genetics tests -all will depend on your family history of cancer. ...Read moreSee 1 more doctor answer
If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?
Yes: Ovarian cancer, especially pre-menopausal ovarian cancer is a rare disease and i recommend family members of such patients atleast have a genetics consultation to talk about testing. Brca-1 and brca-2 mutations put women at a much higher risk of developing ovarian, breast and endometrial cancers. More common in jewish women. Hnpcc (lynch syndrome) also increases the risks of female cancers. ...Read moreSee 1 more doctor answer
Thanks for asking!: A spouse with alzheimer's disease should be able to attend the funeral of his or her spouse, unless there is concern for the safety of the living spouse or others due to extremely agitated, combative behavior. Other relatives & loved ones can help the surviving spouse feel supported & comfortable w/ the surroundings. ...Read moreSee 1 more doctor answer
Very gently: People who truly have narcissistic personality disorder are exquisitely sensitive to criticism or perceived slights. These can result in verbal attack or sometimes a complete cutting off -- both painful for you. Depending on my relationship with this family member, i would tread carefully, protect my own boundaries, and do extreme self-care after being with them. Might even get help myself. ...Read more
Information, calm: I suggest keeping calm, and not allowing yourself to be overcome with emotion. Make sure you are giving your family member accurate information. Be clear that it is impossible to predict the future with certainty, despite our medical technology. Many treatments are available. It is also important to address the patient's spiritual needs in a time like this through prayer and meditation. ...Read more
Understanding: Most importantly is to help your family member by understanding them and their condition first. They need your support and empathy most of all because this can be very disabling and embarrassing for them. Also see if they are seeing a doctor and/or psychiatrist on regular basis to treat this disorder effectively. They may need your help getting to appointments and getting meds as well. ...Read more
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