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Doctor insights on: Renal Dialysis

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How strict are doctors when diagnosising for add?

Depends on the doc: Docs have multiple challenges is labeling anyone with a diagnosis based on symptoms rather than a recognised test.Since the treatment may involve controlled drugs, s/he must also document enough during the evaluation that a reasonable doc would agree with the label. (or risk loss of his/her license) Some choose to leave management to those that do it on a regular basis to avoid the hassle involved ...Read more

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Dr. Quresh Khairullah
524 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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What are the symptoms of kidney failure? and how do doctors test for proper kidney function?

What are the symptoms of kidney failure? and how do doctors test for  proper kidney function?

Kidney failure: Kidney failure has some many reasons. Some signs are: decrease in urine out put to the point of sometime people can't pee. Also, feeling fatigued, tired, getting anemic are aigns of kidney failure. ...Read more

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How dod doctors check for kidney stones?

How dod doctors check for kidney stones?

From an imaging: standpoint, ultrasound and/or CT are the most appropriate tests. ...Read more

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I was wondering what are nursing perioperative cares of patient with renal transplant?

I was wondering what are nursing perioperative cares of patient with renal transplant?

As per protocols: Some are general like close monitoring of vitals, urine output, blood in urine, allergic reactions, bleeding. Some are center specific as per protocols. ...Read more

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How do doctors define uremia and azotemia?

Uremia: The are both defined by eGFR that is low enough to push up the BUN which is the classic definition. The syndrome of uremia is very complex and would recommend you go to uptodate.com for much more details. ...Read more

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What are the abbreviations for kidney function?

What are the abbreviations for kidney function?

Cr: The most common blood test to evaluate kidney function is called creatinine. It is usually abbreviated as cr. ...Read more

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Our two different radiologists disagree about Folfox vs. CapeOx for stage III-B CRC for a 30 year old female. We already know about both drugs and their doses, but we can't decide on which drug to use!

Our two different radiologists disagree about Folfox vs. CapeOx for stage III-B CRC for a 30 year old female. We already know about both drugs and their doses, but we can't decide on which drug to use!

Convenience, side fx: Capecitabine causes more diarrhea and can make hands and feet very sore, but you avoid the need for a pump at home which may allowore freedom. The efficacy is equivalent so it depends on what is more important to you. ...Read more

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Dr. Ted King Dr. King
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Signed up for phlebotomy classes. Would patient care technician or dialysis be better?

Dr. Ted King Dr. King
1 doctor agreed:
Signed up for phlebotomy classes. Would patient care technician or dialysis be better?

Up to you: It all depends on where your interests lie and what you like to do best. The only person who can really answer your question for you is you. ...Read more

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Can you tell me about pre-conditions for doing the tests for albumin and creatinine in kidney function tests ?

Can you tell me about pre-conditions for doing the tests for albumin and creatinine in kidney function tests ?

Htn, diabetes: Creatinine is part of chemistry panel. Your doctor will decide if you need chemistry test based on your medical condition. So this is part of routine chemistry. Albumin is checked as part of urinalysis. Hypertension, diabetes are 2 conditions that these tests must be checked at the time of diagnosis and every follow up. ...Read more

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Why do doctors prefer fibrospect to liver biopsy for detection of liver damage in HCV patients?

Why do doctors prefer fibrospect to liver biopsy for detection of liver damage in HCV patients?

Less invasive: Knowing the amount of inflammation and level of fibrosis in the liver can help in deciding what hepatitis therapy a patient needs. Though the liver biopsy is considered the gold standard, the newer generation of tests, when taken in clinical context, can estimate the amount of inflammation and level of fibrosis in the liver. ...Read more

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I keep reading various limits for diabetes onset. For instance, the ama uses 180 for post-prandial, while out here the docs say 140. Please clarify.?

I keep reading various limits for diabetes onset. For instance, the ama uses 180 for post-prandial, while out here the docs say 140. Please clarify.?

Diabetes definition: Diabetes is defined as a fasting blood sugar of greater than or equal to 126 on two different occasions, a blood sugar anytime greater than 200 or a hba1c of greater than 6.5. ...Read more

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Looking for answers about CHF and kidney failure. Guesstamate on life expectancy?

Looking for answers about CHF and kidney failure. Guesstamate on life expectancy?

Needmore information: CHF is treated with medicines very adequatly. What is the Underlying cause? High BP, CAD, Arrythmia,or Valve disease? The EF is measured by Echocardiogram ; which f=gives functional capacity of the Cardiac function. Kidney Function are measured by Blood tests.And over all Clinical Symtoms also categorize the CHF and Kidney Failure. Should get best help from Treating Physician, ...Read more

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Any insights for why can't more doctors prescribe suboxone?

Many, many reasons: Most doctors, like most people, have negative attitudes about people with substance use disorders, and particularly with opioid use disorders. It takes an eight hour course, and involves caring for often complicated and difficult patients. Despite this, many thousands of physicians have gotten waivers; unfortunately, only a small fraction are using these waivers to treat even modest numbers. ...Read more

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What are the dietary guidelines for post liver transplant patients?

What are the dietary guidelines for post liver transplant patients?

Moderation: A generally healthy diet is most important. Unless a specific genetic disease is present, most recipients should try to follow an overall moderate diet that is not typically american and not too rich in carbohydrates and fats. But with a new, healthy liver, there are no specific restrictions. ...Read more

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Dr. Laura Pak Dr. Pak
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How do physicians de-clot an av fistula for dialysis patients?

Dr. Laura Pak Dr. Pak
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How do physicians de-clot an av fistula for dialysis patients?

Open or endo: It can be done with tpa (alteplase) (a high-potency medication to dissolve blood clot) and a rotor-rooter device inserted through a needle stick in the access. I tend to make a small incision to remove the clot with a balloon catheter, then do an angioplasty on the area of stenosis (narrowing) which you usually find in the vein or graft. ...Read more

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How accurate are doctors' estimations of how long a cancer patient will live?

How accurate are doctors' estimations of how long a cancer patient will live?

Somewhat accurate: Unfortunely often times doctors don't tell people the statistics of what may happen. Patients can be on the out side of the statistics and live longer or shorter than predicted. I always tell people this is not a tv show and i never say you have 3 months to live. People with stage 4 (metastatic) cancers can live a long time depending on the cancer. But doctors are not god and can only guide. ...Read more

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Why does CDC say intubation and dialysis are high-risk procedures for people treating ebola patient when they say biohazard suits should protect them?

Why does CDC say intubation and dialysis are high-risk procedures for people treating ebola patient when they say biohazard suits should protect them?

Because: they expose the care giver to body fluids which is how the virus is transmitted. As we have seen biohazard equipment is only protective if used properly. we have seen recently that despite the best of intentions, there have been breaches in technique resulting in infection among caregivers. ...Read more

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High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose chronic myelogenous leukemia and follow it after treatment.?

High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose chronic myelogenous leukemia and follow it after treatment.?

Nccn.org: Awful predicament. CML is one of the success stories with the new therapies, but proper follow up is important to assure optimal long term survival on the new oral agents. There are good patient assistance programs to assist with your medications. Review the web address above and CML page with your doc to plan the needed tests. ...Read more