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Doctor insights on: How Has The Traditional Family Changed Over The Years

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Has the treatment of diabetes changed over the years?

Has the treatment of diabetes changed over the years?

Dramatically : The treatment options of diabetes have changed dramatically in the us. Metformin was approved for use in the mid 1990's and since then 9 more classes of diabetes medications have been added as treatment options including a new class just approved in 4/2013. Prior to metformin we had just Insulin and one class of oral medication (sulfonylureas). Many new insulins have been added since then as well. ...Read more

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Why has the incidence of diabetes changed over the years?

Why has the incidence of diabetes changed over the years?

Obesity: The incidence of diabetes are rising and the rate of rise almost parallels that of the rate of rise for obesity. ...Read more

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How has anesthesia changed specifically in the last 15 or so years?

How has anesthesia changed specifically in the last 15 or so years?

Hasn't much: There have been few ground breaking developments in anesthesia over the past 15 years. The use of intravenous acetaminophen, indwelling pain pumps that infuse local an esthetics post operatively, long acting/ slow release opiates that are injected epidurally or in the operative joint would be some examples. ...Read more

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How has the success rates of cancer treatment risen over the last ten years or so?

How has the success rates of cancer treatment risen over the last ten years or so?

Yes for some cancers: Cancer is many different diseases and each type has many subtypes. Some of the childhood cancers are curable and new drugs are improving the response rate for many others, such testicular cancer. ...Read more

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How has the cardiac pacemaker changed in the last twenty years?

How has the cardiac pacemaker changed in the last twenty years?

Pacemaker: Yes - it is very sophisticated due to advancement in electronic technology and in making things smaller. ...Read more

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How has the percentage of people diagnosed with cancer in the united states changed over time?

How has the percentage of people diagnosed with cancer in the united states changed over time?

Increased: The number of people has increased -- there is a higher population -- but also, the imaging techniques (mri, ct), and laboratory tests have improved our ability to detect tumors much smaller than before , and so we tend to find more. ...Read more

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Has the treatment of breast cancer evolved over the past 10 years?

Has the treatment of breast cancer evolved over the past 10 years?

Many: Many changes have occurred. Surgery still a mainstay. Chemotherapy treatments are more tailored to individual patients based on tumor dna studies & cell type. ...Read more

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How has our society changed in the past 2 decades that has made obesity a major problem in today's youth?

Obese kids: 1. Kids spend more time playing video games rather than being active outdoors. 2. Kids eat more junk food. 3. People eat cheap food when the economy is bad, and the cheapest foods (fast food) tends to be the worse for you. 4. There are more fast food restaurants now than before. The food they serve in schools is terrible. ...Read more

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Is there any way to reduce the progression of alzheimers? My dad has been getting worse over the last few years?

Is there any way to reduce the progression of alzheimers? My dad has been getting worse over the last few years?

Physical exercise.: To date there is unfortunately no cure to alzheimer's disease. We can not reverse or stop its progression. Physical exercise has shown some benefit in slowing down the decline in dementia as well as some medications like cholinesterase inhibitors ( aricept (donepezil)...). We also recommend socialization ...Read more

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Can you tell me how has the treatment of breast cancer changed over the years?

Can you tell me how has the treatment of breast cancer changed over the years?

Many things : Over the last few decades many things have changed: Taxanes as part of the chemo plan is established for lymph node-positive disease. Herceptin was approved for Her2+ breast cancer. Pertuzumab was approved for Her2+ breast cancer when given before surgery. Lumpectomy and radiation are alternative to mastectomy in many patients. Radiation is more focused, allowing less toxicity. ...Read more

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My father has a soft-skinned tumor like structure that gradually grow for the past 6 years on the right portion of his navel.Is it a cyst?Please help.

My father has a soft-skinned tumor like structure that gradually grow for the past 6 years on the right portion of his navel.Is it a cyst?Please help.

Hernia: Sounds like a hernia or lipoma. Both of which are relatively benign. However, i would recommend that anything that is "growing" be evaluated by a physician. ...Read more

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How have the treatments for breast cancer changed from the past 20 years?

How have the treatments for breast cancer changed from the past 20 years?

Alot!: Chemo: molecular staging leading to more precise targeted therapy; new drugs such as Herceptin (trastuzumab) and aromatase inhibitors. Surgery: increased breast conserving rx, sentinel ln biopsy, oncoplastic surgery, nipple-sparing mastectomy. Radiation therapy: partial breast irradiation (brachytherapy, intraoperative radiation therapy). Prevention: brca testing....Just to a name a few. ...Read more

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My best friend's father, who is 85, has recently developed some form of dementia. It has become a safety issue where he leaves the house in the middle of the night-no shoes and no real idea where he is going. This seemed to occur quite rapidly over the la

My best friend's father, who is 85, has recently developed some form of dementia. It has become a safety issue where he leaves the house in the middle of the night-no shoes and no real idea where he is going. This seemed to occur quite rapidly over the la

One must be careful: To "babysit" this type of present and if not capable then help should be gotten or consider nursing home placement. Sometimes, locks need to be placed on doors or alarms set. This is a sad and tough part of life. Your question was cut off.... ...Read more

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diagnosed with depression /ADD for over 12 years. In the last 2 yrs the stock and manufacturers have been no supply/changed brand/caused side effects

diagnosed with depression /ADD for over 12 years.  In the last 2 yrs the stock and manufacturers have been no supply/changed brand/caused side effects

Depression: with attention all disorders can be difficult to diagnose and manage. I typically will do 3 hours of formal neuropsych testing in addition to a 90 minute consult before recommending pharmacotherapy. It is not uncommon for a therapy to stop working after a while without any change in formulary. Www.healthtap.com/drericweisman ...Read more

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What kind of fillings are used on children? My seven year old son has got to go in for a filling, unfortunately, and i'd like to know if they use standard silver fillings on children or the porcelain ones? I'm worried about the mercury that's in the silve

What kind of fillings are used on children? My seven year old son has got to go in for a filling, unfortunately, and i'd like to know if they use standard silver fillings on children or the porcelain ones? I'm worried about the mercury that's in the silve

Bonding: You no longer ONLY have metal or silver/mercury fillings for children to obtain. Bonding /Resin, composite fillings have come a long way, and pediatric patients can greatly benefit from that. Even metal free primary teeth crowns. ...Read more

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I'm a teenager & I traveled extensively throughout the world. The past 6 months I've had a rash. Over the counter treatment doesn't work. What now?

I'm a teenager & I traveled extensively throughout the world. The past 6 months I've had a rash. Over the counter treatment doesn't work. What now?

Rash: Rashes are very difficult to diagnose without some visuals, at least in pictures if not in person. I would recommend seeing a dermatologist. Alternatively, you can try Healthtap Prime and upload some photos. ...Read more

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Why has there been such a sharp increase in type II diabetes in the us in the last 15 years?

Obesity: The rise in diabetes parallels that of obesity. In fact, obesity and diabetes is now known as the dual epidemics. Obesity is the leading cause of diabetes. ...Read more

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What have been the biggest improvements in child birth and obstetrics in the past 10 years?

What have been the biggest improvements in child birth and obstetrics in the past 10 years?

Elective deliveries: I am sure it would depend on who you ask but in my mind one of the greatest improvements in child birth in the last 10 years are guidelines from the american academy of obsetrics and gynecology that call for an end to elective csections and inductions before 39 weeks. When followed this guideline has led to a huge drop in nicu admissions for near term babies with respiratory distresss. ...Read more

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For the past 3 years i've worn a headset for most of the day, and they have changed the shape of my ears. If i stop wearing them, will they change back?

For the past 3 years i've worn a headset for most of the day, and they have changed the shape of my ears. If i stop wearing them, will they change back?

Probably yes : The ears are typically vulnerable to molding during the first 3 months and especially the first 3 weeks of life. So it is unlikely that your shape change is permanent. ...Read more

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