Doctor insights on:
Osteoporosis Family Physicians
Most do: Their training includes them.Some have an age range below which they leave to others. The whole idea around family practice is to monitor the whole family and be aware of the interactive dynamic/influence of each on one another. Knowing what you know and when to refer out is one of the skillsets that help them do their work. ...Read moreSee 1 more doctor answer
Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?
Grandparents too!: When considering close family history, i also want to include grandparents. Although uncles, aunts, cousins may not be as important, include their information if you have it. ...Read more
70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??
Yes it is OK: You can take these medicines together. There is no significant interaction or harm. So relax and take them as advised by your doctor. ...Read more
Saves money but: Call me old fashioned but it does not mean it is such a good idea. More ok for family, general, internist, ob/gyn etc to refill antidepressants once a patient is doing well, as part of general health maintenance. I have seen enough prolonged suffering and missed opportunities to appreciate the down side. Worth it to get started with a good psychiatrist, then transition. ...Read moreSee 11 more doctor answers
Complex: Although behavioral issues may be similar to alzheimer's, here meds are a bit more involved. Need antiplatelet drug to prevent more strokes, and clopidogrel or Aggrenox may be useful. The best tested drugs for this kind of dementia are donepezil and galantamine (galantamine hydrobromide). ...Read moreSee 1 more doctor answer
Mostly not.: The definition of complimentary and alternative medicine is slippery.I am a D.O., doctor of osteopathic medicine, and many M.D.'s consider my practice of manipulation, and philosophy of body self healing to be apocryphal(not accepted).I adhere to evidence based medicine as much as any dr.-but even the evidence isn't that firm.We learn more even day.Gsk told use Paxil (paroxetine) was safe in kids, not. ...Read more
Not many: Not usually. In most instances where you can a cardiologist you can find extremely good primary care physicians. While one stop health shopping sounds convenient it is often not in the patients best interest long term especially if that place is a specialists office. ...Read moreSee 1 more doctor answer
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
What pills are often prescribed by phsychiatrists and family practice physicians for patients who can't fall asleep?
Insomnia: You can start out with melatonin 3-6mg. If inability to fall asleep or stay asleep treatment may be different approach, old meds like amitripyline and nortripyline could be used. Antihistines such as Benadryl or hydroxyzine can be used. Anxiolytics such as alprazolam or temazepam can be used but the newer ones like ambien, rozerem (ramelteon) and lunesta are used more now. These can cause sleep walking issues ...Read more
Sometimes: Physicians are patient advocats and can participate in planning for the future. ...Read more
Rivalry: Due to unresolved issues with boundaries, dominance, unrealistic expectations , limit setting & control. ...Read more
Great question!: Caregiver stress/burnout; caregivers develop a love-hate(don't we all) relationship with the pt. The pt with dementia is usually happy but the family's not. Recommend going onto www.Alz.Org and look for local resources. Recommend the caregiver getting 1/2 or 1 day off per week to maintain sanity. Thanks! ...Read more
Earlier colonoscopy: If you have a significant family history of colon cancer, you would start your colonoscopy 10 years earlier than the age of the youngest family members diagnosed with colon cancer. Significant history - if there are multiple family members with colon ca; if a very young age of diagnosis of colon ca in some family members; diagnoses of other, associated cancers in family members. ...Read moreSee 2 more doctor answers
What is baroreptor failure & what questions should I ask docs caring for my elderly family member?
BP control problem: Baroreceptors help our blood pressure remain stable when we change the position of our body. When baroreceptors fail people often become dizzy when arising from lying or sitting positions. When talking to the physician it is important to ask if medications have side effects and if immunizations and preventive care procedures are up to date. I would also talk to them about advanced directives. ...Read moreSee 1 more doctor answer
Global health organisation warn families to prepare emergency family plan with medicine and supplies.?
Six basic supplies: 1 water mke sure you have water for basic needs for 3 days 2 food non perishable for st least 3 days 3 first aid and supplies 4 clothing and beddings appropriate 5 tools and special items like flash lights and fresh batteries 6 battery powered communication devices and dont forget copies of important documents like drivers licence, passports., list of phone numbers prescription medicines. ...Read more
Is so called "primary care" doctors (internists or family doctor) more accountable to you than the specialists?
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