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Doctor insights on: Orthopoed

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Is it common for someone with bpd to dress eccentrically / in a non-orthodox fashion?

Is it common for someone with bpd to dress eccentrically / in a non-orthodox fashion?

Bpd: Do you mean bronchopulmonary dysplasia which preterm infants with respiratory distress syndrome often have? I need more information. ...Read more

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Who do you see for orthopnea?

Who do you see for orthopnea?

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

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What can u do to treat orthopnea?

What can u do to treat orthopnea?

Find the cause: Orthopnea is shortness of breath when you lay flat. Treatment of this symptom always depends on finding a cause (ie fluid in the lungs, heart failure and dysfunction of the diaphragm). These causes are all treated differently. ...Read more

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What is the best way to treat orthopnea?

What is the best way to treat orthopnea?

See a doctor and : Get your congestive heart failure evaluated measured and treated much can be done to optimize you heart function. ...Read more

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My husband's diagnose is oligoasthenoteratozoospermia.Motil.20%,morf.65%,nr.of sperm0.2ml.He is taking orthomol fertile.what should we do?Ivf?

My husband's diagnose is oligoasthenoteratozoospermia.Motil.20%,morf.65%,nr.of sperm0.2ml.He is taking orthomol fertile.what should we do?Ivf?

ICSI: you may want to discuss with a reproductive endocrinologist if with your husbands type of spermiogram intra cytoplasmic sperm injection (ICSI) would potentially be the fastest way to have a baby. ...Read more

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I was with an orthoped this week and he advised convservative therapy (no operation).Are there any risks with this approach (instability in future).

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

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How are custom foot orthoses helpful for jogging?

How are custom foot orthoses helpful for jogging?

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

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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?

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

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How do I treat knee hyperextension until I can get in to see the orthodoc?

How do I treat knee hyperextension until I can get in to see the orthodoc?

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

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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?

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

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Taking orthodox cycle 28 and my face is now a field of pimples. What can I do?

Taking orthodox cycle 28 and my face is now a field of pimples.  What can I do?

Ask your doctor : To change your pill to a different brand that is known to help acne. ...Read more

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Where can I buy a foot orthoses that maintains the foot in an inverted position?

Where can I buy a foot orthoses that maintains the foot in an inverted position?

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

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What can I expect if I go to the emergency room for treatment of a sprain? Evaluation by orthopod?

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

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Read about orthopnea. Not that I have dyspnea when lying flat, but I feel much more comfortable breathing sitted up. Is this normal?

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

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Taking isotretinoin 40mg/day, 5th month. Orthoped says I have an inflammation in the sciatic nerve, prescribed Diprospan Injection. Drug Interactions?

Taking isotretinoin 40mg/day, 5th month. Orthoped says I have an inflammation in the sciatic nerve, prescribed Diprospan Injection. Drug Interactions?

Ask provider: ask your provider but usually there is no interaction between the two.. The steroid might decrease some inflammation on your face but should not interfere with the accutance ...Read more

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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

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

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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

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

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How can custom foot orthoses help someone with high arches?

How can custom foot orthoses help someone with high arches?

Greater support: Custom orthotics can provide greater support to the plantar foot, especially in individuals who have high arches. ...Read more

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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?

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?

The 2 U mentioned --: Are generally the 2 main options, (surgery or orthotics). You surgeon should explain it to you. Ask him questions, till u r satisfied.
The 3rd option is to live with it, depending on how much you problems u are having?
Good luck. ...Read more

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Experiencing dull upper chest and upper back pain with orthopnea.?

Experiencing dull upper chest and upper back pain with orthopnea.?

See a Doc: If you are having such symptoms, you could be having symptoms of congestive heart failure. You should see your doctor asap or go to an er if the symptoms persist. ...Read more

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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

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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?

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

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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

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

Rest: Pain of sternoclavicular subluxation is best treated by rest and with hope that the joint will stabilize. If it does not regain a stable neutral station, then prolotherapy might be a consideration. ...Read more

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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?

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

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Would a crooked jaw line and bad posture and 2 unfinished orthodox also stress cause head aches and unknowing jaw clenching and pressure?

Would a crooked jaw line and bad posture and 2 unfinished orthodox also stress cause head aches and unknowing jaw clenching and pressure?

Could be related: Lots of maybes here. Crooked jaw and orthodontic issues could relate to grinding teeth and jaw pain/headaches. Stress also major factor. ...Read more

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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?

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?

CLARIFICATION: "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

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