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Doctor insights on:
Living With One Lung Medical Questions
1
75-year-old severe COPD with pfts in 20-25% range, newly diagnosed lung ca. Considering cyberknife. Your thoughts about complications from scarring.
Rarely a problem: Cyberknife radiosurgery was specifically developed for patients with early stage lung cancers who cannot have a surgery due heart, lung, or other medical problems. It is very rare for scarring or pneumonitis to affect breathing in any noticible way after this treatment. The risk should be only a few percent (about 2-3%). I have treated many who are nearly oxygen dependent without making so. ...Read more
Lung (Definition)
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
2
Hiv just diagnosed in family member/ need answers, life expectancy, etc?
Book suggestion: That's too much to discuss in the limited space available here. At the risk of pushing my own book, i'd suggest you read "100 questions and answers about HIV and aids, " which is written for exactly this situation. ...Read more
3
Family friend diagnosed with kidney, lung and spine cancer and wonder if cryoablation would help in canada please help to educate us here in canada if cryoablation would help a patient in ontario canada just diagnosed with multiple places of cancer and he
Cryoablation: It will not help this individual with this presentation. ...Read more
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4
Will their be new treatments for intermediate risk MDS in 2016? Other than Vidaza and supportive care? I care abt newest treatment for 70 yr patient
Myelodysplastic Syndromes: Common drugs for MDS include:1.Azacitidine (Vidaza) 2.Cytarabine (Cytosar-U) 3.Daunorubicin (Cerubidine) 4. Decitabine (Dacogen) 5. Idarubicin (Idamycin) 6.Lenalidomide (Revlimid).Overall, 30 to 40% of patients may benefit. Gene manipulation of own stem cell has cured, patients with severe advanced leukemia, is the future. Pts.reported rapidly to iv infusion, was recently reported ...Read more
5
Assuming you, as a geriatric physician, contracted by either a teaching hospital or a corporation operating --- --- several nursing homes for profit, are charged with examining residents at one or more nursing homes and one such resident discloses being:
Elder : Elder abuse is a crime. All of us, physicians, nurses, social workers and other staff who work with older individuals and those who do not, are legally and ethically required to report suspected abuse to appropriate authorities. I have attached a link to elder abuse hotlines by state and also a link to a document describing signs of elder abuse. ...Read more
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6
What to expect at new patient appointment with family practice doctor? If health history is complex is writing out ahead of time advised?
See below.: Every doc is different, but yes. Please write out your story. Try organizing it by: medical issues / hospitalizations surgeries family history social history - alcohol, tobacco, etc. Medication list immunizations screening tests (colon, breast and cervical). ...Read more
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7
Any recommendations for an excellent pulmonary critical care doctor for elderly person w/aspiration pneumonia in largo/clearwater fl? Not jacksonville
Go through local doc: Your family physician is the best link 2 help u find a medical specialist. In emergency situations, it is best 2 go through your local emergency room. If the patient is already in the hospital, u will have 2 options: go with the docs on staff, or get the patient transferred 2 another hospital. Aspiration pneumonia requires prompt & accurate treatment. Delays increase organ damage/death. Dr mike. ...Read more
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8
Have glaucoma with a life expectancy of 30+ yrs. Plan to work as a paralegal for 10 years. If major surgery done is a detail oriented career over?
No not necessarily : If your glaucoma has progressed despite maximally tolerated medical/laser treatment, and your glaucoma doc has recommended surgery, generally this is to stabilize the disease progression. Your quality of vision depends on how much field loss you have in each eye and your visual acuity. As long as your binoc vision (& central vision)remain in tact your ability to continue with dexterous tasks = ok. ...Read more
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9
I'm interested in whole patient care strategies for early stage ms. Or what I need to get from our medical provider.?
Support...: Speak with the neurologist treating you about this; there are many strategies for this diseasewhich affects millions of people...From yoga, to stress management, to diet, to vitamin supplementation. There are also some great support groups available; so let your cyber-fingers do the surfing. ...Read more
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10
Boutique medicine =stress for patient. More stress = disease. Anxiety about these fees being tip of iceberg. My primary doctor sent out glossy brochures of what his patients will get for $1500/year extra.
No agreement shown until the patient agrees to si
This : This sounds like there is a legal question here. Recommend that you pose this same issue to the avvo legal website. Lawyers are provided an opportunity to answer questions as a public service. Good luck. ...Read more
11
General concerns and questions about newborn with respiratory distress syndrome in intensive care?
Prematurity: Leads to immature lunga with inadequate surfactant, a detergent that helps keep alveoli open. High o2 concentrations can cause retrolentil fibroplasoia leading to blindness. ...Read more
12
Newly diagnosed pulmonary fibrosis in 70 year old female with no other medical conditions. What should I do?
See Pulmonologist: Any patient diagnosed with pulmonary fibrosis should be seen by a pulmonologist who can confirm the diagnosis, follow their course and offer appropriate treatments. ...Read more
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13
Power of healing words from preacher for living with cancer?
Help, not cure: Having a faith community's support -- clergy, health care providers who are believers -- is helpful in day-to-day survival and it may be that there benefits to the spirit -- peace, love, equanimity, courage. Don't expect it to affect the course of the illness, but be open to other benefits. ...Read more
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14
Question about choosing a doctor; any thoughts on older vs young doctors?
It depends on you: Things to consider..Is this for a one time consult or are you looking to develop a long term relationship? What is your age relative to the doctors? ...Read more
15
Why didn't cryobank tell us that donor had mental illness in his family till we asked for more history?
Cryobank: If it was mandatory to disclose such info., then it should have been in the records. Check legal guidelines in your state. ...Read more
16
Florida patient would like a medical marijuana card preferably in colorado. Patient suffers from chronic pain and has all CT scans and X-rays. Advice?
See MD: See MD in Colorado and take your records with you. Feel better. ...Read more
17
After multiple job losses with comorbid psychiatric illnesses when is it time to consider ssdi? 3 dr.'s in 10 years .Multiple meds ...No missed appts
Disability: Any condition could be or not a disability. Disability means that you cannot perform adequately in a working environment. There are multiple working choices and schedules to accommodate persons with anxiety disorders. Vocational rehabilitation and recovery programs are invested in finding a more appropriate and productive work environment when you have anxiety issues. Make a consult with them asap. ...Read more
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18
How rare is pancreatic cancer in a 26 year old female, healthy, with no personal or family history of any cancer?
Pancreatic cancer: The most well known risk factors for pancreatic cancer are smoking and alcohol abuse. In the absence of these, your risk for pancreatic cancer development is very low. ...Read more
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19
My 62 yo father have Kidney RCC and metastasized to lung, nodules are seen in scans. Please explain Stage, treatment, life expectancy, outlook?
Here are some ...: Some 10% of RCC with spread to lung can make it up to 5 years. But, cancer grade under microscope and personal general health play the most important role to determine the survival, but it's still worthwhile to try the available options of Rx such as immunotherapy, chemotherapy, targeted Rx... For detailing, ask medical oncologist to collaborate with urologist or interventional radiologist... ...Read more
20
I'm looking for details on who in socal provides preconceptional counseling for high risk pregnancy?
Info: One good source would be on the smfm website. It lists mfm's in your new area. That will help you choose hospitals with adequate resources for your care. The site is smfm.Org. ...Read more
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