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Doctor insights on: Hand Injuries And Disorders Primary Care Services

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From who should we seek care and treatment options for primary CNS lymphoma (in addition to neurosurgeon)?

From who should we seek care and treatment options for primary CNS lymphoma (in addition to neurosurgeon)?

Oncologist: A medical oncologist and radiation oncologist should be part of the team that can help with your care. If you already have a diagnosis of primary CNS lymphoma (presumably from a biopsy), then you need to investigate what chemotherapeutic agents and radiation regimens are available. This may differ depending on the subtype of the lymphoma. ...Read more

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Dr. Neigatha Graney
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Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


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Where can I find a standard of care for emergency room physicians regarding hand injuries with no PMS or neuro sensation?

Where can I find a standard of care for emergency room physicians regarding hand injuries with no PMS or neuro sensation?

Start with: 1. Emergency and primary care of the hand. Available thru acep. 2. Standards of care in emergency medicine by wigder (2010) - $$$ 3. Emtala (cobra). 4. Acep emergency medicine training, competency and professional practice principles (2012). ...Read more

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How many cardiologists handle internal med or primary care concerns for their patients?

Not many: Not usually. In most instances where you can a cardiologist you can find extremely good primary care physicians. While one stop health shopping sounds convenient it is often not in the patients best interest long term especially if that place is a specialists office. ...Read more

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What health care professionals are part of a cardiac rehab team?

What health care professionals are part of a cardiac rehab team?

MDs, RNs, etc: Cardiac rehab, when done right, involves physicians to set goals and monitor vital signs during activity, physical therapists to oversee exercise, and various providers to counsel on diet, smoking cessation, etc. These latter can include social workers, nutritionists, psychologists/psychiatrists, etc. ...Read more

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Could psychiatrists have the basic training and expertise to perform medical emergency care?

Could psychiatrists have the basic training and expertise to perform medical emergency care?

Some do: Psychiatrists are physicians. I practiced undersea medicine before psychiatry & taught combat medicine. For quite a while I continued to practice both psychiatry as well as more primary care. Alas, I am now quite rusty. This is variable. ...Read more

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What is the education needed for trauma physician, trauma nurse, and trauma surgeon?

What is the education needed for trauma physician, trauma nurse, and trauma surgeon?

Many Years (!): Hi Sam64; I'm a trauma surgeon. Here's our training: College = 4 years Medical school = 4 years Residency = 5-7 years Fellowship = 1-2 years In medical school (and through residency) we take a series of 3 tests for licensing called the USMLE in addition to medical school tests. In residency we take a test each year. Then, we take a board certification exam that is part written and part oral. ...Read more

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How do primary care providers involve support groups when planning for patient's care?

How do primary care providers involve support groups when planning for patient's care?

Often through social: workers, online communities or through office personnel. Support groups are everywhere and usually free. United Way in my area forms the connection hub to most, but County hotlines are very helpful. Some cities even have special phone lines for available services. San Diego has 211. Some psychologists form their own support groups out of existing patient pools. Be creative. ...Read more

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Fragmented care is a problem everywhere. How do you deal with trying to coordinate inpatient or outpatient care among specialists and your self ?

Fragmented care is a problem everywhere. How do you deal with trying to coordinate inpatient or outpatient care among specialists and your self ?

FAX: At our office (dental), we have found physician's office can send us the quickest response if we fax the report/consult forms with a clear note on what we want to hear from them about ; the deadline, then call the office to confirm the receipt and our intention. I also let my patients know about our effort to coordinate care, and ask patients to get involved in our collaborative efforts. ...Read more

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Will a walk in clinic with primary care services give anti-depressants?

Will a walk in clinic with primary care services give anti-depressants?

Not likely: Walk in clinics are generally set up to handle acute, "one time" episodes like strep throat, sinus infections, and utis as an example. Ideally, you want to find a good pcp or psychiatrist to spend the time with you to talk through your symptoms, possibly prescribe meds and be available for follow up. Check this app (healthtap) or healthgrades for a list of docs in your area. Take care. ...Read more

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What do occupational therapists in mental health do? They get involved with counseling or educating patients?

What do occupational therapists in mental health do? They get involved with counseling or educating patients?

Teach living skills: Occupational therapists assist patients to improve their ability to function in life by focusing on improvement of activities and instrumental activities of daily living. They assess motor and cognitive abilities and assist people w/ disabilities in grooming, bathing, dressing themselves, & functioning in a work place. They counsel, help clients problem solve & teach the use of adaptive equipment. ...Read more

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What precautions are required for health care workers when treating patients with herpes encephalitis?

What precautions are required for health care workers when treating patients with herpes encephalitis?

Contact precautions: Use contact precautions, as herpes simplex is contagious mainly by contact with an infected person's sores. A never-infected person, without protective antibodies, could catch herpes from a patient with herpes encephalitis, but he would likely just get a typical herpes infection and future recurrences of sores. It is very unlikely that he would get encephalitis, because encephalitis is quite rare. ...Read more

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I need to see a TEAM of specialists preferably in a hospital type facility geared toward people with o/l autoimmune and UCTD. BlueCare TN. Losing IT.

I need to see a TEAM of specialists preferably in a hospital type facility geared toward people with o/l autoimmune and UCTD. BlueCare TN. Losing IT.

University center: You best bet would be at a regional university medical center. Otherwise something like the Mayo Clinic would be a good alternative but you will need to travel some distance to get there. ...Read more

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Under what conditions should I see the school's psychiatric services?

Under what conditions should I see the school's psychiatric services?

When you think of it: Depending on the school psychiatric services can be helpful with a variety of problems ranging from trouble studying to suicidal feelings. If you have a problem that you think even might benefit for psychiatric help its worth exploring these services which are usually free. Obviously if you feel great psychological distress e.g. Have suicidal ideas or sufficient anxiety the it interfere in fucntio. ...Read more

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How are emergency room and general practice doctors qualified in diagnosing and prescribing drugs for mental health?

How are emergency room and general practice doctors qualified in diagnosing and prescribing drugs for mental health?

Training: Er docs are trained to stabilize emergencies, which frequently include mental health crisis, but er drs don't generally do ongoing care. Family docs train for several years on the basic management of common mental health issues and in many communities are the most accessible source of care. If needed, both er &fam drs can also refer to or work with psychiatrists &therapists. ...Read more

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Dr. Leila Hashemi
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Primary Care Services (Definition)

Primary care services offer medical care and advice as the patient's primary contact, and help ...Read more