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Doctor insights on: Linzess Patient Reviews

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What happens when amitiza (lubiprostone) or linzess is used in patient with existing intestinal obstruction?

What happens when amitiza (lubiprostone) or linzess is used in patient with existing intestinal obstruction?

Should not be used: In a proven intestinal obstruction, which needs physician supervised care (even surgery). Amitiza (lubiprostone) (Lubiprostone) irlinzess (linaclotide) are the medications for chronic constipation, due to drugs, ibs etc contraindicated in intestinal obstruction ...Read more

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Would like patient reviews on dr. Michael a. Bell, psychiatrist?

Would like patient reviews on dr. Michael a. Bell, psychiatrist?

Google: For this type of information, you can google a physician's name. You will find various sites where patients write such "reviews." not every physician will have reviews written, and those written may be of variable reliability. If a physician is involved on healthtap, you can read his/her various pages for more info. Sometimes patients write notes that are viewable. ...Read more

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How reliable are online patient reviews of doctors?

Unreliable: As a general rule, unreliable, and some information is woefully outdated. Some very good doctors that I know personally have bad reviews or no reviews at all. These sites are not reviewed for accuracy or completeness. ...Read more

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If SSI collects medical records for a continuing disability review is there still some dr-patient confidentiality or will they know everything I said?

If SSI collects medical records for a continuing disability review is there still some dr-patient confidentiality or will they know everything I said?

Documentation: It depends on what your physician wrote in your medical records. As a patient, you have the right to obtain a copy of your medical records, to see which details of past conversations they contain. SSI will be able to see the same information that you are able to access. Http://healthit. Gov/patients-families/faqs/how-can-i-access-my-health-informationmedical-record ...Read more

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What does a "committee review" on a patient's medical chart mean?

Questioning the care: A committee is looking at the indications and the type of treatment you received for the symptoms that you have, they may have difficulty with the diagnosis or the indications perhaps you need another opinion. You are too young for the problems you allegedly have. Prolotherapyin an option. Www. Proloshot. Com or www. Getprolo. Com for info. ...Read more

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Can residents and fellows join HealthTap to answer patient questions? Do their answers on HealthTap need to be reviewed and confirmed by an Attending?

Good question: People at Healthtap are really superb. Please call them and they can answer this and any question you may have. They are really there to help you and patients ...Read more

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For patients with grinding habits, are crowns made of gold good option for back teeth 11, # 14 Can you review gold crowns Cons and pros? Please.

For patients with grinding habits, are crowns made of gold good option for back teeth 11, # 14 Can you review gold crowns Cons and pros? Please.

Good functional opt: Gold is a wonderful material to fabricate a posterior crown, especially for a grinder! The pros are the way it will function & wear against the opposing arch, no risk of breakage and excellent marginal integrity & fit. The major con is the esthetics, but not a big deal on a posterior tooth. Today, Zirconium milled crowns are supposed to offer all the pros of gold, but with esthetics. ...Read more

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Review of tonsillar lymphoma in pediatric patients from the pediatric oncology group: what can be learned about some indications for microscopic examination?

Review of tonsillar lymphoma in pediatric patients from the pediatric oncology group: what can be learned about some indications for microscopic examination?

Data says don't: There have been a number of studies (2005 pog study and more recently in 2011 and 2012) to suggest that always doing microscopic examination on routine tonsillectomies is not cost effective. If someone has a index of suspicion (clinical or asymmetric enlargement), then it is warranted. It has been estimated that not doing this automatically could save ~$35 million per year. ...Read more

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I student studying medicine. Just 3 years to be G.P This years we practice in hospitals and I meet a lot of patients. So how can protect myself.

I student studying medicine. Just 3 years to be G.P This years we practice in hospitals and I meet a lot of patients. So how can protect myself.

Universal precaution: They should be providing lots of education on universal precautions in your medical training. Wash hands with soap and water, wear gloves when examining patients, put on mask/eye protection/gown if splash of blood or bodily fluids is likely, follow any "isolation" rules for patient, and discard all waste/needles appropriately. Have fun. ...Read more

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Nutrition support for patient s/p Whipple.

Nutrition support for patient s/p Whipple.

Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed ...Read more

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What causes uncontrolled urination in elders? P.S the patient has diabetes

What causes uncontrolled urination in elders? P.S the patient has diabetes

Diabetes: Poorly controlled diabetes can affect nerves to the bladder. Patients have trouble urinating and emptying their bladder completely. This causes frequent urination. ...Read more

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What is patient autonomy?

What is patient autonomy?

You own your body: I always tell my patients, "you own your body. My job is to tell you your options and then to make your choices happen, if possible."

another term for patient autonomy is self-determination.

Unwanted medical care may be chosen for you, should you lose this ability to make decisions for yourself (ex: coma or stroke) and you have not written your medical wishes in the form of advance directive. ...Read more

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I am uricasid patient. What I do?

I am uricasid patient. What I do?

Gout?: I assume you mean uric acid? If you have recurrent gout and your uric acid levels are high you should use a combo of prudent avoidance of foods high in purines (see inranet and use your own experience) and medications - usually allopurinol. ...Read more

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What happens when a patient aspirates?

What happens when a patient aspirates?

"Inhaling lunch"...: ...Gets a new and literal meaning. Aspiration is when stomach contents reflux up the esophagus and run into / are inhaled into the larynx. Depending on consistency and ph, variable degrees of chemical burn can occur in addition to depositing food matter in the airways which attract bacteria and white blood cells and a vigorous inflammatory response--which can raise WBC and cause fever. ...Read more

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Is there any special exercise for such patients?

Is there any special exercise for such patients?

What kind: Exercise can always be tailored and should be customized for every patient given age, comorbid conditions and health status. Seek evaluation by your primary care physician, exercise physiologist, physical therapist or a certified trainer. ...Read more

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What is the dosage of montiluekaat in child patients?

What is the dosage of montiluekaat in child patients?

Depends on size: Montelukast, called singulair (montelukast) and now available as generic medicine, starts at 4 mg of granules for youngsters 1 year old and up. At about 3 years we go to the chewable 4 mg tablet. At about 7 or 8, kids often go to the 5 mg chewable and teens and adults go to the 10 mg tablet. Your doctor can check the dose for you based on the child's weight. ...Read more

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What happens if you touch a patient while using the aed?

What happens if you touch a patient while using the aed?

Starts over: The most concerning issue would be touching the patient at the time the AED delivers a defibrillation. The electrical current could pass from the patient into anybody making physical contact, and cause various injuries or even stop your heart. Because of that, most aeds will stop their analyzing cycle if somebody touches the patient, and then start over with analysis prior to advising a shock. ...Read more

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What measures are conventionally used to "measure" a patient's pain?

Many choices: There are many different scales to "measure" pain. A variety of these can be viewed at: http://painconsortium. Nih. Gov/pain_scales/index. Html
there are validated scales for most ages and physical states (such as for people who cannot respond to questions). Unfortunately these are mostly subjective, meaning they depend on a person's prior experience with pain. ...Read more

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What is the need of llamotrigine for a patient who is having lithuim?

What is the need of llamotrigine for a patient who is having lithuim?

Lamotrigine: Lamotrigine is an anticonvulsant that's also sometimes used to stabilize mood in bipolar disorder. People may have both seizure disorder and bipolar disorder. Lithium can be very helpful for bipolar disorder -- but if it isn't controlling moodswings at therapeutic doses, the doctor may add another medication (lamotrigine). Also one may be in process of changing from lithium to lamotrigine. ...Read more

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Why are some of the pts for the oldest patients the youngest and least experienced?

Why are some of the pts for the oldest patients the youngest and least experienced?

Debatable!: Oldest doctors for the youngest patients? Are the oldest more experienced? Are they the most up to date? Are the oldest pt's more experienced? Are they the most up to date? There are fabulous your professionals just out of training who know far more about newer advances and treatment than some of the older ones. It is a trust issue and observation. If not treating well and concern, switch! ...Read more

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Is linzess safe?

Right dose: If taken the right dose and in the absence of bowel obstruction, yes its relatively safe. ...Read more

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Primary amenorhea patient?

Primary amenorhea patient?

What is U question?: If u want to ask about u amenorrhea, ask u ibgyn. ...Read more

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What do MS patients die of?

What do MS patients die of?

With treatment, most: Ms patients can have a long, productive life. Only the rapid type is likely to progress to life threatening degrees early. Untreated ms can bring infections that can become very serious too. So, be involved in treatment and follow healthy lifestyle habits. Here's a good link: http://mymsaa. Org/about-ms/faq/#fatal good luck - it helps! ...Read more

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Do ibm patients have flares?

Do ibm patients have flares?

Yes: Ibd (inflammatory bowel disease) patients have flares of the disease in which there typically is an increase in abdominal pain, frequent bloody stools and crampy diarrhea. Sometimes hospitalization is necessary to treat these situations.

Ibs (irritable bowel syndrome) typically does not have flares, but does have waxing and waning periods of constipation and diarrhea. ...Read more