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Doctor insights on: Morristown Memorial Hospital Patient Information

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There some form of hospital patient advocate, like an ombudsman, who could help me?

There some form of hospital patient advocate, like an ombudsman, who could help me?

Yes: There is always a patient relations department or person at a hospital. Ask the charge nurse or admitting department about who it is and how to get in touch with them.

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Is there a cure for dry gangrene for an elderly, very sick hospital patient?

Is there a cure for dry gangrene for an elderly, very sick hospital patient?

No good tx.: When the patient is not a candidate for any revascularization (bypass, stents, endarterectomy' etc.) the only treatment left is amputation of the affected area. Hyperbaric oxygen may delay the process. Leeches may improve the microscopic circulation up to a point

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What would keep a pulse ox low on a hospital patient with emphysema who is on all the necessary meds.?

What would keep a pulse ox low on a hospital patient with emphysema who is on all the necessary meds.?

Exacerbation: Even when a patient is on "all the right medications"; the underlying lung disease can cause inflammation and lower the pulse oximetry readings (known as a COPD exacerbation). Most of the time the exacerbation will resolve over the course of 5-7 days but sometimes more powerful medications given intravenously (like steroids & antibiotics) are necessary.

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Generally speaking, if the use of haloperidol for delirium in a quite unwell, elderly hospital patient fails to be efficacious then how long should it take to report the matter to a Dr? Why

Generally speaking, if the use of haloperidol for delirium in a quite unwell, elderly hospital patient fails to be efficacious then how long should it take to report the matter to a Dr? Why

Immediate: Never hesitate to report your concerns to the physician. Delirium can be difficult to treat, and response to treatment often is delayed as we get older and more frail. Any modifiable precipitants (i.e. hypoxia, bacteremia, etc), needs to be addressed of course as well. There are alternative treatments beyond haloperidol. Experts in psychosomatic medicine are ideally suited to help.

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If a hospital patient is so depressed as to have suicidal ideation but is not well enough for antidepressants then what is the standard procedure?

If a hospital patient is so depressed as to have suicidal ideation but is not well enough for antidepressants then what is the standard procedure?

Psychiatrist: Make sure that your treating doctor is aware of the seriousness of the depression so that they can offer some assistance. A consultation with a psychiatrist would be helpful. There may be options for medications despite the issues you mention in "conditions". Counseling may also be of value.

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Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed? Correct?

Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed? Correct?

Yes: We have to weigh the risk and benefit. It seems like the risk of recurrrnt stroke is high here. Suggest to stop Aspirin. This definitely needs a consultant for decision making

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I have a research and I need information about what can I do if a violence patient come to me in the hospital. Can u help me by books or web sites?

I have a research and I need information about what can I do if a violence patient come to me in the hospital. Can u help me by books or web sites?

Hospital security!: Hi. Get hospital security and the police involved immediately if a patient becomes violent or threatens you with violence! Be escorted to and from your car. Please take all precautions. I would not count on books or websites. You sound like you need protection. Violent people can make life miserable for good people. Be safe.

Dr. Alan Ali Dr. Ali
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How can hospital care become safer for patients?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
How can hospital care become safer for patients?

Hospital care: Making patient safety guidelines a priority.

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What can cause a patient in the hospital to shake continuously?

What can cause a patient in the hospital to shake continuously?

Lots of things: You're giving a very general sort of description of something that has many causes. So the short answer: Infections, sheer cold temperature, anemia/ low blood volume, seizure disorder, Parkinson's, Essential Tremor, electrolyte disturbances, low functioning adrenal glands, medication side effect, severe anxiety, anticipation of the next tray of hospital food that hits the room in 10 minutes....

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How long do patients with appendicitis generally stay in the hospital?

How long do patients with appendicitis generally stay in the hospital?

Day (s): When performed laparoscopically, many people can go home in 1-2 days; if the appendix was ruptured, the hospital stay is often 3-4 days. When performed via the open technique, this length of stay is almost-doubled.

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Would it be possible that a hospital refuse to treat an uninsured patient?

Would it be possible that a hospital refuse to treat an uninsured patient?

Family practice: They will not refuse to treat you. But if able to be treated as an outpatient they may do what is necessary and then refer you to a county clinic for follow up care. You will be admitted if needed. You will be responsible for any charges but many times you will be able to negotiate with the hospital on the bill.

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Please help! What if a patient is in surgery when a sudden evacuation of a hospital happens?

Please help! What if a patient is in surgery when a sudden evacuation of a hospital happens?

The patient: Is not abandoned. Many patients can have their surgeries shortened or interrupted. They are covered with sterile dressings, transferred to gurney and removed from the hospital as quickly as possible with oxygen, IV fluids, drugs in tow. We practice emergency evacuation from the OR couple times a year, along with fire drills. No one is left behind.

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What is the primary reason (or condition) for which the patient was admitted to the hospital?

What is the primary reason (or condition) for which the patient was admitted to the hospital?

Too long a list: The list of reasons for admission to hospital is too long to write down. If you were to provide the symptoms that caused the person to go to the hospital, it may be possible to narrow the list. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine

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Why do they not send all ebola patients to the same hospital instead of all over the country?

Why do they not send all ebola patients to the same hospital instead of all over the country?

Biocontainment Hosp: There are 4 biocontainment hospitals in the US : Emory Univ Hospital (Atlanta, GA), National Institutes of Health (Bethesda, MD), Nebraska Medical Center (Omaha, Nebraska) & ST Patrick Hospital (Missoula, Montana). They each have very limited bed capacity.

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If the patient refuses to be touched or go to the hospital, what can emt/paramedics/firefighters do?

If the patient refuses to be touched or go to the hospital, what can emt/paramedics/firefighters do?

Depends: The answer to this question truly depends on the patients condition and mental status. If this is a patient that is a danger to him or herself you will need to refer to the laws that govern your particular location and possibly get the local police involved. If patient is mental stable and not a harm, they cannot be forced against their will.

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What happens if the hospital puts type a blood in a patient that has type b blood are different bloods compatible?

What happens if the hospital puts type a blood in a patient that has type b blood are different bloods compatible?

There: There are 4 basic blood types: a, b, ab, or o. Additionally, each blood type is either rh-positive or rh-negative. If you need a blood transfusion, there needs to be a match between your blood type and the transfusion blood type. People with type o blood are called universal donors because most people can receive type o blood. People with type ab blood are called universal recipients because usually they can receive a transfusion of the other blood types. A person with type a blood can donate blood to a person with type a or type ab blood and can receive blood from a person with type a or type o blood. A person with type b blood can donate blood to a person with type b or type ab and can receive blood from a person with type b or type o. A person with type ab blood can donate blood to a person with type ab and can receive blood from any of the blood types. A person with type o blood can donate to anyone and can receive blood from a person who has type o blood. If the blood types are not matched than antibodies in your body will attack the blood that has been transfused into you and you can become quite ill. If a person with blood type b receives a transfusion of type a blood, the blood cells may clump together and cause a serious reaction. If incompatible blood types are mixed it can cause a fatal reaction.

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Where should a patient go for a problem of 1.5 yr duration that local univeristy hospital cannot solve but agrees there's something wrong?

Where should a patient go for a problem of 1.5 yr duration that local univeristy hospital cannot solve but agrees there's something wrong?

Ask for referral: Ask for referral to speciality university that may deal with your medical issues. You may need to go out of state.