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Nursing Interventions For Gerd
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more
Needs Med Rx: Use of preventive vaccines decrease the need for rx. If unvaccinated, you need the antitoxin, vaccine and antibiotics to kill the germ growing in what may be a minor wound. Even a small infestation of the tetanus germ can generate enough toxin to kill you. ...Read moreSee 1 more doctor answer
Chronic obese pain and psych patient trying to have gastric sleeve bypass need physician supervised diet for insurance to cover operation.please help?
Track it 1400: The cheapest and best way to lose weight fast is to use a calorie counter app like myfitnesspal. Reduce calories to 1400 per day. In the app track EVERYTHING that you put in your mouth. DONT take any cheat days or days off otherwise it will be less effective. Drink 2L of water per day. You may find that you will lose a lot of weight and you may not even need the surgery. ...Read moreSee 1 more doctor answer
Can you recommend the Torax Linx device as a less invasive alternative to a Nissen Fundoplication for management of GERD?
Good early reposrts: New device but seems promising. Early report from LAC-USC in Los Angeles, CA endorse its use so far ...Read more
Medical opinions: nootropics, tcm, &chiropractors a safe alternative to psych meds for ptsd & mood disorders and pain medicines for chronic pain?
Really complicated: So many therapeutic approaches are in your question, it's impossible to answer. Even the "nootropic" part is extremely complicated. These can be food substances like phenethylamine and l-theanine (found in chocolate and green tea) or many other things. Different ones have different characteristics, safety, & effectiveness. An integrative physician could help guide you. www.holisticboard.org. ...Read moreSee 1 more doctor answer
Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?
Informed decision: Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www.Medicare.Gov/quality-care-finder/#nursing-home-compare also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read moreSee 2 more doctor answers
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
Is taking proton pump inhibitors safe if taking for 2 weeks for acid reflux issues ? Any dependency issues ?
Not sure: I understand the question.. can you re submit with more details? ...Read more
Chronic obese pain patient. Medicare and Medicaid. Trying to have gastric sleeve bypass need primary for physician supervised diet. ADrive? Thanks
Gastric sleeve: Hi. We don't have all the information on you (BMI, obesity comorbidities), but you may very well meet criteria for sleeve gastrectomy surgery. It can help a lot with weight loss, and doesn't alter the anatomy of the small intestine, so there is generally not a problem with nutrient malabsorption. And depending on the nature of your chronic pain, it may help with that. What does "ADrive" mean? ...Read more
Preterm labor: To evaluate a patient for premature labor, it is essential to monitor uterine contractions and fetal heart beat. An early cervical examination and a follow up cervical examination will tell if there has been cervical change. Cervical change is a hallmark of premature labor. If there is cervical change, then treatment can be started. ...Read more
What best meds for severe grade4 reflux disease.Dr has tried pantorazole, nexium, (esomeprazole) ranitindine. Will be having nissen eventually. ?
Needs further eval.: What is nissen? If you have not responded to all those meds, something more complex is going on than just reflux. There are new strength drugs, such as dexilant, (dexlansoprazole) but most important is finding what else going on. Barretts's esophagus? Zollinger-ellison syndrome, super high acidity state, huge hiatal hernia. Maybe it's not even the GI tract is the problem. Maybe heart, gall bladder, pancreas... ...Read moreSee 1 more doctor answer
Optimal management : of ADHD = stimulant &/or non-stimulant medications, behavior therapy, parent behavior management training, & environmental modifications at home & school, including " Section 504" classroom modifications. If multimodal treatment is not effective, a Developmental/Behavioral Pediatrician or Child Psychiatrist can evaluate for comorbid neurodevelopmental or psychiatric disorders vs. misdiagnosis. ...Read more
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