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Doctor insights on: Medical Device Adverse Event Reporting

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Is there any recent significant literature update about panic disorder?

Is there any recent significant literature update about panic disorder?

Tons of articles: Nimh (national institutes of mental health) is a good place to start: http://www.Nimh.Nih.Gov/health/topics/panic-disorder/index.Shtml there are links to significant literature there. You will also find hundreds of articles on pubmed. ...Read more

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Sudden death from arrhythmia a risk to healthy individuals as well as those w/CAD and/or prior MIs? Correlation between PVCs & sudden death risk?

Sudden death from arrhythmia a risk to healthy individuals as well as those w/CAD and/or prior MIs?  Correlation between PVCs & sudden death risk?

PVCs: PVCs signal risk in those with known coronary artery and or heart muscle disease. Otherwise normal patients who happen to have PVCs do not seem to have an increased risk of an event signalled by the PVCs. ...Read more

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Discussing pacemaker with physician tomorrow. Are there any long term risks associated with PM implantation in a young person? Future implocations?

Discussing  pacemaker with physician tomorrow. Are there any long term risks associated with PM implantation in a young person? Future implocations?

There are: It would benefit you if you have to have a pacemaker placed that it be MRI compatible, as you may need an MRI later in the future. Also, make sure you are aware of future surgical needs like for battery pack changes. There are other possible complications like lead fracture/breaks, lead misplacement, etc. ...Read more

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Medical Records state, GASTROINTESTINAL PROPHYLAXIS W/PROTON PUMP INHIBITOR & DEEP VEIN THROMBOSIS PROPHYLAXIS W/SEQUENTIAL COMPRESSION DEVICE. What does that mean?

Medical Records state, GASTROINTESTINAL PROPHYLAXIS W/PROTON PUMP INHIBITOR & DEEP VEIN THROMBOSIS PROPHYLAXIS W/SEQUENTIAL COMPRESSION DEVICE. What does that mean?

Precaution care: It sounds like these are precautions taken to prevent surgical or hospitalization (bedrest) complications due to inactivity and not eating. Stomach acid is reduced with proton pump inhibitor meds and deep vein thrombosis caused by venous stasis prevented with a device that wraps around the calves and squeezes intermittently. ...Read more

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On testosterone replacement therapy. Good or bad in lieu of jama nov 5 article citing increased cardiac event risk. Trt benefits outweigh risks?

On testosterone replacement therapy. Good or bad in lieu of jama nov 5 article citing increased cardiac event risk. Trt benefits outweigh risks?

Unknown: As is indicated in the article, we need randomized, prospective studies to truly know the risks and benefits of testosterone treatment. The real problem is that as many as 80% of men who are on testosterone, were placed on it for inappropriate reasons, including inadequate testing or misinterpretation of results.Mother nature has a way of striking back when we do inappropriate things to our body. ...Read more

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Anyone aware of an established telemed network, particularly pediatrics anywhere?

Anyone aware of an established telemed network, particularly pediatrics anywhere?

UC Davis has one: http://www.ucdmc.ucdavis.edu/children/clinical_services/pediatric_telemedicine/. It's near sacramento. The mind institute is broadening it's cachement area to northern nevada. Contact candace.Sadorra@ucdmc.Ucdavis.Edu. Please head down south to visit if you come out west. ...Read more

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Does The Holter monitor record any ischemic rythm st- depression st-elevation ?

Does The Holter monitor record any ischemic rythm st- depression st-elevation ?

It can: A hoter monitor is one lead of an ekg which is 12 leads. If the ischemia is in the area where the lead is "looking" at the heart it can pick up ischemia. ...Read more

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Are paper medical records more secure than electronic health records?

Usually 7 years: Paper charts- 7 years. This may differ by state. Advantage of emr is they can be preserved for ever. Paper charts may not be as secure as electronic charts if proper precautions are taken. ...Read more

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Are there antidepressants for someone who can't tolerate any side effects of seizure risk (childhood hx) & raised pulse & sleepiness (adult hx)?

Are there antidepressants for someone who can't tolerate any side effects of seizure risk (childhood hx) & raised pulse & sleepiness (adult hx)?

Yes: Every patient has different responses to each medicine prescribed. Your childhood history is not a reason to avoid a certain class of medication. Your sleepiness may be tied to your medication. There are many classes of medications used for depression, both old and new. Your family practice doc or local psych clinic can help;. ...Read more

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Basic cardiac event monitor bought online. Any good?

Basic cardiac event monitor bought online. Any good?

Brand?: Brand and model? Generally, these aren't available for purchase to patients. They're expensive and usually lent by doctors' offices and hospitals. ...Read more

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During cardiac MRA perfusion stress scan with injection of adenosine would they see any immediate issues? 3 weeks for a report feels like eternity!

During cardiac MRA perfusion stress scan with injection of adenosine would they see any immediate issues? 3 weeks for a report feels like eternity!

Call your doctor: I agree this is a long time to wait. You should call your doctors office to find out if they have received the test results. ...Read more

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Why do so many medical offices ask for unnecessary & intrusive personal information (ssn, drivers licenses) unrelated to medical records?

Why do so many medical offices ask for unnecessary & intrusive personal information (ssn, drivers licenses) unrelated to medical records?

Required by law: It is required by law & insurance contracts that they have with companies & that you signed with those same companies. They need to make sure you are who you say you are & that they have proof. Also, if there is any legal question in the future, they can prove that they verified your identity. Finally, insurance companies use this info to track your health & put it into a central database. ...Read more

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Had about fourty ecgs in life and event recorder would any life threatening problem of shown itself?

Had about fourty ecgs in life and event recorder would any life threatening problem of shown itself?

No: stop doing unnecessary test. ur complaints makes MD do more tests. May go to a cardiologist. He may not repeat test. ...Read more

Dr. Andrew Ho Dr. Ho
5 doctors agreed:
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Are there any safety measures built into fibromyalgia drug trials?

Dr. Andrew Ho Dr. Ho
5 doctors agreed:
Are there any safety measures built into fibromyalgia drug trials?

Many measures: One of main reasons to conduct drug trials is to assess the safety of new drugs. Compared to clinical practice, drug trials tend to be much more comprehensive in terms of laboratory tests and frequency of followup. Of course, not all drug trials are equal. If you are thinking of volunteering for a trial, you should ask the study doctor specific questions about safety measures. ...Read more

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From clinical stand point, is there an actual 'time limit' after brain death declaration to withdraw life support?

From clinical stand point, is there an actual 'time limit' after brain death declaration to withdraw life support?

Do it now: There is no such thing as "life support" once brain death has been diagnosed. Third-party payers won't pay unless the technology is specifically to make an organ available for transplantation. One group of ideologues kept a brain-dead nebraskan's heart beating for over 20 years; no nervous tissue was found on autopsy. God save me from people like this. Be brave, and good luck. ...Read more

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Ecg interpretation states ventricular pacemaker no other interp. Possible. How would you diagnosed?

Ecg interpretation states ventricular pacemaker no other interp. Possible. How would you diagnosed?

Ecg: When all the ECG complexes are caused by an electronic ventricular pacemaker, there isn't much else you can read into or get out of the study with any degree of reliability. ...Read more

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What does 'intermittent p wave trend although stable' mean on a PPM device report?

What does 'intermittent p wave trend although stable' mean on a PPM device report?

Sinus node dysfuncti: Considerations regarding atrio-ventricular (A-V) block. A-V block can occur at different levels in the conduction system: above, within and below the His bundle, often with different outcomes. In complete heart block, a PPM should be considered, even when the ventricular response is > 40 beats per minute, since this numerical value was not derived from clinical trial data. ...Read more