Doctor insights on:
Nursr Bathing Shingles Patient
Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.
HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read moreSee 3 more doctor answers
How often should seniors be given a bath in a nursing home facility? Who washes their bottom? How?
Nursing home rules: You should ask the nursing home that question for they do have rules to maintain. ...Read more
63 yo mom didn't disclose childhood bone TB (cured) and chickenpox during her visa medicals. The doctor gave her vaccines for both. Would it be safe?
No harm done: If one had had Tuberculosis which was successfully treated in the past .Then TB Screening test we do in USA called PPD test will always will be positive and there is no vaccine available and needed for it,BCG vaccine which is used in some countries is useless in this case and no harm will come.Same for chicken pox vaccine if given after one already had chicken pox. No harm will be done. It is ok ...Read moreSee 1 more doctor answer
Medicare: Plans are complicated & depend on your state. Best info. Is at www.Usmedicare.Com. ...Read more
If dental assistant puts hands on her chair with each patient, can HCV be spread(she handles all utensils)?Is her chair usually cleaned between pt's?
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
88 year old DX hydrocephalus no shunt desired- how long to live with no shunt? On hospice & private caregiver.
Not necessarily a ..: short term thing. If the elderly individual is already on hospice, this would indicate life expectancy is already 6 months or less. I don't believe that deciding not to have a shunt would impact that estimate of life expectancy in a measurable way, although more psychological and physical changes might be seen, and at a more rapid pace. Best wishes:) ...Read more
Is methylprednisolone (plus tamiflu) helpful for an at risk elderly patient with compromised breathing? He is beginning to cough after flu exposure.
Public employee; lots of contact w/mothers/kids/elderly. Prior10 yrs of parvovirus b-19. Tested w/acute CMV @ highly contagious stage. No sick leave. No $$. Morally conflict re: returning to work.
Mother aged 80 patient copd. Ventilator once. Inhaler asthalin, neubulising asthaline , budecort. Deriphyllyne, prbpm90-100, spo2 is 50 advise.?
Dementia pt. had aspirational pneumonia D'C'd back to RCFE even tho needs higher level of care. Nursing scvs provided by hospice. Why not sent to SNF?
A different focus: Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When the end is near, we don't go to a skilled nursing facility (think of an SNF as a place to recover and get back to good mental and good physical functioning). When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
No: It is safe to breast feed after having breast cancer, although the affected breast may not produce milk following radiation therapy. Of course, any medication you take, including chemotherapy, may be passed to your child in the breast milk; therefore, your child's pediatrician needs to be aware of any medication you are taking before starting breastfeeding. ...Read moreSee 1 more doctor answer
58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?
I'm an SLP in a skilled nursing facility. Just received dx of MRSA on my skin, received topical bactroban; 13 weeks pregnant, is the MRSA dangerous?
MRSA skin infection: MRSA can certainly be a bane to health care workers like you. It sounds like your case is mild, since u were only given topical therapy. Bactroban is fine in pregnancy, so with this you'll be able to clear it up. MRSA sometimes can crop up later - but if so, I recommend reaching out to an Infectious Diseases doctor who can certainly guide you. Once I treated a whole family with MRSA. See doc if Qs ...Read more
Does having cidp put person at risk for opportunistic lung infx? Pt with cidp; dry cough, pleurisy x 2 mo after uri, afebrile. Not on immunosupprsnt.
Need treatment: Cidp may fluctuate in intensity but clearly can worsen over time and result in profound disability. Ivig infusions every 3-4 weeks can be miraculous and can totally stabilize most patients. Chronic steroids may be similar but side effects may be prohibitive. Pts with autoimmune neuropathies are clearly at risk for infections and truly need therapeutic intervention, as above. ...Read moreSee 1 more doctor answer
Hbot: caretaker in chamber w/ pt breathes room air at 2.4 ata + pt exhaled pco2. No o2 mask provided for caretaker. What are risks to latter?
A 72 year old male with a history of shingles and post herpetic neuralgia gets exposed to a child with chicken pox. Any risk of shingles recurrence?
No risk: this way but shingle can reoccur rarely. ...Read more
Should be: Should be okay.Get a more detailed answer ›
My mother aged 80 has 23 percent kidney functioning left.Does she require dialysis at this stage?Which food we may prefer to let her take?
Dialysis: She does not require dialysis at this stage. Dialysis is typically required at 15 percent or less kidney function. Diet is important. She must avoid high potassium and high phosphate foods. She must take low salt diet. See a dietitian as soon as possible. Food lists are available on AAKP and NKF web sites. ...Read moreSee 1 more doctor answer
Shingles (Herpes Zoster) (Definition)
A painful blistering skin rash caused by the chickenpox virus (varicella zoster), occurring in people who have had chicken pox some time in their past. ...Read more
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