Doctor insights on:
Bpd: Do you mean bronchopulmonary dysplasia which preterm infants with respiratory distress syndrome often have? I need more information. ...Read more
FP, IM, Cards or pul: Orthopnea is breathlessness that occurs specifically when lying down. The two conditions that should be considered are congestive heart failure and and advanced lung disease. You should be seen by a family practice doctor or internist or cardiologist or pulmonary specialist. (since you're using the medical term "orthopnea", i assume you've already seen one? ...Read more
I am eastern orthodox, and the fasting rules have me craving sugar (no animal products allowed for part of the year). Beans and tofu aren't helping.?
Try carbs: Try some rice or bread to replace carbs. ...Read more
My husband's diagnose is oligoasthenoteratozoospermia.Motil.20%,morf.65%,nr.of sperm0.2ml.He is taking orthomol fertile.what should we do?Ivf?
I was with an orthoped this week and he advised convservative therapy (no operation).Are there any risks with this approach (instability in future).
Conservative: It depends. Your doctor knows your case the best. He or she likely feels that conservative treatment may yield the best results for now. For example, a person with back pain and a herniated disc often benefits from anti-inflammatory medicine and physical therapy-- this is usually tried before surgery. Doctors will often try a less risky therapy before a more risky therapy. ...Read more
They're not: An orthotic or any other type of brace is an appliance that should be used to treat a specific condition. It is not necessary for a normal healthy foot and there is no evidence that it reduces foot injuries in athletics. ...Read more
I was doing a in hospital stay and a student was alone, came to my bed and part of questions were "are you gay?" is this orthodox? Unethical?
May be not: Usually students are trained with residents and attending physicians. They have to gather a history and perform physical of certain number of patients. When they take history they keep missing points and keep coming to the patients to ask more questions. Also, they don't have adequate skills to ask questions without offending the patients. I assume he did not know how to frame the question. ...Read more
Podiatrist cut out a pink spongy material and attached under orthoses as metatarsal pad. Whats this material & where can I buy a sheet after wearout?
Foam rubber: Any foam rubber 1/8" thick should work. Use his pad as your template ...Read more
RICE therapy: The pneumonic r.I.C.E. Helps guide the general treatment of orthopedic injuries until a more thorough eval can be done. It stands for rest, ice, compression, and elevation. In addition, tylenol (acetaminophen) and anti-inflammatories can help with the pain. If it hurts to put weight on it, don't. Get some crutches and stay off of it. A brace or immobilizer can help relieve pain as well. ...Read more
A stent put in my cbd was supposed to be removed today but today the stent was missing. Doc said it may have slipped and come out.Hope its safe. Scary?
Migration: About 8-10% of common bile duct stents migrate away from original placement into bowel..43% are evacuated from bowel normally. Rare percentage perforate the intestines because of obstruction and may cause bowel penetration is usually related to obstruction and can result in fistula , and abscess formation.Your physician should follow you closely for any complications if not normally evacuated. ...Read more
Have feet evaluated.: There are different decrees of inversion. You may need custom othoses. Have your feet evaluated by a professional to get the right orthoces for you feet. ...Read more
What can I expect if I go to the emergency room for treatment of a sprain? Evaluation by orthopod?
Ed staff: A minor sprain or strain will likely not be staffed by an orthopedic surgeon as ed staff are more than qualified to triage and provide acute treatment for these injuries. If the injury is more severe the ed provider may consult an orthopedic surgeon. The emergency room will recommend appropriate follow up based on the nature of the injury. ...Read more
Read about orthopnea. Not that I have dyspnea when lying flat, but I feel much more comfortable breathing sitted up. Is this normal?
Orthopnea: For many people the mechanics of breathing require less work when standing or sitting uptight. Normals can possibly feel this. People with impaired breathing feel this more. ...Read more
Taking isotretinoin 40mg/day, 5th month. Orthoped says I have an inflammation in the sciatic nerve, prescribed Diprospan Injection. Drug Interactions?
I've complete torn ATFL.Last injury 9,wks ago.Still hurts to walk and swells up.Should it be braced/cast/bandage while I wait for orthoped appointment
Torn ATFL: Ankle sprains often result in a torn ATFL. Initial treatment for ankle sprains is rest, ice, compression and elevation (RICE). After 10-14 days of this, symptoms should improve. Physical therapy is useful to restore ankle motion and strength. In your case, pain and swelling has persisted and may indicate other problems, like cartilage injury. Recommend immobilization to protect the ankle. ...Read more
Can an orthopedic doctor order xrays before seeing the patient in wa state i understand in ca that a doctor cannot order xrays before physically examing the patient, however, I am new in my role and see value in patient flow in our facility if the orthope
In Wisconsin U can-: -but I had a very capable assistant & she was able 2 C them initially & decide if I should C them first. The only time I always did was with patients who were under treatment from somewhere else & came to my care. It was really for legal reasons to document what their fractures looked like, then if time I would have the cast removed & re-X-ray them. Did not want 2 B blamed 4 another's poor care. ...Read more
I have a severe fallen arch &i went 2 hosp. 4special surgery they basically told me i need total foot reconst or wear orthop. My entire life.Options?
Having tooth pain. Doc started rrot canal put only but a medication and told to vist after 2 weeks. orthopan is clear Pls advise what it coult it be?
Infection: Can be painful. If Rx provided by your Dentist is not giving you relief, would be advisable to see a root canal specialist, an Endodontist, for care. Periical film, CBCT, would give better look at infected area than a Panoramic x-ray. Endodontist has Endo Microscope for better visualization. Specialist does only Endo Rx. GP does many fewer Endo Rxs in between cleanings, fillings, etc. ...Read more
I have had a consult with my Orthopod and he says that I need a total knee replacement. How much pain am I likely to be in after the operation?
Less than NOW:
Having gone through a partial (medial-Oxford) knee replacement the first 1-2 days were similar to the pre-op pain, then it improved exponentially from there. You'll be glad you had it done. If you can get by with a partial knee vs. a total knee do the partial. I'm 7 years out and doing well.
Good luck ...Read more
I have a sc (anterior collar bone) dislocation. It is uncomfortable and painful. Is PT and/or chiro or massage tx indicated? Orthoped did nothing
Had a complex medial meniscus tear 3 weeks ago. Still limping and pain around the joint. I don't see an orthopod for at least 6 months. How soon does it need to be see & will early arthoscopy be better?
Torn meniscus: If you want to return to normal function sooner, you will need to be seen sooner. If it is truly torn, it is not likely to rtn to normal on it's own. ...Read more
Would a crooked jaw line and bad posture and 2 unfinished orthodox also stress cause head aches and unknowing jaw clenching and pressure?
Extremely painful tibialis sheen on long or fast walk. I already wear custom orthoses with arch sup &metatarsal pad for flat foot and metatarsal pain?
"Tibialis sheen?" Do you mean tib. posterior or tib. anterior? I will speak to the tibialis posterior tendon.
If this is your diagnosed problem, I always utIlize an MRI to look at the tendon. Then, orthoses, bracing, or a cast can be tried depending upon the integrity of the tendon. Therapy is another option. If all these fail, surgery can be discussed. I have pretty good success with a brace. ...Read more